Sr Executive - HIM services [Denials]

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Roles and Responsibilities:

• Extracting relevant information from patient records
• Examining documents for missing information
• Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes
• Ensuring documents are grammatically correct and free from typing errors
• Performing chart audits
• Informing supervisor of issues with equipment and computer program
• Ensuring compliance with medical coding policies and guidelines
• Ensuring that codes tally with doctors’ diagnosis
• Be updated about new coding rules as codes change from time to time
• Collecting and distributing coding related information and billing issues

Required Expertise & Qualification:

• Life Science graduation or any equivalent graduation with Anatomy/Physiology as
• main subjects
• 2 to 4 years of work experience as a medical coder
• Any one of the following coding certifications CPC, COC, CRC, CPCP from AAPC CCS,
• CCSP, CCA from AHIMA
• Proficient computer skills
• Excellent communication skills, both verbal and written
• Strong people skills & Outstanding organizational skills
• Ability to maintain the confidentiality of information

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.