Clinical Coder - 6-month Contractual

L4 Coder (4-6 Years)

Coding experience with relevant certification.

Strong hands-on knowledge of ICD-10-CM, CPT, and HCPCS Level II.

Knowledge of medical terminology, anatomy, and physiology.

Demonstrated sound judgment and practical problem-solving skills.

Ability to think creatively.

Basic proficiency in Microsoft Excel (filters, VLOOKUP, etc.).

Familiarity with CMS and payer-specific guidelines.

Ability to accurately review and interpret clinical documentation.

Medical or any associated educational background

L5 Coder (7-9 Years)

All L4 criteria

Expert-level knowledge of ICD-10-CM, CPT, and HCPCS Level II.

Strong knowledge of medical terminology, anatomy, and physiology.

Proven ability to interpret complex clinical documentation.

People management skills and client engagement experience.

Experience managing a market/portfolio and supervising 2-3 coders.

Presentation skills (creating and presenting)

L5 DRG Coder (7-9 Years)

All L4 criteria

Strong DRG knowledge and experience

Comparison of different DRGs & support in writing assessment reports.

Input & Output Files clinical audit/ coding sense checks.

Provide clinical support in the analysis of claims data to derive actionable clinical insights.

Engagements with internal stakeholders for any clarification, updates etc.

L5 Clinical Specialist (7-9 Years)

All L5 criteria like independent client facing, good presentation skills, team management, expertise, good problem solver, etc.

Independent thinker

Creative and critical thinking ability to capture 360 degrees

Good Observation skills

Crosswalk experience

Stakeholder coordination

SNOMED experience