Process Analyst - Medical Coding - IP DRG

Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers. 

Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate on the basis of any protected attribute. For more information about the organization, please visit www.thryvedigital.com 

Role Summary:

The Inpatient Hospital Billing and Coder ensure timely and accurate task completion. This role requires in-depth knowledge of IP DRG coding, report management, and process analytics, along with proven expertise in hospital billing. The coder is responsible for accurate coding and following the set guidelines.

Job Summary:

This role offers the opportunity to contribute to high-quality solutions for our global customers in a challenging environment. The ideal candidate will have extensive experience in hospital billing and denial management, and will lead the development and execution of technical deliverables, providing innovative solutions for clients. Strong teamwork, problem-solving, and communication skills are essential.

Essential Responsibilities:

Review inpatient hospital medical records and assign accurate billable codes (Revenue, HCPC, Modifiers, Diagnosis) based on relevant billing requirements.

Ensure all file documentation adheres to quality standards and company policies.

Prepare and deliver information to clients based on their expectations.

Identify and recommend improvements to documentation workflows and processes to enhance accuracy and efficiency.

Utilize advanced Microsoft Excel skills for data input, function creation, sorting, and filtering large datasets.

Maintain strict adherence to company and department policies regarding security and confidentiality.

Develop knowledge about payor policies.

Develop the team's talent, drive employee retention and engagement.

Education:

Required: Bachelor's degree in life sciences (e.g., Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology or Pharmacy).

Certification:  CIC from AAPC or CCS from AHIMA.

Experience:

Required: 2-5 years of experience in Inpatient Hospital Billing (IPDRG), 

Preferred:

Working knowledge of Epic and 3M 360 systems.

Exposure to multiple specialty inpatient coding areas.

Excellent communication skills.

Exceptional attention to detail and ability to multitask.

High level of self-motivation and energy with minimal supervision.

Highly developed oral and written communication skills.

Ability to work independently and collaboratively in a team.

Strong organizational skills.

Ability to follow standard protocols to accurately complete assigned tasks.

Experience documenting work assignments, enrollment follow-up status, and in-process tasks within specified systems and timeframes.

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