Process Analyst_Multispeciality Coding

<p><b>Role Summary: </b></p><p><b>This job takes the lead in providing effective team handling and timely delivery of assigned tasks and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and proven job knowledge in Physician Billing Denial (Multispecialty). </b></p><p><b>JOB SUMMARY</b></p><p><b>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 Facility and Physician Coding Denial Management. The candidate should be able to own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be excellent Team player & have excellent Problem solving & communication skills.</b></p><p><b>ESSENTIAL RESPONSIBILITIES</b></p><p><b>

• Review medical records and code them to billable CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements. </b></p><p><b>
• Review all file documentation for compliance with quality standards and relevant policies.</b></p><p><b>
• Prepare and provide information to onshore leads based on their expectation.</b></p><p><b>
• Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.</b></p><p><b>
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.</b></p><p><b>
• Adhere to all company and department policies regarding security and confidentiality.</b></p><p><b><br /></b></p><p><b><br /></b></p><p><b>EDUCATION</b></p><p><b>Required</b></p><p><b>
• Graduation/BSc. in life sciences – preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, and Pharmacy etc. </b></p><p><b>Certification </b></p><p><b>
• AAPC or AHIMA coding certifications required for all candidates </b></p><p><b><br /></b></p><p><b>EXPERIENCE</b></p><p><b>Required</b></p><p><b>
• 1 - 3 years of experience in Multispecialty PB Denial coding and Claim Edit</b></p><p><b>
• Should have handled Facility & Provider Coding</b></p><p><b>Preferred</b></p><p><b>
• Good communication skills.</b></p><p><b>
• Must be extremely detail oriented and able to multitask</b></p><p><b>
• Possess a high level of Self-motivation and energy with minimal supervision</b></p><p><b>
• Highly developed oral and written communication skills</b></p><p><b>
• Ability to work both independently and in a team-oriented environment.</b></p><p><b>
• Possess good organizational skills and strong attention to detail.</b></p><p><b>
• Work in a standard protocol/documents to accurately complete the work assigned.</b></p><p><b>
• Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames</b></p><p><b>
• Should develop knowledge about payor policies</b></p><p><b>
• Develop the team's talent, drive employee retention and engagement.</b></p>