64 Icd10 Jobs

Role Overview: As a detail-oriented and experienced Health Claims Specialist, you will be responsible for accurately processing and adjudicating medical claims according to company policies, industry regulations, and contractual agreements. Your role will involve ensuring timely processing of healthcare service claims, maintaining high standards of accuracy and efficiency, and providing exceptional customer service to internal and external stakeholders. Key Responsibilities: - Review and analyze medical claims for accuracy, completeness, and compliance with insurance policies and regulatory requirements. - Verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. - Assign appropriate medical codes (e.g., ICD-10, CPT) to diagnoses, procedures, and services following industry standards and guidelines. - Adjudicate claims based on established criteria, including medical necessity and coverage limitations, ensuring fair and accurate reimbursement. - Process claims promptly and accurately using designated platforms. - Investigate and resolve discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams. - Collaborate with billing, audit, and other staff to address complex claims issues, ensuring proper documentation and justification. - Maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends for compliance and best practices. - Provide courteous and professional customer service to policyholders, healthcare providers, and stakeholders regarding claim status, inquiries, and appeals. - Document all claims processing activities, decisions, and communications accurately and comprehensively in designated systems or databases. - Participate in training programs, team meetings, and quality improvement initiatives to enhance skills, productivity, and overall performance. Qualifications Required: - Bachelor's degree in a related field such as B.A.M.S, B.U.M.S, B.H.M.S, M.B.B.S, B.D.S, or similar preferred. - Minimum of 1-2 years of experience in healthcare claims processing, medical billing, or health insurance administration. - Proficiency in medical coding systems (e.g., ICD-10, CPT) and claims processing software platforms. - Strong understanding of healthcare insurance policies, cashless claims methodologies, and regulatory requirements. - Excellent analytical skills with attention to detail and accuracy in data entry and claims adjudication. - Effective communication and interpersonal skills for collaboration and professional interaction with multidisciplinary teams and external stakeholders. - Demonstrated ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment. - Problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed. - Commitment to continuous learning and professional development in the field of healthcare claims processing.,

As a part of Resolv, you will be joining a team dedicated to improving financial performance and patient experience in healthcare revenue cycle operations. Your primary responsibilities will include: - Claims Follow-Up & Collections: - Monitoring outstanding insurance claims and patient balances, and conducting timely follow-ups with insurance providers. - Reconciling daily AR reports and accounts to track collections and pending claims. - Identifying and escalating billing errors or discrepancies for resolution. - Denial Management & Appeals: - Analyzing denial trends and collaborating with the billing team to correct recurring issues. - Preparing and submitting appeals for denied or underpaid claims with appropriate documentation. - Maintaining records of appeal status and follow up with insurance carriers. - Reporting & Compliance: - Generating and maintaining aging reports, AR summaries, and collection reports. - Documenting all collection activities and maintaining accurate AR records. - Cross-Functional Collaboration: - Communicating with insurance representatives and internal stakeholders to streamline the AR process. Qualifications and Skills: - Bachelor's degree in Accounting, Finance, Business Administration, or a related field (preferred). - 1+ years of experience in accounts receivable, medical billing, or revenue cycle management. - Experience with RCM software such as EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech. What Would Make You Stand Out: - Strong knowledge of insurance reimbursement processes, AR management, and medical billing. - Familiarity with CPT, ICD-10, and HCPCS codes for claim verification. - Proficiency in Microsoft Excel, financial reconciliation, and reporting tools. - Ability to work independently and manage high-volume AR portfolios. Benefits: - Annual Public Holidays as applicable - 30 days total leave per calendar year - Mediclaim policy - Lifestyle Rewards Program - Group Term Life Insurance - Gratuity - .and more!,

As a Medical Coder at the TECH-INTELLEON, your role involves the following key responsibilities: - Medical Chart Review & Coding: Assigning appropriate ICD-10 and CPT codes based on patient diagnoses and procedures. - Compliance & Accuracy: Ensuring codes adhere to regulatory policies, guidelines, and customer-specific requirements. - Quality Assurance: Maintaining high levels of coding accuracy (97%+) and keeping up with industry updates through coding meetings and training sessions. - Research & Problem-Solving: Handling complex or unusual coding cases by searching for relevant information. TECH-INTELLEON specializes in designing, developing, and delivering innovative web and mobile applications tailored to enhance business capabilities and accelerate growth. By leveraging advanced technology and software solutions, we help clients reduce customer acquisition lead times and improve brand positioning, enabling them to outperform the competition. We focused on delivering robust and scalable product solutions that are designed with rich user experience and deep technologies. We collaborate with global startups and businesses of all sizes to build, enhance, digitalize and scale products across all platforms. With a strong foundation built through extensive research and global clients from the United States, Qatar, and Europe, we offer optimized engagement and delivery models. Our accelerated application development frameworks simplify complex application designs, making them easy to deploy and scale.,

As a Medical Bill Reviewer at Davies North America, you will play a crucial role in accurately reviewing and adjudicating provider bills in the Corrus computer system according to state Workers Compensation Fee Schedule rules. Your responsibilities will include: - Entering compensation fee schedules and other relevant information into the system - Ensuring accurate data entry and adjudication of provider bills with satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve maximum cost savings - Validating DRGs and utilizing fee schedules, online documents, and client instructions for bill review - Researching usual and customary/fee schedule applications for appropriate reimbursement To excel in this role, you should possess: - Minimum of one-year medical terminology/medical office experience - Typing speed of 60+ wpm/10-key by touch with high accuracy - Ability to produce 120 bills per day with an accuracy rate of 95%+ - Previous experience in specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with provisions of other state WC programs, particularly in FL, GA, CA, SC, NC, VA, AL, and TN - Proficiency in Microsoft Office Suite - Strong communication skills, both verbal and written - Excellent time management, organization, and documentation skills - Ability to work independently with minimal supervision and as part of a team - High attention to detail and problem-solving skills - Discretion with sensitive and confidential information - Proficiency in English About Davies: Davies North America is a specialist professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. With a global team of over 8,000 professionals operating across ten countries, including the UK & the U.S., Davies has experienced significant growth over the past decade. The company focuses on providing professional services and technology solutions across the risk and insurance value chain, emphasizing excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.,

The role of contacting insurance companies and patients, and verifying claim status requires experience in the field. It involves utilizing your knowledge of medical billing and coding, including CPT, ICD-10, HCPCS level II, and DRG codes to ensure accuracy and efficiency in the billing process. Your strong data entry and record-keeping skills will be essential in maintaining organized and up-to-date patient information. Excellent communication and interpersonal skills are necessary for effective interaction with insurance companies and patients. Proficiency in using billing software and technology solutions will aid in streamlining processes and maximizing productivity. The ability to work both independently and as part of a team is crucial in ensuring seamless operations within the revenue cycle management. Attention to detail and problem-solving skills are valued attributes that will contribute to the overall success of the role. While previous experience in healthcare or revenue cycle management is preferred, a willingness to learn and adapt to new challenges is equally important. Join us in our mission to support healthcare providers and optimize revenue through efficient billing and revenue cycle management practices.,

You will be responsible for reviewing and accurately coding Emergency Department (ED) medical records. Your main duties will include assigning appropriate ICD-10, CPT, and HCPCS codes based on medical documentation, ensuring compliance with coding guidelines and regulatory standards, collaborating with physicians and billing teams to clarify documentation, conducting audits to maintain accuracy in coding and minimize denials, and staying updated with industry coding changes and best practices. To qualify for this role, you must have a minimum of 1 year of experience in ED medical coding and hold CPC or CCS certification. You should possess a strong knowledge of ICD-10, CPT, and HCPCS coding, excellent attention to detail and accuracy, strong analytical and problem-solving skills, and familiarity with healthcare compliance and regulations. If you meet the requirements and are interested in this position, please share your resume at saranya@intignizsolutions.com or call 8919956083. This is a full-time, permanent position with day shift hours from Monday to Friday. The work location is in person.,

As an Auditor - Coding, you will play a crucial role in supervising and mentoring a team of coding auditors to ensure high-quality and compliant coding practices. Your responsibilities will include conducting quality audits, identifying discrepancies, and implementing corrective actions to enhance coding accuracy. Collaborating with QA teams, you will work on improving coding efficiency and developing strategies to reduce denials. Additionally, you will engage with stakeholders such as physicians, revenue cycle, and compliance teams to ensure adherence to proper coding practices. To excel in this role, you should possess a Bachelor's degree in any discipline, along with certifications such as CPC, CCS, or equivalent (AHIMA/AAPC certified). With over 5 years of experience in medical coding/auditing, including ASC, Surgery, and E/M, you should demonstrate proficiency in EHR systems like Epic, Cerner, etc. Moreover, a strong understanding of coding guidelines (ICD-10, CPT, HCPCS) is essential for success in this position. Your soft skills, including strong communication, leadership, and analytical abilities, will be key in effectively executing your duties. Preferred qualifications for this role include experience with denial coding and multi-specialty surgical coding. By leveraging your expertise and skills, you will contribute to the optimization of coding processes and the achievement of coding efficiency goals. Join us in this dynamic role to make a meaningful impact on our coding practices and ensure compliance and quality in our coding operations.,

As a Medical Coder, your primary responsibility will be to review medical records and accurately assign ICD-10, CPT, and HCPCS codes. You will collaborate closely with physicians to enhance documentation and assist in denial management and appeal processes. The ideal candidate for this role should possess a strong understanding of ICD-10-CM, CPT, and HCPCS coding guidelines. Proficiency in MS-DRG, APCs, and revenue cycle processes is preferred. Previous experience in coding for inpatient, outpatient, emergency department (ED), and surgery settings is valuable. You should be able to conduct audits and validate coded records to ensure compliance with regulations. Certification as a CPC or CCS (AHIMA or AAPC) is required, along with 2-5 years of experience in acute care coding. This is a full-time, permanent position based in Hyderabad, Telangana. The work schedule is during the day shift from Monday to Friday. In addition to your salary, you will receive benefits such as health insurance, life insurance, paid sick time, and provident fund. Performance bonuses, quarterly bonuses, shift allowances, and yearly bonuses are also part of the compensation package. If you meet the requirements and are interested in this opportunity, please contact HR Yogalakshmi at 8925221508 before the application deadline on 21/02/2025.,

Join IKS Health Transforming Healthcare with Innovation and Excellence IKS Health is a leading healthcare solutions provider, enabling clinicians, medical groups, and health systems to deliver exceptional care efficiently. Founded in 2007, we have grown into a global workforce of 14,000+ employees, supporting over 150,000 clinicians across the largest hospitals, health systems, and specialty groups in the U.S. Our mission is to enhance the clinician-patient relationship by taking on administrative, clinical, and operational burdens, allowing healthcare providers to focus on patient care. Through cutting-edge technology, analytics, and deep healthcare expertise, we drive efficiency, reduce costs, and improve patient outcomes. Latest Achievements & Milestones Acquisition of Aquity Solutions Strengthening our capabilities in acute care solutions and expanding our service portfolio. IPO Plans Preparing for a public listing, demonstrating our rapid growth and industry leadership. Global Expansion Scaling our operations to provide end-to-end healthcare solutions worldwide. At IKS Health, we are committed to innovation, agility, and collaboration, ensuring thriving healthcare organizations, happier clinicians, and healthier communities. Current Hiring Managerial Roles Manager ED ProFee & Facility (ENM IP/OP) Chennai Key Responsibilities: Expertise in Evaluation & Management (E&M) coding for Inpatient/Outpatient settings. Proficiency in IP/ED coding, preferably in Orthopedics, Neurology, Cardiology, and Multispecialty domains. Ensure adherence to E&M guidelines and compliance standards. Strong communication skills to liaise with internal teams and stakeholders. Manager IPDRG Operations Hyderabad Key Responsibilities: Oversee Inpatient Diagnosis-Related Group (IPDRG) coding operations. Drive process improvements to enhance accuracy, compliance, and efficiency. Ensure seamless collaboration between clinical and coding teams. Maintain adherence to US healthcare coding regulations and quality benchmarks. Manager IPDRG Quality Team Chennai Key Responsibilities: Manage quality assurance for inpatient coding (IPDRG). Conduct quality audits, identify gaps, and implement corrective actions. Ensure compliance with ICD-10, CPT, and other regulatory requirements. Train and mentor teams to maintain high coding accuracy and efficiency. Why Join IKS Health Fast-Growing & Industry-Leading Company Be part of a global leader in healthcare solutions. Career Growth & Development Opportunities for skill enhancement, leadership roles, and continuous learning. Work with the Best in Healthcare Collaborate with top healthcare experts and cutting-edge technology. Employee-Centric Culture We invest in our people, fostering a culture of innovation, collaboration, and growth. If you are looking to make an impact in the healthcare domain with an industry-leading organization, IKS Health is the place for you! Please Share your CV- swati.gajbhiye@ikshealth.com,

As an ED Profee Coder, you will be responsible for coding professional fees for physicians and other providers in the Emergency Department (ED) setting. This role requires 1-3 years of experience in the medical billing and coding field. Your primary task will involve assigning CPT, ICD-10, and HCPCS codes for services provided by doctors in the ED to ensure accurate billing and compliance with regulations. Within this position, you may have the opportunity to receive guidance on certification and training, coding guidelines and best practices, as well as insights into career growth in the medical coding field. If you are seeking a role that combines your expertise in medical coding with a focus on professional fee coding in the Emergency Department, this opportunity could be the next step in your career.,

The role of an SPE-Medical Coding HC involves ensuring accurate coding of healthcare products and services to facilitate efficient billing and reimbursement processes. You will be working night shifts from the office, utilizing your expertise in medical coding to support healthcare operations. To be eligible for this position, you should have a minimum of 2 years and a maximum of 4 years of experience in Clinical Coding Revenue Cycle Management and Medical Coding. Your responsibilities in this role will include meeting the 100% daily productivity target based on team/client requirements, maintaining an accuracy rate of 98% in internal and client audit reports, achieving a coding protocols assessment score of 95% monthly, providing insights on potential process improvements and automation opportunities, mentoring new or less tenured colleagues in the coding domain, assisting in resolving escalations or technical challenges, and being flexible in supporting client requirements and crisis situations. To excel in this role, you must possess a strong understanding of ICD-10, CPT, and HCPCS coding systems, demonstrate expertise in medical coding with a focus on accuracy and compliance, have experience in using coding software and tools for efficient operations, exhibit excellent analytical skills to interpret medical records and documentation, show proficiency in communication to collaborate effectively with healthcare professionals, display knowledge of coding guidelines and regulations to ensure industry compliance, and have a commitment to maintaining confidentiality and security of patient information. The certifications required for this role include Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.,

You will be joining Techwally, a prominent professional services firm that excels in various fields including Workforce Management, Software Development, Cloud Management, Analytics, Application Integration, and Strategy and advisory. Since its establishment in 2018, Techwally has been dedicated to providing valuable, industry-specific IT solutions that focus on efficient consulting practices. By understanding the specific needs of each industry, we help our clients build, develop, and operate innovative and streamlined businesses. Our team of experts and our advanced research lab are fully equipped to tackle a wide array of challenges within the digital landscape. As an AR Calling Medical Billing professional based in Hyderabad, you will be engaged in a full-time on-site role. Your primary responsibilities will involve tasks such as reviewing and resolving denied insurance claims, actively following up on insurance claims, ensuring strict adherence to medical billing and coding standards, and maintaining precise records of all interactions with patients and insurance providers. To excel in this role, you should possess the following qualifications: - Proficiency in Medical Terminology and ICD-10 coding system - Proven experience in managing Denials and Insurance claims effectively - Familiarity with Medicare processes and guidelines - Exceptional attention to detail and a high level of accuracy in your work - Strong communication skills and the ability to build positive relationships with both patients and insurance companies - Capacity to work independently and efficiently in an on-site environment - Previous involvement in a medical billing position would be advantageous - A Bachelor's degree in a related field is preferred to enhance your capabilities in this role.,

You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athenahealth, NextGen) for billing and claims processing is essential. Monitoring accounts receivable (A/R) reports and ensuring timely collections and follow-ups are part of your responsibilities. Your qualifications include a minimum of 5 years of medical billing experience in cardiology, strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology, experience with EHR/EMR and medical billing software, and strong analytical and problem-solving skills for claim resolutions and denial management. Excellent communication skills are required for patient and insurance coordination. Possession of Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply for this full-time, permanent position with a work schedule including Monday to Friday, night shifts, and rotational shifts at the in-person work location.,

Role & responsibilities: Candidate has to experience in EM- OP(Gastro) Speciality Coding knowledge on ICD Guidelines. Preferred candidate profile: Any certified candidates. Contact: HR Keerthi Mobile: 8639447794 Email: keerthi.kasoji@datamarshall.com

We are seeking a Senior Backend Developer with a demonstrated history of constructing secure and scalable systems within the healthcare industry. Your primary responsibility will involve designing and executing backend solutions to facilitate clinical workflows, manage patient data, and adhere to healthcare compliance standards. This pivotal technical position requires both domain expertise and coding proficiency. Responsibilities: - Design, create, and sustain secure and scalable backend services utilizing technologies such as Python, Node.js, Java. - Develop and oversee APIs that connect with EHRs, health applications, and third-party healthcare platforms. - Ensure adherence to healthcare privacy and security standards like HIPAA, HITECH, and GDPR. - Collaborate closely with clinical, product, and data teams to implement features aligned with healthcare use cases. - Integrate FHIR and HL7 to support data exchange and interoperability. - Uphold stringent standards of data security, integrity, and availability, particularly for PHI. - Conduct code reviews and architectural planning with a focus on healthcare workflows. - Mentor junior developers and contribute to enhancements in processes and technologies. Requirements: - Minimum 5 years of backend development expertise utilizing contemporary frameworks and languages. - Previous leadership or contribution to a major healthcare project is essential. - Profound understanding of healthcare data standards like FHIR, HL7, DICOM, and coding systems such as ICD-10 and CPT. - Experience with EHR/EMR systems like Epic, Cerner, Allscripts, or other healthcare platforms. - Knowledge of compliance and regulatory frameworks including HIPAA, GDPR, and HITECH. - Proficiency in relational and NoSQL databases, RESTful and/or GraphQL APIs. - Familiarity with authentication protocols (OAuth2, OpenID) and secure data management. - Hands-on experience with cloud services (AWS, Azure, GCP) and containerization (Docker, Kubernetes). - Excellent communication skills and the ability to collaborate across functions. This is a full-time position based in Dharwad, Karnataka. The role requires in-person presence during day shifts. The candidate must be willing to commute or relocate to Dharwad before commencing work. Application Question: "Do you have professional experience working on backend systems in the healthcare domain " Experience: Senior backend developer - 5 years minimum If you are interested, kindly contact the employer at +91 9035812371.,

You should have a Bachelor's degree or equivalent (preferred but not mandatory) and knowledge in claims management, AR follow-up, and RCM. It is essential to have knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with EHR/EMR systems and medical billing software. Strong analytical and problem-solving skills are required, along with excellent communication and interpersonal abilities. Attention to detail and the ability to work under tight deadlines are also important. This is a full-time position located in Coimbatore with a day shift schedule. The benefits include health insurance. If you are interested in this opportunity, please contact lavanya.p@findq.in or call 9629667621.,

The Insurance Coordinator plays a crucial role in the healthcare revenue cycle, ensuring accurate insurance verification, pre-authorizations, claims submission, and follow-up. By coordinating insurance benefits and minimizing financial barriers for patients, this role supports access to care while upholding compliance with healthcare regulations. Key Responsibilities: Insurance Verification & Authorization: - Verify patient insurance coverage and benefits before appointments and procedures. - Obtain prior authorizations and referrals required by insurers for medical services. - Communicate any insurance limitations or requirements to clinical and administrative staff. Claims Processing & Follow-Up: - Submit all insurance documents with detailed information to insurance partners. - Monitor claims for processing status and address rejections or denials with corrective measures. - Follow up with insurance companies to ensure timely reimbursement and resolve any delays or discrepancies. Patient Communication & Support: - Provide clear communication with patients regarding explanation of benefits (EOB). Documentation: - Maintain accurate patient insurance records. Coordination & Reporting: - Collaborate closely with front desk, medical records, and billing teams to ensure workflow efficiency. - Participate in audits and quality improvement initiatives. Qualifications: - High School Diploma or equivalent required; Associates or Bachelors degree in Healthcare Administration or related field preferred. - Minimum 1-2 years of experience in a healthcare setting handling insurance coordination or medical billing. - Strong knowledge of commercial insurance plans, Medicare, Medicaid, and managed care. - Familiarity with CPT, ICD-10, and HCPCS coding standards. This is a full-time position with benefits including Provident Fund, day shift schedule, performance bonus, and yearly bonus. The work location is in person.,

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, it is essential to consider your healthcare business processes from the perspective of your customers. Gain a deeper understanding of the healthcare industry by joining a company that appreciates your contributions and empowers you to establish strong partnerships with your clients. Invest in your professional growth and have the opportunity to directly impact the key performance indicators that are crucial to your clients. Embark on your career journey as a Medical Coder - Surgery with Pacific BPO, an Access Healthcare company based in Noida, India. We are keen to engage with individuals who are driven, skilled, and enthusiastic. Numerous openings are available to be part of our dynamic work environment. As a Medical Coder - Surgery, your responsibilities will include accurately assigning diagnosis and CPT codes based on the ICD-10 and CPT-4 systems of coding for various medical records, particularly those related to surgical procedures. You are expected to maintain a minimum accuracy rate of 96% and adhere to turnaround time requirements. Strive to surpass the productivity benchmarks for Medical Coding for Surgery, aligning with the specified norms for inpatient and/or specialty-specific outpatient coding. Uphold a high level of professionalism and ethics while focusing on continual enhancement through projects aimed at preventing revenue loss and ensuring compliance with industry standards. Stay updated on coding practices, enhance your knowledge, and improve accuracy by engaging in coding team meetings and participating in educational conferences. Applicants for this position should meet the following qualification criteria: - Hold a degree in life sciences with 1-4 years of experience in Medical Coding specializing in Surgery - Possess prior experience in Surgery coding - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding systems - Preferably hold certifications such as CCS, CPC, CPC-H, CIC, COC from AAPC or AHIMA - Freshers with strong knowledge of medical terminology, Human Anatomy, and Physiology are encouraged to apply - Must possess current coding certification with valid proof of certifications - Have a solid understanding of medical coding and billing systems, regulatory requirements, auditing principles, and concepts Take the next step in your career with Pacific BPO, an Access Healthcare company. For further information, contact us at +91-99909-26385 or email us at careers@pacificbpo.com.,

As a Healthcare AR Specialist in the US Healthcare industry, you will be joining a leading US healthcare revenue cycle team. Your role will involve managing accounts receivable, resolving denied claims, and driving reimbursement outcomes through the utilization of top-tier EMR and RCM tools. Your key responsibilities will include tracking and following up on unpaid/denied claims using systems such as Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. You will investigate denials, rectify errors, and prepare appeals with necessary documentation. Analyzing AR aging to prioritize collections and reduce outstanding receivables will be crucial, along with collaborating across coding, billing, and revenue cycle teams to streamline workflows. Additionally, generating reports and KPIs to monitor performance and identify denial trends will be part of your routine tasks. To excel in this role, you are required to have at least 5 years of experience in US medical AR, denial resolution, or insurance follow-up. Proficiency in EMR/RCM systems such as Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva is essential. A strong understanding of CPT, ICD-10, HCPCS codes, and AR workflows is necessary, along with excellent communication, analytical, and time management skills. Preferred qualifications include a Bachelor's degree in life sciences, healthcare, finance, or a related field, as well as certifications like CMRS, CRCR, or equivalent. By joining us, you will become part of a high-performance team that is dedicated to transforming healthcare revenue cycles. You will have the opportunity to work with industry-leading tools and processes, gain exposure to advanced US RCM operations, and benefit from ongoing training and career progression opportunities.,

You will be working as an EM Coder at Noida location for CorroHealth, a prominent provider of healthcare analytics and technology solutions across various healthcare entities. Your primary responsibility will be to meticulously review and accurately code medical records for outpatient services to facilitate the billing process and ensure proper reimbursement. Daily tasks will involve analyzing healthcare documentation, assigning appropriate codes for diagnoses and procedures, ensuring adherence to regulatory requirements, and collaborating with healthcare providers to clarify any information discrepancies. Keeping abreast of coding guidelines and industry updates will be crucial for this role. To excel in this position, you must possess a strong proficiency in medical coding and have a sound understanding of ICD-10, CPT, and HCPCS coding systems. A minimum of 1 year of EM coding experience specifically for outpatient services is required. Familiarity with healthcare documentation review, coding guidelines, regulatory compliance, and reimbursement processes is essential. Attention to detail and accuracy in coding, effective communication skills for engaging with healthcare providers, and the ability to work both independently and collaboratively are key attributes for success. Holding a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential would be advantageous. Previous experience in a similar role and knowledge of the healthcare industry are considered beneficial assets for this position.,

You will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes as a Part-Time Medical Coder & Biller. Your role will involve managing medical billing tasks with a focus on compliance and maintaining documentation accuracy. Supporting the revenue cycle process will also be a key aspect of your responsibilities.,

As an Experienced Medical Biller at our healthcare facility, you will play a crucial role in ensuring accurate processing and timely reimbursement of medical claims. Your attention to detail and strong understanding of medical billing processes, insurance claims, and healthcare coding standards will be key in maintaining the financial health of our organization. Your responsibilities will include reviewing and processing medical claims with precision, submitting claims electronically to insurance companies, and resolving any claim denials, rejections, or appeals promptly. You will also be tasked with verifying patient insurance coverage, obtaining necessary authorizations, and communicating effectively with both patients and insurance companies to address billing inquiries and resolve outstanding balances. Collaboration with providers and clinical staff to ensure accurate documentation and coding will be essential, along with generating reports on billing activity, claim status, and outstanding accounts. To succeed in this role, you should possess a diploma or graduation in any field, along with 0-2 years of experience in medical billing. Excellent communication, analytical, and organizational skills are a must, as well as the ability to handle confidential information with discretion and comply with HIPAA regulations. In return for your expertise and dedication, we offer a competitive salary range of 2.58LPA to 4.5LPA, along with a range of benefits including a 5-day work week, health and accidental insurance, paid leaves, referral bonus, leave encashment, monthly performance-based incentives, and complimentary meals, tea/coffee, and snacks. Join our team and make a difference in the healthcare industry while enjoying a supportive work environment and valuable perks.,

As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, and reviewing clinical data against specified medical criteria. You will also monitor client schedules, follow up on pending requests, and communicate with insurance providers on a daily basis. Additionally, you will be expected to meet departmental production standards, identify and escalate issues when necessary, and support colleagues by sharing best practices and assisting in training new staff members. To qualify for this position, you should hold a Bachelor's degree in any stream and have at least 6 months to 1 year of relevant experience in Pre-authorization, Verification, or Accounts Receivable (AR). Strong attention to detail, proficiency in multitasking, and effective communication skills are essential. Knowledge of CPT Codes, ICD-10, clinical documentation requirements, and awareness of retro-authorization timelines are also required. Preferred skills that would make you stand out include prior authorization experience in Drugs and Radiology, familiarity with revenue cycle processes, and prior experience in Accounts Receivable. The ability to work independently while collaborating effectively in a team setting is highly valued. As a problem-solver, you will be adept at identifying and resolving healthcare billing discrepancies. Your organizational skills will help you manage high volumes of medical remittances efficiently, while your analytical abilities will enable you to understand healthcare financial data and denial patterns. In addition to a competitive salary, joining Resolv offers you a range of benefits including annual public holidays, 30 days of leave per calendar year, a Mediclaim policy, a Lifestyle Rewards Program, Group Term Life Insurance, Gratuity, and more.,

Performs a variety of activities involving the Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Coding. Addresses Coding Denials by accurate editing and resubmission of erroneously submitted claims. Maintains a high degree of professional and ethical standards. Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards. Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences. To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years of experience in Medical Coding managing Coding Denial Management. Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding. CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be a plus. Freshers with good knowledge in medical terminology, Human Anatomy, and Physiology can apply. Current Coding certification with valid proof of certifications. Good understanding of medical Coding and billing systems, regulatory requirements, auditing concepts, and principles.,

The Supervisor, Coding is responsible for supervising the activities and operations of the Coding department and staff. You will be in charge of organizing, directing, and monitoring the daily activities of Coding Associates, including managing coding edits and denials. Distributing workloads among the team and monitoring the productivity of department employees will be part of your responsibilities. You will also field questions from Coding Associates, Auditors, and clients, as well as prepare reports and correspondence as needed. As the Supervisor, you will establish procedures, coordinate schedules, and expedite workflow to ensure efficient operations. Conducting employee evaluations, interviewing, training, motivating, and rewarding staff members will also be crucial aspects of your role. Additionally, you will manage disciplinary personnel issues and escalate them when necessary. Furthermore, you will assist in implementing policies and procedures to comply with regulations governing billing and collection activities for physician services. Maintaining confidentiality and adhering to HIPAA standards when handling patients" protected health information is essential. Limiting the viewing of PHI to the minimum required for job duties is a key part of ensuring compliance with Information Security and HIPAA policies. To qualify for this role, you should have a Bachelor's degree or equivalent, along with two to four years of related experience. A CPC or CCS Coding certification from AHIMA or AAPC is required, as well as 1-3 years of experience as a Supervisor. Strong knowledge of multispecialty coding, Medicare, Medicaid, and Managed Care guidelines is necessary. Proficiency in Microsoft Office Suite, excellent communication skills, and strong leadership qualities are also important qualifications. Occasional travel to client locations may be required for this position. The physical demands include moving around the work area, sitting, performing manual tasks, and operating office equipment. The mental demands involve following directions, collaborating with others, and handling stress. The work environment typically has minimal noise levels. Overall, as the Supervisor, Coding, you will play a crucial role in overseeing the daily operations of the Coding department, ensuring compliance with regulations, and maintaining a high level of productivity and efficiency within the team.,