Education & Certification
- Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc).
- Bachelor of Science in Nursing.
- Pharmacist Degree (B.Pharm, M.Pharm or PharmD).
- Life science Degree (Microbiology, Biochemistry etc).
- Other Bachelor’s Degree with relevant experience.
Certification Requirements:
- Must hold any of the following certifications: CPC, CPMA, COC, CIC, CPC-P, CCS or any specialty certifications from AHIMA or AAPC.
- Additional weightage will be given for AAPC specialty coding certifications.
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Key Skills:
- Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity,Revenue Cycle Management (RCM), Denials Management.
- Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc.
- Payment Policies knowledge like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc
- High proficiency in Microsoft Word and Excel, with adaptability to new platforms.
- Excellent verbal & written communication skills.
- Strong analytical, critical thinking, and problem-solving skills.