594 Hcpcs Jobs - Page 11

Company Description MedCoded is a healthcare organization focused on advancing health information management and medical coding services. The company's mission is to ensure that healthcare providers, hospitals, and other healthcare organizations have access to high-quality, accurate coding and health information management (HIM) services to enhance patient care, optimize reimbursement, and maintain compliance with industry regulations. With its blend of skilled personnel, robust compliance practices, and commitment to accuracy, MedCoded aims to be a leading player in the field of health information management, contributing to better patient care and improved healthcare operations across the ...

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employ...

Female Report typist OR Female Radio Technician can apply Manipal Hospitals, Kharadi, Pune, is seeking a detail-oriented and efficient Sonography Report Typist to accurately transcribe and process sonography examination reports. The ideal candidate will possess excellent typing skills, a strong understanding of medical terminology, and the ability to maintain patient confidentiality. This role is crucial in ensuring timely and accurate documentation for effective patient care. Roles and Responsibilities The Sonography Report Typist at Manipal Hospitals, Kharadi, Pune, will be responsible for the following: Transcription of Sonography Reports: Accurately and efficiently transcribe sonography ...

"Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processi...

Summary : A leading company is hiring experienced Medical Billers (US healthcare) for Noida location. Local candidates from Delhi-NCR only need to apply. Job Description : Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes. Ability to analyse and organize work for maximum efficiency. Excellent hands-on experience on all the items below: Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Working knowledge of CPT, ICD codes, Modifiers etc. Rejection & denials management. Checking status of claims on payer portals. Payments posting: Manual & electronic (EOB/ERA). Pr...

Kamineni academy of medical sciences is looking for Assistant Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teach a range of courses in the department, at both the undergraduate and graduate levels Conduct original research in the field and publish findings in academic journals and at conferences Advise students and mentor junior faculty members Participate in department and university-wide committees, such as curriculum committees and search committees Pursue external funding opportunities to support research and teaching activities Engage in professional development activities to stay current in the field and enhance teaching skills

Kamineni academy of medical sciences is looking for Associate Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teaching and Instruction: Associate Professors are responsible for teaching undergraduate and/or graduate-level courses in their area of expertise They develop syllabi, prepare course materials, deliver lectures, facilitate discussions, and assess student performance They may also supervise student research projects, theses, and dissertations Research and Scholarship: Associate Professors engage in research activities, pursue scholarly publications, and contribute to the advancement of knowledge in their field They conduct research projects, secu...

Denial Multispecialty quality auditor: Life science graduate is mandatory Auditor should have 4+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc. Able to analyze the denial trend and come up with solutions. Need to provide education to the team and support the team wherever is required Need to work independently. Should have good verbal and written communication Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MEU, medical necessity. Roles and Responsibilities: - Responsible for accurately addressing multi-specialty denials which includes, EM OP, Surgery, Modifiers, Dx related an...

We are seeking a skilled and experienced Medical Coder to join our team at Ikya global as a Medical Coding Trainer, you will be responsible for accurately assigning medical codes to diagnoses and procedures using industry-standard coding systems. Required Candidate profile Proficiency in industry-standard coding systems, including CPT, ICD, and HCPCS. Certification as a Certified Professional Coder (CPC) is highly desirable.

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, ...

AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure outp...

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

About Client Hiring for one of the most prestigious multinational corporations Job Title : Certified Multi Specialty Denial Coders Qualification : Any Graduate and Above Relevant Experience : 1 to 3 Years Must Have Skills : 1. Certification in medical coding (CPC, CCS, or equivalent). 2. Hands-on experience with denial analysis across multiple specialties like cardiology, orthopedics, neurology, etc. 3. Strong knowledge of modifiers, coding edits, and payer-specific requirements. 4. Good communication skills and detail-oriented approach. Good Have Skills : Certification in medical coding (CPC, CCS, or equivalent). Roles and Responsibilities : 1. Review and analyze denied claims across multip...

Desired Candidate profile Excellent communication, problem-solving and organizational skills Mandatory: Minimum 3+ years of experience in US Healthcare Medical Billing Must have 1 year experience in Team Handling Strong understanding of CPT, ICD 10, HCPCS, payer denials and AR workflow Proficiency in practice management systems. Preferred experience in Trizetto, Waystar, Jopari NextGen. Immediate joiners will be preferred Flexible with shift timings Benefits

We are looking for a skilled Senior Coder with 2-4 years of experience to join our team in Chennai. The ideal candidate will have a strong background in coding and analytics, with excellent problem-solving skills. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and validate coding quality for accuracy and compliance. Develop and implement coding standards and guidelines. Collaborate with healthcare professionals to clarify coding discrepancies. Conduct audits to ensure coding compliance with regulations. Provide training and support to junior coders on coding best practices. Job Strong knowledge of coding principles and regulati...

Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424

Training Design and deliver training programs on ICD-10-CM , CPT , and HCPCS coding systems Create instructional materials like handbooks, presentations, and online modules Track performance metrics and maintain detailed training records

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. The ideal candidate for this position should hold a Certifie...

Deliver ED CPT/ICD10CM/HCPCS/NCCI coding training, update SOPs, coach coders, track audit metrics, and support documentation improvement. Required Candidate profile 7–10 yrs in ED coding, 4+ yrs training experience. AAPC/AHIMA-certified (CPC/CCS), strong knowledge of CMS/AMA/AHA/ACEP guidelines, excellent presentation skills.

Develop and deliver training on coding, create SOPs, track assessments, provide feedback, and update content per regulatory/payer guidelines to enhance coding quality. Required Candidate profile 6+ years experience in medical coding training; strong CPT/ICD-10-CM knowledge; expertise in training delivery and curriculum design; excellent communication.

As a Medical Billing Specialist, your primary responsibility will be to efficiently manage the end-to-end Account Receivable (AR) processes in medical billing. You will be required to follow up on claim approvals, denials, and appeals diligently to ensure timely reimbursements. Generating and analyzing AR reports will be crucial for tracking collection performance. In addition, you will need to communicate effectively with insurance companies and patients to address billing inquiries in a prompt manner. It is essential to reconcile accounts, process refunds, and resolve any billing discrepancies that may arise. Your expertise in CPT, ICD-10, and HCPCS coding is vital for this role. To excel ...

Develop tailored training on ICD-10, CPT, and MedDRA for clinical research. Include updated e-modules, case studies, and coding exercises. Ensure compliance with ICH-GCP, FDA, EMA, and HIPAA standards, focusing on data privacy and coding accuracy.

As a Senior Associate in Revenue Cycle Management, you will be responsible for ensuring the efficient and effective functioning of the revenue cycle processes within a healthcare organization You will oversee various aspects of revenue cycle operations, including patient registration, charge capture, coding, billing, claims processing, denial management, and accounts receivable follow-up Your primary goal will be to optimize revenue generation, maximize collections, and minimize denials to ensure the financial health of the organization Responsibilities Revenue Cycle Oversight: Manage and supervise the revenue cycle operations, ensuring compliance with regulatory requirements and industry be...

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthc...