Role Summary :
This job takes the lead in providing effective team handling and timely delivery of assigned tasks and requires strong knowledge in denial management, trend analysis, and expertise in reports management and process analytics with proven knowledge in hospital billing.
JOB SUMMARY
This role offers the opportunity to work in a challenging environment delivering high-quality solutions to meet global customer demands. The ideal candidate should have experience in hospital billing and denial management. The candidate should be able to lead and own the development of any technical deliverables assigned, delivering high-quality innovative solutions for the client. Should be an excellent team player with strong problem-solving and communication skills.
ESSENTIAL RESPONSIBILITIES
- Review medical records and code them to billable Revenue Code, CPT, Modifiers, Diagnosis code, and other relevant billable requirements
- Review documentation for compliance with quality standards and policies
- Prepare and provide information to west partners based on their expectations
- Identify and recommend improvements to documentation workflows and processes to improve accuracy and efficiency
- Specialized knowledge of Microsoft Excel to perform daily inputs, build functions, sort, and filter large amounts of data
- Adhere to all company and department policies regarding security and confidentiality
EDUCATION
Graduation / BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.AAPC or AHIMA coding certifications required for all candidatesEXPERIENCE
Required :
3 - 6 years of experience in E / M Coding (E / M OP / Profee / Facility / IP) SurgeryExposure to multi-specialty and hospital provider codingCurrently in an auditor role with exposure to quality-related reportsPreferred :
Working knowledge of Epic and 3M 360Exposure to General and Cardiovascular Surgery codingExposure to multiple specialties and / or claims editsExtremely detail oriented and able to multitaskStrong in quality parametersHigh self-motivation and energy with minimal supervisionHighly developed oral and written communication skillsAbility to work independently and in a team environmentGood organizational skills and strong attention to detailIdentify process improvements, communicate through proper channels, and follow up until implementationWork in standard protocols / documents to complete assigned work accuratelyConsistently document work assignments, enrollment follow-up status, and relevant in-process tasks within specified systems and time framesDevelop knowledge about payor policiesDevelop the team's talent and drive employee retention and engagementSkills Required
Hospital Billing, Denial Management, Microsoft Excel, Medical Coding