3 Icd9 Jobs

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employees to minimize errors, providing inputs to enhance training curriculum based on common mistakes observed, and testing files/batches for new clients/processes are also key aspects of this role. Additionally, you will be responsible for generating QA reports on a daily basis, meeting and exceeding internal and external SLAs as per defined processes, maintaining quality status reports, and ensuring strict adherence to company policies and procedures. Your role will involve conducting quality audits, coaching, and training sessions as per the defined process, requiring a minimum of 1.5 years of professional and relevant experience in the field. To excel in this role, you must possess sound knowledge of healthcare concepts, critical problem-solving skills, good analytical abilities, and judgmental skills. It is essential to have a good understanding of product and process knowledge, and to conduct quality feedback and refresher sessions regularly. If you are looking for a challenging opportunity to enhance your quality control skills and contribute to maintaining high standards in healthcare coding, this position offers a platform to showcase your expertise and make a significant impact within the organization.,

Huron assists its clients in driving growth, enhancing performance, and maintaining leadership in their respective markets. Healthcare organizations are supported in fostering innovation capabilities and accelerating key growth initiatives, enabling them to shape the future rather than be disrupted by it. Collaboratively, clients are empowered to achieve sustainable growth, improve internal processes, and enhance consumer outcomes. Health systems, hospitals, and medical clinics face significant pressure to enhance clinical outcomes and reduce the cost of patient care. Merely investing in new partnerships, clinical services, and technology is insufficient to bring about meaningful change. To ensure long-term success, healthcare organizations must empower their leaders, clinicians, employees, affiliates, and communities to cultivate cultures that promote innovation for optimal patient outcomes. Joining the Huron team entails aiding clients in adapting to the rapidly evolving healthcare landscape, optimizing existing business operations, enhancing clinical outcomes, creating a more consumer-centric healthcare experience, and fostering engagement among physicians, patients, and employees throughout the enterprise. The role entails overseeing the day-to-day production and quality functions of a team of coders focused on achieving client production and coding accuracy goals. This includes planning, directing, supervising, evaluating feedback workflows, and coordinating activities among all coding staff within the team. Excellent communication skills, attention to detail, as well as strong technical and problem-solving abilities are crucial for success in this position. JOB DETAILS: - Assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems for medical records - Code outpatient and/or inpatient records with a minimum accuracy of 96% and meeting turnaround time requirements - Exceed productivity standards for Medical Coding as per inpatient and/or specialty-specific outpatient coding norms - Uphold professional and ethical standards while focusing on continuous improvement to prevent revenue leakage and ensure compliance - Enhance coding skills, knowledge, and accuracy through participation in coding team meetings and educational conferences - Specialize in areas such as Inpatient, E&M, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, among others - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Interpret client requirements and project specifications to code charts accordingly - Adhere to prescribed coding standards like ICD-9/ICD-10 and CPT while ensuring accuracy and correctness of patient information - Assign appropriate medical codes to diagnoses and services, following client-specific guidelines and updates - Meet client productivity targets within specified timelines and deliver quality outputs - Prepare and maintain status reports QUALIFICATIONS: - Graduation in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology disciplines - Minimum of 2 years of industry experience - CPC (Certified Coding Professional) or CCS (Certified Coding Specialist) certification Position Level: Senior Analyst Country: India,

Positions General Duties and Tasks: . Process Insurance Claims timely and qualitatively . Meet & Exceed Production, Productivity and Quality goals . Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities . Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing . Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills . Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing . Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job . Be a team player and work seamlessly with other team members on meeting customer goals . Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function . Handle reporting duties as identified by the team manager . Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: . Both Under Graduates and Post Graduates can apply. . Excellent communication (verbal and written) and customer service skills. . Able to work independently strong analytic skills. . Detail-oriented ability to organize and multi-task. . Ability to make decisions. . Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. . Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. . Ability to work in a team environment. . Handling different Reports - IGO/NIGO and Production/Quality. . To be in a position to handle training for new hires . Work together with the team to come up with process improvements . Strictly monitor the performance of all team members and ensure to report in case of any defaulters. . Encourage the team to exceed their assigned targets. . Candidate should be flexible & support team during crisis period . Should be confident, highly committed and result oriented . Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools . Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers . Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product . Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: . 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. . 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ...Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.