Senior Executive - Medical Billing (Charge Posting) - Noida

Job Description

Accurately review and post charges for medical services provided by healthcare providers

Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment

Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.

Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid)

Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness

Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation

Collaborate with the denial management team to promptly resolve charge-related denials and rejections

Analyze denial patterns and recommend process improvements to minimize future denials

Meet or exceed established productivity and timeliness targets for charge posting

Prioritize workload effectively to ensure timely and accurate charge entry

Maintain accurate records and metrics related to charge posting activities

Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators

Job Requirements

To be considered for this position, applicants need to meet the following qualification criteria :

Prior experience in charge posting or healthcare revenue cycle management

Good understanding of medical billing, coding, and reimbursement processes

Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems

Familiarity with insurance payer guidelines, including Medicare and Medicaid

Proficient in using healthcare billing systems and electronic medical records (EMR) software

Strong attention to detail and accuracy

Excellent analytical and problem-solving skills

Effective communication and interpersonal skills

Familiarity with HIPAA regulations and compliance requirements

Candidate with Bachelor's degree or equivalent is preferred