Senior Executive EXL/SE/1112956

Job Description 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...

Job Description JOB DESCRIPTION: Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. ESSENTIAL CRITERIA: Bachelor of Science Degree ...

Job Description 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...

Job Description JOB TITLE:  SENIOR EXECUTIVE - QUALITY ANALYST NUMBER OF POSITIONS: 2 BAND: A2 REPORTS TO: LEAD ASSISTANT MANAGER, Quality HOURS: 40 HOURS PER WEEK, FULL TIME EMPLOYEE  LOCATION:  BUDGET:  JOB DESCRIPTION The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical...

Job Description Purpose of the role: We are looking for a knowledgeable domain and management consultant to give solid advice in the field of healthcare and life sciences through gathering and analyzing information, formulating, and testing hypotheses, and developing and communicating recommendations. The business analyst will also have the opportunity...

Job Description Project Manager/ PMO – A2 Function PMO Analyst Anbazhagan P/Vasant R Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Responsible Functions 3+ years of hands-on experience as a Project Manager or part of the Project Management Organization. Logical...

Job Description Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS...

Job Description Overview: Review, Call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them...

Job Description Overview: Deliver Daily targets for payment posting transactions. (ERA & Manual EOB Posting)  Qualifications: Graduation in any stream (Preferred science and math background)  Experience: 2-5 Years experience with key domain expertise in Payment posting and denial capturing US Healthcare BPO Payment posting experience...

Job Description Overview CPC certification.  Post CPC certification completion date, there should be 3+ years of coding experience Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery) Good communication, flexibility reliability Qualifications: Life science/Paramedical...

Job Description Overview: Review, call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them...

Job Description : Maintain standard operation procedures in all aspects of day-to-day work. Identifying new paid amounts Calculating overpaid amounts accurately Maintaining comprehensive financial transaction records Perform month end tasks for accounting close. Responsibilities: Complete the necessary training and meet the expectations outlined...

Job Description Auditing experience is an advantage. Good excel skills Flexibility  Good Communication  Follow every aspect of SOP without fail  Complete received Audits with Quality  To achieve Quality and production target  Follow project related protocols and instructions  Escalate issues, identify trends...  Update all the logs like...

Job Description Overview  Certified CPC/CCS coder with minimum 3 years of post-certification experience and skillset, to review the medical records and determine the coding corrections. Qualifications: CPC/CCS Certified Coder with minimum 3 years of experience after certification. Credential should not have Apprentice (CPC-"A"). Should have...

Job Description Overview: Experienced in PMO functions such as  Project Coordination:  Coordinate with project teams to facilitate communication and ensure alignment. Responsible for administrative functions and providing reports on the same. Resource Management : Tracking open positions and onboarding / offboarding resources.  Providing...

Job Description Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge Must possess good communication skill with neutral accent Initiate telephone calls to provider office to communicate the outcome of the denial review Willing to work in Eastern shift. Must be spontaneous and have...

Job Description Overview CPC certification.  Post CPC certification completion date, there should be 3+ years of coding experience Specialty worked: Outpatient surgery, basic injection and infusion knowledge and IVR  APC Facility coding is an added advantage Good communication, flexibility reliability Qualifications: Life...

Job Description Overview CPC certification - Preferred 3+ years of coding experience min. Specialty worked: Surgery and IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery) Good communication, flexibility reliability  Q ualifications: Life science/Paramedical Degree CPC/CPMA Computer...

Job Description Overview: Review, Analyze, Call and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them...

Job Description Overview: A management Information System (MIS) is an information system used for decision-making, and for the coordination, control, analysis, and visualization of information in an organization. The study of the management information systems involves people, processes and technology in an organizational context. Qualifications: ...