75 Cpt Codes Jobs - Page 2

As a member of the accounts receivable follow-up team at R1 RCM India, your role is crucial in ensuring maximum reimbursement from insurance companies by looking after denied claims and reopening them. With a commitment to transforming the healthcare industry, R1 RCM India aims to simplify healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. **Key Responsibilities:** - Identify denial reasons and work towards resolution. - Prevent claims from being written off by timely follow-up. - Utilize knowledge of Billing scrubbers for making edits. - Handle Contractual adjustments & write off projects. - Maintain a good Cash collected/Resolution Rate....

Profile Description The role requires: . Retrieval and review of documentation in medical records from various client EMR systems. . Documentation analysis for completeness and should be coded following the coding compliance guidelines . Assignment of relevant diagnoses, procedural codes, modifiers and HCPCS codes as needed adhering to the general, payer and client specifications. Key Responsibilities 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 co...

Profile Description The role requires: . Retrieval and review of documentation in medical records from various client EMR systems. . Documentation analysis for completeness and should be coded following the coding compliance guidelines . Assignment of relevant diagnoses, procedural codes, modifiers and HCPCS codes as needed adhering to the general, payer and client specifications. Key Responsibilities 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 co...

Job Description Minimum 2 years of experience in Claims Adjudication Understands claims processing on both professional and facility claims Ability to understand provider contracts Proficient keyboard skills, with a minimum typing speed of 25 words per minute. Strong attention to detail and analytical thinking capabilities. Ability to work independently as well as part of a team. Willingness to work only in days shifts as required.

As an Assistant Operations Manager at R1, you will be responsible for establishing and ensuring compliance with departmental policies and procedures, managing people to drive retention, analyzing data to identify process gaps, preparing reports, and overseeing performance management. You will also be the first level of escalation, working in all shifts on a rotational basis, and focusing on cost efficiency with regards to processes, resource utilization, and overall constant cost management. Your role will involve operating utilizing aggressive operating metrics. Key Responsibilities: - Establish and assure compliance with departmental policies and procedures - Manage people and drive retent...

As a Medical Coder at the TECH-INTELLEON, your role involves the following key responsibilities: - Medical Chart Review & Coding: Assigning appropriate ICD-10 and CPT codes based on patient diagnoses and procedures. - Compliance & Accuracy: Ensuring codes adhere to regulatory policies, guidelines, and customer-specific requirements. - Quality Assurance: Maintaining high levels of coding accuracy (97%+) and keeping up with industry updates through coding meetings and training sessions. - Research & Problem-Solving: Handling complex or unusual coding cases by searching for relevant information. TECH-INTELLEON specializes in designing, developing, and delivering innovative web and mobile applic...

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

As a member of the clinical support team at UnitedHealth Group, you play a crucial role in ensuring high-quality care and customer satisfaction. Your responsibilities include managing member intake, handling admission/discharge information, and collaborating with healthcare facilities to process service requests effectively. Your role also involves managing referrals, triaging cases, and providing care coordination notifications. In this fast-paced customer service environment, efficiency and thoroughness are key when interacting with members over the phone. You will need to be adept at multitasking, as well as be available to work flexible schedules, including evening hours. Key Responsibil...

As a Customer Support Executive in the Voice Process for US-Healthcare at R1 RCM India, you will be involved in Business Process Outsourcing (BPO) and Knowledge Process Outsourcing (KPO) activities. You will be offered a competitive compensation package with a starting salary of 2.45 LPA during the 6-month training period, increasing to 2.95 LPA post-training. For Non-RCM candidates, the maximum salary cap is 3.30 LPA for those with up to 2 years of experience. The company is large-scale and global, offering a dynamic work environment. In this role, you will be designated as an Analyst or Senior Analyst, engaging in calling and email interactions with customers, insurance companies, and pati...

Greetings from R1! R1 RCM India is a Great Place To Work Certified organization, reflecting our employee-centric culture. We partner with Great Place To Work (GPTW) to assess organizations based on parameters like trust, pride, camaraderie, and fairness. This certification places us among the leading organizations for workplace culture. Our focus is on transforming the healthcare industry through innovative revenue cycle management services to simplify healthcare operations for systems, hospitals, and physician practices. With a global workforce of over 30,000 employees, we are a team of about 14,000 in India, spread across offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusi...

As an Analyst/Senior Analyst at SnapFind, you will be responsible for interacting with customers, insurance companies, and patients to process claims efficiently. Your role will involve identifying denial reasons, following up on claims to prevent write-offs, working on billing scrubbers, and making necessary edits. Additionally, you will handle contractual adjustments, write-off projects, and aim for a high cash collection/resolution rate. The position requires individuals with excellent calling skills, probing skills, and a solid understanding of claim denials. You will be expected to work night shifts at the office, with no planned leaves for the next 6 months. Fresh graduates and experie...

As a Medical Biller / Coder, you will be responsible for overseeing coding activities to ensure customer service and quality expectations are met. You will serve as the primary contact for coding questions related to Client Services and Operations. Your role will involve reviewing reports, identifying specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will proactively identify issues and plan for their resolution for clients and accounts. It will be your duty to maintain compliance with HIPAA and ISO standards, as well as adhere to company policies. You will review and report on process updates and team metrics with ...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, an...

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: Follow up is the most essential pa...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work t...

R1 RCM India is proud to be a Great Place To Work Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities . Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in th...

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...

Designation : Medical Coder Full Time Opportunity Location : Multiple Job Description : Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor'...

The primary responsibility of this role is to maintain proper documentation of client software for submission to insurance companies and create a detailed audit trail for future reference. Additionally, the role involves recording post-call actions, conducting post-call analysis for claim follow-ups, and addressing customer inquiries, requests, and complaints effectively through phone calls to ensure prompt resolution at the first point of contact. It is essential to provide customers with accurate information regarding products/services, conduct thorough research on available documentation such as authorizations, nursing notes, and medical records on client systems, and interpret received e...

We are looking for a skilled Client Partner - Medical Coding with expertise in Anesthesia coding . This role is crucial for ensuring the accuracy and compliance of medical records related to anesthesia services. The ideal candidate will have a strong understanding of coding guidelines, a high level of accuracy, and a commitment to continuous improvement. Key Responsibilities: Perform a variety of activities related to the coding of medical records , assigning accurate diagnosis and CPT codes according to ICD-10 and CPT-4 systems . Review physician notes to determine if all documentation requirements are met. Process charges and perform quality reviews to ensure accuracy. Extrapolate and appl...

We are looking for a skilled Client Partner - Medical Coding with expertise in Anesthesia coding . This role is crucial for ensuring the accuracy and compliance of medical records related to anesthesia services. The ideal candidate will have a strong understanding of coding guidelines, a high level of accuracy, and a commitment to continuous improvement. Key Responsibilities: Perform a variety of activities related to the coding of medical records , assigning accurate diagnosis and CPT codes according to ICD-10 and CPT-4 systems . Review physician notes to determine if all documentation requirements are met. Process charges and perform quality reviews to ensure accuracy. Extrapolate and appl...

AR Caller (Accounts Receivable Caller) Responsibilities: Contact insurance companies to follow up on unpaid/underpaid medical claims . Identify the reason for denials and initiate appropriate steps for resolution. Document call outcomes and maintain accurate records in the billing system. Work on reprocessing or appealing claims as needed. Achieve daily call targets and maintain call quality standards. Requirements: Good spoken English and communication skills. Familiarity with US insurance terminology (Medicare, Medicaid, Commercial, etc.) Prior experience in AR Calling or denial management preferred but not mandatory. Prior Authorization Executive Responsibilities: Initiate and follow up o...