Medical Consultant Jobs Opening in Deloitte Consulting India Private Ltd. at Bengaluru

Medical Consultant

Deloitte Consulting India Private Ltd.

3 to 5 Years

400000 - 800000 Yearly

Expired

Posted: 15 May 25

Job Description

· Tracking and reporting of assigned tasks for internal and external stakeholders

· Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and monitors coding staff for violations and reports to Manager when areas of concern are identified

· Performs other duties as assigned including training/mentoring of new staff and performing research related to special projects

· Maintains coding credentials through ongoing continue education

· Thorough knowledge of payment rules hierarchy, fee schedule configuration and their impact on payment

· Excellent organizational skills with ability to trend and track audit findings effectively.

· Superior skills to effectively communicate and negotiate across the business and external health care environment

· Demonstrate ability to interact effectively with clients including providers and internal stakeholders

· Must be a dependable and reliable player, able to work independently and as part of a goal-oriented team with a positive attitude

· Must have strong analytical, reasoning and organizational skills

· Must have experience working on multiple EMR systems including

· Hands-on experience in any of the Encoder tools specific to Hospital coding such as Epic, 3M, Trucode, etc.

Qualifications

· 3-5 years of experience in HCC experience.

· Must hold a coding certification from American Health Information Association (AHIMA) and/or from American Academy of Professional Coders (AAPC) such as a CCS, CPC, COC etc.

· Prior consulting experience is preferred

· A graduate from field of medicine or allied healthcare subject is preferred

Knowledge, Skills & Abilities:

· Good understanding of US healthcare

· Expert in performing coding audits of hospital inpatient, outpatient and/or professional claims

· Strong understanding of CMS payment policies and provider contracts

· Proficient in healthcare reimbursement methodologies

· Good analytical and communication skills

· Requires exceptional critical thinking, communication skills and a strong clinical knowledge base

· Must possess effective interpersonal skills in order to interact effectively with client

· Must possess knowledge of a wide range of specialized coding disciplines, including a strong knowledge base in anatomy and physiology, pathophysiology, and pharmacology; and knowledge of the CMS Official Coding Guidelines, AHA Coding Clinic and AHIMA Query Practice Brief guidelines.

· Requires basic computer word processing skills (e.g., formatting, editing, printing, composing email, internet searches, etc.) to be able to successfully navigate through an electronic medical record using a computer

· Effectively disseminate client/coding updates to the team in an individualistic and understandable manner

· Effectively identify and escalate areas of concern or training needs independently

· Requires the ability to read, write and speak effectively in English

· Proficiency in verbal and written communication skills essential to interacting with clients and teams including presentation skills (MS Power Point, MS Visio)

· Advanced proficiency with tools like Excel and PowerPoint