Clinical Coding and Insurance Verification Expert

hace 4 semanas


Puebla, Puebla, México Gga Solutions A tiempo completo

Overview

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Gga Solutions seeks a detail-oriented Clinical Coding and Insurance Verification Expert with strong background in insurance medical coding and billing to review patients records for proper CPT/ICD-10 coding, ensure coding accuracy, and account data.

Duties

* Review patient records to determine accurate ICD-10 codes for billing compliance
* Validate ICD-10 codes to ensure accurate billing and compliance
* Identify errors in data by performing data review that require further clarification with study sites
* Conduct in-stream data trend analysis for data quality and integrity (includes protocol compliance and targeted review of patient data)
* 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
Requirements

* 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
* Detail-oriented and organized with excellent time-management skills and good analytical and problem-solving ability
* Ability to function independently and as a team player in a fast-paced, demanding work environment
Salary

$22,000.00 - $25,000.00 per month

Benefits

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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