Senior Executive

21 hours 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

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