Coding Auditor- Medical Coding (Pain Management)
- Bizmatics India
- 3 - 7 years
- Mumbai
- 16 days ago
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Job Description
Exciting Opportunities for Medical Coders
Interested candidate can share cv on vg*****r@ha************s.com
Looking candidate From US healthcare, RCM and Medical Coding Field
Role & responsibilities:
- Monthly audits for providers and mid-levels and coders to ensure documentation supports billing and provides feedback to drive improved documentation practices.
- Provides resolution to coding questions.
- Assist with provider questions and presents coding concepts to drive improved documentation practices
- Identifies coding trends and areas of risk
- Handles escalated coding questions because of claim denials
- Communicates adverse trends related to coding denials
- Research coding topics and LCDs to ensure compliance with payor requirements and payer specific guidelines
- Provide documentation training to providers and support staff as needed
- Reviews records for audit requests related to RAC audits, SRMC audits, prepayment reviews, etc. prior to appeals or other documentation being sent
- Manages unbilled patient encounters for office, ASC, hospital, and Pathology.
- Provides scrub claim logic for clean electronic submission to clearinghouse
- Protect the security of medical records to ensure confidentiality is maintained.
- Creates and/or updates the patients demographics and insurance information for new and established patients.
- Other duties as assigned
Requirements:
- CPC Certified (Required)
- 3+ years of experience in a clinic setting (Preferred)
- Preferred experience in Spine, Orthopedic or Pain Management
- Knowledge of CPT and ICD-10 codes
- Overall knowledge of business office procedures and policies (required)
- Thorough knowledge of third-party payers, HMOs, PPOs, Medicare and Medicaid.
- Ability to work independently with minimum supervision
- Correct coding for diagnosis and procedures
- Rely on experience and judgment to plan and accomplish goals.
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: Medical Biller / Coder
Employement Type: Full time
Contact Details:
Company: Bizmatics IndiaLocation(s): Mumbai
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Keyskills: Pain Management Surgery CPC Medical Coding
Fraud Alert to job seekers!
₹ .5-8 Lacs P.A
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