Medical Coding

About the Role

Medical Coding is a fast-growing profession in the healthcare industry. This role is open to fresh graduates.

Key Responsibilities

• Identify cases eligible for medical reviews and assign them to appropriate reviewers.
• Reach out to the client for any problems identified in the cases for review.
• Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.
• Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
• Develop a complete understanding of the Medical management Procedures.
• Perform medical review assessment (MRA) on utilization of health services (e.g., healthcare plans, workers compensation products, etc.) in an accurate, efficient, and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
• Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, causally related care, response or lack of response to treatment, etc.
• Identify missing records and information that are necessary in the completion of the medical review assessment.

Qualifications

• Candidate should be from any Life Science, Paramedical, Medical Graduates, and Post Graduates background.
• Must possess knowledge about Medical Terminologies.
• Must possess good written and verbal English Communication Skills.
• At least a Diploma/degree in any field.
• Goal-oriented and thrives in fast-paced environments.

Placement Locations

Chennai, Trichy, Coimbatore, Vellore, Salem, Bangalore, Hyderabad, Nagercoil, Madurai, Tirunelveli, Tiruppur, Kancheepuram, Erode, Thiruvannamalai, Pudukkottai, Villupuram, Dindigul, Thanjavur, Dharmapuri, Sivakasi, Tiruchengode, Mayiladuthurai, Thoothukudi, Ramanathapuram, Pudhukottai, Mumbai, Pune, Noida.