Globally, SCIO provides our healthcare partners actionable insights through our deep expertise, flexible analytics, innovative services and technology that drive measurable outcomes improvement. Through the use of integrated healthcare data, proprietary algorithms and technologies, SCIO focuses on the areas of population health, payment integrity, risk- adjustment and care management, opportunity analysis and incentive design, consumer segmentation and engagement, network performance and commercial effectiveness.
Post : Clinical coding Analyst
Job Description
Review medical record and coding appropriate code per CMS guideline
Developing business logic to develop application
Understanding of TPL (Third Party Liability) process
Strong knowledge on ICD 9 to ICD 10 mapping
Denial management- analysis and report denied CPT codes
Strong knowledge Fraud, Waste Abuse detection, analysis and prevention
Background on over reimbursement payment methodology
Process string initiative, communication and interpersonal skills
Ability to apply effective clinical knowledge on various Health care analytics
Additional Information:
Experience: 3-5 years
Qualification: B.Pharm, M.Pharm
Industry Type: Pharma/ Healthcare/ Clinical research
Location: Chennai
Last Date: 25th December, 2016
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