Sr. Executive/ Executive HIM (Ancillary, Radiology, Denials)

CorroHealth

2 - 7 years

4 - 8 Lacs

Noida Bengaluru

Posted:3 weeks ago| Platform:

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Skills Required

Manager Quality Assurance HCPCS Coding Medical coding Billing Radiology Healthcare Appeals medical records Analytics

Work Mode

Work from Office

Job Type

Full Time

Job Description

Minimum 2 years of Medical Coding Experience.
Proficient knowledge of medical terminology with excellent Coding skills.
Strong Knowledge on coding appropriate ICD s, CPT s and HCPC Codes.
Knowledge of picking right Modifiers while coding the encounter related to Ancillary.
Familiar with coding right diagnosis related to Ancillary coding.
Maintaining a quality threshold of 97% and meeting the client s expectations.
Maintaining 100% production from day 1 (per ramp)
Familiar with reading the operative report and arriving at appropriate CPT(s) and Diagnosis(es)

Key Responsibilities:

Utilize ICD-10, CPT, and HCPCS coding systems to ensure accurate coding and billing practices.
Collaborate with healthcare providers to clarify documentation and ensure compliance with coding guidelines and regulations.
Maintain up-to-date knowledge of coding standards, regulations, and payer requirements to ensure accurate billing and reimbursement.
Assist in the resolution of coding discrepancies and denials by providing necessary documentation and support.
Participate in coding audits and quality assurance processes to ensure coding accuracy and compliance.
Provide training and support to staff on coding practices and documentation requirements.
Stay informed about changes in healthcare laws, regulations, and coding practices that may impact billing and reimbursement.

Ancillary & Radiology Coding:

Review medical records and documentation for Ancillary (eg, lab, physical therapy) and Radiology services.
Assign accurate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS.
Ensure coding compliance with federal regulations and payer-specific guidelines.
Collaborate with clinical staff to clarify documentation and ensure coding accuracy.
Denials Management:
Analyze and resolve coding-related denials and rejections.
Prepare and submit appeals with supporting documentation.
Identify denial trends and recommend process improvements.
Work with billing and revenue cycle teams to reduce future denials

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