Alpha Consultants
Location
Sahibzada Ajit Singh Nagar | India
Job description
Tips: Provide a summary of the role what success in the position looks like and how this role fits into the organizatio Audits records to ensure proper submission of services prior to billing on predetermined selected charges
2. Receives information to properly bill provider services for patients
3. Supplies correct ICD9CM /ICD10CM diagnosis codes on all diagnoses provided
4. Supplies correct HCPCS code on all procedures and services performed
5. Supplies correct CPT code on all procedures and services performed
6. Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies
7. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
8. Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
9. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
10. Quantitative analysis Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification signatures and dates where required and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
11. Qualitative analysis Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
12. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
13. Performs other related duties which may be inclusive but not listed in the job description n overall.
Responsibilities
Be specific when describing each of the responsibilities. Use genderneutral inclusive language.
Example: Determine and develop user requirements for systems in production to ensure maximum usability
Qualifications
Some qualifications you may want to include are Skills Education Experience or Certifications.
Example: Excellent verbal and written communication skills
code,icd,codes
Job tags
Salary
