Job Location: Noida, India

Job Description

Accurately review and post charges for medical services provided by healthcare providers
Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment
Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.
Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid)
Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness
Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation
Collaborate with the denial management team to promptly resolve charge-related denials and rejections
Analyze denial patterns and recommend process improvements to minimize future denials
Meet or exceed established productivity and timeliness targets for charge posting
Prioritize workload effectively to ensure timely and accurate charge entry
Maintain accurate records and metrics related to charge posting activities
Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators

To be considered for this position, applicants need to meet the following qualification criteria:

Prior experience in charge posting or healthcare revenue cycle management
Good understanding of medical billing, coding, and reimbursement processes
Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems
Familiarity with insurance payer guidelines, including Medicare and Medicaid
Proficient in using healthcare billing systems and electronic medical records (EMR) software
Strong attention to detail and accuracy
Excellent analytical and problem-solving skills
Effective communication and interpersonal skills
Familiarity with HIPAA regulations and compliance requirements
Candidate with Bachelor's degree or equivalent is preferred