25 Cms Guidelines Jobs

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1 years experience in a relevant coding specialt...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1 years experience in a relevant coding specialt...

Job Family Coding OP (India) Travel Required None Clearance Required None Job Posting What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support ED E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1+ ye...

Role: Emergency Department CDI (ED CDI) Specialist Department: CDI Qualification : life science stream At least 2 yrs in clinical documentation improvement • Certifications: CPC Location: Chennai/ Hyderabad Contact : 6379093874 Sangeetha(Whats App)

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support Ancillary codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1+ years experience in a relevant coding s...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1+ years experience ...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 2 years experience i...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1+ years experience ...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What You Will Need Minimum requirement of 1+ years experience ...

As a detail-oriented and analytical Data Management candidate with experience in RCM and US Healthcare, you will play a crucial role in supporting financial and operational processes. Your strong background in healthcare revenue cycle management (RCM) and advanced data analysis skills using Excel will be essential in ensuring accurate reporting, optimizing revenue processes, and maintaining high-quality data integrity across systems. Key Responsibilities: - Maintain and update large data sets related to billing and financial operations to ensure data accuracy and compliance with company policies and healthcare regulations. - Create and maintain advanced Excel reports, dashboards, and models ...

Profile Description: The coding manager is responsible for managing day-to-day operations, which includes, team management, client management (client communication, meeting SLA's), meeting and exceeding productivity and quality expectations for the account. Liaison with internal functions to ensure seamless work-flow. Key Responsibilities: Process: . Responsible for the day to day planning as well as work allocation for the entire team . Ensuring regular as well as on time floor and knowledge support for all the team members . Develop / maintain monthly coding production and accuracy reports to track and optimize internal productivity & quality improvement activities . Support the Portfolio ...

Role Overview: You will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. Your role will involve reviewing inpatient and outpatient records to ensure services are properly documented and billed. Additionally, you will ensure compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Identifying errors in coding, billing, and documentation and providing feedback to relevant departments will be a crucial part of your responsibilities. You will also prepare detailed audit reports, including findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinic...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

Job Description: We are looking for skilled Home Health Coders to join our healthcare RCM team. The role involves reviewing patient documentation for home health services and assigning accurate ICD-10-CM codes to ensure compliance with payer and regulatory requirements. Key Responsibilities: Assign appropriate ICD-10-CM diagnosis codes for home health episodes of care . Review OASIS and physician documentation to ensure accurate coding. Ensure compliance with CMS guidelines and payer-specific requirements. Collaborate with clinicians and billing teams to resolve documentation gaps. Support denial management teams by correcting coding-related rejections. Maintain productivity and quality benc...

As a Medical Records Auditor, you will play a crucial role in ensuring the accuracy of coding and documentation within patient medical records. Your responsibilities will include conducting audits of both inpatient and outpatient records to verify proper documentation and billing practices. It will be essential for you to uphold compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying any errors in coding, billing, or documentation and providing constructive feedback to the relevant departments. You will be expected to prepare detailed audit reports that outline findings, trends, and recommendations for corrective action....

As the Director of Clinical BPO Solutions and Delivery in Bangalore, with over 12 years of experience, your key responsibilities will include designing and customizing comprehensive Clinical BPO solutions in CM, UM, and RPM to meet client-specific requirements. You will oversee the delivery of Clinical BPO services, ensuring adherence to client Service Level Agreements (SLAs), regulatory compliance, and operational excellence. Your role will involve ensuring smooth end-to-end service delivery by identifying opportunities for process improvements, resource optimization, and cost-efficiency. You will lead client-facing engagements, including solution presentations and ongoing relationship mana...

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for ...

The ideal candidate for this position should be a Life Science Graduate with a strong attention to detail and proficiency in conducting audits of patient medical records. As a Medical Record Auditor, you will be responsible for ensuring coding accuracy and documentation compliance in both inpatient and outpatient settings. Your primary duties will include reviewing medical records, identifying errors in coding and billing, and preparing detailed audit reports with recommendations for corrective action. In addition, you will play a crucial role in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Collaboration with coding, billing, clinical,...

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

As a Senior Business Analyst specializing in Revenue Operations and US Healthcare Software Solutions, you will play a crucial role in driving efficiency and compliance within healthcare organizations. Your expertise in US healthcare operations and software will be instrumental in optimizing revenue cycle management, regulatory adherence, and data standards. Your responsibilities will include performing complex data analysis, modeling, and gap analysis to generate insights that support decision-making. By utilizing tools like SQL, Excel, Tableau, VBA, Python, and Access, you will automate reporting processes and develop reports that highlight key business drivers. Collaborating with senior st...

Assign accurate ICD-10-CM, CPT, and HCPCS codes for surgical procedures; ensure compliance with coding guidelines; verify and abstract data from medical records in outpatient surgery and hospital settings. Required Candidate profile 2–4 years in surgical coding; proficiency in ICD-10-CM, CPT, HCPCS; knowledge of AMA, AHA, CMS guidelines; strong analytical skills; CPC or equivalent certification preferred.

We are looking for a skilled and detail-oriented Content Writer with proven experience in the Healthcare RCM (Revenue Cycle Management) domain. The ideal candidate will be responsible for creating high-quality, engaging, and informative content tailored to medical billing, coding, compliance, and healthcare operations. Roles and Responsibilities: Write and edit content specific to RCM processes including medical billing, coding, denial management, and payer policies. Create blog posts, case studies, whitepapers, email campaigns, and website content relevant to the US healthcare system. Research industry trends and ensure content accuracy and compliance with HIPAA regulations. Collaborate wit...

About IKS Health IKS Health enables the enhanced delivery of exceptional healthcare for todays practicing clinicians, medical groups and health systems. Supporting healthcare providers through every function of the patient visit, IKS Health is a go-to resource for organizations looking to effectively scale, improve quality and achieve cost savings through integrated technology and forward-thinking solutions. Founded in 2007, we have grown a global workforce of 14,000 employees serving over 150,000 clinicians in many of the largest hospitals, health systems, and specialty groups in the United States. IKS Health revitalizes the clinician-patient relationship while empowering healthcare organiz...

Role: Emergency Department CDI (ED CDI) Specialist Department: CDI Qualification : life science stream At least 2 yrs in clinical documentation improvement • Certifications: CPC Location: Chennai/ Hyderabad Contact : 6379093874 Sangeetha(Whats App)