Medical Coder at Agilon Health

Company:

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

May participate in special project auditing as required

All other duties as assigned by leadership

Location:

India_Bangalore

Life at Agilon Health

A TRANSFORMATIVE PARTNERSHIP agilon health partners with primary care physicians to define a new standard of quality, efficiency and patient experience. We bring the people, solutions, capital and technology necessary to ensure their long-term success and to bring back the joy of practicing medicine.

CRITICAL CARE We believe that every member of our team plays a critical role in transforming care for our patients. Our customer service teams are the front line for physicians and patients navigating the system and, without our claims processing departments, our health plan partners and provider networks couldn't do their jobs. No matter what your role is at agilon health, you can and will make a difference in the lives of the seniors and Medicaid populations we serve. Our culture and passion has already been embraced by nearly 500 employees in three states. And we are excited to welcome new members to the team as more physicians and patients experience the difference agilon health can make.

CONTACT HR If you have any questions about career opportunities at agilon health, please contact the human resources department at Talent.Acquisition@agilonhealth.com.

Thrive Here & What We Value

Collaborative work environment

Emphasis on partner-centric approach

Commitment to continuous improvement initiatives

Focus on enhancing the ability to manage quality, utilization, and cost-of-care

Developing innovative care models to create a world-class patient experience with high-quality care

Positive tone setting

Strategic and operational communication

Active network building

Confidentiality and sensitivity awareness

Emphasis on patient-centered care and collaboration across the continuum of care</s>

Medical Coder

Company:

Job Posting Location:

Job Title: ​

Job Description: ​

Primary responsibilities:

Location: ​

Life at Agilon Health

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