3838844-Senior Executive

21 hours ago

Chennai, Tamil Nadu, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per year
Description
Overview: Surgery Coder - Sr. ExecutiveThe 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 surgeryDenial 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 ;Training from office - Mandatory ; ; ; ;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

  • 3838844-Senior Executive

    21 hours ago

    Chennai, Tamil Nadu, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Description;Overview ;- SCRCPCPC certification - Preferred3+ years of coding experience min.Specialty worked: Surgery and IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery)Good communication, flexibility reliability ;Qualifications: ;Life science/Paramedical DegreeCPC/CPMAComputer skill sets...

  • 3838844-Senior Executive

    17 hours ago

    Chennai, Tamil Nadu, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    DescriptionOverview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS...

  • 3838844-Senior Executive

    18 hours ago

    Chennai, Tamil Nadu, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    DescriptionOverview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology...

  • 3838844-Senior Executive

    13 hours ago

    Chennai, Tamil Nadu, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    DescriptionOverview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology...

  • Sr Executive Digital Marketing

    2 days ago

    Chennai, Tamil Nadu, India Athulya Senior Care Full time ₹ 2,50,000 - ₹ 12,00,000 per year

    Company DescriptionAthulya Senior Care is dedicated to providing safe and happy ageing for seniors through a wide range of specialized care services. With world-class facilities located across South India, we deliver premium assisted living, home care, palliative care, dementia care, and other services aimed at ensuring dignified and independent lives for...

  • Senior Recruiter

    5 days ago

    Chennai, Tamil Nadu, India CULMINANT EXECUTIVE SERVICES PRIVATE LIMITED Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Job Title: Senior Recruiter (Individual Contributor)Experience: 3-6 yearsLocation: ChennaiJob Summary:We're looking for an experienced Senior Recruiter to join our team as an Individual Contributor. You'll be responsible for leading end-to-end recruitment, identifying top talent, and building a strong pipeline of candidates. If you're a motivated and...

  • Sr. SEO Analyst

    2 days ago

    Chennai, Tamil Nadu, India Athulya Senior Care Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionAthulya Senior Care is dedicated to creating safe and fulfilling lives for seniors through personalized care services. With world-class facilities across South India, we offer premium assisted living, home care, palliative care, dementia care, physio & rehab, and more. Over the past eight years, we have positively influenced the lives of...

  • Sales Executive

    5 days ago

    Chennai, Tamil Nadu, India Athulya Senior Care Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    At Athulya, we cherish diversity as our greatest asset. The unique backgrounds, experiences, and perspectives of our team members are the rhythms that drive our innovative approach. We are committed to an inclusive culture because it enables us to craft solutions that benefit all. Treating every candidate with equality and fairness is not just a policy; it's...

  • Senior Executive

    6 days ago

    Chennai, Tamil Nadu, India EXL SERVICES Full time ₹ 5,00,000 - ₹ 12,00,000 per year

    Senior Executive Job Description_ Senior Executive - AR Analyst _ Denial management Job Name: Senior Executive Position Title: Senior Executive - AR Analyst Band: A2 LOB: Denial Management – AR Analyst - RCM Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: Review, Analyze and Manage assigned outstanding receivables...

  • Senior Executive/Executive

    1 week ago

    Chennai, Tamil Nadu, India BSCPL Infrastructure Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Greetings from BSCPL Infrastructure LimitedPosition: Senior Executive/Executive - Sales ChennaiLocation: Chennai (PERUMBAKKAM)Senior Sales Executive Responsibilities:Cultivating solid relationships with major customers to ensure a continuous flow of sales revenue.Identifying promising prospects through cold-calling, networking, and customer...