BENGALURU · FULLTIME
Medical Coder
Agilon Health
Bengaluru · onsite · Posted 28d ago
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Section · 01
About this role
Company:
AHIPL Agilon Health India Private Limited
Job Posting Location:
India_Bangalore
Job Title:
Medical Coder
Job Description:
Primary responsibilities:
India_Bangalore
AHIPL Agilon Health India Private Limited
Job Posting Location:
India_Bangalore
Job Title:
Medical Coder
Job Description:
Primary responsibilities:
- Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
- Review medical record information to identify all appropriate coding based on CMS HCC model.
- Review medical record information to identify all appropriate HEDIS exclusion codes that do not map in the CMS HCC model.
- Review medical record information to identify all appropriate CPT II procedure coding
- Utilize medical coding software programs or reference materials to identify appropriate codes
- Complete appropriate system entry regarding claim/encounter information.
- Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable clinical codes
- Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
- Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.
- Performs AHIMA/ACDIS compliant queries to providers when necessary
- Apply post-query response to make final determination
- Participate in ongoing training and education within assigned timeframe
- Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations
- Communicates to leadership issues and barriers to completing all work processesEducate and mentor others to improve medical coding quality
- All other duties as assigned by leadership
India_Bangalore
Sourced from foundit
Section · 02
Skills
Problem Solvingmedical codingAnatomy and physiologyAHIMA ACDIS compliant queriesCMS HCC modelCPT II procedure codingHEDIS exclusion codesmedical coding software
Section · Company
About Agilon Health
Agilon Health
501-1000
employees
2016
10 years old
Austin, Texas
United States
₹21.1L PA avg
Avg at Agilon Health
About
Agilon Health enhances senior healthcare by empowering primary-care physicians, emphasizing value-based care over volume and ensuring long-term partnerships.
Industries
Health CareHospitalPrimary and Urgent Care
Employee ratings
10 reviews
4.0/ 5
Culture
4.1
Career growth
2.9
Work-life
3.9
Employees rate it well for
Compensation & Benefits46Work-Life Balance43
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