Client Service Executive

7 hours ago

Ahmedabad, India RiverEdge Analytics Full time

**Roles and Responsibilities**:

- To code on medical reports assigning appropriate CPT & ICD codes based on the documentation and per the client specification.
- Work on medical reports assigning appropriate CPT, ICD and modifiers based on the documentation provided.
- Performs assigned tasks/complete targets with speed and accuracy as per client SLAs.
- Communication / Issue escalation to seniors if there is any in a timely manner.
- Willing to learn and keep self-updated with the latest codes.
- Work cohesively in a team setting. Assist team members to achieve shared goals.
- Determine the medical necessity based on the provided medical data.
- Ability to understand medical history and summarize to a precise abstract.
- Support billers and AR analysts.
- Document feedback on errors in clinical documentation at a facility and physician-specific levels.

**Skills**:

- Good working knowledge of Anatomy and Physiology as well as Medical Terminology determine basic treatment protocols.
- Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM and CPT.
- Any Certified Medical Coder (CPC, COC, CIC, CCS), who have min 1 year of experience in Workers Compensations Claims. (Physical Therapy, Chiro, Physiotherapist, Acupuncture)
- Understand the causes of claim denials and continually improve coding standards.
- Working knowledge of HIPAA regulations, medical codes, and billing terminology.
- Excellent interpersonal skills and good oral and written communication skills
- Must have a good working knowledge of Microsoft Office.
- Any Graduate in Any Specialization
- 3 plus years of experience in US Health care will be preferred.

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