Medical Consultant - Udaipur, India - MediPharma Konnect

Description

• Manage CMS require oversight of in-home, at-risk Medicare member care management programs through chart audit and NCQA on-site visits.
• Lead the planning, organization, execution, and analysis of coding, billing, HIPAA, and OSHA audits.
• Manage diagnostic and procedural coding for emergency department, outpatient, observation, and ancillary services for a general hospital.
• Provide SharePoint development and administration, budget and financial reporting; manage invoicing; and develop training manuals and user guides.
• Experience in dental CPT and ICD-9, as well as medical CPT and ICD-9 coding.
• Assist in training and transition to new EMR and billing software.
• Prepare and submit FDA 510k documents on new and existing products.
• Demonstrate knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy, and physiology.
• Offer information and guidance with EHR implementation (but not to carry out such an implementation).
• Provide support and assistance to clinicians during go live clinical implementation of EMR (electronic medical record).
• Provide accounts receivable management, account payable management, surgery coding, HIPAA compliance audits and training to various medical practices.
• Establish new medical centers like surgery centers and clinics and help these new businesses with accreditation, supply and equipment purchasing.
• Assure compliance on Medicaid applications; provide patients with eligibility compliance information.
• Work with marketing department on developing collateral materials and packaging for future FDA approval.
• Provide consultation to providers regarding Medicare, Medicaid and commercial reimbursement methodologies and billing to obtain maximum benefits.