Team Lead - Clinical Validation

PRINCIPLE PURPOSE OF JOB :

We are currently seeking Team Leader to support a growing client base and manage the day-to-day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams

RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS :

- Medical degree / AnyGraduate with CIC/CCS/IPDRG certification. Minimum of one year experience working as Team Leader or equivalent

- Medical degree (MBBS or BAMS or BHMS or BPT) with CPC certification and experience working in DRG for a minimum of 2 years and above. Minimum of one year experience working as Team Leader or equivalent

- Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred.

- Possesses knowledge of healthcare claims payment policy and processing - specifically CMS, Medicaid regulations, ICD-10-PCS 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

- Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency

- Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc.