Job Opportunity with SP Software // Medical Coding-Evaluation & Manage

SP Software

1 - 5 years

0 - 3 Lacs

Hyderabad Bengaluru

Posted:1 day ago| Platform:

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Skills Required

E/M Evaluation And Management Medical Coding CPC Denial Management

Work Mode

Hybrid

Job Type

Full Time

Job Description

Role & responsibilities

Minimum of 2+ years of experience in medical coding specific to denials management.
Healthcare / Claims Experience will be an added advantage

Reviews medical records to determine if specific disease conditions were correctly reported based on documentation. Reports findings of the data validation review in the data entry feature within the platform.
High performing operations management with expertise in coding guidelines/reimbursement policies and handling denial reviews in relation to the coding guidelines.
Follow the official coding guidelines including AHA Coding Clinic and other similar authoritative resources.
Ensures project activities are in compliance with applicable coding guidelines, government and federal regulations.
Regularly and consistently meet quality and productivity standards established by management
Maintain ongoing communication with management regarding coding workload, turnaround time expectations and deliverables.
Maintains at least 95% accuracy in all coding projects by researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
Additional duties as necessary to meet the obligations to our clients.
Extremely knowledgeable with regards to Evaluation & Management coding and General medical coding guidelines.
Participate and contribute to team huddles on process updates, quality audits, participate in error review/root cause at operations level.
Ability to collaborate and coordinate with team members and stakeholders for team projects, huddles & process development initiatives.
Evaluation and Management

Preferred candidate profile

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