• Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties. • Meets minimum requirements for production and quality monthly. • Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component. • Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses. • Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs. • Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-clear, or un-substantiated care rendered. • Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters. • Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).

Title: Coding Specialist Location: Bangalore, Karnātaka, India Job Description: Full time Remote Join Us as a Senior Coding Specialist I – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies and more than 750 biotechs, spanning 2,700 clinical trials across 100+ countries in the last 5 years. As part of our expert team, you’ll have the opportunity to ensure operational excellence that makes a real difference in organizational performance. As a Senior Coding Specialist I, you will code medical terminology in accordance with Good Clinical Practices (GCP), Standard Operating Procedures (SOPs)/Working Practice Documents (WPDs), and Data Validation Manuals (DVMs). What You’ll Do: • Codes medical terminology and reviews coding listings in accordance with the Coding Plan in the DVM. Identifies data issues and works with PPD team and study sites to resolve. Ensures coding accuracy according to departmental operating procedures. Ensures all coding aspects are conducted accurately, and all coding deliverables are completed to quality expectations, within budget and on time. • Assists in providing general and project specific coding training to all CDM staff performing coding activities. • Provides support, guidance and direction on all coding aspects to the CDM project team. • Produces project-specific status reports for supervisor and for clients on a regular basis. • Acts as a mentor providing ongoing advice and guidance to the Coding Specialists Education and Experience Requirements: • Bachelor's degree or equivalent and relevant formal academic / vocational qualification • Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 0 to 2 years). In some cases an equivalency, consisting of a combination of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role. Knowledge, Skills and Abilities: • Applies knowledge and skills in a highly organized fashion while adhering to regulatory guidelines, global SOPs and client expectations • Excellent understanding of clinical/medical terminology • Strong attention to detail and skill with numbers • Ability to use interactive computer programs • Good written and verbal communication skills • Good organizational skills • Good analytical/problem-solving skills • Ability to work productively with minimal supervision • Ability to maintain a high degree of confidentiality with medical records and client's proprietary data • Ability to attain, maintain and apply a working knowledge of GCPs and applicable SOPs • Strong customer focus and excellent interpersonal skills. • Proven flexibility and adaptability • Ability to work in a team environment and independently as needed • Demonstrated good judgment in making decisions • Ability to set and meet timelines or be able to negotiate schedule changes in response to project demands

• Learn new systems of clients and effectively transfer knowledge to subordinates • Lead designated team, ensuring accurate and timely submission of deliverables • Coach subordinates and develop their skills • Assist Supervisor/Assistant Manager/Manager in directing the team towards the company's goals • Ensures compliance with company guidelines and procedures • Addressing any conflicts within the team that may arise • Create accurate medical insurance claims and ensure timely submission • Rectify claim denials with resubmission or appeals • Formulate and execute strategies to mitigate claim denials • Learn and implement specialty, state, carrier specific billing requirements

• You will be introduced to health insurance, multiple healthcare settings, coding, and reimbursement. • You will become familiar with the health insurance industry, legal and regulatory issues, differences in reimbursement methodologies, and the principles of medical billing related to proper claim form preparation, submission and payment processing, and the follow-up process. • Provide efficient and effective coding services on behalf of our member clients in accordance with Payer requirements and organizational policies, while ensuring compliance to all coding guidelines. • Review and interpret patient encounters for accurate code assignment of all relevant diagnoses and procedures. • Help fulfill the reimbursement needs of the member through review and recommendation or correct assignment of diagnosis and procedure codes which are critical to third party reimbursement. • Research and obtain necessary information from provider/office via Epic in-basket when necessary, per agreement. • Assist with research for denied claims. • Meet assigned productivity goals. • Establish and maintain positive working relationships with patients, payers, team members, clients and other stakeholders. • Maintain confidentiality of patient information, organization data and information, and in compliance with HIPAA regulations.