114 Cpt Codes Jobs - Page 3

As an AR Caller or Sr. AR Caller specializing in US Healthcare at our office located in Gurgaon on MG Road, you will play a vital role in communicating with insurance companies in the USA to manage outstanding accounts receivables on behalf of doctors and physicians. - Demonstrating a strong grasp of HIPPA regulations, CPT codes, ICD9/10, Appeals, and denial management. - Possessing a minimum of 2 years of experience as an AR Caller with exposure to denial management processes. To excel in this role, you must have: - Excellent English communication skills, both verbal and written. - Proficiency in computer usage. - Strong interpersonal skills. - Ability to work well under pressure. - Quick d...

Job Summary We are seeking a highly skilled and experienced Business Analyst with 7-10 years of focused experience in the life and health insurance industry, particularly in claims processing. Understanding the key KPIs that drive claims processing is critical. The candidate will play a crucial role in bridging the gap between business needs and IT solutions, contributing to the enhancement of our solution. The ideal candidate will have a strong techno-functional understanding of the insurance product benefits, coverages, claims rules, exclusions and fraud analytics and should know about Product Configuration in the system. Having a comprehensive grasp of Medical Codes ICD, PCS, and CPT code...

As an AR Follow-up and Denials Management Specialist, you will play a crucial role in the revenue cycle of US Healthcare. Your responsibilities will include: - Reviewing provider's claims that have not been paid by insurance companies - Making necessary corrections to the claims based on responses/findings and re-submitting/refiling as required - Documenting all actions taken into the claims billing system - Meeting established performance standards on a daily basis - Improving skills in CPT codes and DX Codes, and making collections with a convincing approach Qualifications required for this role are: - Any Graduate - Good communication skills with a fair command of the English language - E...

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.

Role Overview: You should have a minimum of 1 year of experience in AR follow-up team, denial management, or AR calling. You must possess knowledge of denial actions and be familiar with at least 5 denial codes along with their corresponding actions. If you have experience in denial management, there is a possibility of being considered for assignment to the AR follow-up team. A good understanding of claim forms (HCFA), general medical billing, modifier usage, and CPT codes is essential for this role. Key Responsibilities: - Demonstrate expertise in denial management and AR follow-up tasks - Identify and address denial codes efficiently - Possess knowledge of claim forms, modifier usage, and...

Role Overview: You have to lead a team and ensure smooth operations in the healthcare sector. Your primary responsibilities will include assisting team members, managing a team, and ensuring adherence to norms. Key Responsibilities: - Assist team members with queries and take ownership of their targets & goals - Manage a team of 10-15 associates - Ensure adherence to attendance, punctuality, reporting, and completion of work Qualification Required: - Minimum 1 year of experience as a Team Leader / Designated Team Leader - At least 5+ years of experience in Adjudication / Adjustments / Provider Maintenance - Strong knowledge of US Healthcare - Sound knowledge of CPT Codes/Diagnosis Codes - Fa...

Role Overview: As a member of R1 RCM India, you will play a crucial role in transforming the healthcare industry by providing innovative revenue cycle management services. With a commitment to making healthcare simpler and more efficient, you will join a team of over 30,000 employees globally, with a strong presence of 14,000 employees in India. The inclusive culture at R1 RCM ensures that every employee is valued, respected, and appreciated, supported by a robust set of employee benefits and engagement activities. Key Responsibilities: - Identify denial reasons and work towards resolution - Prevent claims from being written off by timely follow-up - Utilize sound knowledge of working on Bil...

Exciting Career Opportunity for AR Callers! Are you ready to level up your career in AR Calling (PB & HB) with a growing organization that values your skills and rewards your efforts? Were actively hiring talented AR Callers to join our dynamic team across multiple metro cities! Position: AR Caller (Physician Billing & Hospital Billing) Eligibility: Minimum 1+ year of experience in AR Calling (PB & HB) Qualification: Intermediate & above Preferred: Immediate Joiners who are ready to hit the ground running Locations: Hyderabad Bengaluru Chennai Mumbai Compensation & Benefits: Take Home Salary : Up to 40,000 per month 2-Way Cab Facility Hassle-free commute Attractive Incentives Earn more for y...

.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.

As an experienced Quality Assurance professional with a focus on E/M OP and a variety of medical specialties, your role will involve the following responsibilities: - Demonstrating strong knowledge and experience in E/M OP, including handling specialties such as orthopaedics and dermatology. - Possessing expertise in 1 to 6 & 9 series, along with proficiency in ICD and CPT codes, medical terminology, human Anatomy, and physiology. - Providing feedback and identifying error patterns to ensure quality standards. - Having a good understanding of modifiers and their application in coding. - Maintaining daily production and quality levels as per client requirements. - Utilizing your two years of ...

Role Overview: As a Medical Billing Specialist, you will be responsible for preparing and submitting accurate insurance claims, verifying patient eligibility, resolving claim denials, maintaining patient billing records, and ensuring compliance with healthcare regulations and privacy standards. Key Responsibilities: - Prepare and submit accurate insurance claims to various insurers, ensuring all medical billing codes and documentation are correct. - Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted. - Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers an...

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...

Role Overview: In this role as a Medical Coding Auditor specializing in ED & E/M coding, you will review medical charts, accurately assign CPT and ICD-10 codes, ensure compliance, and provide support to billing teams. Your in-depth knowledge of CPT and ICD-10 guidelines, along with high accuracy and timeliness, will be crucial for the success of this position. Collaboration with the team is essential to meet quality standards and drive continuous improvement in coding processes. Your attention to detail and commitment to precision will significantly contribute to the overall efficiency and effectiveness of our coding operations. Key Responsibilities: - Review medical charts and accurately as...

Surgery & E&M IP/OP preferably Gastroenterology experienced, Surgery with exposure to Gastroenterology, Anesthesia .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.

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...