Company Description
Elico Healthcare Services Ltd. is a trusted and renowned partner in the healthcare industry. We offer tailor-made RCM solutions to hospitals, physician groups, EMS providers, and credentialing and contracting agencies. Promoted by Elico Ltd., a technology leader with six decades of pioneering innovations, our value-based strategies and integrated analytics enhance patient care and improve financial parameters. We operate through strategic business units in Hyderabad, Chennai, and Mysore, with a team of over 850 professionals dedicated to satisfying customer requirements.
- The Medical Coder will be responsible for accurately interpreting, coding, and summarizing the medical records and ensuring compliance with all relevant coding guidelines and regulations.
REQUIREMENTS
Education
Bachelor's degree in Nursing, Allied Health, Life Sciences, or a related healthcare field
Experience/Qualification
- Preferred: CPC, CCS, or equivalent credential.
- 25 years of experience in clinical documentation review, medical coding, utilization review, or related healthcare documentation work.
- Strong understanding of medical terminology, disease processes, and healthcare documentation standards.
- Excellent analytical, written communication, and summarization skills.
- Familiarity with EHR/EMR systems (e.g., Epic, Cerner, Meditech) and Microsoft Office tools.
Specialties (If Any)
NA
Certifications (If Any)
Preferred: CPC, CCS, or equivalent credential.
ؠEssential Skills / Aptitude:
MS office and good typing skills
KEY RESPONSIBILITIES
- Review and evaluate medical records, progress notes, discharge summaries, and other clinical documentation for accuracy and completeness.
- Prepare concise and comprehensive clinical summaries highlighting key diagnoses, treatments, medications, and outcomes.
- Ensure documentation aligns with coding, billing, and compliance requirements (e.g., ICD-10, CPT, CMS, HIPAA).
- Identify gaps, inconsistencies, or missing information in clinical documentation and escalate for clarification or correction.
- Support preauthorization, claims, and medical necessity reviews by providing clinical context and supporting summaries.
- Collaborate with physicians, nurses, coders, and case managers to maintain high-quality clinical documentation.
- Maintain confidentiality and data integrity in accordance with HIPAA and organizational policies.
- Participate in internal audits, training sessions, and process improvement initiatives related to documentation standards.
Interested candidates can share their resume to this mail id - [Confidential Information]
Contact Details:9866005442 /WhatsApp
Regards,
