29 Coding Guidelines Jobs

Company Description At Smartclues Technologies LLP, our mission is to provide reliable and efficient IT services to small businesses. We strive to help our clients achieve their goals and grow their businesses by leveraging the latest technologies and best practices. Our team of experienced IT professionals is dedicated to providing exceptional service and support to our clients. We stay up-to-date with the latest industry trends to ensure that our clients receive the best possible solutions. Smartclues Technologies LLP offers a wide range of IT services, from network setup and maintenance to cloud solutions and cybersecurity, to meet the needs of small businesses. Role Description This is a...

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)

As a Quality Assurance Analyst for Medical Coding at LexiCode, your primary responsibility will be to review assigned medical codes for accuracy and ensure compliance with coding guidelines and regulations. Your role involves thoroughly reviewing and analyzing medical records, ensuring the integrity and precision of coded data, staying updated on evolving coding guidelines and regulations, participating in coding audits and quality improvement initiatives, maintaining productivity levels, and upholding strict patient confidentiality standards in compliance with HIPAA regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedure...

Company Description We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our organization you will be joining a smart and driven team that shares your passion for exploration and discovery in the Healthcare Software vertical. Our significant investment in people, processes, and technology equips our employees with the resources and opportunities to drive substantial value for all our client partners. Job Description Review and validate coded encounters for accuracy and consistency across providers and specialties. Identify and ...

As a dynamic senior software engineer, you will join us as Team Lead, Software Engineering to lead Engineering team units and foster a culture of Engineering Excellence. Your role is pivotal for our success as a market force and thought leader in cutting-edge Engineering practices. You will have a direct impact on building the software powering the Indian hyperscale cloud ecosystem. **Key Responsibilities:** - Lead frontend and backend Engineering teams with tactical and operational management oversight. - Ensure consistency and predictability in Product delivery and quality by establishing sound SDLC standards, practices, and processes. - Conduct timely reviews of Engineering activities, ad...

Role Overview: As an Emergency Department Clinical Documentation Improvement (ED CDI) Specialist in the Clinical Documentation Improvement department at Chennai/Hyderabad, you will play a crucial role in enhancing the quality and accuracy of clinical documentation in the Emergency Department. Your responsibilities will involve collaborating with various stakeholders to ensure compliance with regulatory standards, optimize reimbursement, and improve patient care outcomes. Key Responsibilities: - Perform regular audits of clinical documentation in the ED to identify areas for improvement, ensuring accuracy and completeness of reports. - Provide ongoing education and training to ED staff on bes...

As a Senior Software Engineer at CGS India, you will play a crucial role in refining and enhancing the capabilities of current systems to meet engineering needs. Reporting to the Team Lead, you will be involved in designing, developing, and maintaining new product introduction related healthcare application systems. Your responsibilities will include promoting best practices, adapting quickly in a collaborative environment, and driving change to address challenging problems. - Work across various stages of the software development life cycle, including business requirement gathering, development, and testing activities - Develop scalable applications and services using cutting-edge technolog...

Process: .Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

You are eagerly looking for a meticulous Denial Coder to be a part of the team. Your responsibilities will include reviewing and analyzing denied claims to identify errors, assigning appropriate codes for resolution, documenting findings, maintaining records, and actively participating in audits to enhance processes. Your qualifications should ideally include a Bachelor's degree in health information management or a related field, certification as a Certified Professional Coder (CPC) or similar, a minimum of 5 years of experience in medical coding and claims denial management, proficiency in medical terminology, coding guidelines, and insurance processes, exceptional analytical skills, and e...

.Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

Role Overview: As a Medical Coder/Senior Coder/QA, your primary responsibility will be to assign codes, abstract information, maintain knowledge, and ensure accuracy and quality in the coding process. You will review and analyze patient medical records to ensure accurate code assignment, adhere to coding guidelines and regulatory requirements, and effectively utilize medical coding software. Key Responsibilities: - Assign codes and abstract information from patient medical records - Review and analyze patient medical records to ensure accurate code assignment - Adhere to coding guidelines and regulatory requirements - Utilize medical coding software effectively - Apply understanding of anato...

As a skilled Medical Coding Specialist with 2 to 3 years of experience in healthcare products and medical coding, your role will involve ensuring accurate coding of medical records to maintain data integrity and compliance with healthcare regulations. You will collaborate with healthcare professionals to verify and clarify coding information for accuracy. Analyzing medical records and assigning appropriate codes to diagnoses and procedures will be part of your responsibilities. It is essential for you to maintain up-to-date knowledge of coding guidelines and industry standards to ensure efficient healthcare data management. Key Responsibilities: - Ensure accurate coding of medical records to...

Role Overview: As a Quality Assurance Analyst for Medical Coder at LexiCode, you will be part of a dynamic team of coding experts focused on delivering top-notch coding services to clients. Your main role will involve reviewing medical codes for accuracy and ensuring compliance with coding guidelines and regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify relevant diagnoses & procedures. - Review ICD-10-CM and PCS codes for accuracy to ensure they accurately represent clinical documentation. - Maintain the integrity and precision of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous ...

As an Auditor - Coding, you will play a crucial role in supervising and mentoring a team of coding auditors to ensure high-quality and compliant coding practices. Your responsibilities will include conducting quality audits, identifying discrepancies, and implementing corrective actions to enhance coding accuracy. Collaborating with QA teams, you will work on improving coding efficiency and developing strategies to reduce denials. Additionally, you will engage with stakeholders such as physicians, revenue cycle, and compliance teams to ensure adherence to proper coding practices. To excel in this role, you should possess a Bachelor's degree in any discipline, along with certifications such a...

The role of an SPE-Medical Coding HC involves ensuring accurate coding of healthcare products and services to facilitate efficient billing and reimbursement processes. You will be working night shifts from the office, utilizing your expertise in medical coding to support healthcare operations. To be eligible for this position, you should have a minimum of 2 years and a maximum of 4 years of experience in Clinical Coding Revenue Cycle Management and Medical Coding. Your responsibilities in this role will include meeting the 100% daily productivity target based on team/client requirements, maintaining an accuracy rate of 98% in internal and client audit reports, achieving a coding protocols as...

.Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

You are an experienced IP DRG finalizer or retro review process professional seeking a full-time remote role at KPC TechnoVision in Ahmedabad. In this position, you will be responsible for conducting retro reviews of IP DRG claims, identifying coding and documentation errors, and ensuring compliance with coding guidelines. Your key tasks will include analyzing and auditing medical records, providing feedback to coding staff, and communicating audit results to stakeholders. To excel in this role, you should have a strong background in IP DRG auditing and retro review processes. A deep understanding of coding guidelines and regulations is essential, along with excellent analytical and critical...

The Quality Assurance Analyst for Medical Coding at LexiCode plays a crucial role in ensuring accuracy and compliance with coding guidelines. You will be responsible for reviewing medical records, verifying codes, and upholding coding standards. Your dedication to maintaining precision and confidentiality is essential for the success of our coding services. Key Responsibilities: - Thoroughly analyze medical records to identify relevant diagnoses and procedures. - Verify medical codes for accuracy and alignment with clinical documentation. - Maintain the integrity and accuracy of coded data. - Stay updated on coding guidelines and industry best practices through continuous research. - Partici...

The Quality Assurance Auditor/Trainer for Outpatient Surgery Coding position at LexiCode involves reviewing and analyzing medical records to ensure accurate coding and compliance with guidelines. The role requires staying updated on coding regulations and participating in quality improvement initiatives. The ideal candidate should possess AHIMA or AAPC credentials, have at least 1 year of experience in outpatient surgery coding, and be proficient in ICD-10-CM and PCS coding systems. Strong analytical skills, attention to detail, and effective communication are essential for this role to maintain coding accuracy standards and patient confidentiality in line with HIPAA regulations.,

You have a unique opportunity to join our team as a Quality Analyst with 5+ years of HCC coding experience in coding and auditing. In this role, you will be responsible for communicating quality issues and trends to the Team Lead, Coding Manager, and Training Manager. It is essential to have active coding credentials through AAPC or AHIMA and adhere to official coding guidelines, coding clinic determinations, client-specific coding guidelines, CMS, and other regulatory compliance guidelines and mandates. Moreover, you must have a minimum of 1 year on-paper experience as a Quality Analyst and be able to identify trends in coding and documentation errors, including over and under-coding. Your ...

Key Responsibilities: Review inpatient medical records and code all diagnoses and procedures Assign appropriate MS-DRGs/APR-DRGs based on the principal diagnosis, procedures, and secondary conditions Use ICD-10-CM & ICD-10-PCS codes and ensure accuracy with POA indicators Validate DRG grouping using tools such as 3M Encoder / TruCode / Optum Ensure compliance with Official Coding Guidelines, CMS rules , and client-specific protocols Work with auditors and QA teams to resolve queries and improve documentation Meet or exceed productivity and quality benchmarks (9598% coding accuracy) Eligibility Criteria: Education: Degree in Life Sciences / Nursing / Paramedical / Allied Health Certifications...

As a Middleware Engineer in our ECS-1 department located in Trivandrum, Kerala, you will be responsible for designing, developing, and implementing highly complex middleware solutions to meet customer deliveries. With a qualification of B.E/M.E in Power Electronics/Electrical Engineering or Computer Science and 2-7 years of relevant experience, you will have the opportunity to showcase your expertise in C++ programming language with a strong focus on middleware development. Your role will involve working on the design and development of Android-based IVI/Cockpit solutions, including Frameworks/AOSP/HAL, as well as C++ based Infotainment middleware components such as Multimedia, Projection, B...

The Manager 2-Clinical Data Management at Sun Pharmaceutical Industries Ltd in Gurgaon - R&D is responsible for effectively participating in the start-up and completion of multiple Data Management projects according to stakeholder requirements and in accordance to SOPs and other applicable standards in compliance with Sun Procedural Documents, ICH-GCP and local regulations. The incumbent will be managing all data management aspects of assigned project(s) from setup to lock, attending regular meetings with the project team to discuss data management issues, and providing status updates. Reporting on quality and performance metrics, including timelines, to project leads and other stakeholders ...

The position available at Gray Matrix in Mumbai is for an Associate Technical Architect (ATA) with 4-6 years of experience, a Technical Architect (TA) with 6-8 years of experience, a Solutions Architect (SA) with 8-10 years of experience, and a Senior Solutions Architect (SSA) with 10+ years of experience. As an architect at Gray Matrix, you will not only review code or approve diagrams, but also guide strategy, translate vision into systems, and ensure that every build scales and survives. We are seeking individuals who design solutions like engineers, validate them like operators, and communicate them like leaders. The ideal candidate should have deep experience in full-stack architectures...

You will be responsible for effectively participating in the start-up and completion of multiple Data Management projects according to stakeholder requirements and in accordance with SOPs and other applicable standards in compliance with Sun Procedural Documents, ICH-GCP, and local regulations. Your duties will include managing all data management aspects of assigned project(s) from setup to lock. You will attend regular meetings with the project team to discuss data management issues and provide status updates for the project. Reporting on quality and performance metrics, including timelines, to project leads and other stakeholders will also be part of your responsibilities. You will partic...