7 Coding Audits Jobs

Company Description Calpion is an 18-year-old technology firm based in Dallas, specializing in artificial intelligence solutions, custom enterprise application development, RPA solutions, and cloud services. We provide automated bot-driven medical billing services as well as a Salesforce platform-based practice management and billing software. Calpion is SOC-certified and HIPAA-compliant, with certified experts in deep learning, machine learning, and various strategic partnerships with industry leaders like Microsoft, Amazon, and SAP. We have a global presence with multiple Centres of Excellence and serve a diverse range of industries including healthcare, logistics, supply chain, oil & gas, biotechnology, hospitality, manufacturing, and airlines. Role Description This is a full-time, on-site role based in Bengaluru for a Coding Manager. The Coding Manager will oversee coding staff, ensure compliance with coding guidelines, and conduct periodic coding audits. Responsibilities include developing and implementing coding policies, providing training and support to coding staff, and maintaining up-to-date knowledge of regulatory requirements. The Coding Manager will also collaborate with other departments to ensure accurate and efficient coding processes. Qualifications 12+ years Experience in medical coding, coding audits, and compliance Knowledge of ICD-10, CPT coding systems, and healthcare regulations Skills in team management, staff training, and policy development Ability to maintain confidentiality and ensure data security Strong organizational and communication skills Proficiency in using coding software and electronic health records (EHR) systems Experience with healthcare billing processes is a plus Bachelor&aposs degree in Health Information Management, Healthcare Administration, or related field Speciality: ED professional & Facility E&M IP/POP, Surgery Apply only Manager designation or AM for atleast 2 years Job location: Bangalore WFO only Preferred immediate joiners Contact: 9894372389 [HIDDEN TEXT] Show more Show less

Description We are seeking a detail-oriented Medical Coder - IVR Coder to join our team in India. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with healthcare regulations. This role is essential for maintaining the integrity of our medical coding processes and requires a strong understanding of medical terminology and coding guidelines. Responsibilities Review and analyze medical records to extract and assign appropriate codes for diagnoses and procedures. Ensure accurate coding for IVR (Interactive Voice Response) systems and related medical services. Maintain compliance with coding guidelines and regulations. Collaborate with healthcare providers to clarify information and resolve discrepancies in documentation. Participate in ongoing training and education to stay updated on coding practices and regulations. Skills and Qualifications Bachelor's degree in Health Information Management, Medical Coding, or related field. Certification in medical coding CCS is preferred. Strong understanding of medical terminology, anatomy, and physiology. Proficiency in using coding software and electronic health record (EHR) systems. Attention to detail and ability to work independently under tight deadlines. Excellent communication skills to interact with healthcare professionals and staff.

Interesting Opportunity for Primary Care Coder (Medical Coding) with Reputed Organization Job Overview Were looking for skilled and experienced Primary Care Coders to join our team in Bangalore. This role requires additional expertise in managing subjective coding scenarios and the ability to handle complex cases and ensure coding accuracy and compliance. Key Responsibilities: Coding Accuracy: Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for primary care services from medical records. Compliance: Ensure coding practices comply with federal and state regulations and guidelines. Documentation Review: Evaluate clinical documentation to confirm it supports the assigned codes. Coding Audits: Participate in coding audits and provide feedback to enhance coding practices. Communication: Collaborate with healthcare providers, medical staff and billing teams to resolve documentation and coding queries. Training and Mentorship: Mentor coders in primary care coding practices. Subject Matter Expert: Act as a subject matter expert in primary care coding, promoting accurate coding practices and addressing complex issues. Required qualifications: Certification: AAPC or AHIMA certified (e.g., CPC, CCS or equivalent) (preferred, not required). Experience: Minimum of 3 years in primary care coding with a strong record of accuracy and compliance. Knowledge: Comprehensive understanding of CPT, ICD-10-CM and HCPCS Level II codes relevant to primary care. Analytical Skills: Strong analytical skills to interpret and apply complex coding guidelines and regulations. Communication Skills: Excellent verbal and written communication skills for effective interaction with healthcare professionals and team members. Attention to Detail: High level of accuracy and attention to detail in coding and documentation. Problem-Solving: Ability to independently resolve coding issues and advocate for correct coding practices. Professionalism: Strong work ethic, integrity and commitment to maintaining patient confidentiality. Interested professionals can share their profile to padmini.m@in.experis.com

Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient services, ensuring compliance with official coding guidelines and client-specific requirements; maintain coding quality and productivity standards. Required Candidate profile 5–7 years of inpatient coding experience; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS, and DRG assignment; strong understanding of coding guidelines and compliance standards.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 6+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 5+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Job Summary: - We are seeking an experienced and knowledgeable Medical Coding Trainer to join our Covalent team. The Medical Coding Trainer will be responsible for developing and delivering comprehensive training programs for aspiring medical coders. The ideal candidate will have a strong background in medical coding, a passion for teaching, and the ability to convey complex information in an easily understandable manner. Key Responsibilities: - Training Development: Design and update training materials, manuals, and online resources for medical coding courses. Develop curriculum that covers current medical coding practices, industry standards, and regulatory requirements. Instruction: Conduct classroom, online, and one-on-one training sessions. Provide instruction on medical coding systems such as ICD-10, CPT, and HCPCS. Use a variety of teaching methods to accommodate different learning styles. Assessment and Evaluation: Assess trainees coding skills and knowledge through exams, practical assignments, and interactive activities. Provide constructive feedback and support to help trainees improve their coding abilities. Industry Updates: Stay current with changes in medical coding guidelines, healthcare regulations, and industry best practices. Communicate updates and changes to trainees and incorporate them into training materials. Mentorship and Support: Mentor and support trainees throughout their learning journey. Address individual trainee questions and concerns in a timely and effective manner. Administrative Duties: Maintain accurate records of training sessions, trainee progress, and certification results. Coordinate training schedules and logistics with the administrative team. Qualifications: - Education: Bachelors degree in Health Information Management, Medical Coding, or a related field preferred. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required. Experience: Minimum of 8-12 years of professional experience in medical coding. Prior experience in a training or educational role preferred. Skills: In-depth knowledge of ICD-10, CPT, and HCPCS coding systems. Excellent communication and presentation skills. Strong organizational and time-management abilities. Proficient in using training software and online educational tools. Ability to adapt teaching methods to different learning styles. Certifications: Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) AHIMA or AAPC certification Knowledge: ICD-10-CM/PCS CPT/HCPCS Medical Terminology Anatomy and Physiology Health Information Management (HIM)