ideal candidate must have following:
• code (cpt and icd10) all e/m and office procedures.
• deep knowledge of auditing concepts and principles. responsibility of auditing of coding team and maintaining target
accuracy %.
• adhere to and enforce departmental policies and procedures (coding and compliance).
• reviewing office dictation and/or charge ticket (assigned levels by provider) received from the clinic.
• research all coding problems and resolve them with an effective and appropriate solution.
• keep up to date on all coding changes by reviewing subscription newsletters (ceus).
• participate in monthly calibration sessions with operations & clients.
• providing on the spot feedback. prepare and review data and qa reporting with key stakeholders.
• discuss audit sheets changes on need basis with the operations & clients.
• conduct rca /1 year analysis on monthly audit data & publish the findings.
• conduct monthly quality session for operations teams to share top improvements & preventive actions.
• conduct tna on need basis for junior team members.
• facilitate the preparation and processing of daily charge documents.
required candidate profile:
• any life science graduate or postgraduate. . biology preferred.
• must have worked on multi specialities including radiology, enm, behavioral, nephrology, podiatry, dermatology etc.
• must be cpc certified from aapc or ahima, (cpc, coc, cic, ccs).
• experience of medical billing, client management, ar follow up, charge entry, denial management etc. will be added
advantage.
• should have good knowledge of icd-9, icd-10 and/or cpt medical billing codes.
• must have medical record auditing experience. team management experience will be big plus.
• proficient in microsoft 365 office applications like teams, outlook, crm dynamics, onedrive etc.