2.0 - 6.0 years

0 Lacs

punjab

On-site

As a Medical Biller / Coder, you will be responsible for overseeing coding activities to ensure customer service and quality expectations are met. You will serve as the primary contact for coding questions related to Client Services and Operations. Your role will involve reviewing reports, identifying specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will proactively identify issues and plan for their resolution for clients and accounts. It will be your duty to maintain compliance with HIPAA and ISO standards, as well as adhere to company policies. You will review and report on process updates and team metrics with the management team. Furthermore, you will review provider claims that have not been paid by insurance companies and handle patients" billing queries while updating their account information. To excel in this role, you should have knowledge of Medicare, Medicaid, ICD, and CPT codes used on denials. Understanding the Revenue Cycle Management of US Health Care is essential, along with a good grasp of Denials and the ability to take immediate action to resolve them. You should possess in-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT and Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG, and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology, anatomy, and physiology. Strong analytical skills are a must for this role, including the ability to manage multiple tasks and create solutions from available information. Your key skills should include E/M, HCPCS, and Medical Coding. The job type is full-time and permanent, with the flexibility of working day, morning, or rotational shifts. This position requires a minimum of 2 years of experience in Medical Coding and a total work experience of 3 years. A valid AAPC certification is required for this role. The industry type is Medical Services / Hospital (Diagnostics), and the department is Healthcare & Life Sciences. The role category is Health Informatics, and the educational requirement is any graduate degree. The preferred location for employment is in Mohali, Punjab, with the ability to reliably commute or plan to relocate before starting work.,

Posted 18 hours ago

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