DRG Coding and Compliance Expert

Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keep us ahead of the curve. Thryve delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers.

Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate on the basis of any protected attribute. For more information about the organization, please visit www.Thryvedigital.Com

Role Summary :

This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.

JOB SUMMARY

This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\ Her & thereby delivering highquality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills

ESSENTIAL RESPONSIBILITIES

• Review medical records received and code them to billable Revenue Code\ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.
• Review all documentation for compliance with quality standards and relevant policies.
• Prepare and provide information to west partners based on their expectation.
• Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.
• Adhere to all company and department policies regarding security and confidentiality.

EDUCATION

Required

Certification

Work Location

Chennai or Hyderabad

EXPERIENCE

Required

Preferred