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E/M Professional Research Policy Analyst

E/M Professional Research Policy Analyst

Vgny Hiring Solutions

5 - 10 years

|

15 - 30 Lacs

Posted:1 week ago| Platform:

Apply

Skills Required

Evaluation And Management OP Emergency Medicine observations IP

Work Mode

Work from Office

Job Type

Full Time

Job Description

Experience:

Experience in Payment Integrity Content/Research, Denial Management, or Medical Coding.
3+ years experience for Analyst.
5+ years experience for TL.
10+ Years for Manager.
13+ years for Senior Manager.
Experience in rule requirement gathering, rule development and maintenance and Resolving payer denials.
In-depth knowledge of Reimbursement payment policies, Medical coding Denial Management is required.

Key Skills:

Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity,Revenue Cycle Management (RCM), Denials Management.
Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc.
Payment Policies knowledge like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc.
High proficiency in Microsoft Word and Excel, with adaptability to new platforms.
Excellent verbal & written communication skills.
Excellent Interpretation and articulation skills.
Strong analytical, critical thinking, and problem-solving skills.
Willingness to learn new products and tools.

Work Details:

Location: Jayanagar, Bangalore.
Mode: Work from Office.

Benefits:

Best-in-class compensation.
Health insurance for Family.
Personal Accident Insurance.
Friendly and Flexible Leave Policy.
Certification and Course Reimbursement.
Medical Coding CEUs and Membership Renewals.
Health checkup.
And many more!

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