10 Coding Software Jobs

We are seeking a certified and experienced Medical Coder with a specialization in Evaluation & Management (E&M) . This role is fundamental to the revenue cycle, requiring an individual to accurately code patient evaluations and management services while ensuring strict compliance with all coding guidelines and regulations. The ideal candidate will possess deep E&M expertise, a meticulous attention to detail, and a collaborative approach to working with healthcare professionals. Key Responsibilities: Analyze medical records and documentation to accurately identify services provided during patient evaluations and management encounters. Assign appropriate E&M codes based on the level of service, adhering to coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS . Ensure coding accuracy and compliance with all coding standards, including documentation requirements for various E&M levels. Stay current with all relevant coding guidelines and updates from regulatory bodies, including the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) . Adhere to coding regulations such as HIPAA to ensure patient privacy and confidentiality. Collaborate with healthcare professionals, including physicians and nurses, to obtain necessary information and address coding-related queries . Work closely with billing and revenue cycle teams to ensure accurate claims submission and timely reimbursement. Conduct regular audits and quality checks on coded medical records to identify errors or opportunities for improvement. Participate in coding compliance programs and initiatives to maintain high accuracy and quality standards. Job Requirements: A Certified Professional Coder (CPC) or an equivalent coding certification ( CCS-P, CRC ) is mandatory. In-depth knowledge of Evaluation & Management coding guidelines and principles is required. Proficiency in using coding software and Electronic Health Record (EHR) systems . Strong familiarity with medical terminology, anatomy, and physiology. Exceptional attention to detail and analytical skills . Excellent communication and interpersonal skills to effectively collaborate with providers and staff. A strong compliance-oriented mindset and understanding of healthcare regulations. The ability to work both independently and as part of a team. Strong organizational and time management abilities, with a continuous learning mindset.

We are seeking a highly skilled and certified Medical Coder to specialize in Emergency Department (ED) encounters. The ideal candidate will be an expert in coding ED services, ensuring accuracy and compliance with all relevant guidelines to facilitate timely and correct billing. This role is crucial for maintaining the integrity of our clients revenue cycle and requires a meticulous attention to detail and strong collaborative skills. Key Responsibilities: Review and analyze medical documentation for emergency department encounters to extract and interpret relevant information, including diagnoses, procedures, and services. Assign appropriate codes from the ICD-10-CM, CPT, and HCPCS systems to accurately represent the services provided. Adhere strictly to all official coding guidelines, local coverage determinations, and other regulatory requirements to ensure compliance . Collaborate effectively with healthcare providers, physicians, and other staff to clarify documentation and obtain additional information as needed for accurate coding. Review medical records for completeness, accuracy, and consistency , working with the clinical team to ensure proper documentation of all diagnoses and services. Maintain a high level of both accuracy and productivity in all coding assignments to support timely billing and claims processing. Stay up-to-date with changes in coding guidelines and regulations by attending relevant training and educational sessions . Participate in both internal and external coding audits to assess accuracy, identify areas for improvement, and implement corrective actions. Perform quality checks on coded data and claims to ensure compliance with all standards and regulatory requirements. Job Requirements: A Certified Professional Coder (CPC) or an equivalent medical coding certification ( CCS-P, CRC ) is required. Strong knowledge of ICD-10-CM, CPT, HCPCS , and other relevant coding systems and guidelines. Familiarity with emergency department procedures, terminology, and common diagnoses . Proficiency in using coding software and Electronic Health Record (EHR) systems. Exceptional attention to detail and analytical skills . A strong understanding of medical terminology, anatomy, and physiology . Knowledge of reimbursement methodologies, including Medicare and Medicaid guidelines . Ability to interpret and analyze complex medical records and documentation. Strong communication skills to collaborate effectively with various stakeholders.

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 an experienced Anesthesia Coder to join our healthcare team in India. The successful candidate will be responsible for accurately coding anesthesia services, ensuring compliance with coding regulations, and facilitating smooth reimbursement processes. Responsibilities Review and analyze anesthesia-related medical records to ensure accurate coding of procedures. Assign appropriate codes for anesthesia services based on documentation and coding guidelines. Collaborate with healthcare providers to clarify documentation and coding discrepancies. Maintain up-to-date knowledge of coding regulations and guidelines specific to anesthesia. Prepare and submit claims to insurance companies for reimbursement of anesthesia services. Skills and Qualifications 1-6 years of experience in medical coding, specifically in anesthesia coding preferred. Certification as a Certified Professional Coder (CPC) or similar certification is highly desirable. Strong understanding of medical terminology related to anesthesia. Proficiency in using coding software and electronic health record systems. Excellent attention to detail and analytical skills to ensure accuracy in coding. Effective communication skills to interact with medical staff and insurance companies.

As a part of our team at Unique Occupational Services Pvt. Ltd (UOS), you will be entrusted with the responsibility of managing accounts receivable and revenue cycle efficiently. Your role will involve utilizing your expertise in accounts receivable processes, along with your strong communication and negotiation skills to ensure effective financial management. You should be well-versed in medical billing processes and insurance protocols, with proficiency in using billing and coding software. Attention to detail and accuracy in handling financial data will be crucial aspects of your daily tasks. Collaboration and teamwork are essential in our work environment, and your ability to work effectively with a diverse team will be highly valued. Having prior experience in the healthcare industry will be advantageous for this role, and certification in medical billing and coding will be considered a beneficial asset. Join us at UOS, where you can contribute your skills and knowledge to make a difference in the field of talent management and recruitment.,

Black And White Business Solutions is seeking a detail-oriented and highly skilled E/M Coder - Outpatient who is CPC Certified . This role requires strong expertise in Evaluation and Management (E&M) coding and Outpatient coding , along with exceptional analytical and communication skills. You will be instrumental in conducting audits, assigning accurate codes, and ensuring compliance with all relevant regulations, contributing directly to revenue integrity and regulatory adherence. Must Have Skills Experience in risk adjustment coding (HCC), outpatient, or E&M coding : Demonstrated proficiency in accurately applying codes for hierarchical condition categories (HCC), all types of outpatient services, and comprehensive Evaluation and Management encounters. High attention to detail and accuracy in code assignment and documentation review : Meticulous approach to reviewing medical records, identifying all billable services, and assigning the most appropriate codes with precision. Strong analytical and problem-solving skills : Ability to critically analyze complex medical documentation and coding scenarios to identify discrepancies and formulate effective solutions. Effective written and verbal communication for coder feedback and education : Clear and concise communication abilities to provide constructive feedback to fellow coders and contribute to training initiatives. Proficiency in Microsoft Office and EHR/coding software : Competence in using standard office applications and specialized electronic health record (EHR) and coding software for daily tasks. Ability to manage multiple tasks and meet strict deadlines in a fast-paced environment : Excellent time management and organizational skills to handle a high volume of work while maintaining accuracy under pressure. Familiarity with tools such as 3M, EPIC, or Optum Encoder : Working knowledge of common coding and EHR platforms to navigate and utilize them efficiently. Key Responsibilities Conduct retrospective and prospective audits of E&M coded records to ensure accuracy, completeness, and compliance with official guidelines and facility-specific protocols. Assign ICD-10-CM, CPT, and HCPCS codes based on the latest official coding guidelines, national conventions, and client-specific requirements for outpatient services. Identify coding errors or trends and provide constructive feedback to improve overall coder performance and accuracy. Collaborate with coding and clinical documentation teams to resolve discrepancies, clarify documentation, and ensure optimal code assignment. Lead or support coder education and training initiatives based on audit outcomes, new coding guidelines, and regulatory updates to enhance team knowledge and skills. Stay current on E&M coding standards, CMS regulations, and payer-specific requirements , ensuring all coding practices are up-to-date and compliant. Participate in internal and external compliance audits , providing necessary documentation and responding to audit requests as needed to demonstrate adherence. Generate comprehensive audit reports and track coding performance metrics , providing insights into accuracy rates, productivity, and areas for improvement. Ensure revenue integrity and regulatory compliance in close coordination with billing, compliance, and Health Information Management (HIM) teams, minimizing claim denials and ensuring ethical billing practices. Qualification Any Graduate and Above CTC Range Up to 7 LPA Notice Period Immediate to 15 Days only Interview Mode Virtual Contact: HR Manasa.S Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 8067432489 / WhatsApp: 7892150019 Email: [HIDDEN TEXT] | Website: www.blackwhite.in

As a certified medical coder joining the Optical Medicare Coding team at Walmart Pharmacy and Sams Club, your primary responsibility will involve accurately coding procedures, diagnoses, and services related to vision, optical, and dental care. Your role will be crucial in ensuring compliance with Medicare guidelines and maximizing reimbursement for in-house operations. Your day-to-day tasks will include reviewing and analyzing medical records and documentation for vision, optical, and dental services, ensuring coding accuracy in line with federal regulations and internal policies, collaborating with billing and clinical teams to resolve coding discrepancies and denials, participating in audits and quality assurance reviews, as well as providing support in training and mentoring junior coders when necessary. To excel in this role, you must hold a mandatory certification such as CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) from AAPC, or CCS (Certified Coding Specialist) from AHIMA. Additionally, having a preferred certification like CPMA (Certified Professional Medical Auditor) or specialty certification in ophthalmology or dental coding would be advantageous. You should possess a minimum of 5 years of experience in medical coding, with at least 1 year in optical or dental coding. Familiarity with Medicare Advantage and traditional Medicare billing is essential, along with proficiency in coding software and EHR systems. Your success in this role will be supported by your strong understanding of medical terminology, anatomy, and physiology, excellent attention to detail, analytical skills, as well as effective communication and teamwork abilities. Joining Walmart Global Tech, you will have the opportunity to work in a dynamic environment where your contributions can impact millions of people. The team comprises software engineers, data scientists, cybersecurity experts, and service professionals dedicated to driving innovation in the retail sector. Continuous learning and growth are encouraged, with roles available for individuals at every stage of their career. The work environment currently follows a hybrid model, with flexibility in working hours and office visits. The organization values diversity and inclusivity, striving to create a workplace where every associate feels valued and respected. Walmart promotes a culture of belonging, where opportunities are created for all associates, customers, and suppliers, aligning with the vision of "everyone included." As an Equal Opportunity Employer, Walmart, Inc. is committed to understanding, respecting, and valuing the uniqueness of individuals while fostering inclusivity for all. The minimum qualifications for this position include a bachelor's degree in life sciences or a related field with 4 years of experience in pharmacy or optical billing, or 6 years of experience in pharmacy or optical billing. A Certified Medical Coder certification (e.g., CPC, CCS, or equivalent) is also required. If you are looking to be part of a team that values innovation, diversity, and inclusivity, this role at Walmart Pharmacy and Sams Club could be the perfect fit for you.,

You will be joining LexiCode as a Quality Assurance Auditor and Trainer for Medical Coding. Your primary responsibility will involve thoroughly reviewing and analyzing medical records to ensure accurate coding and compliance with guidelines. It is essential to stay updated with evolving coding regulations and actively participate in audits and quality improvement initiatives. Maintaining coding accuracy standards, productivity levels, and patient confidentiality are crucial aspects of this role. To be considered for this position, you must possess AHIMA credentials such as CCS or AAPC credentials like CPC or CIC. A minimum of 1 year of experience in coding or QA for ED Facility, Profee, and E/M is required. Proficiency in ICD-10-CM and PCS coding systems, along with the ability to use coding software and EHR systems, is necessary. Strong analytical skills, attention to detail, and effective communication with healthcare professionals are also important qualities for this role.,

Job Description: As a Quality Assurance Analyst and Trainer for Medical Coding at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be to review assigned medical codes for accuracy and ensure compliance with coding guidelines and regulations. Essential Job Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Review Medical codes for accuracy to ensure codes precisely reflect clinical documentation. - Ensure the integrity and precision of coded data. - Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. - Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards. - Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks. - Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations. Minimum Qualifications: - Possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. - Minimum of 1 year of experience in coding or QA for ED Facility, Profee and E/M. - Proficiency in ICD-10-CM and PCS coding systems, encompassing comprehensive knowledge of guidelines and conventions. - Competence in utilizing coding software and electronic health record (EHR) systems. - Strong analytical aptitude to interpret intricate medical documentation accurately. - Detail-oriented approach, ensuring precision and accuracy in all coding assignments. - Exceptional communication skills to facilitate effective collaboration with healthcare professionals.,

We are seeking an experienced and knowledgeable Subject Matter Expert (SME) in Medical Coding with a specialization in Oncology. The SME will provide expert guidance and support in oncology medical coding, ensuring accuracy and compliance with coding standards and regulatory requirements. This role involves collaborating with clinical staff, coding teams, and other stakeholders to enhance coding practices and maintain high-quality coding standards. Key Responsibilities: Expert Coding Guidance: Serve as the primary resource for oncology coding inquiries, providing expert advice on coding practices, guidelines, and regulations. Review and validate oncology-related medical codes to ensure accuracy and adherence to coding standards. Coding Process Management: Develop, implement, and refine coding practices and workflows specific to oncology. Monitor coding accuracy and productivity, providing feedback and recommendations for improvement. Compliance and Regulation: Ensure all oncology coding activities comply with relevant regulations, including ICD-10, CPT, and HCPCS codes. Stay updated with changes in coding regulations and industry best practices, integrating these updates into coding procedures. Training and Development: Conduct training sessions and workshops for coding staff on oncology coding practices and updates. Create and maintain coding reference materials, guidelines, and documentation. Collaboration and Communication: Collaborate with oncologists, clinical staff, and coding teams to address and resolve complex coding issues. Communicate effectively with internal and external stakeholders to ensure accurate and efficient coding practices. Quality Assurance and Auditing: Perform regular audits of oncology coding activities to ensure accuracy and compliance. Address and resolve any discrepancies or issues identified during audits, implementing corrective actions as necessary. Reporting and Analysis: Prepare and present reports on coding metrics, trends, and performance related to oncology. Analyze coding data to identify areas for improvement and provide actionable recommendations. Qualifications: Bachelors degree in Medical. 5 years of experience in medical coding with a focus on oncology. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or other relevant certification required. In-depth knowledge of oncology-specific coding guidelines, including ICD-10, CPT, and HCPCS codes. Strong analytical, problem-solving, and decision-making skills. Excellent communication and interpersonal skills, with the ability to effectively collaborate with clinical and coding teams. Proficiency in coding software, Electronic Health Records (EHR) systems, and Practice Management Systems (PMS).