As a Medical Coder at Aetna, you will play a critical role in ensuring the accuracy and completeness of clinical data for healthcare services. This role is ideal for paramedical and nursing graduates with an interest in medical coding. You will be responsible for translating medical procedures, diagnoses, and other patient data into standardized codes, contributing to streamlined billing processes, reduced errors, and compliance with legal requirements. By collaborating with healthcare professionals, you will ensure that the coding is consistent, up-to-date, and in line with the latest regulations.

Your understanding of clinical procedures and medical terminology will be key in optimizing claims submissions and ensuring that all data is correctly reported. You will also be tasked with reviewing patient records, identifying discrepancies, and helping to clarify any ambiguous or unclear medical documentation. This position offers the opportunity to work in a dynamic environment with a team of professionals dedicated to improving healthcare delivery and reimbursement accuracy. If you are passionate about blending your clinical knowledge with administrative expertise, this is the perfect role for you.

Responsibilities:

• Review and analyze medical records and charts for coding accuracy.
• Assign appropriate ICD-10, CPT, and HCPCS codes based on medical documentation.
• Ensure compliance with healthcare regulations, coding guidelines, and standards.
• Collaborate with physicians, nurses, and billing departments to clarify coding information.
• Stay updated with changing healthcare laws, coding practices, and reimbursement requirements.
• Audit and review clinical documents to ensure proper coding of all treatments and services.
• Assist in optimizing billing processes to reduce claim denials and ensure timely payment.
• Conduct regular checks to ensure data accuracy and mitigate potential discrepancies.
• Provide education and support to healthcare staff regarding documentation practices and coding protocols.

Requirements:

• Graduate in Paramedical, Nursing, or a related healthcare field.
• Certification in Medical Coding (CPC, CCS, or equivalent) is preferred.
• Strong understanding of medical terminology, anatomy, and healthcare processes.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Knowledge of healthcare compliance regulations such as HIPAA.
• Proficiency in using electronic health record (EHR) systems and coding software.
• Ability to handle sensitive and confidential patient information with integrity.

Experience:

• 1-2 years of experience in medical coding, preferably within a hospital or clinical environment.
• Experience with coding for a variety of medical specialties is an advantage but not required.
• Previous experience working with paramedical or nursing data is a strong plus.

Working Hours:

• Full-time position with a standard workweek of 40 hours.
• Monday to Friday, with occasional flexibility to meet deadlines or handle urgent coding tasks.
• Remote or hybrid options available based on company policy.

Knowledge, Skills, and Abilities:

• Strong attention to detail and analytical thinking.
• Excellent written and verbal communication skills.
• Ability to work both independently and as part of a team.
• Proficiency in using coding software and databases.
• Problem-solving skills to address and resolve coding discrepancies.
• Strong organizational skills to manage multiple records and deadlines simultaneously.

Benefits:

• Competitive salary based on experience and qualifications.
• Comprehensive health, dental, and vision insurance.
• Paid time off (PTO) and company holidays.
• Retirement savings plan with company contributions.
• Opportunities for professional growth and development.
• Flexible working arrangements, including remote work options.
• Employee wellness programs and resources.

Why Explore a Career at Aetna:

At Aetna, we are more than just a healthcare company – we are a community dedicated to transforming the healthcare system to improve lives. We foster a culture of innovation and collaboration, where employees have the freedom to develop their careers and impact the world of healthcare. A career at Aetna offers the opportunity to be part of a global leader in health services, giving you access to cutting-edge technologies, professional development programs, and a supportive work environment. Join us in making a difference in patient care while advancing your career in one of the most dynamic and growing fields in healthcare.

About Aetna:

Aetna, a CVS Health company, is one of the leading diversified healthcare benefits providers in the United States. With a history of more than 160 years, Aetna has continually evolved to meet the changing needs of the healthcare system. Today, we serve millions of members through a broad range of health insurance products and services, including medical, pharmacy, dental, behavioral health, and disability plans. Our mission is to build a healthier world by making quality healthcare more affordable, accessible, and simple for everyone.

Aetna is known for its commitment to innovation and excellence in patient care, which is reflected in the wide array of health solutions we offer. Our team of professionals works collaboratively across disciplines to create solutions that improve healthcare outcomes while reducing costs. With a strong emphasis on customer-centric care and advanced technology, Aetna is at the forefront of healthcare transformation. Explore a career with us and be part of a company that is reshaping the future of health.