Black And White Business Solutions is seeking a detail-oriented and highly skilled E/M Coder - Outpatient who is CPC Certified. This role requires strong expertise in Evaluation and Management (E&M) coding and Outpatient coding, along with exceptional analytical and communication skills. You will be instrumental in conducting audits, assigning accurate codes, and ensuring compliance with all relevant regulations, contributing directly to revenue integrity and regulatory adherence.
Must Have Skills
- Experience in risk adjustment coding (HCC), outpatient, or E&M coding: Demonstrated proficiency in accurately applying codes for hierarchical condition categories (HCC), all types of outpatient services, and comprehensive Evaluation and Management encounters.
- High attention to detail and accuracy in code assignment and documentation review: Meticulous approach to reviewing medical records, identifying all billable services, and assigning the most appropriate codes with precision.
- Strong analytical and problem-solving skills: Ability to critically analyze complex medical documentation and coding scenarios to identify discrepancies and formulate effective solutions.
- Effective written and verbal communication for coder feedback and education: Clear and concise communication abilities to provide constructive feedback to fellow coders and contribute to training initiatives.
- Proficiency in Microsoft Office and EHR/coding software: Competence in using standard office applications and specialized electronic health record (EHR) and coding software for daily tasks.
- Ability to manage multiple tasks and meet strict deadlines in a fast-paced environment: Excellent time management and organizational skills to handle a high volume of work while maintaining accuracy under pressure.
- Familiarity with tools such as 3M, EPIC, or Optum Encoder: Working knowledge of common coding and EHR platforms to navigate and utilize them efficiently.
Key Responsibilities
- Conduct retrospective and prospective audits of E&M coded records to ensure accuracy, completeness, and compliance with official guidelines and facility-specific protocols.
- Assign ICD-10-CM, CPT, and HCPCS codes based on the latest official coding guidelines, national conventions, and client-specific requirements for outpatient services.
- Identify coding errors or trends and provide constructive feedback to improve overall coder performance and accuracy.
- Collaborate with coding and clinical documentation teams to resolve discrepancies, clarify documentation, and ensure optimal code assignment.
- Lead or support coder education and training initiatives based on audit outcomes, new coding guidelines, and regulatory updates to enhance team knowledge and skills.
- Stay current on E&M coding standards, CMS regulations, and payer-specific requirements, ensuring all coding practices are up-to-date and compliant.
- Participate in internal and external compliance audits, providing necessary documentation and responding to audit requests as needed to demonstrate adherence.
- Generate comprehensive audit reports and track coding performance metrics, providing insights into accuracy rates, productivity, and areas for improvement.
- Ensure revenue integrity and regulatory compliance in close coordination with billing, compliance, and Health Information Management (HIM) teams, minimizing claim denials and ensuring ethical billing practices.
Qualification
CTC Range
Notice Period
- Immediate to 15 Days only
Interview Mode
Contact:HR Manasa.S Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 8067432489 / WhatsApp: 7892150019 Email: [Confidential Information] | Website: www.blackwhite.in
