17 Coding Guidelines Jobs

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...

We are seeking highly motivated and detail-oriented Medical Coders to join our dynamic team. As a Medical Coder, you will play a vital role in ensuring accurate and timely coding of medical services. Your responsibilities will include reviewing medical records, assigning appropriate ICD-10-CM and CPT codes, and verifying coding accuracy. Key Responsibilities: Review medical records for completeness and accuracy. Assign appropriate ICD-10-CM and CPT codes based on medical documentation. Verify coding accuracy using coding guidelines and regulations. Maintain coding quality and productivity standards. Stay updated on coding changes and industry trends. Collaborate with healthcare providers and...

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)

Role Summary: Review patient medical records based on review request from FIPR claims review team to identify incorrectly coded services (CPTs)/diagnoses (ICDs), Modifiers, DRGs, APCs which are not coded according to the coding guidelines laid down by the apex organizations like AMA, CMS (Medicare/Medicaid), or other recognized bodies/associations and the policies/guidelines laid down by payors for specific services. This department is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting coding audits to identify alleged fraud, waste and abuse per...