Senior Manager Quality GeBBS Healthcare Solutions

5.0 - 9.0 years

0 Lacs

maharashtra

On-site

As a candidate for this position, you should possess excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. Your understanding of Facility hospital verses Physician coding with in-depth knowledge of specialties such as E&M-IP/OP will be crucial. It is important for you to have knowledge of EM IP/OP, APC for optimizing reimbursement, UHDDS and guidelines, Level of service determination, and emphasis on Physical Examination & Medical Decision Making in Documentation guidelines. Additionally, your knowledge should extend to hospital E&M coding - initial/subsequent visit. Familiarity with Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic St...

Posted 6 days ago

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Manager Quality Medical Coding GeBBS Healthcare Solutions

5.0 - 9.0 years

0 Lacs

thane, maharashtra

On-site

Job Description: As an experienced professional with domain expertise in Revenue Cycle Management (RCM) for Hospital facilities and Physicians, you will be expected to possess a deep understanding of various specialties such as E&M-IP/OP coding. Your knowledge should extend to EM IP/OP, APC for optimizing reimbursement, UHDDS and guidelines, as well as Level of service determination focusing on Physical Examination & Medical Decision Making in Documentation guidelines. Additionally, you should be familiar with hospital E&M coding - initial/subsequent visits, Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments, Operative Reports, ...

Posted 1 week ago

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Inpatient Medical Coder Commure

2.0 - 3.0 years

2 - 6 Lacs

gurugram

Remote

Inpatient Medical Coder Coding Denials Specialist Responsibilities Denial Review & Recode Analyse EOB/denial letters/audit findings (RAC/MAC/Commercial); validate MS-DRG/APR-DRG assignment and sequencing. Recode principal/secondary diagnoses and procedures (ICD-10-PCS), verify POA indicators, device/approach specificity, discharge status, and transfer rules. Document rationale citing AHA Coding Clinic, UHDDS, CMS IPPS guidance, and payer policies. Appeal Support Draft coding summaries for level-1/level-2 appeals; compile exhibits (clinical notes, coding references). Track timely filing limits; update payer portals and internal trackers. Clinical Validation & Provider Queries Prevention & Edu...

Posted 3 weeks ago

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Senior Manager Quality Medical Coding GeBBS Healthcare Solutions

5.0 - 9.0 years

0 Lacs

thane, maharashtra

On-site

You have excellent domain expertise and process knowledge about 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 the specialties of E&M-IP/OP. Your knowledge includes EM IP/OP, APC for optimizing reimbursement, UHDDS and guidelines, Level of service determination emphasizing Physical Examination & Medical Decision Making in Documentation guidelines, and hospital E&M coding for initial/subsequent visits. Additionally, you have a good understanding of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Trea...

Posted 2 months ago

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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 a...

Posted 2 months ago

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