Senior Executive EXL/SE/1036747

Job Description JOB DESCRIPTION: Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. ESSENTIAL CRITERIA: Bachelor of Science Degree ...

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...

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...

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...

Job Description JOB TITLE:  SENIOR EXECUTIVE - QUALITY ANALYST NUMBER OF POSITIONS: 2 BAND: A2 REPORTS TO: LEAD ASSISTANT MANAGER, Quality HOURS: 40 HOURS PER WEEK, FULL TIME EMPLOYEE  LOCATION:  BUDGET:  JOB DESCRIPTION The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical...

Job Description JOB TITLE:  SENIOR EXECUTIVE - QUALITY ANALYST NUMBER OF POSITIONS: 2 BAND: A2 REPORTS TO: LEAD ASSISTANT MANAGER, Quality HOURS: 40 HOURS PER WEEK, FULL TIME EMPLOYEE  LOCATION:  BUDGET:  JOB DESCRIPTION The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical...

Job Description Purpose of the role: We are looking for a knowledgeable domain and management consultant to give solid advice in the field of healthcare and life sciences through gathering and analyzing information, formulating, and testing hypotheses, and developing and communicating recommendations. The business analyst will also have the opportunity...

Job Description Project Manager/ PMO – A2 Function PMO Analyst Anbazhagan P/Vasant R Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Responsible Functions 3+ years of hands-on experience as a Project Manager or part of the Project Management Organization. Logical...

Job Description Overview: Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within...

Job Description Overview  Certified CPC/CCS coder with minimum 3 years of post-certification experience, experience and skillset, to review the medical records and determine the coding corrections. Qualifications: CPC/CCS Certified Coder with minimum 3 years of experience after certification. Credential should not have Apprentice (CPC-"A"). ...

Job Description Overview: Review, Analyze, Call and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them...

Job Description Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain, Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US Healthcare (Payer/Provider LOB). Preferred to have worked over a period of time in US...

Job Description Overview Certified CPC/CCS coder with minimum 3 years of post-certification experience, experience and skillset, to review the medical records and determine the coding corrections. E&M Coders. Qualifications: CPC/CCS Certified Coder with minimum 3 years of experience after certification. Credential should not have Apprentice...

Job Description Overview  Certified CPC/CCS coder with minimum 3 years of post-certification experience and skillset, to review the medical records and determine the coding corrections. Qualifications: CPC/CCS Certified Coder with minimum 3 years of experience after certification. Credential should not have Apprentice (CPC-"A"). Should have...

Job Description Overview: Review, Analyze, call and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them...

Job Description Overview: A management Information System (MIS) is an information system used for decision-making, and for the coordination, control, analysis, and visualization of information in an organization. The study of the management information systems involves people, processes and technology in an organizational context. Qualifications: ...

Job Description : Maintain standard operation procedures in all aspects of day-to-day work. Identifying new paid amounts Calculating overpaid amounts accurately Maintaining comprehensive financial transaction records Perform month end tasks for accounting close. Responsibilities: Complete the necessary training and meet the expectations outlined...

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...

Job Description Overview CPC certification.  Post CPC certification completion date, there should be 3+ years of coding experience 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...

Job Description Overview: Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within...