44 Hcpcs Codes Jobs

Claim Executive is responsible for preparing, submitting, and tracking healthcare claims to insurance companies, ensuring accurate and timely reimbursement. This role involves validating claim data, resolving rejections, coordinating with payers, and supporting the end-to-end claims management process in compliance with payer and HIPAA guidelines. Key Responsibilities: Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Track claim status and follow up on pending or denied claims. Handle claim rejections, corrections, and resubmissions promptly. Coordinat...

About PracticeSuite PracticeSuite is a leading cloud-based Healthcare SaaS provider offering an end-to-end platform for medical practices including Practice Management, Medical Billing, and Electronic Health Records (EHR) systems. Our solutions support thousands of providers across the United States, helping them streamline clinical, administrative, and financial operations. Position Overview We are seeking a Customer Support Analyst with hands-on experience in US Healthcare operations to join our dynamic support team. This role is responsible for assisting healthcare clients with software usage, troubleshooting issues, and ensuring high levels of customer satisfaction. The ideal candidate w...

You are invited to join our team as a Medical Biller at Chandigarh IT Park. As a Medical Biller, you will play a crucial role in the revenue cycle management (RCM) of the organization by handling medical claims, insurance verification, and billing issue resolution. Key Responsibilities: - Process medical claims accurately and ensure timely submission to insurance companies. - Verify patient insurance coverage and eligibility before claim submission. - Manage denials, appeals, and follow-ups with insurance providers to resolve billing discrepancies. - Collaborate with healthcare providers and insurance companies to address billing issues efficiently. Qualifications Required: - Minimum of 2 ye...

As an experienced and certified Medical Coding Trainer specializing in Denial Management, your role will involve facilitating training programs focused on Denial Management. Your expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, along with a deep understanding of the Revenue Cycle Management (RCM) cycle, will be instrumental in delivering effective training sessions. It is essential that you are AHIMA/AAPC certified and possess strong analytical skills to accurately interpret medical records and provide appropriate denial actions based on your analysis. Moreover, your ability to communicate effectively and handle diverse groups of coders will be crucial for this ...

As a Denial Analyst, you will be responsible for analyzing, researching, and resolving denied claims in the field of medical billing. Your role will involve interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. Collaboration with the billing department, insurance companies, and healthcare providers will be essential to ensure that claims are processed and paid correctly. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Qualifications Required: - Education: Any graduat...

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 coding guidelines, pay...

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.

Role Overview: As an RCM Specialist / Medical Biller with ModMed experience, your role will involve managing the complete Revenue Cycle Management (RCM) process using ModMed software. You will be responsible for ensuring accurate charge entry, claim creation, submission, and follow-up on unpaid or denied claims. Daily tasks will include denial analysis, AR follow-ups, and maintaining compliance with HIPAA and company data privacy standards. Collaboration with providers, coders, and front-office teams to resolve billing discrepancies will be crucial. Additionally, you will generate and analyze RCM reports directly from ModMed dashboards and provide feedback to enhance RCM efficiency. Key Resp...

Company Description Gentell is a leading global provider of innovative, efficient, and affordable wound care solutions tailored to meet the individualized needs of patients in nursing homes, hospices, and hospitals. With clinical specialists across the United States and Canada, we offer expert recommendations and education to support proper use of wound care products. As one of North America's largest manufacturers of wound care supplies, Gentell operates production facilities in the United States, Canada, and China. Our comprehensive product line includes advanced and traditional wound care dressings and skin protection products, ensuring optimal patient care and outcomes. Role and Responsi...

As the Supervisor, Coding, you will be responsible for overseeing the activities and operations of the Coding department and staff. Your main duties and responsibilities will include: - Organizing, directing, and monitoring daily activities of Coding Associates with a focus on coding edits and denials - Distributing workload efficiently among the team - Monitoring and analyzing productivity of coding department employees, conducting employee evaluations - Fielding questions from Coding Associates, Auditors, and clients - Establishing procedures, coordinating schedules, and expediting workflow - Preparing reports and correspondence as necessary - Compiling status and work-volume reports for m...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Job Title: Healthcare Consultant Domain: Global Healthcare - Experience Required: 3-5 Experience 3-5 years of experience in healthcare consulting, business strategy, or healthcare transformation roles. Working knowledge and certified on payer and provider applications including EPIC, Cerner, e Clinical Works, FACETS, QNXT, Health Edge, Health Rules and All Scripts. Experience in atleast 2 or more areas of HS&W, that includes Health Insurance, Pharma, PBM, Hospital...

Role Overview: You will be responsible for initiating and following up on prior authorization requests with insurance companies for various healthcare services. You will coordinate with providers and clinical staff to gather necessary clinical documentation for authorization requests. It will be your duty to track the status of pending authorizations, ensure timely follow-up, and document all activities accurately in the client's system. Key Responsibilities: - Initiate and follow up on prior authorization requests with insurance companies. - Coordinate with providers and clinical staff to obtain necessary clinical documentation. - Track the status of pending authorizations and ensure timely...

About PracticeSuite PracticeSuite is a leading cloud-based Healthcare SaaS provider offering an end-to-end platform for medical practices including Practice Management, Medical Billing, and Electronic Health Records (EHR) systems. Our solutions support thousands of providers across the United States, helping them streamline clinical, administrative, and financial operations. Position Overview We are seeking a Customer Support Analyst with hands-on experience in US Healthcare operations to join our dynamic support team. This role is responsible for assisting healthcare clients with software usage, troubleshooting issues, and ensuring high levels of customer satisfaction. The ideal candidate w...

The role requires: . Retrieval and review of documentation in medical records from various client EMR systems. . Verify the completeness of the documentation and coding in accordance with the coding compliance guidelines. .Verify the assigned diagnoses, procedural codes, modifiers and HCPCS codes adhering to the general, payer and client specifications (in all forms of audits (prospective, retrospective, focused). . Identify errors related to compliance and coding

Job Description You will be joining a dynamic team of coding experts at LexiCode and your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Accurately assign medical codes to 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 standa...

As a Supervisor, Coding, you will be responsible for supervising the activities and operations of the Coding department and staff. Your key responsibilities will include: - Organizing, directing, and monitoring daily activities of Coding Associates related to coding edits and denials - Distributing workload to the team - Monitoring and analyzing productivity of coding department employees, completing employee evaluations - Fielding questions from Coding Associates, Auditors, and clients - Establishing procedures, preparing and coordinating schedules, and expediting workflow - Preparing reports and correspondence as needed - Compiling status and work-volume reports for management - Interviewi...

Role Overview: You will be responsible for accurately processing patient billing, submitting insurance claims, and ensuring timely reimbursements as a Medical Biller in our healthcare team. Your attention to detail and efficiency will be essential in this role. Key Responsibilities: - Prepare and submit accurate medical claims to insurance companies. - Verify patient insurance coverage, eligibility, and benefits. - Maintain patient billing records and update account information. - Communicate with patients regarding billing inquiries and outstanding balances. - Collaborate with medical coders and other staff to resolve billing discrepancies. - Stay updated on insurance regulations, coding re...

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.

As a Senior Training Specialist in Medical Coding at our company in Chennai, you will be responsible for providing training in Coding Denial Management, ensuring compliance with industry standards, and supporting clients through the transition process. Your expertise in ICD-10-CM, CPT conventions, and HCPCS codes will be crucial in accurately coding medical records and providing appropriate denial actions. Your role will involve mentoring a diverse group of coders, facilitating continuous education for clients, and participating in compliance audits. Key Responsibilities: - Follow the training agenda and conduct training sessions for Coding Denial Management - Accurately assign codes using I...

As a Healthcare AR Specialist at our leading US healthcare revenue cycle team, your role will involve managing accounts receivable, resolving denied claims, and driving 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. - Analyze AR aging to prioritize collections and reduce outstanding receivables. - Collaborate across coding, billing, and revenue cycle teams to streamline workflows. - Generate reports and KPIs to monitor performance and identify denial trends....

As a Certified Medical Coder (E/M Specialist) at BeeperMD, a leading healthcare service provider in Chandigarh IT Park, your role will involve accurately assigning ICD-10-CM, CPT, and HCPCS codes for patient care in compliance with established guidelines. You will review and analyze medical records to determine appropriate coding for diagnoses and procedures, collaborating with healthcare providers to clarify documentation and ensure accuracy. It is essential to stay updated with current coding regulations and industry best practices. Key Responsibilities: - Accurately assign ICD-10-CM, CPT, and HCPCS codes for patient care, ensuring compliance with established guidelines. - Review and analy...

As a DME Medical Billing Specialist, you will be responsible for processing and submitting DME claims to insurance companies, ensuring compliance with billing policies, and resolving unpaid or denied claims. Your key responsibilities include: - Prepare and submit clean claims to Medicare, Medicaid, and commercial insurers for DME services. - Verify patient insurance coverage and obtain necessary authorizations or referrals. - Follow up on unpaid claims, rejections, and denials promptly. - Communicate with patients, insurance companies, and healthcare providers to resolve billing issues. - Ensure HIPAA compliance and maintain patient confidentiality in all interactions. To qualify for this ro...

As a Senior Training Specialist in Medical Coding at our company in Chennai, your role involves facilitating training for Coding Denial Management, ensuring compliance with industry changes, and providing SME support for transitioning clients. You will lead and mentor a diverse group of coders to excel in our coding practices. Key Responsibilities: - Follow the training agenda and conduct training for Coding Denial Management - Accurately code medical records using ICD-10-CM, CPT conventions & HCPCS codes - Interpret medical records of patients in various specialties and suggest appropriate denial actions - Train and mentor coders to enhance their capability in denial management - Participat...

You should have at least 3 years of hands-on experience in Interventional Radiology coding and be proficient in reviewing and interpreting complex interventional radiology reports to accurately assign codes for procedures and diagnoses. As an Interventional Radiology Medical Coder, your responsibilities will include applying appropriate CPT, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures. It is essential to stay updated with IR coding guidelines, CPT changes, and compliance regulations. You will also be required to support internal and external audits by providing detailed coding rationale and documentation. - Review and interpret complex interventional radiology repo...

We are seeking an experienced and certified Medical Coding Trainer to facilitate training programs focused on Denial Management. The ideal candidate will possess strong analytical skills, expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, and a deep understanding of the Revenue Cycle Management (RCM) cycle. The candidate must be AHIMA/AAPC certified and demonstrate the ability to communicate effectively and handle diverse groups of coders. KEY RESPONSIBILITIES Follow the training agenda and facilitate the training sessions for Coding - Denial Management Utilize proficient analytic skills to accurately code medical records using ICD-10-CM, CPT conventions, and HCPC...