Senior Executive EXL/SE/994516

1 month ago

chennai, India exl Full time

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

  • Senior Executive EXL/SE/1023762

    1 week ago

    Chennai, India exl Full time

    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...

  • Senior Executive EXL/SE/1023762

    2 weeks ago

    chennai, India exl Full time

    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...

  • Senior Executive EXL/SE/987341

    1 month ago

    Chennai, India exl Full time

    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...

  • Senior Executive EXL/SE/1018493

    6 days ago

    Chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Venkataramanan V Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal and external stakeholders as...

  • Senior Executive EXL/SE/1018527

    6 days ago

    Chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal and external stakeholders as...

  • Senior Executive EXL/SE/1018493

    2 days ago

    chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Venkataramanan V Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal...

  • Senior Executive EXL/SE/1018526

    3 days ago

    chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal...

  • Senior Executive EXL/SE/1018522

    6 days ago

    Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...

  • Senior Executive EXL/SE/1018484

    6 days ago

    Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...

  • Senior Executive EXL/SE/1018497

    2 days ago

    chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Natarajan N Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience...

  • Senior Executive EXL/SE/1018484

    2 days ago

    chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...

  • Senior Executive EXL/SE/1018514

    3 days ago

    chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...

  • Senior Executive EXL/SE/1018497

    6 days ago

    Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Natarajan N Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...

  • Senior Executive EXL/SE/996471

    1 month ago

    Chennai, India exl Full time

    Job Description Overview: A MIS executive is a high-level information technology (IT) professional who is in charge of an organization’s computer systems design and implementation. Qualifications: Bachelor's degree in Computer Science, IT, or similar. Experience: 2 – 6 Years Communication Skill:  Should have effective communication...

  • Senior Executive EXL/SE/996471

    1 month ago

    chennai, India exl Full time

    Job Description Overview: A MIS executive is a high-level information technology (IT) professional who is in charge of an organization’s computer systems design and implementation. Qualifications: Bachelor's degree in Computer Science, IT, or similar. Experience: 2 – 6 Years Communication Skill:  Should have effective...

  • Assistant Vice President EXL/AVP/993904

    1 month ago

    Chennai, India exl Full time

    Job Description EXL Healthcare is seeking a Senior Analytics Solutions Consultant in Payment integrity domain of US Healthcare. The Senior Analytics Solutions Consultant will be responsible for supporting the Head of Payment integrity analytics to plan and deliver the analytics solutions and features to meet prioritized business unit objectives. The...

  • Assistant Vice President EXL/AVP/993904

    1 month ago

    chennai, India exl Full time

    Job Description EXL Healthcare is seeking a Senior Analytics Solutions Consultant in Payment integrity domain of US Healthcare. The Senior Analytics Solutions Consultant will be responsible for supporting the Head of Payment integrity analytics to plan and deliver the analytics solutions and features to meet prioritized business unit objectives....

  • Senior Executive EXL/SE/1000080

    3 weeks ago

    Chennai, India exl Full time

    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...

  • Senior Executive EXL/SE/1001084

    3 weeks ago

    Chennai, India exl Full time

    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: BPO Experience – 2-5 years  US Healthcare Payment posting experience preferred. Communication Skill:  Strong written (documentation)...

  • Senior Executive EXL/SE/1014039

    3 weeks ago

    Chennai, India exl Full time

    Job Description Overview: Nurse with minimum 3 years of clinical experience and skillset, to review the clinical information/medical record and summarize relevant clinical information based on set of clinical guidelines/criteria. Qualifications: Bachelor’s degree (or equivalent) in Nursing  Prior experience with US health care preferred (not...