Manager Quality Medical Coding GeBBS Healthcare Solutions

5.0 - 9.0 years

0 Lacs

maharashtra

On-site

As an individual with excellent domain expertise and process knowledge in Revenue Cycle Management (RCM) for Hospital facilities and Physicians, you possess a deep understanding of the differences between Facility hospital and Physician coding, particularly in specialties such as E&M-IP/OP. Your knowledge extends to EM IP/OP, APC optimization for reimbursement, UHDDS and guidelines, Level of service determination, Physical Examination & Medical Decision Making in Documentation guidelines, as well as hospital E&M coding for initial and subsequent visits. Your proficiency also includes a solid grasp of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments, Operative Reports, and other report types with their respective documentation requirements. In addition, you are well-versed in the potential consequences of risky practices like up-coding, down-coding, Fraud and abuse, inflated documentation, as well as compliance with HIPAA and CLIA rules related to claim transmission. Your responsibilities will include supervising and managing a team of over 100 Quality Analysts, creating a motivating team environment with effective communication channels, designing QA capacity planning in alignment with project requirements, delegating tasks and establishing deadlines, overseeing the Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects, ensuring quality control compliance with client Service Level Agreements (SLA), implementing the organization's Quality Management System, monitoring team performance metrics, conducting random audits of auditors, performing Root Cause Analysis (RCA) on audit observations to identify knowledge gaps, developing action plans with quality leads and operation managers, identifying training needs and providing coaching to Quality Analysts, resolving team conflicts and issues based on feedback, acknowledging high performance and rewarding accomplishments, fostering creativity and business improvement ideas, suggesting and organizing team-building activities, as well as identifying improvement opportunities and initiating action plans for enhancement.,

Posted 4 weeks ago

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Dentist Signature Smiles Implants and Dental Clinic

0.0 - 4.0 years

0 Lacs

haryana

On-site

As a Dentist at Signature Smiles Implants and Dental Clinic, you will be responsible for providing exceptional dental care to our patients. Your main duties will include diagnosing dental issues, planning treatments, and ensuring proper follow-up care. You will perform a variety of dental procedures, ranging from routine to advanced treatments such as restorative, cosmetic, and surgical procedures. In addition to clinical responsibilities, you will also be required to educate patients on oral health practices, hygiene, and preventive care. Collaboration with the dental team is essential to maintain a high standard of patient care and satisfaction. Detailed record-keeping of patient information is a key aspect of this role. To excel in this position, you must hold a degree in Dentistry (BDS or equivalent) and possess strong clinical skills with a keen eye for detail. Proficiency in computer usage, including dental software and basic office applications, is necessary. An understanding of marketing principles to support the promotion of clinical services is also desirable. Excellent communication and interpersonal skills are crucial for effective patient interaction. The ability to work in a fast-paced environment, manage multiple tasks efficiently, and maintain a compassionate and patient-centric approach to care are essential qualities we are looking for in a candidate. By joining our team, you will have the opportunity to work in a modern dental clinic, access continuous professional development, and be part of a supportive and collaborative work environment. We offer a competitive salary, benefits, and performance bonuses to reward your contributions. Freshers are encouraged to apply for this full-time position. If you are enthusiastic about beginning or advancing your career in dentistry, please send your resume and a cover letter to babitamalhan@yahoo.com with the subject line "Application for Dentist Position." We look forward to receiving your application and welcoming you to our team at Signature Smiles Implants and Dental Clinic in Sector 56, Gurugram.,

Posted 1 month ago

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