Medical Coder
Optum
Total years of experience :1 years, 4 Months
The HCC Medical Coder will play a crucial role in ensuring accurate and compliant coding for risk adjustment and reimbursement purposes. This role involves reviewing medical records, assigning appropriate HCC codes, and collaborating with healthcare providers to ensure coding accuracy. Key Responsibilities: 1- Review and analyze medical records to extract relevant diagnosis codes for HCC coding. 2- Assign HCC codes accurately based on CMS (Centers for Medicare & Medicaid Services) guidelines. 3- Ensure compliance with coding standards, regulations, and best practices. 4- Collaborate with healthcare providers to clarify and obtain necessary documentation for accurate coding. 5- Participate in coding audits and quality assurance activities to maintain coding integrity. 6 - Stay up-to-date with evolving healthcare regulations and coding guidelines. 7- Maintain patient confidentiality and data security in accordance with HIPAA regulations. 8- Provide coding expertise and support to the revenue cycle and billing departments. 9- Assist in identifying documentation improvement opportunities and work with clinicians to enhance documentation practices. 10- Prepare and submit coding reports to facilitate risk adjustment and reimbursement processes.
PROJECT TITLE: “A prospective observational study to assess the liver diseases along with its comorbidities” PROJECT DETAILS: Our Study Reveals that among the CLD with comorbidities patients along with hypertension expecting to have reduced quality of life. Where among the 65-study population, 35.76% patients where majorly found with Hypertension, 7.69% population were found with ARF, 6.15% Population were found with Diabetes Mellitus and remaining are found to be with Hepatitis, Anemia, CKD and Others. After patient counselling, majority of the subjects were reviewed from hypertension and benefited whereby remarkably the level of general wellbeing had improved.
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