Role Summary:
This job takes the lead in providing effective team handling and timely delivery of assigned tasks and requires robust knowledge in denial management, trend analysis, and expertise in reports management and process analytics with proven knowledge in hospital billing.
JOB SUMMARY
This role offers the chance to work in a challenging environment delivering high-quality solutions to meet global customer demands. The ideal candidate should have experience in hospital billing and denial management. The candidate should be able to lead and own the development of any technical deliverables assigned, delivering high-quality innovative solutions for the client. Should be an excellent team player with robust problem-solving and communication skills.
ESSENTIAL RESPONSIBILITIES
Review medical records and code them to billable Revenue Code, CPT, Modifiers, Diagnosis code, and other relevant billable requirements
Review documentation for compliance with quality standards and policies
Prepare and provide information to west partners based on their expectations
Identify and recommend improvements to documentation workflows and processes to improve accuracy and efficiency
Specialized knowledge of Microsoft Excel to perform daily inputs, build functions, sort, and filter large amounts of data
Adhere to all company and department policies regarding security and confidentiality
EDUCATION
Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.
AAPC or AHIMA coding certifications required for all candidates
EXPERIENCE
Required:
3 - 6 years of experience in E/M Coding (E/M OP/Profee/Facility/IP) Surgery
Exposure to multi-specialty and hospital provider coding
Currently in an auditor role with exposure to quality-related reports
Preferred:
Working knowledge of Epic and 3M 360
Exposure to General and Cardiovascular Surgery coding
Exposure to multiple specialties and/or cla
📌 Process Analyst Chennai
🏢 Thryve Digital
📍 Chennai
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