Role Summary:This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.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 himher & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skillsESSENTIAL 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.EDUCATIONRequiredGraduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.CertificationAAPC or AHIMA coding certifications required for all candidatesEXPERIENCERequired3 - 6 years of experience in Inpatient Hospital Billing,Should have exposure to multi-specialty and handled Hospital Coding.Should be currently in an Auditor role and have exposure to reports related to quality.PreferredGood communication skills.Must be extremely detail oriented and able to multitaskShould be strong in quality paramentersPossess 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.Identify process improvement and communicate them through proper channel, follow up on the identified improvement until implementation.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.
Job Classification
Industry: IT Services & Consulting Functional Area / Department: Healthcare & Life Sciences Role Category: Health Informatics Role: Medical Record / Health Informatics Employement Type: Full time