Job Opportunity with SP Software // Medical Coding-Evaluation & Manage
- SP Software
- 1 - 5 years
- Hyderabad
- 5 months ago
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Job Description
Role & responsibilities
- Minimum of 2+ years of experience in medical coding specific to denials management.
- Healthcare / Claims Experience will be an added advantage
- Reviews medical records to determine if specific disease conditions were correctly reported based on documentation. Reports findings of the data validation review in the data entry feature within the platform.
- High performing operations management with expertise in coding guidelines/reimbursement policies and handling denial reviews in relation to the coding guidelines.
- Follow the official coding guidelines including AHA Coding Clinic and other similar authoritative resources.
- Ensures project activities are in compliance with applicable coding guidelines, government and federal regulations.
- Regularly and consistently meet quality and productivity standards established by management
- Maintain ongoing communication with management regarding coding workload, turnaround time expectations and deliverables.
- Maintains at least 95% accuracy in all coding projects by researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
- Additional duties as necessary to meet the obligations to our clients.
- Extremely knowledgeable with regards to Evaluation & Management coding and General medical coding guidelines.
- Participate and contribute to team huddles on process updates, quality audits, participate in error review/root cause at operations level.
- Ability to collaborate and coordinate with team members and stakeholders for team projects, huddles & process development initiatives.
- Evaluation and Management
Preferred candidate profile
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Healthcare & Life SciencesRole Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: Full timeContact Details:
Company: SP SoftwareLocation(s): Hyderabad+ View Contact
Keyskills: E/M Evaluation And Management Medical Coding CPC Denial Management
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SP Software
SP Software (P) Limited, a flagship of SP Group, is a leading enterprise business software and information technology (IT) Services company, providing IT Consulting, technology and outsourcing services. Founded in 1995, SPSoft is one of the fastest growing IT companies in India having strong strateg...
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