Certified Medical Coder - IPDRG

ROLE SUMMARY:

This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.

JOB SUMMARY:

This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills

ESSENTIAL RESPONSIBILITIES:

• Review medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.
• Review all documentation for compliance with quality standards and relevant policies.
• Prepare and provide information to west partners based on their expectation.
• Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.
• Adhere to all company and department policies regarding security and confidentiality.

EDUCATION

Required

• Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.

Certification

• AAPC or AHIMA coding certifications required for all candidates

EXPERIENCE

Required

• 3 - 6 years of experience in IPDRG / Surgery - Cardiovascular
• Should have exposure to multi-specialty and handled Hospital & Provider Coding
• Should be currently in an Auditor role and have exposure to reports related to quality.

Preferred

• Preferred working knowledge in Epic and 3M 360.
• Having exposure to General and Cardiovascular Surgery coding.
• Having exposure to Multiple specialty and or working on Claims Edits.
• Must be extremely detail oriented and able to multitask.
• Should be strong in quality parameters.
• Possess a high level of Self-motivation and energy with minimal supervision.
• Highly developed oral and written communication skills.
• Ability to work both independently and in a team-oriented environment.
• Possess good organizational skills and strong attention to detail.
• Identify process improvement and communicate them through proper channel, follow up on the identified improvement until implementation.
• Work in a standard protocols/documents to accurately complete the work assigned.
• Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames.
• Should develop knowledge about payor policies.
• Develop the team's talent, drive employee retention and engagement.