In these roles, you will be responsible for:
Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements.
Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines.
Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days.
Following strict coding guidelines within established productivity standards.
Addressing billing/coding related inquires for providers as needed, U.S. only.
Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials.
Maintaining patient confidentiality.
Required Skills for this role include:
Looking for candidate who can be a trainer as well as Auditor
6+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols, and third-party requirements regarding medical billing.
3+ years of experience analyzing medical records in multi-specialty disciplines such as E/M, Inpatient Surgery. Should have sound knowledge in coding Denials and providing appropriate code to avoid further denials
Should possess strong subject knowledge specific to the specialty and perform analysis on the documentation deficiency.
Should be in a position of managing a team and handling client communications. Ensure there is no compromise on the deliverables.
AAPC or AHIMA certification is mandatory.
Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST, should be flexible in extending based on customer requirement
Permanent Work from Office.