01Overview
Role SummaryThis job takes the lead in providing effective team handling and timely delivery of assigned tasks and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and proven job knowledge in Physician Billing Denial (Multispecialty).
Job SummaryThis 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 high quality Innovative solutions for the client. Should be an excellent Team player have excellent Problem solving communication skills
Essential ResponsibilitiesReview medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.Review all file documentation for compliance with quality standards and relevant policies.Prepare and provide information to client 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.EducationRequired: Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, and Pharmacy etc.Certification: AAPC or AHIMA coding certifications required for all candidatesExperienceRequired: 2 - 4 years of experience in PB Denial coding and Multispecialty codingShould have handled Hospital Provider CodingPreferredGood communication skills.Must be extremely detail oriented and able to multitaskPossess a high level of Self-motivation and energy with minimal supervisionHighly developed oral and written communication skillsAbility to work both independently and in a team-oriented environment.Possess good organizational skills and strong attention to detail.Work in a standard protocols/documents to accurately complete the work assigned.Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time framesShould develop knowledge about payor policiesDevelop the team's talent, drive employee retention and engagement. .