Process Analyst - Multispecialty Coding

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

Job summary

enGen Global is seeking a skilled professional to lead denial management and deliver timely, high-quality Physician Billing Denial solutions. The ideal candidate will have multispecialty PB denial coding experience, strong problem-solving and communication skills, and a proven ability to work both independently and in a team, delivering innovative analytics-enabled insights.

The role emphasizes development of technical deliverables, attention to detail, and the ability to own and drive process

Qualifications

• Graduation/BSc in life sciences with clinical areas preferred.
• AAPC or AHIMA coding certifications required for all candidates.
• 1-3 years of experience in Multispecialty PB Denial coding and Claim Edit.
• Experience handling Facility Provider Coding.

Responsibilities

• Review medical records and code them to billable CPT, Modifiers, Diagnosis code and other relevant billable requirements.
• Review all file documentation for compliance with quality standards and relevant policies.
• Prepare and provide information to onshore leads based on their expectation.
• 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

Denial management

Trend analysis

Reports management

Process analytics

Team handling

Communication skills

Education

Graduation/BSc in life sciences (Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, Pharmacy)

Tools

Microsoft Excel

Job description

Role Summary:

This job takes the lead in providing effective team handling and timely delivery of assigned tasks and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and proven job knowledge in Physician Billing Denial (Multispecialty).

JOB SUMMARY

This job gives an opportunity to work in a challenging environment to deliver high-quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Facility and Physician Coding Denial Management. The candidate should be able to own the Development of any Technical deliverables assigned to him\her thereby delivering high quality Innovative solutions for the client. Should be excellent Team player have excellent Problem solving communication skills.

ESSENTIAL RESPONSIBILITIES

• Review medical records and code them to billable 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 onshore leads based on their expectation.
• 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

• 1 - 3 years of experience in Multispecialty PB Denial coding and Claim Edit
• Should have handled Facility Provider Coding

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/documents 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.