Walk-in || Senior Medical Coder

Senior Medical Coder HCC

About Annova:

Established in 2018 by two experienced IT professionals with diverse skill sets, Annova Solutions was founded with a clear mission in mind: to harness the power of technology and provide better business results for our clients. Our belief in the potential of Tier 2 cities in India led us to choose our hometown of Indore as our base of operations, contributing to the growth of the local IT industry. We are a global pioneer and masters in healthcare operations, AI & Machine Learning Services, Computer Vision Services, and shared service partners in India. We are a dynamic and innovative technology company that is dedicated to delivering exceptional solutions to our clients. We are at the forefront of driving technological advancements and transformative changes in various industries.

Qualification: Any graduate and postgraduate in health science background.

Certification: AAPC, AHIMA, CPC, CRC, CCS certified.

Roles and Responsibilities: -

• Perform Concurrent, Prospective, and Retrospective chart abstraction with high accuracy.
• Apply HCC coding guidelines appropriately to ensure complete and compliant risk capture.
• Review clinical documentation and identify opportunities for CDI improvement.
• Ensure accurate interpretation of provider documentation in line with CMS and Commercial coding guidelines.
• Handle Commercial HSS coding charts with a strong understanding of hierarchical conditions and disease progression.
• Maintain quality benchmarks and support audit requirements as needed.
• Collaborate with quality, audit, and operations teams to improve overall coding accuracy.

Successful Candidate must have: -

• Knowledge of anatomy, physiology, and medical terminology.
• Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Well-versed with ICD-10 guidelines and their implementation.
• Exceptionally skilled in determining valid encounters including legibility and valid signature requirements of medical record. Exposure to value-based care or risk adjustment projects is a plus
• Quality checking of the coding of the documents done by the associates. Keeping track of the errors and calculating accuracies of the associates.
• Proficient in reviewing medical records and determining the accuracy and completeness of the document.
• Minimum 3 years of experience is mandatory.

Roles and Responsibilities: -

• Perform Concurrent, Prospective, and Retrospective chart abstraction with high accuracy.
• Apply HCC coding guidelines appropriately to ensure complete and compliant risk capture.
• Review clinical documentation and identify opportunities for CDI improvement.
• Ensure accurate interpretation of provider documentation in line with CMS and Commercial coding guidelines.
• Handle Commercial HSS coding charts with a strong understanding of hierarchical conditions and disease progression.
• Maintain quality benchmarks and support audit requirements as needed.
• Collaborate with quality, audit, and operations teams to improve overall coding accuracy.

Successful Candidate must have: -

• Knowledge of anatomy, physiology, and medical terminology.
• Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Well-versed with ICD-10 guidelines and their implementation.
• Exceptionally skilled in determining valid encounters including legibility and valid signature requirements of medical record. Exposure to value-based care or risk adjustment projects is a plus
• Quality checking of the coding of the documents done by the associates. Keeping track of the errors and calculating accuracies of the associates.
• Proficient in reviewing medical records and determining the accuracy and completeness of the document.
• Minimum 3 years of experience is mandatory.