7.0 - 11.0 years

0 Lacs

karnataka

On-site

The RCM Operations Director holds the responsibility of overseeing and managing the revenue cycle operations in our healthcare organization. Your primary focus will be on optimizing processes, enhancing financial performance, ensuring compliance, and improving the overall efficiency of the revenue cycle. The ideal candidate should exhibit strong leadership qualities, possess a profound understanding of healthcare revenue cycle management, and approach problem-solving proactively. As the RCM Operations Director, you will lead and manage the revenue cycle team, which includes billing, coding, collections, and accounts receivable staff. It is crucial to cultivate a collaborative and high-performance culture within the team by offering guidance, training, and development opportunities. Setting performance goals and monitoring team progress are essential to ensure operational excellence. Your role will involve developing and implementing strategies to enhance revenue cycle processes, minimize denials, and boost collections. Analyzing existing workflows to identify areas for enhancement and efficiency gains will be a key aspect. Implementing best practices and standard operating procedures to streamline operations will contribute to achieving operational efficiency. Monitoring key performance indicators (KPIs) and preparing regular reports on revenue cycle metrics will be essential to track performance. Conducting financial analysis to recognize trends, variances, and opportunities for revenue enhancement is crucial. Collaboration with the finance department is necessary to ensure accurate financial reporting and forecasting. Maintaining compliance with federal, state, and local regulations concerning healthcare billing and coding is paramount. It is imperative to stay updated on industry standards, coding guidelines, and regulatory changes. Implementing quality assurance programs to guarantee the accuracy and integrity of billing and coding processes is vital. Qualifications for this role include a minimum of 7 years of experience in revenue cycle management operations, experience as a Senior Manager or Director leading a team within an RCM division, a demonstrated track record of enhancing revenue cycle efficiency and cash flow, a strong understanding of healthcare coding and billing practices, excellent analytical and problem-solving skills, effective communication and interpersonal skills, and proficiency in relevant revenue cycle management software. Additional Information: - Fixed Night Shift - Competitive Salary - Performance Bonus - Allowances - Insurance Benefits,

Posted 4 days ago

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IPDRG Medical Coders Shashwath Solution

1 - 4 years

3 - 7 Lacs

Chennai

Work from Office

Job Summary The IPDRG Medical Coder is responsible for assigning accurate codes to inpatient medical records, ensuring compliance with coding standards and contributing to the efficiency of healthcare processes. Key Responsibilities Assign IPDRG codes to inpatient medical records based on established guidelines and regulations. Review and interpret clinical documentation to ensure accurate coding. Collaborate with healthcare professionals to resolve documentation discrepancies. Meet coding accuracy and productivity targets. Stay informed about updates to coding standards and practices. Required Qualifications Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder) certification required. Experience: Minimum of 1 year of experience in IPDRG coding. Education: Background in healthcare, medical coding, or a related field preferred. Skills: Proficiency in IPDRG coding systems and guidelines. High attention to detail and accuracy. Analytical and problem-solving skills. Strong communication and teamwork abilities.

Posted 2 months ago

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IPDRG QA Specialist Shashwath Solution

3 - 5 years

4 - 9 Lacs

Chennai

Work from Office

Job Summary: The IPDRG Quality Assurance (QA) Specialist ensures the accuracy and compliance of coded medical records through detailed audits and reviews, playing a key role in maintaining quality standards. Key Responsibilities: Perform detailed audits of coded inpatient records to verify accuracy and compliance with IPDRG guidelines. Identify and document coding errors or inconsistencies. Provide feedback and training to coders to enhance coding quality. Ensure adherence to company and regulatory quality standards. Assist in resolving complex coding issues with the team. Required Qualifications: Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder) certification required. Additional QA credentials are a plus. Experience: Minimum of 3 years of experience in medical coding, with a focus on IPDRG quality assurance. Education: Background in healthcare, medical coding, or a related field preferred. Skills: Expert knowledge of IPDRG coding and quality assurance practices. Exceptional attention to detail and precision. Strong analytical and critical thinking skills. Excellent communication skills for training and feedback. Ability to manage multiple tasks effectively.

Posted 2 months ago

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