RCM Coding Specialist
- ModMed Technologies
- 5 - 10 years
- Hyderabad
- 8 months ago
- Email to a friend
- Report this job
Job Description
Who we are:
- The RCM coding specialist is a key position within the Modmed India Operations. Coders will be assigned to a group of practices under one or multiple specialties reporting to a specialty lead, while they are responsible for working on modifiers escalated by practice or Global Partners, a coder is responsible for observing and analyzing the areas and identifying opportunities to improve the process efficiency which will enhance the overall outcome for new and established customers.Position Title - RCM Coding SpecialistYour Role
- Audit the work done by Global Partners and provide timely feedback to teams to aid in the quick resolution of denied coding claims.
- Review work on Coding denials from the Payers.
- Serve as a point of contact as coding SME for coding questions and clarifications for the MMI team.
- Review claims assigned to practices due to Coding issues in order to find out any trends and will work with CAs if practice education/ intervention is required.
- Analyse coding denials to determine trends where preventive measures can be placed, such as scrub edits, provider training, action plans, coder training, etc.
- Participates in coding educational opportunities (webinars, internal training, etc.). Will keep updated on the Payer Guidelines impacting on supplying the Codes.
- If needed, may assist in the production coding of clients of various specialties and scopes of coding.
Skills Requirements:- 5+ years of working experience in medical coding domain where minimum 2 years experience as SME/Quality in coding with Multi speciality experience
- Certification Mandatory - CPC
- Having strong knowledge in Gastro, Orthopaedics, Ophthalmology, Dermatology and Podiatry is preferred.
- Hands on knowledge of Coding Denials on providing the resolution.
- Good knowledge of Payer Guidelines to resolve the Denials related to Coding.
- Good writing and Verbal communication in English
- Can work independently during the India Night Shift
- Can run reports and analyze the trends and scenarios. A strong hand in MS Excel will be a plus
- Expert in supplying/auditing/ analyzing the CPT, ICD Codes along with appropriate Modifiers
- CPC from AAPC or CCS from AHIMA
- Bachelors or Masters in Science with a background of Anatomy
ModMed Benefits Highlight:
At ModMed, we believe it s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India
- Meals Snacks: Enjoy complimentary office lunches dinners on select days and healthy snacks delivered to your desk,
- Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
- Allowances: Annual wellness allowance to support your well-being and productivity,
- Earned, casual, and sick leaves to maintain a healthy work-life balance,
- Bereavement leave for difficult times and extended medical leave options,
- Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
- Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
- Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
- 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
- Generous Paid Time Off and Paid Parental Leave programs,
- Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
- Company-sponsored Business Resource Special Interest Groups that provide engaged and supportive communities within ModMed,
- Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning ,
- Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
- Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
.
Job Classification
Industry: Software ProductFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Medical Biller / CoderEmployement Type: Full timeContact Details:
Company: ModMed TechnologiesLocation(s): Hyderabad+ View Contact
Keyskills: Training Claims Excel Coding Medical coding Social media Healthcare Wellness Ophthalmology Auditing
Fraud Alert to job seekers!
₹ Not Disclosed
Similar positions
ModMed Technologies
ModMed is transforming healthcare by placing doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. With our electronic health records (EHR) and practice management (PM) systems, and our revenue cycle management (RCM) services
Job Listings
We are in open beta version of website, please let us know if any issues, at: info(at)indigojobs.in