4 Cms Regulations Jobs

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15.0 - 19.0 years

0 Lacs

noida, uttar pradesh

On-site

Role Overview: As a strategic leader in healthcare analytics at EXL, you will play a crucial role in defining and executing a comprehensive analytics strategy aligned with digital transformation goals and client needs. You will lead the development of AI/ML-powered solutions for various healthcare areas such as population health, care management, claims analytics, and patient engagement. Your expertise will be instrumental in driving innovation, collaborating with internal and external teams, and championing the adoption of cutting-edge technologies to transform healthcare analytics offerings. Key Responsibilities: - Define and execute a comprehensive healthcare analytics strategy aligned wi...

Posted 1 day ago

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6.0 - 10.0 years

0 Lacs

chennai, tamil nadu

On-site

Role Overview: As a Senior QA Engineer with 6 to 10 years of experience in manual and automation testing within the Healthcare domain, you will be responsible for ensuring the quality, reliability, and compliance of healthcare applications. Your expertise in Appeals and Grievance Management and knowledge of healthcare compliance standards like HIPAA and CMS regulations will be essential in executing robust testing strategies. Key Responsibilities: - Lead and execute manual and automated testing efforts across healthcare applications. - Design and maintain automation frameworks using tools such as Selenium, Cypress, or Playwright. - Validate business workflows related to Appeals and Grievance...

Posted 1 month ago

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3.0 - 7.0 years

0 - 0 Lacs

karnataka

On-site

As a Certified CPC Coder specializing in radiology billing operations within the Revenue Cycle Management team, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while complying with US healthcare regulations. Your responsibilities will include reviewing and validating CPT, ICD-10, and HCPCS codes for radiology studies, conducting audits to maintain high-quality standards, and ensuring regulatory compliance with HIPAA, CMS regulations, and facility-specific billing protocols. You will be responsible for preparing and submitting accurate invoices to partner healthcare facilities based on contracted fee schedules, as well as validating invoice ...

Posted 3 months ago

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1.0 - 6.0 years

2 - 5 Lacs

Bengaluru / Bangalore, Karnataka, India

On-site

Assign accurate ICD-10-CM, CPT, and HCPCS codes for Home Health services. Review and analyze medical records to ensure proper coding and compliance with CMS regulations. Ensure coding accuracy and adherence to payer-specific guidelines. Required Candidate profile Collaborate with physicians, healthcare providers, and billing teams to clarify documentation and coding requirements. Strong understanding of medical terminology, anatomy, and physiology. Perks and benefits Plus perks and incentives Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Gradua...

Posted 5 months ago

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