Charge Entry Team Leader

Med Karma Healthcare Solutions

Sector 10

On-site

INR 600,000 - 850,000

Full time

6 days ago
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Job summary

Med Karma Healthcare Solutions is seeking a senior professional to lead the Charge Entry team. You will oversee accuracy of patient demographics, insurance data, CPT/HCPCS/ICD-10 coding, and charge entry to meet daily productivity and quality targets.

You will validate charges against supporting documentation, ensure timely submission, and mentor staff. Strong HIPAA knowledge and process-improvement skills are essential for ongoing performance reporting.

Qualifications

  • Experience leading a charge entry or medical billing team.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, units and fee schedules.
  • Familiarity with HIPAA standards and payer guidelines.

Responsibilities

  • Lead and manage the Charge Entry team to meet productivity, quality, and TAT targets.
  • Review and ensure accurate entry of patient demographics, insurance details, CPT/HCPCS/ICD-10 codes, modifiers, units, and charges.
  • Validate charges against provider documentation and identify discrepancies.
  • Ensure charges are entered and submitted within defined TAT and billing deadlines.
  • Prepare MIS and performance reports daily/weekly/monthly.
  • Train new hires and conduct process refreshers.
  • Ensure compliance with HIPAA and client-specific requirements.
  • Identify process improvements and automation opportunities to improve accuracy and efficiency.

Skills

Leadership
MS Excel
Team Management
Process Improvement
CPT/HCPCS/ICD-10 knowledge
Billing & Coding knowledge
Communication

Tools

EHR/EMR systems
Practice Management (PM) systems
Microsoft Excel

Job description

  • Lead and manage the Charge Entry team to achieve daily productivity, quality, and turnaround-time targets.
  • Review and ensure accurate entry of patient demographics, insurance information, CPT, HCPCS, ICD-10 codes, modifiers, units, and charges.
  • Validate charges against provider documentation and identify missing, incorrect, or inconsistent information.
  • Ensure charges are entered and submitted within defined TAT and billing deadlines.
  • Monitor and maintain productivity, accuracy, quality, and SLA/KPI targets.
  • Conduct regular audits and provide feedback/coaching to team members.
  • Identify recurring charge entry errors and implement corrective and preventive actions.
  • Coordinate with Coding, AR, Payment Posting, Denial Management, and Client/Operations teams to resolve billing issues.
  • Handle escalations and provide timely resolution to process-related queries.
  • Prepare and share daily/weekly/monthly MIS and performance reports.
  • Train new hires and conduct process refreshers for existing team members.
  • Ensure compliance with client-specific requirements, payer guidelines, and HIPAA standards.
  • Identify opportunities for process improvement and automation to improve billing accuracy and efficiency.
  • Leadership, MS Excel, Productivity & Team Management
  • EHR/EMR and Practice Management (PM) systems.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, units, and fee schedules.
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