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    Senior Executive - Noida, India - Access Healthcare Services

    Access Healthcare Services
    Access Healthcare Services Noida, India

    Found in: Talent IN C2 - 5 days ago

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    Description

    Job Description

    • Accurately review and post charges for medical services provided by healthcare providers
    • Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment
    • Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.
    • Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid)
    • Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness
    • Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation
    • Collaborate with the denial management team to promptly resolve charge-related denials and rejections
    • Analyze denial patterns and recommend process improvements to minimize future denials
    • Meet or exceed established productivity and timeliness targets for charge posting
    • Prioritize workload effectively to ensure timely and accurate charge entry
    • Maintain accurate records and metrics related to charge posting activities
    • Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators

    Job Requirements

    To be considered for this position, applicants need to meet the following qualification criteria:

    • Prior experience in charge posting or healthcare revenue cycle management
    • Good understanding of medical billing, coding, and reimbursement processes
    • Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems
    • Familiarity with insurance payer guidelines, including Medicare and Medicaid
    • Proficient in using healthcare billing systems and electronic medical records (EMR) software
    • Strong attention to detail and accuracy
    • Excellent analytical and problem-solving skills
    • Effective communication and interpersonal skills
    • Familiarity with HIPAA regulations and compliance requirements
    • Candidate with Bachelor's degree or equivalent is preferred
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