157 Hipaa Compliance Jobs - Page 3

We're seeking a talented and passionate UI/UX Designer with a deep understanding of the US healthcare and Insurance domain to join our team. This person will play a crucial role in crafting user-centered experiences that empower patients and optimize workflows for chiropractors. This person will be a key collaborator with stakeholders across departments to ensure our digital solutions are intuitive, engaging, and supportive of better chiropractic care. Responsibilities: Conduct user research and analysis to understand User needs, expectations, and pain points within the chiropractic context. Design intuitive and user-friendly interfaces for chiropractic web application, patient portals, and ...

Role Overview: As a highly skilled and experienced Genesys Cloud CX Technical Architect, you will be responsible for designing, implementing, and managing the Genesys Cloud CX environment to meet the evolving needs of the organization. Collaborating with cross-functional teams, you will deliver scalable, secure, and efficient contact center solutions, providing technical leadership and mentorship throughout the process. Key Responsibilities: - Designing, developing, and implementing scalable and secure Genesys Cloud CX solutions - Collaborating with stakeholders to translate business needs into technical specifications - Leading the development team in building and deploying configurations, ...

As the System Support Associate at this company, you will play a crucial role in implementing and modifying EDI file feeds for healthcare data integration. Your expertise in programming languages like C#, Java, Python, and SQL will be utilized to ensure the smooth transfer of sensitive patient data through secure SFTP connections. Your understanding of HIPAA compliance standards and US healthcare industry regulations will be vital in maintaining industry standards while integrating data feeds into the systems. Key Responsibilities: - Implement and modify EDI file feeds for healthcare/benefits data integration. - Develop and maintain solutions using C#, Java, Python, and SQL. - Create, config...

Role Overview: As a Java Developer in this role, you will be leading end-to-end Java-based solution design, development, and integration within a healthcare ecosystem. Your collaboration with product managers, business analysts, and architects will ensure the delivery of high-quality solutions that comply with standards such as HIPAA. Your responsibilities will include guiding and mentoring development teams, enforcing coding standards, ensuring adherence to design principles, and conducting technical reviews to identify risks and propose performance and scalability enhancements. Additionally, you will drive DevOps practices, CI/CD pipelines, and cloud deployment strategies. Key Responsibili...

Role Overview: You will be responsible for monitoring and managing incoming faxes related to medical records, patient referrals, claims, authorizations, and other healthcare documentation. Your role involves accurately sorting, categorizing, and filing faxes electronically within the system. It is crucial to ensure timely and proper routing of documents to the appropriate teams or individuals while maintaining up-to-date and accurate records of processed faxes in compliance with HIPAA and other healthcare standards. Handling inbound calls from healthcare providers, patients, and insurance companies regarding fax-related queries is also a part of your responsibilities. You are expected to pro...

As a Director of Technical Architecture at Core Solutions (CORE), a leading provider of Electronic Health Record (EHR) solutions for the behavioral healthcare industry, you will be instrumental in driving the organization's technical transformation towards a SaaS-first model. Your role will involve establishing and maintaining architectural standards, ensuring code quality, and enhancing platform scalability and security. **Responsibilities:** **Technical Leadership & Architecture:** - Define and enforce technical architecture standards and best practices - Review and approve all code changes to ensure adherence to architectural principles - Lead architectural decision-making for transitioni...

As a Healthcare BPO Executive at our company, your primary responsibility will be to accurately input, validate, and maintain patient demographics, referrals, insurance details, and imaging-related data in various systems. Your attention to detail is crucial in ensuring smooth patient scheduling, compliance, and accurate reporting. Key Responsibilities: - Accurately input and update patient demographics such as name, DOB, address, and contact details in CRM and RIS/PACS systems. - Enter and validate referral information received from physicians through fax, email, or EMR feeds. - Upload and index insurance details, pre-authorization approvals, and clinical documents for easy access. - Update...

Role Overview: As a Senior Generative AI Architect in the Healthcare and Salesforce domains, you will play a critical role in designing and implementing advanced AI systems to address real-world challenges. Your responsibilities will include architecting stateful multi-agent systems, engineering robust LLM pipelines, customizing and optimizing models, and leading technical initiatives within the organization. If you excel in deep technical rigor, domain expertise, and end-to-end deployment of AI solutions, this role is perfect for you. Key Responsibilities: - Architect robust, stateful agentic systems capable of dynamic task decomposition, planning, and real-time tool use - Engineer low late...

Role Overview: You will be responsible for utilizing your expertise in Medical Electronics Design & Consulting to contribute to the introduction of Medical Technology. With over 10 years of experience in the field, you will play a crucial role in the complete Medical electronic devices/equipment/product Design Lifecycle, covering aspects such as Value Discovery, architecting, Design, and Testing. Your exposure will extend to current architectures like Internet of Medical Things (IoMT), Microservices/SoA, AI enabled therapeutics/diagnostics/medical imaging/personalized medicine/prognostics/telemedicine, SaMD, Digital healthcare/surgical platforms, etc. Furthermore, your knowledge of Robotics ...

As an AR Calling - Quality Analyst at Elico Healthcare Services Ltd., your role involves monitoring AR calling activities to ensure adherence to quality standards and identifying areas for improvement. Your daily tasks will include conducting quality audits, preparing audit reports, providing feedback to AR callers, and coordinating with them to enhance performance. Additionally, you will be responsible for trend analysis, training, and ensuring compliance with relevant guidelines and regulations. Key Responsibilities: - Identify performance gaps and provide constructive feedback to AR agents. - Track quality metrics such as accuracy rate, productivity, and FTR (First Time Right). - Conduct ...

Role Overview: You will be responsible for ensuring accuracy, compliance, and continuous improvement in healthcare claim processing in the role of a Quality Specialist, focusing on claims adjudication processes in the US Healthcare domain. Your role will involve identifying trends, errors, and areas for improvement, collaborating with teams to address quality gaps, preparing audit reports, maintaining documentation, supporting process improvement initiatives, and ensuring regulatory standards adherence. Key Responsibilities: - Identify trends, errors, and areas of improvement in claims adjudication processes - Collaborate with operations and training teams to address quality gaps and impleme...

Training Development & Delivery: Develop comprehensive training materials, including manuals, slides, and quizzes, to support medical coding education. Conduct hands-on training for new coders, covering essential coding systems (ICD-10, CPT, HCPCS), coding software, and billing procedures. Provide refresher courses and ongoing education for current coders to ensure they are up-to-date with the latest coding guidelines and regulations. Utilize various teaching methods such as lectures, workshops, webinars, and e-learning modules to accommodate different learning styles. Trainer for Coding Accuracy & Compliance: Ensure all trainees and coders understand and adhere to current coding standards, ...

Job Overview: We are seeking a detail-oriented and experienced Quality Specialist with a strong background in US Healthcare processes, specifically in claims adjudication. This is a non-voice role focused on ensuring accuracy, compliance, and continuous improvement in healthcare claim processing. The ideal candidate will bring analytical rigor, process knowledge, and a passion for quality assurance. Key Responsibilities: Conduct audits of healthcare claims to ensure accuracy and compliance with US healthcare regulations and payer guidelines Identify trends, errors, and areas of improvement in claims adjudication processes Collaborate with operations and training teams to address quality gaps...

As a QA Lead for Healthcare SaaS Products, you will play a crucial role in ensuring the quality and reliability of our platform. Your responsibilities will include: - Leading the QA strategy for one or more product lines, covering manual, automation, API, and performance testing. - Collaborating with product managers and developers to create detailed test plans and test cases based on requirements. - Mentoring and supervising QA team members to drive best practices in testing and bug reporting. - Implementing and maintaining automation frameworks for UI and API testing to expand regression coverage. - Conducting API testing using tools like Postman, Swagger, or Rest Assured to validate backe...

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

Looking for a Certified Medical Coder with expertise in medical billing for anesthesia/ OBGYN/ primary care/ and surgery. Must ensure accurate coding, compliance, and timely claims management. Prior experience in medical billing essential.

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

Seeking a skilled Data Analyst with expertise in eClinicalWorks EBO reporting, data extraction, trend & predictive analysis. Must interpret clinical/operational data to drive insights, optimize reports, and support strategic decisions.

Role Overview: As a Tele-Optometrist at our retail store, you will utilize your expertise to deliver top-notch eye care services to customers through virtual consultations. Conducting comprehensive eye exams remotely using telehealth technology will be a key aspect of your role, ensuring precise prescriptions and evaluations of eye health. Your position will play a crucial role in enhancing access to eye care services within a retail setting, combining clinical knowledge with convenience. Key Responsibilities: - Conduct virtual comprehensive eye exams utilizing tele-optometry platforms and in-store diagnostic equipment, with support from trained technicians. - Diagnose and manage various ocu...

Designation: Assistant Manager RCM Department: Revenue Cycle Management (RCM) Reports To: Jonathan Lasrado Employment Type: Full-Time (9:00PM Shift) Key Responsibilities: Supervise and manage a team of medical billing executives. Monitor billing processes to ensure accuracy, timeliness, and compliance with payer requirements. Review and resolve escalated issues related to claims, denials, and rejections. Ensure adherence to HIPAA and other regulatory standards. Prepare and present performance reports, KPIs, and productivity metrics. Assist in training and mentoring new team members. Support client onboarding and relationship management. Identify process improvement opportunities and implemen...

Role Responsibilities Code surgical procedures accurately from SDS documentation Ensure sequencing and compliance with HIPAA and federal regulations Respond to audit findings and submit chart rebuttals Query providers for incomplete or unclear documentation Key Deliverables Deliver accurate CPT and ICD-10 codes for all general surgery cases Clear all coding edits and ensure coding integrity before submission Stay current with coding updates, clinics, and continuing education Maintain accurate records and resolve denials based on medical necessity

Role Responsibilities Manage coding team operations to meet production and quality SLAs Coordinate client training, issue resolution, and performance planning Prepare reports and drive team performance through KPIs and feedback Ensure adherence to HIPAA, ISO, and internal compliance standards Key Deliverables Execute daily planning and resource allocation based on team availability Handle client escalations and represent coding team in status reviews Improve process efficiency with best practices and team engagement Track capacity vs. workload and optimize resource utilization

Role Responsibilities Manage coding team operations to meet production and quality SLAs Coordinate client training, issue resolution, and performance planning Prepare reports and drive team performance through KPIs and feedback Ensure adherence to HIPAA, ISO, and internal compliance standards Key Deliverables Execute daily planning and resource allocation based on team availability Handle client escalations and represent coding team in status reviews Improve process efficiency with best practices and team engagement Track capacity vs. workload and optimize resource utilization

Role Responsibilities Oversee daily operations, ensuring SLAs for coding accuracy and turnaround are met Guide team leads in performance management and skill development Handle client communications, escalations, and reporting effectively Maintain compliance with HIPAA, ISO, and internal quality standards Key Deliverables Ensure effective training and onboarding for new client projects Implement process improvements to enhance coding quality and efficiency Track and report KPIs, productivity, and resource utilization Maintain a positive and productive team environment