Evaluation & Management - IP and OP / Medical Coding

Job Description

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience : 4 to 10 years Must Have Skills : 1. Audit & Review Medical Coding 2. Compliance & Accuracy Checks 3. Claim & Reimbursement Verification 4. Process Improvement & Training 5. CPC (Certified Professional Coder) AAPC 6. ICD-10 7. CPT 8. HCPCS codes 9. Surgery coder 10. Inpatient and Outpatient 11. Emergency department 12. Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1. Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2. Verify medical necessity & documentation accuracy. 3. Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4. Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6. Work with billing teams to correct errors before submission. 7. Provide feedback to medical coders to improve E&M coding accuracy. 8. Suggest best practices to avoid claim rejections 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, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489 | WhatsApp 7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************