Medical Data Verification Specialist

hace 1 mes


Puebla, México GGA Solutions A tiempo completo

**IMPORTANT: WORK IS ON SITE. AT LEAST 6 MONTHS OF PREVIOUS EXPERIENCE IN MEDICAL CODING-BILLING IS REQUIRED.**

We are seeking a detail-oriented and organized **Data Verification Specialist** with strong background in **Insurance** **Medical Coding and Billing** to join our team.

Duties include review of patients records to determine proper CPT/ICD-10 coding, to ensure coding accuracy, and account data. Also:

- Check and validate ICD-10 codes to ensure accurate billing and compliance.
- Identify any errors in data by performing data review that require further clarification with the study sites
- Conduct in-stream data trend analysis in support of data quality and integrity (includes protocol compliance and targeted review of patient data)
- May assist in review and contribute to data capture requirements guidance in line with protocol and reporting requirements.
- Maintain accurate records of all insurance verifications and approvals.
- Stay up-to-date with changes in insurance policies and coding requirements.
- Familiarity with prior authorization processes.

**Skills and Qualifications**:

- 6 months+ of experience working on USA based healthcare medical billing and coding
- Experience in coding review
- **Must have at least 6 months of experience in (USA) insurance verification plus previous training in Medical coding and billing.**
- AHIMA/AAPC certification is NOT required but it is a BIG plus.
- Experience in the use and review of electronic health records.
- Strong clinical database navigation skills
- Medical terminology knowledge
- Must be detail-oriented and organized, have excellent time-management skills, and have good analytical and problem-solving ability.
- Ability to function independently and as a team player in a fast-paced, demanding work environment required.
- Knowledge of office management systems and procedures
- Excellent time management skills and ability to multi-task and prioritize work
- Strong computer, organizational skills, and the ability to communicate effectively both verbally, and in written formats are necessary.
- Strong organizational and planning skills
- Proficient in MS Office

Tipo de puesto: Tiempo completo

Sueldo: $22,000.00 - $25,000.00 al mes

Beneficios:

- Caja de ahorro
- Seguro de vida

Pago complementario:

- Bono de permanencia

Tipo de jornada:

- Lunes a viernes
- Turno de 10 horas

Experiência:

- Medical Coding: 1 año (Obligatorio)

Idioma:

- Inglés Avanzado (Obligatorio)

Lugar de trabajo: Empleo presencial



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