Company Description
Atean Healthcare Solutions is a cost-effective provider of Medical Coding and Medical Billing services. The organization specializes in streamlining healthcare documentation and billing processes for improved efficiency and compliance. Known for its precision and reliability, Atean Healthcare Solutions supports healthcare providers in delivering uninterrupted patient care. Located in Chennai, the company is committed to maintaining high-quality standards in medical billing and coding services.
Job Description:
We are seeking a detail-oriented and knowledgeable Medical Billing Coder responsible for accurately assigning medical codes to diagnoses, procedures, and services, ensuring compliance with industry standards and facilitating timely claim submission and reimbursement.
Roles and Responsibilities:
- Review patient medical records, physician notes, and clinical documentation to determine appropriate codes
- Assign accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures
- Ensure coding accuracy and compliance with healthcare regulations and payer guidelines
- Verify completeness and correctness of medical documentation before coding
- Work closely with billing teams to ensure clean claim submission and reduce denials
- Identify and correct coding errors or discrepancies
- Maintain up-to-date knowledge of coding guidelines, regulations, and updates
- Assist in audits and compliance reviews as required
- Communicate with healthcare providers for clarification on documentation when needed
- Ensure adherence to HIPAA and confidentiality standards
Qualifications:
- Proficiency in Medical Coding and familiarity with Coding Guidelines
- Knowledge of Medical Terminology and a background in Health Information Management
- Experience with coding standards, including RHIT certification and related qualifications
- Attention to detail, organizational skills, and the ability to ensure compliance with healthcare regulations
- Bachelor's degree in a related field or relevant professional certifications preferred
- Previous coding experience, particularly in a clinical or hospital environment, is advantageous
- Certification in medical coding (CPC, CCS, or equivalent preferred)
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems
- Understanding of medical terminology, anatomy, and physiology
- Familiarity with insurance guidelines and reimbursement processes
- Excellent attention to detail and accuracy
- Good analytical and problem-solving skills
- Proficiency in medical billing software and MS Office tools
- Strong communication and interpersonal skills
KPI
- Experience in US healthcare/medical billing process
- Knowledge of denial management and AR follow-up
- Exposure to EHR/EMR systems
- Coding accuracy rate
- Turnaround time (TAT) for coding
- Denial rate due to coding errors
- Productivity targets (charts coded per day)
