Charge Entry Executive

AuraRCM & Consulting Inc.; Chennai District; Presencial; INR 320.000 - 520.000; Jornada completa

Descripción de la vacante

AuraRCM & Consulting Inc. is seeking a diligent billing professional to review patient encounters and charge documents, ensuring completeness and eligibility for billing.

Responsibilities include coding with CPT/HCPCS and ICD-10, applying client fee schedules, and performing compliance checks to minimize denials. You will resolve discrepancies and maintain accurate system data for claims processing.

Responsabilidades

• Review and validate patient encounters, operative reports, superbills, and charge capture documents for completeness and eligibility for billing.
• Input services rendered, CPT/HCPCS codes, ICD-10 codes, modifiers, referring provider details, and dates of service into billing software.
• Ensure correct application of client-specific fee schedules and pricing rules during charge entry.
• Verify that all entered charges and codes adhere to payer-specific rules and established billing guidelines (e.g., NCCI edits, frequency limits).
• Identify and resolve discrepancies, missing information, or ambiguous documentation by communicating with client or internal coding teams.
• Ensure patient demographic and insurance information is current before claim generation.
• Maintain high daily productivity and adhere to quality standards to minimize future denial rates.
• Accurately document all actions taken and issues resolved related to charge entry.

Descripción del empleo

• Review and Validate: Receive and meticulously review patient encounters, operative reports, superbills, and charge capture documents for completeness and eligibility for billing.
• Accurate Data Entry: Input services rendered, corresponding procedure codes (CPT/HCPCS), diagnosis codes (ICD-10), modifiers, referring provider details, and dates of service into the billing software.
• Fee Schedule Application: Ensure the correct application of client-specific fee schedules and pricing rules during the charge entry process.
• Compliance Checks: Verify that all entered charges and codes adhere to payer-specific rules and established billing guidelines (e.g., NCCI edits, frequency limits).
• Query Resolution: Proactively identify and resolve discrepancies, missing information, or ambiguous documentation by communicating with the client or internal coding teams.
• System Maintenance: Ensure patient demographic and insurance information in the system is current before claim generation.
• Productivity & Quality: Maintain high daily productivity and adhere to strict quality standards to minimize future denial rates.
• Documentation: Accurately document all actions taken and issues resolved related to charge entry.