Client Partner

4 weeks ago

Pune, India Access Healthcare Services Full time
Job Description

  • Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations

  • ·Notify or verify with physicians on all the changes and charges made

  • Update changes after physician's acknowledgment

  • Perform a variety of activities involving the Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Coding

  • Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required

  • Review insurance denials to analyze the causes and identify suitable solutions

  • Discuss coding challenges, changes, or reimbursements with a physician

  • Submit claims with appropriate documentation with OP notes and other information

  • Update claims appropriately when patient data has been changed or corrected after charge posting

  • Maintains a high degree of professional and ethical standards

  • Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards

  • Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences

JOB REQUIREMENTS

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

  • Graduates in life sciences with 1 - 4 years experience in Medical Coding

  • Prior experience in E&M coding, insurance, and posting required

  • Experience in medical billing processes

  • Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding

  • CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

  • Knowledge of HIPAA standards

  • Prefer the Certified Professional Coding certificate

  • Good knowledge of medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

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