Healthcare Revenue Cycle Expert

3 days ago


Karachi, Sindh, Pakistan Educast (Pvt.) Ltd Full time

We are looking for an experienced Clinical Data Analyst to join our team. As a key member of our healthcare team, you will be responsible for managing and analyzing clinical data to ensure high-quality care and maximize reimbursement.

Responsibilities:
  1. Coding and Compliance:
    • Accurately code patient encounters using ICD-10-CM, CPT, and HCPCS codes.
    • Review medical records to extract pertinent information for coding.
    • Ensure code accuracy and compliance with all coding guidelines and regulations.
  2. Billing and Claims:
    • Prepare and submit clean claims to insurance companies (both private and government).
    • Follow up on denied claims and appeal denials when necessary.
    • Monitor and track claim status and ensure timely reimbursement.
  3. Data Management:
    • Accurately enter patient demographics and insurance information into the electronic health record (EHR) system.
    • Maintain accurate patient records and billing data.
  4. Requirements:
    • Education: High School Diploma or equivalent; Completion of a certified Medical Billing and Coding program preferred.
    • Experience: Minimum of 2 years of experience in medical billing and coding in a physician's office or healthcare setting.
    • Technical Skills: Proficiency in using electronic health record (EHR) systems.

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