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Quality Analyst, Coder

nimble international
Full-time
On-site
Hyderabad, Telangana, United States
Full-time
Description

 

Why you’ll want to work at nimble! 


Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high growth mode through acquisition with a laser focus on positive culture building! 


Who we are: 


nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.


On a typical day, here's what you'll be working on: 

  • Provide coding of medical records and any applicable supporting documentation. 
  • Codes records to assign ICD-10, CPT, and modifiers in accordance with coding guidelines
  • Meets quality and productivity standards and deadlines/turnaround times
  • Assigns indicated account and claim data attributes as indicated (POS, revenue code, implant pricing)
  • Demonstrates a thorough understanding of how work impacts the project/end customer
  • Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical data received and appropriate alerts and/or queries indicated party or supervisor
  • Reviews and correctly responds to AR tasks related to pre-claim edits related to coding and post-submission denials related to coding 
  • Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team
  • Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours

Coding/Compliance

  • To ensure the security and confidentiality of all clinical data handled, including the safekeeping of all health records 
  • To function as the first point of contact regarding coding issues 
  • To promote the interchange of dialogue between nimble management and coders
  • To have an active involvement in the development and implementation of current information relevant to medical /surgical coding
  • To be aware of all statutory and local requirements regarding coding policy changes
  • Assist with client billing questions in a professional and timely manner
  • Complete coding queues and AR query as assigned
  • Address client concerns in a prompt and professional manner
  • Participate in task force committees and special projects, as required
  • Assist with client audits, as needed
This job description will be reevaluated by leadership periodically to allow any necessary modification due to client profile changes/updates, workflows, policy changes, and regulatory compliance requirements
Requirements

 

Who you are! 

  • AAPC or AHIMA certification required, such as CPC, CPC-H, CCS, or CCS-P
  • Two years of medical coding, billing, and management experience preferred
  • Excellent people skills with the ability to interact effectively with all levels of employees and clients
  • Ability to work in a collaborative environment
  • Excellent written and verbal communication skills
  • Technical/Functional
  • Knowledge of the healthcare industry 
  • Knowledge of Microsoft Office, Windows, and Excel
  • Strong organizational skills
  • Ability to analyze and problem-solve
  • Ability to work with accuracy and diligence
  • Ability to prioritize and manage multiple tasks simultaneously