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6.0 - 8.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
In these roles, you will be responsible for: Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: Looking for candidate who can be a SME cum Auditor in Surgery Inpatient coding. Will be an individual Co ordinator role working with supervisor and Manager 6+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols, and third-party requirements regarding medical billing. 3+ years of experience analyzing medical records in multi-specialty disciplines such as E/M, Inpatient Surgery. Should have sound knowledge in coding Denials and providing appropriate code to avoid further denials Should possess strong subject knowledge specific to the specialty and perform analysis on the documentation deficiency. Should be in a position of managing a team and handling client communications. Ensure there is no compromise on the deliverables. AAPC or AHIMA certification is mandatory. Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST, should be flexible in extending based on customer requirement Permanent Work from Office.
Posted 1 week ago
10.0 - 13.0 years
9 - 14 Lacs
Hyderabad
Work from Office
Criteria or Skills: Minimum 6+ years in medical coding, currently in a team handling (assistant/associate/deputy manager role) role Possess a mandatory coding certification (CPC/CIC/COC/CCS/AHIMA certified) Advanced expertise in coding denials/Denial management Prior team handling (preferably training team) experience is must Excellent communication and client handling skills Working knowledge in office products especially advanced excel. Job Description: Manage effective training delivery as per the operational requirements Work in new project transitions along with operations to design the onboarding and training workflows as required. Publishing Quality trends analysis & ensuring the delivery of timely webinars based on the mitigation plans designed to improve quality for Inpatient/outpatient work groups Possess Multi-dimensional/ Multi- specialty coding awareness to ensure effective dealing with varied customer requirements Work closely with operations and quality teams to build uniform coding workflows across specialties Drive process improvement initiatives by self and through team to implement quality and cost-effective training strategies to the business Work with onshore training counterparts to ensure the proper training practices are being followed across the board and drive the uniformity between onshore and global teams Handle client escalations in related to knowledge gaps and design remedial education plans to derive effective outcomes Strategize for effective training team building to handle all the aspects of coding business across specialties. Create a strong knowledge bench and provide the ease of use for operations during their project alignments Participating in client call, meetings & KT sessions
Posted 1 month ago
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