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7 Riveredge Analytics Jobs
Client Service Executive - Medical Coding
0-3 years
Kolkata, Mumbai, New Delhi + 4 more
1 vacancy
Client Service Executive - Medical Coding
Riveredge Analytics
posted 1y ago
Job Role Insights
Key skills for the job
Job Description
- Calling the Insurance companies and follow up on the outstanding Accounts Receivables.
- Handling more complex/aged inventory.
- Ensures assigned accounts are worked towards resolution.
- Follow the basic rules as provided on the SOP
- Assists in resolution of outstanding issues from earlier transactions.
- Expedites calls to the Insurance supervisor when there is a delay in closure of transaction or transaction is crossing the processing timeline as per contract.
- Achieve Production (100%) and Quality Target (98%).
- Pre-shift Briefing
- Discussion with TL/Manager on priority of the day
- Achieve Production (100%)
- Maintain the Quality (98%)
- Assisting the Co-workers
- Updating Production Tracker
- Weekly meeting with TL / Manager
- Training (Refreshers)
- Meeting on productivity tracking / Quality / Absenteeism
- Review of SOP
- Quarterly Performance Review with TL/Manager
- Any Degree and above
- 1 to 3years of experience in AR Calling
- Problem solving skills
- Good communication skills
- Good knowledge in MS-office
- People oriented
- To code on medical reports assigning appropriate CPT ICD codes based on the documentation and per the client specification.
- Work on medical reports assigning appropriate CPT, ICD and modifiers based on the documentation provided.
- Performs assigned tasks/complete targets with speed and accuracy as per client SLAs.
- Communication / Issue escalation to seniors if there is any in a timely manner.
- Willing to learn and keep self-updated with the latest codes.
- Work cohesively in a team setting. Assist team members to achieve shared goals.
- Determine the medical necessity based on the provided medical data.
- Ability to understand medical history and summarize to a precise abstract.
- Support billers and AR analysts.
- Document feedback on errors in clinical documentation at a facility and physician-specific levels.
- Good working knowledge of Anatomy and Physiology as well as Medical Terminology determine basic treatment protocols.
- Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM and CPT.
- Any Certified Medical Coder (CPC, COC, CIC, CCS), who have min 1 year of experience in Workers Compensations Claims. (Physical Therapy, Chiro, Physiotherapist, Acupuncture)
- Understand the causes of claim denials and continually improve coding standards.
- Experience in using electronic medical records applications (Knowledge of PrognoCIS, Daisy Bill will be preferred)
- Working knowledge of HIPAA regulations, medical codes, and billing terminology.
- Excellent interpersonal skills and good oral and written communication skills
- Must have a good working knowledge of Microsoft Office.
- Any Graduate in Any Specialization
- 3 plus years of experience in US Health care will be preferred.
Employment Type: Full Time, Permanent
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