Process Analyst_ED Profee

enGen Global; Hyderabad, Chennai; On-site; INR 450,000 - 650,000; Full time

Job summary

enGen Global seeks an ED Professional coder to lead hospital and provider billing tasks, with strong knowledge in ED Professional and trend analysis. You will own the development of deliverables and ensure timely, high-quality results for our clients.

The ideal candidate has 2–4 years of ED Professional coding experience, solid Excel skills, and good problem-solving and communication abilities. Detail-oriented, self-motivated, and able to work both independently and in a team while maintaining

Qualifications

• Graduation/BSc in life sciences required or preferred.
• AAPC or AHIMA coding certifications required for all candidates.
• Experience in ED Professional coding preferred.

Responsibilities

• Review medical records and code them to billable Revenue Code, CPT, Modifiers, Diagnosis code and other billable requirements.
• Review all file documentation for compliance with quality standards and policies.
• Prepare and provide information to clients based on their expectations.
• Identify and Recommend improvements to documentation workflows and processes to improve accuracy and efficiency.
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.
• Adhere to all company and department policies regarding security and confidentiality.

Skills

Team handling

Problem solving

Communication skills

Detail oriented

Multitasking

Self-motivation

Education

Graduation/BSc in life sciences

Tools

Microsoft Excel

Job description

Role Summary

This job takes the lead in providing effective team handling and timely delivery of assigned tasks and requires a strong knowledge in ED Professional, Trend analysis and should be an expert in reports management and process analytics and proven job knowledge in ED Professional.

JOB SUMMARY

This job gives an opportunity to work in a challenging environment to deliver high-quality Solutions to meet the demands of our Global Customer. An ideal candidate should have experience in Hospital Billing and Provider billing ED Professional. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him/her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills

ESSENTIAL RESPONSIBILITIES

• Review medical records received and code them to billable Revenue Code & CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.


• Review all file documentation for compliance with quality standards and relevant policies.


• Prepare and provide information to clients based on their expectations.


• Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.


• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.


• Adhere to all company and department policies regarding security and confidentiality.

EDUCATION

Required

• Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, and Pharmacy etc.

Certification

• AAPC or AHIMA coding certifications required for all candidates

EXPERIENCE

Required

• 2 - 4 years of experience in ED Professional coding


• The candidate should have experience handling Provider Coding, with prior experience in ED Facility or E&M acting as an added advantage

Preferred

• Good communication skills.


• Must be extremely detail oriented and able to multitask


• Possess a high level of Self-motivation and energy with minimal supervision


• Highly developed oral and written communication skills


• Ability to work both independently and in a team-oriented environment.


• Possess good organizational skills and strong attention to detail.


• Work in a standard protocol/document to accurately complete the work assigned.


• Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames


• Should develop knowledge about payor policies


• Develop the team's talent, drive employee retention and engagement.