26 Oct
|
OlleyaHealth
|
India
26 Oct
OlleyaHealth
India
Company Description OlleyaHealth Pvt Ltd is pioneering sustainable revenue cycle management for U.S. healthcare providers by combining advanced AI technology with a skilled global workforce. The company’s intelligent platform supports facility coding teams by automating chart triage, reducing workload, and lowering overall costs. AI-driven tools review coded charts in real time to improve accuracy, ensure compliance, and minimize denials or downcoding before claims are submitted.
With local U.S. leadership and a specialized AI team based in Bangalore, OlleyaHealth streamlines billing processes and enhances patient financial experiences. Team members contribute to solutions that help healthcare providers focus more on delivering high-quality patient care.
Role Description The Facility Medical Coder is responsible for accurately coding inpatient and outpatient facility encounters using standard coding guidelines, payer policies, and regulatory requirements. This full-time remote role involves reviewing medical records and documentation, assigning appropriate codes for diagnoses, procedures, and services, and ensuring codes support correct reimbursement and compliance. Day-to-day tasks include validating medical necessity, identifying documentation gaps, and collaborating with clinical and revenue cycle teams to resolve coding issues.
The role also includes working with AI-driven coding tools, participating in quality audits, and staying current with coding updates, payer rules, and regulatory changes.
The Facility Medical
Coder contributes to reducing denials, improving claim accuracy, and supporting efficient revenue cycle operations.
Qualifications
- Demonstrated medical coding experience with facility-based records, including inpatient and outpatient encounters.
- Strong foundation in Health Information Management, with knowledge of documentation standards and revenue cycle processes.
- Proficiency in Medical Terminology and Medical Coding systems (e.g., ICD-10-CM/PCS, CPT, HCPCS) and related guidelines.
- Relevant certification such as RHIT or equivalent credential in health information or coding is preferred.
- Familiarity with U.S. healthcare payer rules, compliance requirements, and denial management practices.
- Comfort using coding software, EHR systems, and AI-enabled tools to support coding and quality review.
- Strong attention to detail, analytical skills, and ability to meet productivity and accuracy benchmarks in a remote setting.
- Effective written and verbal communication skills and ability to collaborate across global, cross-functional teams.
📌 Facility Medical Coder (India)
🏢 OlleyaHealth
📍 India