Responsibilities:
Assign ICD9/ICD-10 CM Diagnosis codes, CPT4, and HCPCS codes per HAAD / DHA Guidelines.
Identify diagnosis, check the eligibility of the member, according to policy condition if approval is required, and send the documents for approval. Ensure that Services done to the patient are billed accordingly as per agreed tariff to every insurance company. Keep various medical operative reports, discharge summaries, clinic notes, referral letters, radiology reports, pathology reports, and various other documents, ready for insurance submission. Ability to comprehend whether secondary diagnosis and/or procedures are codeable. High level of productivity, reliability, responsibility, attendance, dependability, organization and accuracy/thoroughness
Education, skills and experience:
Good knowledge of HAAD and DHA guidelines. Any Degree in Medical Sciences Preferred CPC, CPC-H, CCS-P, CCS certification or another AHIMA or AAPC approved program IS A MUST Good communication skills Ability to work independently and make decisions related to coding.