Evaluation And Management - Quality Assurance

Job Description

About Client : Hiring for one of our multinational corporations! Job Title :Quality Assurance E&M (Surgery) Qualification :Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Surgical Coding 2.Compliance & Regulatory Checks 3.Claim & Reimbursement Accuracy 4.Process Improvement & Trainingy 5.ICD-10 6. CPT 7.HCPCS codes 8.pre-op documentation 9.intra-op documentation 10.post-op documentation Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1.Verify ICD-10, CPT, and HCPCS codes assigned to surgeries. 2.Ensure proper documentation of pre-op, intra-op, and post-op details. 2.Ensure coding follows CMS (Centers for Medicare & Medicaid Services), insurance, and payer guidelines. 3.Prevent upcoding (overbilling) or undercoding (underbilling). 4.Identify coding errors that could cause insurance claim denials. 5.Work with medical coders & billing teams to fix errors before claim submission. 6.Provide feedback & corrective training to medical coders. 7.Implement best practices for accurate surgical coding Location :Bangalore, Coimbatore CTC Range : 5 10 LPA (Lakhs Per Annum) Notice Period :30 Days Mode of Interview :Virtual Shift Timing :General Shift Mode of Work :Work From Office -- Thanks & Regards, Monika HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp 9916116145 monika.j@blackwhite.in | www.blackwhite.in ********Please refer your Friends********