Medical Coder
你将获得：竞争力奖励：享受市场上高的薪酬，第一天医疗保险，加上一个或多名受理人，付费休息以现金转换，团体生命保险和绩效奖金。协作精神：通过参与公司赞助的活动和活动来促进积极和有吸引力的工作环境。工作-生活和：享受与你适合的工作安排之间的平衡。职业发展：利用不断学习和职业进步的机会。包容性团队工作：成为庆祝多样性和促进包容文化的团队的一部分。责任：· 研究并确定医疗保险，医疗补助和其他医学编码和收费文件以识别拒绝申请或覆盖标准 （临床内容）我们自动化修订索赔解决方案。临床内容可能包括对诊断代码，程序代码，年龄最低限和最高限，数量限制，服务场所限制和其他临床内容标准的添加，删除或更新。·向医务主任 （医生）和其他临床同事提供书面和口头演示，以便获得拒绝标准的共识。· 根据需要向客户提供临床内容支持 · 如需将临床内容更新数据输入到 databse 中 ·解决与住院编码或 ICD-10-CM 编码公约/指南的解释相关的问题。在 Lyric 业务规则内包括或排除。资格：· BS 护理，BS 药房或相等级。· 4年的医疗费用支付，编程，索赔处理，账单和/或图表审查/审计经验是必不可少的。还需要与美国医保纳税人一起工作的前经验在索赔，上诉或编码能力方面 ·拒绝管理或索赔评估管理的经验也是一个优点。具有优秀的沟通技能 （口头和书面）,使得内部与业务的所有领域以及外部都能够有效地进行沟通。·具备各种软件应用程序的证明能力，包括但不限于：MS Word,MS Excel,MS Access,Visio,JIRA,Sharepoint 与 MS 项目 a+ · AHIMA 认证编码专家 - 医生 (CCS-P) 或 AAPC 认证职业编程师 (CPC) 要求 Ab
查看英文原文
Discover your 100% YOU with MicroSourcing!
Position: Medical Content Analyst
Work setup & shift: Work From Home| Night Shift
Why join MicroSourcing?
You'll have:
Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
Career Growth: Take advantage of opportunities for continuous learning and career advancement.
Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
Responsibilities:
- Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. The clinical content could include additions, deletions or updates to diagnosis codes, procedure codes, age minimums and maximums, quantity limitations, place of service limitations and other clinical content criteria
- Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
- Provide clinical content support to our customers as needed
- Perform data entry of clinical content updates into databse, as needed
- Solve problems related to the interpration of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.
Qualifications:
- BS Nursing, BS Pharmacy or equivalent required.
- 4 years experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required
- Experience in denial management or claim review management is a plus. Excellent communication skills (verbal and written) enabling effective communication both internally with all areas of the business and externally.
- Demonstrated proficiency with various software applications, including but not limited to: MS Word, MS Excel, MS Access, Visio, JIRA, Sharepoint with MS project a plus
- AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required
About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit
*Terms & conditions apply
Originally posted on Himalayas