113 Icd10 Jobs - Page 2

As a Medical Coding Trainer CPC at MedeXCode Solutions, your role involves delivering engaging and interactive training sessions to individuals and groups. You will provide hands-on coding practice and real-world case studies to reinforce learning objectives. It is essential to stay updated with changes and updates in coding guidelines, regulations, and industry trends. Your responsibility will also include training candidates for the CPC exam and evaluating training effectiveness through assessments and feedback mechanisms. Additionally, you will mentor and support participants in developing coding skills and problem-solving resources. Key Responsibilities: - Deliver engaging and interactiv...

As a Medical Records Management professional, your role involves collecting, organizing, and maintaining patients" medical records in a systematic and secure manner. You are responsible for ensuring proper documentation, coding, and classification of diseases using ICD coding standards. Key Responsibilities: - Input patient information accurately into hospital information systems (HIS). - Maintain both digital and physical records with confidentiality and accuracy. - Utilize standard medical classification systems such as ICD-10 and CPT for diagnosis and procedures. - Collaborate with doctors and billing departments to ensure accurate medical coding. - Ensure that all records meet legal, eth...

Role Overview: As an Emergency Department Clinical Documentation Improvement (ED CDI) Specialist in the Clinical Documentation Improvement department at Chennai/Hyderabad, you will play a crucial role in enhancing the quality and accuracy of clinical documentation in the Emergency Department. Your responsibilities will involve collaborating with various stakeholders to ensure compliance with regulatory standards, optimize reimbursement, and improve patient care outcomes. Key Responsibilities: - Perform regular audits of clinical documentation in the ED to identify areas for improvement, ensuring accuracy and completeness of reports. - Provide ongoing education and training to ED staff on bes...

As a DME Specialist at Med Karma, a global revenue cycle management company specializing in medical billing solutions for healthcare providers, you will play a crucial role in ensuring the financial viability of our clients by streamlining administrative processes. Your expertise in reviewing claims, ensuring policy compliance, and handling billing functions will set you apart in the industry. **Key Responsibilities:** - Accurately process and submit claims for Durable Medical Equipment (DME) services. - Review insurance verification and prior authorization for all DME claims. - Communicate with insurance companies to resolve claim denials and rejections. - Maintain detailed records of billi...

Role Overview: As a Certified (IPDRG) Medical Coder at Clarus RCM, you will play a crucial role in assigning accurate ICD-10, CPT, and HCPCS codes for IPDRG procedures. Your responsibilities will include reviewing medical records, ensuring compliance with coding guidelines, and optimizing revenue cycle management. It is essential to have a strong knowledge of medical terminology, anatomy, and coding principles to excel in this role. Collaboration with healthcare professionals to resolve coding discrepancies and support timely billing will be a key aspect of your work. Staying updated with industry changes and regulations is vital for success in this position. Certification (CPC or CCS) is pr...

As a Medical Coder specializing in Evaluation & Management (EM) and Inpatient (IP) coding, your role involves reviewing and analyzing patient medical records to ensure accurate coding. Your responsibilities will include: - Reviewing patient medical records to accurately code EM and IP services. - Assigning appropriate ICD-10, CPT, and HCPCS codes based on documentation. - Ensuring compliance with coding guidelines and regulatory requirements. - Collaborating with physicians and billing teams to resolve documentation discrepancies. - Performing quality checks to maintain coding accuracy. - Keeping up-to-date with coding regulations and industry best practices. To excel in this role, you must ...

As a fresher gaining experience in Health Claims through training, your main responsibility will be accurately processing and adjudicating medical claims in compliance with company policies, industry regulations, and contractual agreements. - Review and analyze medical claims to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements - Verify patient eligibility, insurance coverage, and benefits for claim validity and appropriate reimbursement - Assign appropriate medical codes such as ICD-10 and CPT according to industry standards - Adjudicate claims based on criteria like medical necessity and coverage limitations for fair reimbursement - Process clai...

Job Description: You will be a full-time CPC Coder based in Sahibzada Ajit Singh Nagar. Your main responsibility will be to accurately code medical claims using CPT, ICD-10, and HCPCS codes. Your daily tasks will involve reviewing medical records, ensuring compliance with regulations, analyzing patient information, and communicating with healthcare providers for clarification. Additionally, you will need to maintain patient confidentiality, stay updated with coding guidelines, and collaborate with the billing team to resolve claim issues. Key Responsibilities: - Accurately code medical claims using CPT, ICD-10, and HCPCS codes - Review medical records and ensure compliance with regulations -...

As a Director of Medical Coding at R1, your role will be crucial in leading and evolving our medical coding operations. You will be responsible for ensuring accuracy, compliance, and efficiency in our coding practice. Your key responsibilities will include: - Leading large-scale medical coding operations while maintaining compliance and accuracy standards - Building and managing high-performing coding teams across specialties such as IPDRG, ED, HCC, etc. - Driving strategic initiatives for automation, process improvement, and coder productivity - Collaborating with clinical, quality, and training teams to establish a robust coder upskilling framework - Engaging with senior stakeholders and c...

In this role, you will be responsible for the following: - Strong knowledge in E/M, OP, and oncology coding. - Ability to provide feedback and coach the team when necessary. - Good understanding of complete E/M OP and oncology coding domains. - Willingness to work in a Work from Office setup. - Proficiency in Excel and excellent communication skills. - Experience in Observation coding will be an additional advantage. - Knowledge of documenting defects and providing recommendations for improvement. Qualifications required for this role include: - Expertise in E/M, OP, and Oncology Coding, ICD-10 & Modifiers. Please note that any graduate degree is required for this position.,

As an Associate Manager - IP billing & Insurance (RCM) at our company, your role will involve the following responsibilities: - Verify Patient Insurance Coverage: You will be responsible for confirming inpatient benefits, eligibility, and coverage details with insurance providers prior to or during patient admission. - Obtain Pre-authorizations & Pre-certifications. - Generate and Submit Claims: Your duties will include preparing and submitting accurate claims using UB-04 forms, ensuring proper coding (ICD-10, CPT, HCPCS), and charge entry for inpatient services. - Manage Claim Denials and Appeals. - Coordinate with Clinical and Administrative Teams: You will collaborate with physicians, nur...

As a Trainee Medical Coder at our company in Mumbai, your role involves accurately coding medical records using ICD-10 and CPT classifications. Your responsibilities include reviewing patient records, assigning appropriate medical codes, ensuring compliance with regulatory requirements, and collaborating with healthcare providers and billing departments for timely claims submission. Key Responsibilities: - Reviewing patient records and accurately assigning medical codes - Ensuring compliance with ICD-10 and CPT classifications - Collaborating with healthcare providers and billing departments - Timely submission of claims Qualifications: - Knowledge of Medical Coding and Medical Terminology -...

You are eagerly looking for a meticulous Denial Coder to be a part of the team. Your responsibilities will include reviewing and analyzing denied claims to identify errors, assigning appropriate codes for resolution, documenting findings, maintaining records, and actively participating in audits to enhance processes. Your qualifications should ideally include a Bachelor's degree in health information management or a related field, certification as a Certified Professional Coder (CPC) or similar, a minimum of 5 years of experience in medical coding and claims denial management, proficiency in medical terminology, coding guidelines, and insurance processes, exceptional analytical skills, and e...

As a Client Partner for medical coding - E&M and ED services at Access Healthcare in Coimbatore, India, you will play a crucial role in auditing coding of medical records. Your responsibilities will include: - Auditing coding of medical records by accurately assigning diagnosis and CPT codes according to ICD-10 and CPT-4 coding systems - Coding and auditing outpatient and/or inpatient records with a minimum accuracy of 96% and meeting turnaround time requirements - Exceeding productivity standards for Medical Coding based on productivity norms for inpatient and/or specialty-specific outpatient coding - Upholding high professional and ethical standards - Focusing on continuous improvement by ...

You will be joining our team as a Medical Biller, where your main responsibilities will include processing medical claims and ensuring timely submission to insurance companies. You will also be verifying patient insurance coverage and eligibility, handling denials, appeals, and follow-ups with insurance providers, as well as working closely with healthcare providers and insurance companies to resolve billing issues. Key Responsibilities: - Process medical claims and ensure timely submission to insurance companies. - Verify patient insurance coverage and eligibility. - Handle denials, appeals, and follow-ups with insurance providers. - Work closely with healthcare providers and insurance comp...

Role Overview: As a Dental Coder/Biller at CodeX Coding Decoded in Mohali, Punjab, you will play a crucial role in accurately coding dental procedures using ICD-10 CPT, ICD-10, and HCPCS. Your expertise in medical/dental coding, billing, and compliance will be essential in reviewing, analyzing, and resolving coding/billing issues. Collaborating with providers and internal teams for claim accuracy and maintaining the confidentiality of patient and financial data will also be part of your responsibilities. Key Responsibilities: - Accurately code dental procedures using ICD-10 CPT, ICD-10, and HCPCS. - Review, analyze, and resolve coding/billing issues. - Collaborate with providers and internal...

Job Requirements Be an expert on data standards and clinical terminologies Ability to understand the Inclusion and Exclusion criteria of a clinical trial Updating and maintenance of knowledge graph Validation of the precision360 database in terms of data quality, fill rate and data standardization Clinical validation of Precision360 product suites Collaborate with data engineers, NLP data scientists, and pipeline team Support innovation of the clinical trial optimization and digital trial solution software suite. Work Experience Clinical knowledge, particularly in Oncology, and understanding of clinical workflows Extensive experience with standard vocabularies like SNOMED, LOINC, ICDO3, ICD1...

As a Denial Analyst, you will be responsible for analyzing, researching, and resolving denied claims in the field of medical billing. Your role will involve interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Qualification Required: - Education: Any graduate - ...

As a Senior EDW Analyst / Consultant in US Healthcare at our company, your role will involve designing, developing, and maintaining Enterprise Data Warehouse (EDW) solutions specifically tailored for healthcare datasets such as claims, eligibility, enrollment, EHR/EMR, provider, and pharmacy. Your key responsibilities will include: - Collaborating with business and technical teams to gather requirements and translate them into scalable data models. - Building and optimizing ETL/ELT pipelines for the ingestion, transformation, and integration of healthcare data. - Ensuring compliance with US healthcare regulations such as HIPAA, CMS mandates, NCQA quality reporting, and HEDIS. - Enabling anal...

Role Overview: You are required to have 1-2 years of experience in US healthcare RCM to fill the role of a Spravato/Mental Health Biller & Caller. Your main responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. It is essential to possess strong communication skills as you will be interacting with insurance companies, providers, and patients to ensure timely reimbursement. Key Responsibilities: - Process and submit Spravato/Mental Health claims - Verify insurance eligibility - Obtain prior authorizations - Follow up on denied/r...

You will be joining Huron, where you will assist clients in adapting to the evolving healthcare landscape, optimizing business operations, enhancing clinical outcomes, creating a consumer-centric healthcare experience, and fostering engagement among physicians, patients, and employees. Your role will involve overseeing a team of coders focused on achieving client production and coding accuracy goals. Excellent communication skills, attention to detail, and strong technical abilities are essential for success in this position. **Key Responsibilities:** - Assign accurate diagnosis and CPT codes following ICD-10 and CPT-4 coding systems for medical records - Code outpatient and/or inpatient rec...

As a Medical Billing Specialist, you will be responsible for managing the end-to-end Accounts Receivable (AR) processes in medical billing. Your key responsibilities will include: - Following up on claim approvals, denials, and appeals - Managing outstanding claims to ensure timely reimbursements - Generating and analyzing AR reports to track collection performance - Communicating with insurance companies and patients to address billing inquiries - Reconciling accounts, processing refunds, and resolving billing discrepancies To excel in this role, you must possess the following qualifications and skills: - 1-3 years of experience in medical billing and AR management - Strong knowledge of hea...

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

Dear Candidates, We are hiring experienced professionals in the Charge Entry and Payment Posting domains within the medical billing process. Candidates must have hands-on experience in physician billing and a strong understanding of US healthcare RCM. Location: Chennai Company: Novigo Integrated Services Shift: Day Shift Experience: Min 1 yr as Charge and Payment Industry: Medical Billing / Healthcare BPO Open Positions: 1. Charge Entry Specialist !!!! Key Responsibilities: Perform accurate and timely charge entry based on medical documentation. Strong knowledge of E&M CPT codes (99202 99215) . Apply appropriate modifiers like 25, XU, 59, RT & LT . Understand Place of Service (POS) and medic...

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 validi...