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Achievers Spot in India is seeking a Medical Coding Associate with strong English communication. You will identify cases for medical reviews, assign reviewers, and contact clients to resolve issues while following URAC and MediCall guidelines.
Candidates should have at least a diploma/degree, be goal-oriented and able to thrive in a fast-paced environment, with good knowledge of medical coding and certification. Immediate joining is required.
Medical Coding is the Fastest-growing Profession in the Healthcare Industry Today. It is a Niche Specialization and the Demand for Trained and Certified Medical Coders is Increasing Exponentially and Bound to Increase in Upcoming Years, Especially in India.
you have At Least a Diploma/degree in Any Field.
this Role is Open to Fresh Graduates with Excellent English Communication Skills.
you are Goal-oriented and Thrive in Fast-paced Environments
Identify cases eligible for medical reviews and assign these to appropriate reviewers.
Reach out to the client for any problems identified in the cases for review.
Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.
Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
Develop a complete understanding of the Medical management Procedures.
Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.
Should have good knowledge in Medical coding
Should be Certified Medical Coder
Should have good communication skills
Immediate joinees are needed