Spec, HIM, EMR, RCM Services

  Medical Coding

Job title: Spec, HIM, EMR, RCM Services

Company: IQVIA

Job description: JOB DESCRIPTION Job Overview . Provide comprehensive data management expertise (defined as efficient and quality data management products) to Data Management (DM) team to meet sponsor and company needs. Perform Clinical Data Management (CDM) Coding

JOB DESCRIPTION Job Overview . Provide comprehensive data management expertise (defined as efficient and quality data management products) to Data Management (DM) team to meet sponsor and company needs. Perform Clinical Data Management (CDM) Coding activities, and provide leadership either in the role of a Lead Coder or Coding Reviewer or as an individual Subject Matter Expert (SME)or lead a project as Data Operations Coordinator (DOC) or Data Team Lead (DTL)). . Understanding and/or experience of RCM (Revenue Cycle Management) solutions, policies, procedures, processes and workflows . Understanding and/or experience of HIS / EMR solutions Essential Functions . Serve independently as a Clinical Data Coder, Lead Coder and/or Coding reviewer for one or more projects. . Coding clinical data (CPT / ICD / HCPCS / Dental Codes / ACHI codes / Dubai Service List / Drug codes) . Review and test existing medical edits and create / suggest new medical edits (for both – American and Australian Coding Standards) . Mapping of codes between different codes sets (e.g. – ACHI to CPT, ICD 10 CM to ICD 10 AM etc) . Serve as an account lead, or internal or external point of contact on standalone coding studies or accounts. . Manage customer relationship for the project team including active participation in coding related customer negotiation on timeline, budgetary and other issues (with guidance). . Manage resource capacity for the project team. . Manage delivery of projects (Coding, RCM, EMR) through full study life-cycle. . Perform comprehensive clinical data management related to Coding, CDM . Responsible for continuous process improvement and implement process improvement initiatives by working with relevant process experts. . Collaborate with customers and develop solutions and action plans for issues, escalations and road blocks. . Develop and implement best practices in the team. . Manage the development and implementation of new technology. . Develop and maintain good communication and working relationship with team , client and other stakeholders. . Perform other duties as directed by the study team or Manager, or meet objectives as assigned. . Provide review and expert opinion in developing, revising, and maintaining core standard operating procedures and work instructions. . Manage project timelines with guidance from line Manager / project manager. . Perform review of clinical data related to coding, edits, mapping ensuring quality and consistency of deliverables. . Identify out of scope work. . Serve as a SPOC for assigned projects and back-up for the line manager. . Perform comprehensive quality control procedures. Qualifications . Pharmacy, dental, medical, nursing, life sciences or related field qualification or educational equivalent . Should be from Health Information Background / Clinical Background . Should be a professional coder with coding certification (AAPC, HIMAA, AHIMA etc). Australian qualification is an added advantage . 4 years relevant experience . Management or equivalent combination of education, training and experience. . Excellent knowledge of Medical Dictionaries used for coding (e.g. ICD9, ICD 10 AM, ICD 10 CM, CPT, ACHI etc.) with understanding on different code sets adopted in different regions . Good project management skills related to all phases of clinical studies. . Knowledge of operating procedures and work instructions and the ability to apply them in practice. . Excellent organizational, communication and leadership skills. . Excellent English written and oral communication skills. Arabic language is an added advantage . Ability to work on computer systems with ease and good working knowledge of computer programs. Good working knowledge Microsoft Office, mainly in excel . Ability to exercise excellent attention to detail and act independently with the initiative required to resolve problems. . Ability to establish and maintain effective working relationships with co-workers and managers. . Understand and interpret financial management concepts. . Able to present information effectively to individuals and groups. . Able to make independent decisions within scope of authority and considers the impact of decisions on other groups and people. . Able to motivate and lead teams to reach defined objectives. . Effective team management skills including conflict resolution, delegation, and change management. . Excellent interpersonal skills. . Able to establish trust and collaborative relationships with customers.

Expected salary:

Location: Bangalore, Karnataka

Job date: Sun, 13 Feb 2022 23:54:56 GMT

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