1059 Hcpcs Jobs - Page 5

As an EM Coder at CorroHealth, your primary responsibility will be to review and accurately code medical records for outpatients, ensuring proper reimbursement during the billing process. Your tasks will include analyzing healthcare documentation, coding diagnoses and procedures, maintaining compliance with regulatory requirements, and collaborating with healthcare providers to clarify information. Staying updated with coding guidelines and industry changes will also be a part of your role. Key Responsibilities: - Reviewing and coding medical records for outpatients - Ensuring accurate application of codes during billing for proper reimbursement - Analyzing healthcare documentation and codin...

Role Overview: As an Inpatient Billing Specialist, your primary responsibility will be to verify patient insurance coverage, generate and submit claims, manage claim denials and appeals, and ensure regulatory compliance. You will work closely with clinical and administrative teams to coordinate documentation accuracy and timely billing. Additionally, you will be required to track outstanding claims, resolve patient billing inquiries, and maintain accurate billing records and reports. Key Responsibilities: - Verify patient insurance coverage including benefits, eligibility, and coverage details with insurance providers. - Obtain pre-authorizations and pre-certifications for inpatient services...

Position: Process Associate/Sr. Process Associate (Insurance Eligibility and Benefit Verification) Location: Satellite, Ahmedabad Shift : Day Shift Experience: 1 years to 4 years Working Days: 5.5 days Working Role overview: The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. This role ensures that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. This position plays a critical role in the revenue cycle management for healthcare providers. Respon...

SUMMARY About Client Client is a leading healthcare services organization that partners with healthcare providers to improve clinical, financial, and operational outcomes. With a focus on technology-enabled solutions and process excellence, delivers services such as medical coding, revenue cycle management, clinical documentation, and patient engagement. The company operates globally, with a strong presence in India and the United States, supporting some of the largest healthcare groups and physician organizations. Job Title: Medical Coder Reporting To: Team Manager Designations Reporting to this Role: None Department: Medical Coding Location: Mumbai Profile Description The role involves the...

SUMMARY About Client Client is a leading healthcare services organization that partners with healthcare providers to improve clinical, financial, and operational outcomes. With a focus on technology-enabled solutions and process excellence, delivers services such as medical coding, revenue cycle management, clinical documentation, and patient engagement. The company operates globally, with a strong presence in India and the United States, supporting some of the largest healthcare groups and physician organizations. Job Title: Medical Coder Reporting To: Team Manager Designations Reporting to this Role: None Department: Medical Coding Location:Coimbatore Profile Description The role involves ...

Job Family : Coding OP (India) Travel Required : None Clearance Required : None Job Posting What will you do: Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support ED, E/M (Evaluation and Management) codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM , CPT , and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What you will need: Minimum requireme...

Minimum of 6 months of experience in Medical Coding. (CPC Certification for well qualified and any other Medical coding certification will be an added advantage) Fresher Eligibility Good communication skills and excellent reasoning skills. Graduate / Pursuing Degree Technical Skills Good typing skills, knowledge is MS Word and MS Excel

Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support ED Facility codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM , CPT , and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What you will need: Minimum requirement of 1+ years experience in a relevant coding specialty, with specific experience in ED Facility Coidng. Mandatory certifications lik...

Greetings from Savista!!! We are Hiring Certified Surgery Coders Roles and Responsibilities: Accurately code SDS and Special Procedures through review of medical record documentation and encounter forms for Outpatient facility Utilize Meditech and 3M systems for SDS/OBS/Special Procedure coding. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/ NCCI policies Should have working experience in all Surgery procedures (10000-69990 CPT series) Should have good knowledge in Cardiac catheterization with 9xxxx series codes Working experience with HCPCS includes all the DME, supplies and supp...

Position Summary: The Accounts Receivable (AR) Specialist is responsible for managing the full cycle of the medical claims follow-up and collections process. This role requires a detail-oriented and analytical professional who ensures timely reimbursement by effectively resolving unpaid or denied claims. The ideal candidate will have at least 4 years of hands-on experience in medical AR, strong knowledge of payer requirements, and proficiency in identifying and resolving claim issues to optimize revenue recovery. Essential Functions: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Responsible for all aspects of AR follow-up and ...

Role Overview: You will be working as an Outpatient Clinical Documentation Improvement (CDI) Specialist in Hyderabad, India. Your main responsibility will be to ensure the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. You will collaborate with healthcare providers, coding staff, and compliance teams to enhance patient care quality, data integrity, and revenue cycle efficiency. Key Responsibilities: - Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient's clinical condition, treatment, and services provided. - Collaborate with physicians and other healthcare provider...

As a Part-Time Medical Coder & Biller, your role involves accurately assigning CPT, ICD-10, and HCPCS codes and managing medical billing tasks. Your primary responsibilities will include: - Assigning appropriate CPT, ICD-10, and HCPCS codes to medical procedures and diagnoses - Ensuring compliance with coding guidelines and regulations - Maintaining accuracy in documentation for billing purposes - Supporting the revenue cycle process by optimizing coding and billing efficiency In terms of qualifications, the ideal candidate should possess: - Certification in medical coding - Proficiency in CPT, ICD-10, and HCPCS coding systems - Strong attention to detail and accuracy in coding and billing p...

- Review and analyze patient medical records. - Assign and sequence correct ICD-10-CM, CPT, and HCPCS codes for diagnoses and procedures. - Ensure coding accuracy for maximum reimbursement and compliance. - Up-to-date knowledge of coding guidelines. Required Candidate profile -Work closely with physicians and clinical staff to clarify documentation and resolve coding discrepancies -Audit and verify coded data before billing submission -Participate in continuing education

Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a se...

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). 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 identify instances of...

Job Family : Coding OP (India) Travel Required : None Clearance Required : None What will you do: Analyzing patient information and accurately converting it into medical codes. Ensuring coding accuracy to avoid billing denials. Validating documentation to support Ancillary codes based on medical decision-making or time. Maintaining current coding knowledge and credentials is also part of the role Extensive knowledge of ICD-10-CM , CPT , and HCPCS Level II coding principles and guidelines. Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing. What you will need: Minimum requirement of 1+ years experience in a relevan...

Review and analyses and edit ED medical records for completeness and accuracy. Assign ICD 10CM, CPT and HCPCS codes for diagnosis, procedures, and services provided in the ED Abstract clinical data for reporting, billing and quality improvement purposes and querying providers when necessary. Meet productivity and accuracy standards set by the department Stay updated on coding guidelines, Payer policies and regulatory changes Assist in reducing claim denials by ensuring correct and complete coding What you will need: Should be a Graduate, Life Science graduate preferred Should have good knowledge of medical terminology, ICD 10CM, CPT and HCPCS coding Good analytical skills and communication A...

Manager- Multispecialty: ;Responsibilities:Lead and manage a team of medical coding specialist ensuring accurate and timely auditing of procedures across various specialties in accordance with industry standards, guidelines and regulatory requirements.Provide guidance, training, and mentorship to the coding team, fostering a collaborative and high-performing work environment. ;Oversee the coding workflow, prioritize work assignments, and ensure productivity and quality targets are met or exceeded.Stay updated with changes in coding guidelines, payer policies, and industry trends related to surgery coding and payment integrity process and effectively communicate these changes to the team.Cond...

Manager- Surgery Coding: ;Responsibilities:Lead and manage a team of medical coding specialist ensuring accurate and timely auditing of surgical procedures across various specialties in accordance with industry standards, guidelines and regulatory requirements.Provide guidance, training, and mentorship to the coding team, fostering a collaborative and high-performing work environment. ;Oversee the coding workflow, prioritize work assignments, and ensure productivity and quality targets are met or exceeded.Stay updated with changes in coding guidelines, payer policies, and industry trends related to surgery coding and payment integrity process and effectively communicate these changes to the ...

OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. ESSENTIAL CRITERIA: Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification. Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years experience as certified/credentialed coder co...

JOB DESCRIPTION ;The Clinical Auditor performs reviews, analyzes, and codes documentation from medical records that determines payments.This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness and accuracy of provider documentation and ICD-10-CM, CPT and HCPCS coding.The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.ESSENTIAL CRITERIA: ;Bachelor s degree (or equivalent) in Nursing.NCLEX certification Active(USRN)Able to apply analytical and critical thinki...

Overview: Surgery Coder - Sr. ExecutiveThe SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness and accuracy of provider documentation and CPT and HCPCS coding. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.Perform analysis of data and understand the reasons for denial reasons, use appropriate codes to be used in docume...

JOB DESCRIPTION Assistant Manager coding training is responsible for establishing and managing training and development strategies for coding audit programs Develops and implements strategic need analyses and training plans for the programs coordinates and evaluates curriculum development and conducts the preparation and delivery of training ESSENTIAL CRITERIA: > 7 years of experience in coding Auditing, provider coding >2 years of experience in training role CPC/CCS/COC certification mandatory Excellent knowledge of multispecialty surgery coding including procedural coding, HCPCS coding Excellent verbal and written communication Experience in Strategic management Experience performing new h...

JOB DESCRIPTIONAssistant Manager coding training is responsible for establishing and managing training and development strategies for coding audit programs Develops and implements strategic need analyses and training plans for the programs coordinates and evaluates curriculum development and conducts the preparation and delivery of training ESSENTIAL CRITERIA:> 7 years of experience in coding Auditing, provider coding>2 years of experience in training role CPC/CCS/COC certification mandatory Excellent knowledge of multispecialty surgery coding including procedural coding, HCPCS codingExcellent verbal and written communication Experience in Strategic managementExperience performing new hire t...

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. athenahealth is a progressive & innovative U.S. health-tech leader , delivering cloud-based solutions that improve clinical and financial performance across the care continuum. Our modern, open ecosystem connects care teams and delivers actionable insights that drive better outcomes. Acquired by Bain Capital in a $17B deal , we're growing fast and investing in bold, strategic product innovations. We foster a values-driven culture focused on flexibility, collaboration, and work-life balance . Headquartered in Boston , we have offices in Atlanta , Austin , Belfast , Bur...