Job Description

Role :Medical Recs Coding & Transc. SpecialistExperience Required: 5+Work Location: Bangalore : Work from home as of nowShifts and Days of working : 5 days of working , US shiftsOSITION OVERVIEW : Medical Coder POSITION GENERAL DUTIES AND TASKS :At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.NTT DATA, Inc. currently seeks a BPO Medical Coding Analyst to join our team in Coimbatore.Client's business problem to solve:Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfactionIn these roles, you will be responsible for:

• Expertise in specialties of E/M and ED

• Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days.

• Ensure adherence of coding guidelines within established productivity standards.

• Addressing coding related inquires for providers as needed, U.S. only.

• Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials.

• Provide supervision and direction to team and manage their day to day activities.

• Provide trend analysis of issues and solutions to customer.

• Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims.

• Maintain and ensure adherence to SOP guidelines by team members.

• Provide monthly feedback to team members on their performance.

• Provider guidance to the team members to effectively complete the assigned task.

• Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials.

• Ensure complete adherence to TAT and SLAs as defined by the customer

• Maintain patient confidentiality and strict adherence to HIPAA

• 5+ years of experience working on Revenue Cycle Management regarding medical billing.

• Good understanding and working experience of End to End Claim Resolution model

• Excellent interpersonal, verbal and written communication skills

• Demonstrate ability to work in challenging and changing work environment and apply methodologies to best fit solutions.

• Should have coding certificate (CPC, COC, CCS)

• Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools.

Ciel HR