Job Description
  • Specifically with Homecare experience.
  • Minimum of one (1) years’ experience with post qualification in related field
  • Knowledge of Medical Terminologies, Ability to be an effective team member, ability to work with different software technologies and able to manage multi-tasking effectively.
  • Responsible for medical interpretation, extracting and submission of medical claims services from the company as the Insurance provider from Medical Records.
  • Review, analyze and abstract clinical information from patient medical records and documents for diagnostic and procedure codes assignment for Home care patients.
  • Evaluate medical necessity and consistency of diagnosis, procedure and drug codes and descriptions stated on the claims as specified by established coding principles and guidelines.
  • Perform pre authorization requests, billing, claims submission and re submissions.
  • Analyze medical claims data to provide proper and accurate feedback to the client on denials and rejections with reasons for such rejection.
  • Understand with work and mandated code sets such as ICD codes for diagnosis, CPT codes for procedures, IRDRG codes, HCPCS, Drug codes during adjudication and processing.
  • Coordinate with Case managers, Clinicians, Clinical Manager and Patient Relations Manager for referrals and service approvals accordingly.
  • Coding Certification from AAPC, Medical Coding Certification (Preferred)
Job Overview
Job Posted:
6 days ago
Job Expire In:
1w 1d
Job Type
Full Time
Job Role
Executive
Education
Bachelor Degree
Experience
1 Year