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.