Outpatient Clinical Documentation Improvement (CDI) Specialist Location: Hyderabad, India Employment Type: Full-Time Position Summary The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities Documentation Review : Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. Query Process : Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. Coding Support : Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. Compliance : Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. Data Analysis : Monitor and analyze documentation trends, identifying opportunities for improvement in clinical documentation processes and provider education. Quality Improvement : Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications Education : Life Science Graduate or Postgraduate. Experience : Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills : Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “Outpatient CDI Specialist Application” in the subject line. Show more Show less

Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team. We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications 5+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Excellent communication, analytical, and time management skills. Preferred Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us : Be a part of a high-performance team transforming healthcare revenue cycles. Work with industry-leading tools and processes. Exposure to advanced US RCM operations. Ongoing training and career progression opportunities. Show more Show less

Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 5+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Experience handling UB-04 claim forms. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities. Show more Show less

Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 5+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Hospital medical billing experience with UB04 claims. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities. Show more Show less

Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 5+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Hospital medical billing experience with UB04 claims. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities.

Outpatient Clinical Documentation Improvement (CDI) Specialist Location: Hyderabad, India Employment Type: Full-Time Position Summary The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities Documentation Review : Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. Query Process : Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. Coding Support : Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. Compliance : Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. Data Analysis : Monitor and analyze documentation trends, identifying opportunities for improvement in clinical documentation processes and provider education. Quality Improvement : Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications Education : Life Science Graduate or Postgraduate. Experience : Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills : Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “Outpatient CDI Specialist Application” in the subject line.

Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 3+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Hospital medical billing experience with UB04 claims. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities.

Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a dynamic US healthcare revenue cycle team transforming AR operations. We're seeking seasoned Healthcare Accounts Receivable (AR) Specialists with deep expertise in both hospital and physician billing. If you're a denial-resolution pro who thrives on results and knows your way around top-tier EMR and RCM tools, this role is tailor-made for you. Key Responsibilities Track and follow up on unpaid/denied claims using Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare compelling appeals with documentation. Communicate with US payers and patients to resolve payment discrepancies. Analyze AR aging reports to optimize collections and minimize outstanding receivables. Maintain compliant, audit-ready documentation aligned with HIPAA and payer guidelines. Collaborate across coding, billing, and revenue cycle teams for seamless workflows. Prepare reports and KPIs to monitor performance and identify trends in denials. Required Qualifications Minimum 3 years of experience in US medical AR with a strong track record in denial resolution and insurance follow-up. Hands-on experience in both hospital (UB04) and physician (CMS-1500) billing workflows. Proficient in EMR/RCM systems including Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Solid understanding of CPT, ICD-10, and HCPCS coding standards. Excellent communication, analytical, and time management skills. Preferred Qualifications Bachelor’s degree in life sciences, healthcare, finance, or a related discipline. Certifications such as CMRS, CRCR, or similar. Experience with Medicare, Medicaid, and commercial payers. Why Join Us? Join a high-performance team revolutionizing healthcare revenue cycles. Leverage industry-leading platforms and best practices. Gain in-depth exposure to advanced US RCM operations. Take advantage of continuous learning and career growth. Note: This opportunity is exclusively for candidates with professional experience in Healthcare Accounts Receivable (AR). Applicants outside of this specialization will not be considered.

Inpatient Clinical Documentation Integrity: About the Role: We are seeking a seasoned and detail-oriented Inpatient CDI Specialist to join our team. This role is crucial in improving the accuracy of clinical documentation and aligning it with inpatient coding standards. The position emphasizes enhancing data quality, ensuring proper risk adjustment, and maintaining compliance to support organizational quality and financial objectives. Key Responsibilities Clinical Documentation and Coding Accuracy: · Conduct comprehensive reviews of inpatient medical records to validate clinical documentation and ensure ICD-10-CM/PCS coding accuracy. · Collaborate with providers to ensure documentation supports accurate DRG assignments, SOI, ROM, as well as CCs and MCCs. · Address documentation gaps, inconsistencies, and areas requiring clarification through focused queries. · Analyze coding data to identify discrepancies, trends, and areas for improvement. · Ensure diagnoses critical for mortality and other risk models are documented as "POA.” Subject Matter Expertise: · Serve as a key resource for inpatient coding, DRG assignments, and SOI assessments. · Work closely with coding teams to resolve discrepancies and enhance coding accuracy. Collaboration and Education: · Build strong partnerships with physicians, CDI specialists, and clinical teams to bridge documentation gaps. · Provide targeted education and training on documentation standards, compliance, and best practices. · Facilitate training sessions to enhance understanding of CDI processes and their impact on quality metrics and reimbursement. · Function as a liaison between clinical teams, coders, and revenue cycle management. Compliance and Auditing: · Ensure all documentation adheres to regulatory standards, including CMS, Joint Commission, and other compliance requirements. · Participate in audits, evaluate findings, and recommend corrective actions, as needed. · Support organizational quality initiatives and contribute to performance improvement projects. Qualifications and Skills Required Credentials and Experience : · Certifications : CDIP, CCDS, or CCS. · Experience: At least 7 years in US healthcare with a focus on inpatient coding, CDI processes, or data quality audits, demonstrating strong expertise in ICD-10-CM/PCS coding and DRG assignments. · Advanced knowledge of US healthcare reimbursement methodologies, including MS-DRG and APR-DRG. · Familiarity with payer-specific policies, official coding guidelines, and regulatory standards (e.g., CMS, AHIMA). · Proficiency in EHR systems (e.g., Epic, Oracle-Cerner) and coding tools (e.g., 3M, Nuance, Optum). Desired Skills: · Exceptional analytical skills to identify trends and resolve discrepancies in documentation and coding. · Outstanding interpersonal and communication abilities to foster collaboration and provide education. · Proven track record of delivering effective training sessions and analyzing CDI metrics such as query response rates and documentation improvements. · Up-to-date knowledge of regulatory changes and industry best practices in CDI. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity!

You are seeking experienced and certified Senior Same Day Surgery Medical Coders with a deep understanding of CPT, HCPCS, ICD-10-CM, modifiers, and units extracted from medical record documents. Your communication skills should be excellent to effectively carry out the responsibilities associated with this role. Your core responsibilities will include coding medical records related to Inpatient and Outpatient Surgical Specialties, such as Orthopedics, General Surgery, Cardiology, Spine, and Oral procedures. You must have a minimum of 5+ years of experience in this field and be adept at accurately assigning ICD-10-CM & PCS diagnoses and procedure codes. Additionally, you should have advanced technical knowledge in specific inpatient and outpatient surgical and medical specialties. It is essential for you to possess extensive knowledge of medical terminology, demonstrate proficiency in researching and applying coding rules and regulations, and have experience in data entry of codes into databases or software tools. Familiarity with Microsoft Excel, Word, and various EMR systems is necessary. Furthermore, exceptional oral and written communication skills are required, along with a positive and respectful attitude. To be eligible for this position, you must hold a Science Graduate or Postgraduate degree and possess current AHIMA/AAPC certificate(s). A high level of proficiency in English, both verbally and in writing, is essential. You should be willing to work from the office as per the work location requirement. If you meet these qualifications and are ready to contribute your expertise to our team, we look forward to receiving your application.,

Job Description: Outpatient Clinical Documentation Improvement (CDI) Specialist: Position Summary: The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities: · Documentation Review: Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. · Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. · Query Process: Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. · Coding Support: Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. · Compliance: Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. · Data Analysis: Monitor and analyze documentation trends to identify opportunities for improvement in clinical documentation processes and provider education. · Quality Improvement: Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications: Education: Science Graduate or Postgraduate. Experience: Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills: Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “ Outpatient CDI Specialist Application ” in the subject line.