Research Specialist

Job Description

Qualification:- Doctor of Medicine, Physician, Doctor of Medicine, MBBS/BAMS/BHMS/BDS Desired healthcare certifications: 1. CPC or COC (AAPC) 2.0CCS (AHIMA) Required / Essential skills. Experience in Claims adjudication process end-to-end Ability to learn and become proficient using an integrated payment integrity technology platform 2 years experience in claims that demonstrates knowledge in HIPAA guidelines, ICD-10 coding, CPT/HCPCS/HIPPS coding Experience in the health care industry (Medicare, Medicaid, and/or Commercial) Advanced proficiency in MS word, Excel, and PowerPoint Proficiency in written and verbal communication Effectively coordinate with the internal team and stake holders Ability to work independently and as a team Keep up to date on industry trends and opportunities to apply best practices to payment integrity and claims processing Ability to think analytically, apply analytical techniques and to provide in-depth analysis and recommendations to senior management using critical thinking and sound judgement Must be a team player and adaptable to a dynamic work environment Proven interpersonal skills Strong written and verbal communication skills Good analytical, decision making and problem-solving skills Strong clinical knowledge and effective use of multiple applications, systems, and resources.