Certified CPC Coder - Revenue Cycle Management Amradnet

3.0 - 7.0 years

0 - 0 Lacs

karnataka

On-site

As a Certified CPC Coder specializing in radiology billing operations within the Revenue Cycle Management team, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while complying with US healthcare regulations. Your responsibilities will include reviewing and validating CPT, ICD-10, and HCPCS codes for radiology studies, conducting audits to maintain high-quality standards, and ensuring regulatory compliance with HIPAA, CMS regulations, and facility-specific billing protocols. You will be responsible for preparing and submitting accurate invoices to partner healthcare facilities based on contracted fee schedules, as well as validating invoice line items against study volumes, modality types, and applicable reimbursement rates. Effective collaboration with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation, along with clear communication with facility billing departments and insurance representatives, will be essential in this role. Additionally, you will be expected to generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics, maintain detailed billing logs and reconciliation spreadsheets, and identify opportunities to streamline billing processes and improve revenue cycle efficiency. Your technical skills should include advanced proficiency in Microsoft Excel, experience with billing software such as Kareo, AdvancedMD, and knowledge of electronic data interchange formats. To qualify for this role, you should possess a Bachelor's degree in a relevant field, CPC Certification from AAPC, additional certifications in radiology coding, and a minimum of 3 years of hands-on experience in US medical billing and coding, preferably with radiology billing expertise. Proficiency in analytical problem-solving, strong communication skills, time management abilities, and adaptability to changing healthcare regulations are key competencies required for success in this position. In return, we offer competitive compensation, comprehensive benefits including health insurance and paid time off, flexible work arrangements, professional development opportunities, and a clear career progression path within our growing RCM division. If you are ready to advance your career in healthcare revenue cycle management and contribute to our innovative and collaborative team, we encourage you to apply by submitting your updated resume, cover letter, CPC certification, and relevant credentials for consideration.,

Posted 1 week ago

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JDE Manufacturing-Lead consultant Birlasoft

5.0 - 9.0 years

0 Lacs

maharashtra

On-site

You will be responsible for working independently with the business to gather their requirements by conducting meetings and interviews, as well as facilitating large group and cross-functional sessions with stakeholders. You will be expected to write functional and data requirements specifications and develop business process and data models that accurately define the business needs. As part of your role, you will lead the integration testing effort, which includes developing test plans, test cases, scenarios, and documenting the results. Additionally, you will collaborate with the development and testing teams for unit and functional testing. Your responsibilities will also include working closely with the business to conduct User Acceptance Testing, identifying the root cause of issues, and fixing them at their core. You will need to have knowledge of data migration, documentation, setups related to the Manufacturing Module, and develop functional specs and testing for CRP, SIT, UAT, and post go-live support. Menu creation, security, and EDI knowledge are also essential aspects of this role. It is essential that you have the ability to relate the product functionality to business processes effectively and offer implementation advice to customers on how to meet their various business scenarios. This position requires a strong understanding of JDE Manufacturing and the skills to work on Menu creation, security, and EDI knowledge. Additionally, having knowledge of the JIRA process would be an added advantage. You will be based in Pune and should have an educational background in BE/Btech. If you are looking to join a global leader in Cloud, AI, and Digital technologies and have a consultative and design-thinking approach, this role at Birlasoft could be the perfect fit for you.,

Posted 2 weeks ago

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