Job Openings
Quality Analyst - Medical Coders
About the job Quality Analyst - Medical Coders
Job Title: Quality Analyst - Medical Coders
Job Location: Chennai, Tamil Nadu, India
Job Location Type: On-site
Job Contract Type: Full-time
Job Seniority Level: Associate
Skills:
Evaluation and management, CTC, HCPCS, CPT, Physician coding, ICD, Anesthesia coding, EMR,
Job Description
What you'll do
About Fly Consulting Services Solutions is a leading provider of customized Business Process Management (BPM) services.Fly Consulting Services specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, and India. Our right shore delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies.
Designation - Quality Analyst
Reporting to Assistant Manager
Role- Certified Coding Auditor- Multi Speciality
Medical Coding Auditor
(Multispecialty Coding EM IP/ EM OP/ED Profee / ED Facility/Anaesthesia/SDS/Surgery Profee/IP-DRG)
Location: Chennai
Key Responsibilities
Abstract pertinent information from patient medical records.
Validate assigned CPT/Modifiers/HCPCS/ ICD-10-CM/ICD-10-PCS codes accurately as per the Medical record documentation.
Remain current on medical coding guidelines and reimbursement reporting requirements.
Check chart assignments every day and report accurately.
Identify and apply the various payor guidelines related to multispecialty coding & billing guidelines and provide recommendations to avoid the denials upfront
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
Document audit findings and provide audit feedback to coders
Summarize and validate audit findings and present the same with the client and cross functional team periodically through email and calls
Identify the coding error trends and document for Training / Feedback
Identify the coding documentation improvement opportunities and highlight the same by provider which is presentable to client
Participate in scheduled provider education calls to
educate the providers from coding/documentation opportunities found as part of the audits Analyse the coding trends and documentation from
billing and compliance perspective and provide recommendations to client
Work out the audit submission plan by week and adhere to the committed timelines. Ensure the audit volumes completion timely
Report work-related concerns to assigned Team Lead/AM.
Comply with HIPAA laws and regulations.
Participate in testing and training as required by the Company.
Responsible for analysing the medical charts, assigning the codes by maintaining high accuracy and achieving more than 100% productivity goals.
Ensure that the deliverables to the client adhere to the quality standards.
Ready to work in flexible shift timings.
Skill Set
EM IP/EM OP/ED Profee /ED Facility/SDS/Surgery Profee/IP_DRG coding experience with extensive ICD-10-CM/ICD-10-PCS knowledge.
Good command and effectively knowledge about Human anatomy, Physiology, Medical Terminology, and all systems of Human body.
Preferably at least 6-12 months experience in Coding audits
Should have experience in prominent coding and billing software and coding tools.
Should be familiar with CPT, HCPCS, Modifiers, ICD-10-CM/ICD-10-PCS Medical necessity, LCD lookup, NCCI edits, CMS RVU, Bundling edits, MUE
Certified from AAPC/AHIMA - CCS/CCS-P/CPMA/ CPC/COC/CEDC/CEMC certified
Qualifications
Any Life science graduate - BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc (Nursing/Nutrition/Zoology/Biology/Biochemistry/ Microbiology/Biotechnology/Genetics/Physcian Assistant, etc).
Additional Skills
Disciplined, Positive attitude, and Punctuality.
Strong interpersonal skills, good communication skills, and ability to effectively work with employees. Should have an aptitude to learn new things. Ability to read, write, and perform basic computer operation. Must be a self-starter, highly motivated, organized, and able to prioritize.
Interested Candidate can send your CV / 7997995118 WhatsApp your CV
V.Veeresh
HR Department / 7997995118
Evaluation and management, CTC, HCPCS, CPT, Physician coding, ICD, Anesthesia coding, EMR,
Job Description
What you'll do
About Fly Consulting Services Solutions is a leading provider of customized Business Process Management (BPM) services.Fly Consulting Services specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, and India. Our right shore delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies.
Designation - Quality Analyst
Reporting to Assistant Manager
Role- Certified Coding Auditor- Multi Speciality
Medical Coding Auditor
(Multispecialty Coding EM IP/ EM OP/ED Profee / ED Facility/Anaesthesia/SDS/Surgery Profee/IP-DRG)
Location: Chennai
Key Responsibilities
Abstract pertinent information from patient medical records.
Validate assigned CPT/Modifiers/HCPCS/ ICD-10-CM/ICD-10-PCS codes accurately as per the Medical record documentation.
Remain current on medical coding guidelines and reimbursement reporting requirements.
Check chart assignments every day and report accurately.
Identify and apply the various payor guidelines related to multispecialty coding & billing guidelines and provide recommendations to avoid the denials upfront
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
Document audit findings and provide audit feedback to coders
Summarize and validate audit findings and present the same with the client and cross functional team periodically through email and calls
Identify the coding error trends and document for Training / Feedback
Identify the coding documentation improvement opportunities and highlight the same by provider which is presentable to client
Participate in scheduled provider education calls to
educate the providers from coding/documentation opportunities found as part of the audits Analyse the coding trends and documentation from
billing and compliance perspective and provide recommendations to client
Work out the audit submission plan by week and adhere to the committed timelines. Ensure the audit volumes completion timely
Report work-related concerns to assigned Team Lead/AM.
Comply with HIPAA laws and regulations.
Participate in testing and training as required by the Company.
Responsible for analysing the medical charts, assigning the codes by maintaining high accuracy and achieving more than 100% productivity goals.
Ensure that the deliverables to the client adhere to the quality standards.
Ready to work in flexible shift timings.
Skill Set
EM IP/EM OP/ED Profee /ED Facility/SDS/Surgery Profee/IP_DRG coding experience with extensive ICD-10-CM/ICD-10-PCS knowledge.
Good command and effectively knowledge about Human anatomy, Physiology, Medical Terminology, and all systems of Human body.
Preferably at least 6-12 months experience in Coding audits
Should have experience in prominent coding and billing software and coding tools.
Should be familiar with CPT, HCPCS, Modifiers, ICD-10-CM/ICD-10-PCS Medical necessity, LCD lookup, NCCI edits, CMS RVU, Bundling edits, MUE
Certified from AAPC/AHIMA - CCS/CCS-P/CPMA/ CPC/COC/CEDC/CEMC certified
Qualifications
Any Life science graduate - BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc (Nursing/Nutrition/Zoology/Biology/Biochemistry/ Microbiology/Biotechnology/Genetics/Physcian Assistant, etc).
Additional Skills
Disciplined, Positive attitude, and Punctuality.
Strong interpersonal skills, good communication skills, and ability to effectively work with employees. Should have an aptitude to learn new things. Ability to read, write, and perform basic computer operation. Must be a self-starter, highly motivated, organized, and able to prioritize.
Interested Candidate can send your CV / 7997995118 WhatsApp your CV
V.Veeresh
HR Department / 7997995118
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