Job Description:
• Medical Coding involves the conversion of healthcare service-related text information into numeric Diagnosis (Medical Problems) and Procedure (Treatments) codes using the ICD-10 CM and CPT code books.
• Coders will be responsible for interpreting medical reports, which include a patient's condition, doctor's diagnosis, prescriptions, and procedures performed, and converting that information into standardized codes that are essential for medical claims processing.
Key Responsibilities:
1. Conversion of Patient Information:
• Convert verbal descriptions of medical problems and treatments into numeric codes (ICD-10 CM, CPT).
2. Collaboration with Healthcare Providers:
• Work closely with doctors, healthcare teams, and insurance providers to ensure proper coding of medical claims.
• Interpret and apply the correct codes based on medical reports and procedures.
3. Quality Assurance:
• Ensure accuracy and completeness of the coding process to avoid any claim rejections.
• Stay up-to-date with the latest coding guidelines and healthcare regulations.
4. Document Management:
• Maintain clear records of all coded information for proper documentation and audit purposes.
• Assist in managing and organizing medical records as needed.
5. Medical Knowledge Utilization:
• Utilize knowledge of Anatomy and Physiology to accurately code medical conditions and procedures.
Required Candidate Profile:
1. Educational Background:
• Graduate or Postgraduate in Pharmacy (B. Pharm, M. Pharm, D. Pharm).
• Pass-outs from 2018 to 2024 are preferred.
2. Knowledge and Expertise:
• In-depth knowledge of Anatomy and Physiology.
• Familiarity with coding systems like ICD-10 CM and CPT.
• Experience in ICSR Case Processing and MedDRA Coding is a plus.
3. Communication and Interpersonal Skills:
• Good verbal and written communication skills.
• Ability to work with cross-functional teams effectively.