Job Description
Company: Omega Healthcare Management Services Designation: Process Executive / Trainee Medical Coder Domain: Medical Coding / Revenue Cycle Management (RCM) Location: Hyderabad Salary Range: ₹1.8 Lacs to ₹3.8 Lacs per annum (varies based on CPC certification and specialty) Job Level: Entry Level Work Shift: Day / Evening / Rotational Shifts (Non-Voice / Back-Office operations)
Role Summary
As a Process Executive (Medical Coding) at Omega Healthcare, you are responsible for reviewing patient electronic medical records (EMRs) and clinical documentation to translate diagnoses, surgical procedures, and healthcare services into standardized alphanumeric codes. You will ensure that coding adheres strictly to official coding guidelines, payer policies, and HIPAA standards, enabling accurate claim submission and reimbursement for US healthcare providers.
Key Responsibilities
1. Clinical Documentation Review & Code AssignmentThoroughly read and analyze clinical encounter notes, operative reports, discharge summaries, laboratory results, and physician chart notes.Accurately assign diagnosis codes using ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) based on supported clinical documentation.Assign procedure and service codes using CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) along with appropriate coding modifiers.
2. Compliance & Coding IntegrityAdhere strictly to the official coding guidelines established by CMS (Centers for Medicare & Medicaid Services), AMA (American Medical Association), and AAPC/AHIMA.Ensure code specificity to prevent claim denials, down-coding, or unbundling issues.Maintain complete confidentiality of Protected Health Information (PHI) following HIPAA compliance guidelines.
3. Quality & Turnaround Time (TAT) TargetsMeet or exceed assigned daily volume throughput targets (number of medical charts coded per day/shift).Consistently maintain an internal coding accuracy and quality audit benchmark (typically 95%+).Flag incomplete, illegible, or conflicting physician documentation for query generation to ensure documentation integrity.
4. Audit Support & Continuous EducationParticipate in regular internal audit feedback sessions with Quality Auditors and Team Leads to review error trends and coding variances.Stay updated on annual code revisions, guideline updates, and payer-specific billing rules.
