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Senior Executive

4 weeks ago

Noida, India Access Healthcare Services Full time
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