Senior Executive EXL/SE/994516 - Chennai, India - exl

exl Chennai, India

5 hours ago

Description

Job Description

Overview CPC certification. Overall 3+ years of coding experience in Multispecialty SurgerySpecialty worked: Outpatient surgery, basic injection and infusion knowledge and IVR, Radiation oncology APC Facility coding is an added advantageGood communication, flexibility reliability Qualifications: Life science/Paramedical DegreeCPC/CPMAComputer skill sets Experience: Overall 3+ years experience in Medical coding IVR and General surgery, Infusion and Injection and Radiation oncologyAuditing and denial management experience (Optional) Communication: Strong written (documentation) and oral communication skills Working Hours: 40 hours per week as Full time employeeShift time: 08:00AM TO 05:00PM ISTWeekends Off Telecommuter/Internet requirements, if applicable: High Speed internet connection at home, must be broadbandMust understand and adhere with telecommuter policy Responsibilities and Essential Functions: Follow every aspect of SOP without fail Complete received Audits with QualityTo achieve Quality and production targetFollow project related protocols and instructions Escalate issues, identify trends...Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without failProblem solving skill setsEnsure compliance of entire team for HIPAA,OIG Salary:6-8 Lacs Overview: The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness and accuracy of provider documentation and CPT and HCPCS coding. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.Perform analysis of data and understand the reasons for denial reasons, use appropriate codes to be used in documentation of the reasons for denials. Qualifications: Life science Bachelor's degree.Para - medical background (B.PT, Pharm, and B.SC. Nursing) graduation is an added advantage.Certification is added advantage – Certified coding professional coder (CPC) – AAPC OR Certified Coding specialist (CCS) – AHIMA Experience: Minimum 3 years of Coding experience in multispecialty surgery and E/M codingDenial management experience is an added advantage.Ability to apply analytical and critical thinking to review medical records. Knowledge in CMS Medicare and Medicaid guidelines.Specialty certificate (CPMA, CIRCC, CEDC) from – AAPC.Para - medical background (B.PT, B.Pharm, B.SC. Nursing) graduation is an added advantage.Auditing experience on multi-specialty.Knowledge in Microsoft outlook/excel/word Communication Skill: Good communication skills Working Hours: 9 Hours Telecommuter/Internet requirements, if applicable: NA Skills and abilities: Integrates coding principles in performance of medical audit activity and educates as needed on those principles.Upon completion of medical record audit, compiles detailed findings and prepares client reports, when needed.Coordinates with client to ensure patient data is received and processed for all scheduled audit work.Communicate proper volume to support invoicing.Provides feedback and process improvement recommendations to appropriate leadership team and participates in workgroups/committee meetings and process improvement solutions as required.Participates in and/or leads inter-departmental process improvement initiatives.Maintains professional license and certifications and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise.Identifies compliance risks and financial opportunities based on chart reviews.Prepares reports and executive summaries as required by management regarding audit results, process improvement recommendations, and systemic billing errors.Adheres to established productivity standards, participates in departmental performance improvement activities and work level.Communicates and works with all internal and external customers.Performs other duties as assigned

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