Company Description
Atean Healthcare Solutions is a specialized provider of cost-effective medical coding and medical billing services. The organization is committed to delivering accurate, efficient, and compliant solutions tailored to healthcare providers needs. Atean Healthcare Solutions focuses on enabling healthcare organizations to optimize their revenue cycles while maintaining the highest standards of data integrity and compliance. With a client-centric approach, Atean is a trusted partner for healthcare businesses aiming to streamline operations.
Role Description
This is a full-time, on-site role for a Medical Billing Coder located in Chennai. Responsibilities include accurately coding medical records, analyzing and assigning proper healthcare codes for diagnoses and procedures, and ensuring compliance with relevant coding guidelines and regulations. The role involves reviewing patient data for completeness and accuracy, collaborating with healthcare providers for clarification, and staying updated on ever-evolving coding 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)
