CJN-206/2024 - Vacancy for Auditor – Clinical Validation

Vacancy published date: 12/09/2024

Last date of application: 16/09/2024                                   

Job Requirements:

• Qualification - MBBS / BHMS / BAMS / BPT
• Certification mandatory (CPC/ CIC/CCS)
• Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc.
• Practical clinical experience working in a hospital/office or nursing home strongly preferred.
• Has general knowledge of medical procedures, conditions, illnesses, and treatment practices.

Job Descriptions:

• Perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical background to ensure appropriateness for reimbursement
• Respond to provider appeals.
• Respond to client logics and record reviews.
• Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations.
• Reports his/her work performance on a timely basis to the team lead.
• Works diligently to meet and exceed productivity and quality benchmarks.
• Takes charge of ongoing learning and development and participates in relevant training and development activities.

Salary: 5 LPA

Job Type: Full Time

Mode of Work: Work from Office

Shift: Rotational shift including night shift

Number of Vacancies: 10

Process:  IPDRG

Interview Mode: Direct Walk-in at Company location (Coimbatore)

Interview Date: 18^th September 2024

Immediate Joining

Ability to commute/relocate: Coimbatore

Note: 2 years bond is applicable

Selection process:

• Technical Round
• HR Screening
  
  

Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions, please register for the post published.