Senior Executive

3 weeks ago


Chennai, Tamil Nadu, India EXL IT service management Full time
Job Description

Overview - Surgery Coder + USRN - Sr. Executive

CPC certification.

Certified USRN (Active NCLEX)

3+ years of coding experience after CPC certification

Specialty worked: Outpatient surgery, basic injection and infusion knowledge and IVR, Radiation oncology

APC Facility coding is an added advantage

Good communication, flexibility reliability

Qualifications:

- Bachelor's degree (or equivalent) in Nursing.
- NCLEX certification - Active(USRN)
- Able to apply analytical and critical thinking to record reviews.
- Required comprehensive clinical knowledge and strong clinical experience.
- All certifications/License should be active.
- Life science/Paramedical Degree
- CPC/CPMA
- Computer skill sets

Experience:

USRN + CPC+ 3 years experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology

Auditing and denial management experience (Optional)

Communication:

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full time employee

Shift time: 08:00AM TO 05:00PM IST

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Responsibilities and Essential Functions:

Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding.

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 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 fail

Problem solving skill sets

Ensure compliance of entire team for HIPAA,OIG

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