Summary: Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of outpatient service visits. The position is also responsible for reviewing OASIS, Plan of Care and abstracting visit data for billing and data collection purposes. Job Description: Accurately assign ICD-10-CM codes to diagnoses from the care plans and documentation submitted by the client. Prospectively reviews OASIS assessments and Plan of Care to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy. Probe clients’ clinicians when code assignments are unclear or when documentation is inadequate or ambiguous. Act as a subject matter expert regarding Coding and OASIS questions by clients and key stakeholders Review and identify errors and report them to supervisor or department manager for follow-up. Identifies trends in clinical documentation and/or potential problems and works with quality team to develop action plans to address opportunities for improvement. Maintains daily productivity and turnaround times. Assists with initial orientation and education/training of staff. Reads and reviews coding guidelines, Medicare updates, professional journals, etc. to maintain an up-to-date working knowledge of coding and reimbursement principles. Requirements /Qualification: Graduates / Post-Graduates in Life Science (MBBS, BDS, BHMS, BAMS, BUMS, Nursing, Pharmacy, Biotechnology, Microbiology, Biochemistry Pharmacy, Physiotherapy, Zoology, Microbiology, BAMS, BHMS, BUMS Exceptional knowledge of Anatomy, Physiology, Pharmacology and Medical Terminologies. BCHH-C certification is mandatory. Proficient Computing and Logical Reasoning skills. Excellent communication skills, both verbal and written. Who should not apply? If you want to work from home, Please do not apply. If you don't have BCCHH-C certification, Please do not apply. Freshers kindly do not apply (This position is only for experienced Home Health Coders) If you don't have more than 2 years of experience in Home Health Coding, Please do not apply. Salary/Compensation: This is purely based on your experience and your performance in the Interview. Job Type: Full-time Pay: ₹25,000.00 - ₹60,000.00 per month Show more Show less
We are looking for an experienced Medical Biller - Accounts Receivable (AR) professional to join our healthcare billing team. The ideal candidate should possess extensive knowledge of medical billing procedures, insurance claims follow-up, and AR collections. In this role, you will be responsible for preparing, reviewing, and submitting claims to insurance companies, both electronically and through paper submission. Ensuring proper coding and documentation for claim accuracy and compliance will be a key part of your duties. You will also monitor and follow up on unpaid or denied claims, working closely with insurance providers to resolve claim issues and process appeals when necessary. Additionally, you will process patient statements, resolve billing inquiries, and maintain compliance with HIPAA, insurance regulations, and company policies. Collaborating with healthcare providers, front office staff, and insurance companies to ensure timely claim resolution will be essential. Providing regular updates to management on AR status and outstanding claims is also part of the role. The ideal candidate should have a minimum of 2-5 years of medical billing and AR experience in a healthcare setting. Proficiency in medical billing software, strong knowledge of CPT, ICD-10, and HCPCS coding, as well as experience with insurance portals and electronic claims processing are required technical skills. Familiarity with Medicare, Medicaid, and commercial insurance billing policies, understanding of HIPAA regulations, and excellent problem-solving and communication skills are necessary qualifications. This is a full-time position with benefits such as health insurance and Provident Fund. The schedule for this role is Monday to Friday on the night shift. If you have the required experience and skills, we look forward to receiving your application.,