594 Hcpcs Jobs - Page 12

The Trainer EM/OP Medical Coding at Chirok Health is a full-time on-site role located in Noida. As a Trainer, you will be responsible for conducting training sessions on medical coding standards, medical terminology, and medical assisting. Your role will involve developing training curricula, evaluating trainee performance, and ensuring adherence to coding accuracy and compliance guidelines. It is essential to hold a Certified Professional Coder (CPC) credential or similar coding certification. To excel in this role, you must have proven experience as a medical coder in a healthcare setting and worked as a trainer for a minimum of 2-3 years. A strong knowledge of coding systems, including IC...

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: E...

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 processin...

Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits rec...

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 ...

The primary responsibility of this role is to manage various aspects of Accounts Receivable (AR) processes in medical billing. This includes following up on claim approvals, denials, and appeals to ensure timely reimbursements. You will also be responsible for generating and analyzing AR reports to track collection performance. Additionally, the role involves communicating with insurance companies and patients to address billing inquiries, reconciling accounts, processing refunds, and resolving billing discrepancies. A key requirement for this role is a strong understanding of CPT, ICD-10, HCPCS codes. The ideal candidate should possess 1-3 years of experience in medical billing and AR manag...

ESSENTIAL DUTIES AND RESPONSIBILITIES Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims ...

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main s...

We are looking for a highly skilled and experienced Medical Data Abstractor to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Chennai I. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Accurately and efficiently abstract medical data from various sources. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information. Collaborate with team members to achieve project goals and objectives. Develop and implement effective data abstraction processes to improve quality and productivity. Identify and resolve data discrepancies or errors promptly. Participate in ongoing training and professional d...

MEDICAL CODER / MEDICAL BILLER Job Description We are looking for a detail-oriented and proactive Eligibility Executive to manage insurance verification and benefits validation for patients in the revenue cycle process. The ideal candidate will have experience working with U.S. healthcare insurance systems, payer portals, and EHR platforms to ensure accurate eligibility checks and timely updates for claims processing. Key Responsibilities Verify patient insurance coverage and benefits through payer portals, IVR, or direct calls to insurance companies. Update and confirm insurance details in the practice management system or EHR platforms accurately and in a timely manner. Identify policy lim...

Role : Coding Manager CTC : 7-11LPA Exp : min 5+ years in TL or manager Responsibilities: * Collaborate with healthcare providers on coding compliance * Manage medical coding team performance and training * Oversee ICD-10, E/M, CPT, CPC, HCPCS codes Office cab/shuttle Provident fund Health insurance

You will be joining CliniLaunch, an IAO, LSSSDC, and NSDC accredited institution specializing in healthcare upskilling and placement assistance. With headquarters in Bangalore and branch offices in Koramangala (Bangalore), Panjagutta (Hyderabad), and Guindy (Chennai), CliniLaunch offers industry-recognized training programs and career support to healthcare professionals. As a Medical Coding Specialist, your role will involve reviewing patient medical records, extracting relevant information, and assigning accurate medical codes (ICD-10, CPT, HCPCS) for diagnoses, procedures, and services. You will ensure compliance with coding guidelines, collaborate with healthcare professionals, and suppor...

Operations Team Lead Medical Coding | Cotiviti, Mohali Eligibility Criteria: Qualification : BHMS, BAMS, BUMS, MBBS, BPT, MPT with CPC/CIC/CCS certification (If not certified should be ready to complete within given timeline) Excellent communication. Should be TL on Papers for atleast 2 Years with Medical coding experience(Preferred IPDRG OR Multi specialty) Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, ICD-10-PCS etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general k...

Experience: Minimum 1 Year Shift: Day Shift Job Summary: We are looking for a skilled and detail-oriented E/M Medical Coder to join our medical coding team. The ideal candidate will have a solid understanding of Evaluation and Management (E/M) coding guidelines, with experience in assigning accurate CPT, ICD-10, and HCPCS codes for various clinical encounters across multiple specialties. Key Responsibilities: Review clinical documentation and assign appropriate E/M CPT codes based on 2021+ AMA guidelines. Accurately assign ICD-10-CM diagnosis codes and any applicable HCPCS codes. Ensure coding compliance with CMS, payer-specific, and internal standards. Collaborate with providers and documen...

Experience: Minimum 1 Year Shift: Day Shift Job Summary: We are seeking an experienced Medical Coder specializing in denials management for Radiology and Pathology to join our RCM team. The ideal candidate will be responsible for analyzing denied claims, identifying root causes, and accurately re-coding or appealing based on payer guidelines. Key Responsibilities: Review and analyze denied claims specifically in Radiology and Pathology specialties. Identify coding-related denial reasons and rework claims accordingly. Apply accurate CPT, ICD-10, and HCPCS codes based on medical documentation. Prepare and submit coding appeals with appropriate justifications and references. Collaborate with AR...

Experience: Minimum 1 Year Shift: Day Shift Job Summary: We are looking for an experienced Medical Coder with expertise in Evaluation and Management (E/M) coding to handle multispecialty denial resolutions. The ideal candidate will be responsible for reviewing denied E/M claims, identifying root causes, and ensuring accurate recoding or appeal submission in accordance with payer policies. Key Responsibilities: Review and rework denied claims related to E/M services across various specialties. Analyze medical records and documentation to assign accurate CPT, ICD-10, and HCPCS codes. Identify reasons for denials such as level-of-service issues, lack of documentation, or bundling edits. Draft a...

Minimum 2 years of Medical Coding Experience. Proficient knowledge of medical terminology with excellent Coding skills. Strong Knowledge on coding appropriate ICD s, CPT s and HCPC Codes. Knowledge of picking right Modifiers while coding the encounter related to Ancillary. Familiar with coding right diagnosis related to Ancillary coding. Maintaining a quality threshold of 97% and meeting the client s expectations. Maintaining 100% production from day 1 (per ramp) Familiar with reading the operative report and arriving at appropriate CPT(s) and Diagnosis(es) Key Responsibilities: Utilize ICD-10, CPT, and HCPCS coding systems to ensure accurate coding and billing practices. Collaborate with he...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main s...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main s...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main s...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main s...

Extracting relevant information from patient records. Examining documents for missing information. Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes. Ensuring documents are grammatically correct and free from typing errors. Performing chart audits. Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues. Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology a...

Extracting relevant information from patient records Examining documents for missing information Assigning CPT, HCPCS, ICD to9/ICD10CM, APC, DRG and ASA codes Ensuring documents are grammatically correct and free from typing errors Performing chart audits Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification: Life Science graduation or any equivalent graduation with Anatomy/Physiology as main...