1085 Hcpcs Jobs - Page 38

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to provider...

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orientin...

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to provider...

Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020 -2024 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to...

We are seeking a detail-oriented and certified Medical Coder to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Industry: Medical Coding and Billing Services Healthcare Location: Campus-10, 4th Floor Unit 401, RMZ One Paramount, Ponnamalle High Road, Porur, Chennai, Tamil N du, India 600116 Work Hours: 9am 6pm, day / 9pm 6am, Night Employment Type : Full Time Salary : Based on Experience Responsibilities: Review clinical documentation and a...

to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Medical Coding and Billing Services Healthcare 7th Floor, Infra Futura, Seaport Airport Rd, Thrikkakara, Kakkanad, Kochi, Kerala, India 682030 9am 6pm, day / 9pm 6am, Night Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Coll...

As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions. Responsibilities: Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission. Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, p...

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months t...

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets...

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months t...

Skills Skill Training Performance Management Employee Engagement Human Resources Talent Management Talent Acquisition Vendor Management Team Building Employee Relations Employee Training Business Development Education Qualification No data available CERTIFICATION No data available Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes ment...

Dear Aspirants, We are hiring for experienced IP DRG professionals to join our team at our Mohali location . Eligibility Criteria: Any graduate Mandatory certification in CIC / CCS Medical Coding Minimum 1 year of experience in IP DRG (Mandatory) Strong Communication Skills In-depth knowledge if In-Patient process Flexible to work in rotational shifts, including night shifts Looking for long term commitment If you meet the above requirement and are interested in this opportunity, please share your updated resume with us at: avinash.jeniga@cotiviti.com We look forward to hearing from you! Best regards, Cotiviti Talent Acquisition Team

AR Follow up with Eligibility Verification JD About Company Valerion Health exists to bridge the consultative gap between broken RCM and consistent revenue generation. Our new and innovative approach paired with decades of industry experience is helping organizations navigate RCM and implement a value-based revenue cycle journey. Night Shift - 6pm to 3am 5 Days Working (Mon-Fri) Candidate should have own Laptop & Wifi Setup Job Summary Minimum 3-5 Years of experience in Pre Authorization and Eligibility Verification (Voice process). Should have worked in Verification of Eligibility and Benefits and also involved in Patient Authorization calling. Should have excellent communication Skill. Req...

Job Title : IP & OP Coder Qualification : Any Graduate Experience : 1-5 Years Must Have Skills : Strong knowledge of medical terminology, anatomy, and physiology. Proficient in electronic health records (EHR) and coding software . Knowledge of compliance regulations including HIPAA, CMS, and NCCI edits. Good to Have Skills : High attention to detail and analytical thinking. Ability to work independently and meet productivity/accuracy benchmarks. Roles and Responsibilities : Inpatient Coding Duties: l Review and analyze patient records for complete and accurate documentation. l Assign ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. l Ensure coding compliance with federal regulati...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Medical Coding 2.Compliance & Accuracy Checks 3.Claim & Reimbursement Verification 4.Process Improvement & Training 5.CPC (Certified Professional Coder) AAPC 6.ICD-10 7.CPT 8.HCPCS codes 9.Surgery coder 10.Inpatient and Outpatient 11.Emgerency department 12.Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsib...

Job Title : IP & OP Coder Qualification : Any Graduate Experience : 1-5 Years Must Have Skills : Strong knowledge of medical terminology, anatomy, and physiology. Proficient in electronic health records (EHR) and coding software . Knowledge of compliance regulations including HIPAA, CMS, and NCCI edits. Good to Have Skills : High attention to detail and analytical thinking. Ability to work independently and meet productivity/accuracy benchmarks. Roles and Responsibilities : Inpatient Coding Duties: l Review and analyze patient records for complete and accurate documentation. l Assign ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. l Ensure coding compliance with federal regulati...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Medical Coding 2.Compliance & Accuracy Checks 3.Claim & Reimbursement Verification 4.Process Improvement & Training 5.CPC (Certified Professional Coder) AAPC 6.ICD-10 7.CPT 8.HCPCS codes 9.Surgery coder 10.Inpatient and Outpatient 11.Emgerency department 12.Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsib...

Designation: Senior Manager Quality Department: Business Excellence – Coding Work Location: Airoli, Navi Mumbai Work from Office Job Description: Atleast 10 years- of experience of having worked in the Medical Coding business. Extremely knowledgeable about, Inpatient coding, Medical Coding guidelines and Coding Techniques (ICD-10, CPT) Also, must have strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology and Pharmacology. Efficient in using MS Office. Must have excellent communication and interpersonal skills Duties & Responsibilities : Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communic...

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 including (provider/DOS/CPT/Mod/ICD) in alignment of the general coding guidelines, client and payer specifications as needed.

Role & responsibilities Job Summary The Accounts Officer RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, te...

At MedCode, we believe precision matters. As a Medical Coder, you ll play a critical role in transforming healthcare diagnoses, procedures, and medical services into universal alphanumeric codes, ensuring proper billing and efficient healthcare management. Position: Medical Coder Experience: Experienced & Certified Professionals Type: Full-time Location: Chennai, Coimbatore, Hyderabad. Certifications Preferred: CPC, CCS, CCA (or any relevant certifications) Responsibilities : Review and analyze medical records for accurate code assignment (ICD-10, CPT, HCPCS). Ensure compliance with all federal, state, and insurance regulations. Work closely with physicians and healthcare teams to clarify di...

Greetings from Shearwater Health !!!! Job Title: Quality and Training Lead (CPC/CCS Certified) Department: Medical Coding Industry: Healthcare Experience Level: 3-5 Years Job Type : On-site Shift : Mid Shift Location: Shearwater Health - 3rd Floor, We works, Olympia cyberspace, Arulayiammanpet, SIDCO Industrial Estate, Guindy, Chennai, Tamil Nadu 600032. CONTACT HR : Deepthi Sai - 9944611634 / dsai@swhealth.com Preferably looking for Immediate joiners !!! ** Interested candidates can share your updated resume and CPC/CCS license (Active license is mandatory) on email to dsai@swhealth.com to proceed further with your application. Subject on Email: Application for QAT Lead Full Name: Phone Num...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting...

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to,...