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.