64 Icd10 Jobs - Page 2

As a US Healthcare Medical Manager, Coding at Ventra, you will play a crucial role in leading our Medical Coding team with a focus on maintaining high standards of accuracy and compliance within the US healthcare system. Your responsibilities will include providing leadership to the coding team, overseeing all coding operations, ensuring compliance with coding guidelines and regulations, and collaborating with various departments to optimize revenue cycle operations. Your key responsibilities will involve: - Leading and guiding the medical coding team by assigning tasks, setting goals, and conducting performance evaluations to foster a positive work environment that encourages collaboration and innovation. - Overseeing the medical coding process to ensure accuracy, completeness, and compliance with relevant coding guidelines (e.g., CPT, ICD-10, HCPCS) while implementing best practices to optimize efficiency. - Staying informed about changes in coding regulations, reimbursement policies, and healthcare compliance requirements to ensure alignment with applicable laws and regulations. - Providing ongoing training and education to coding staff to keep them updated on coding guidelines and best practices, as well as supporting their professional development goals. - Collaborating with other departments to ensure seamless integration of coding processes with overall revenue cycle operations, address coding-related issues, and optimize revenue capture. - Monitoring coding metrics and key performance indicators to track team performance, identify process improvement opportunities, and communicate coding trends to senior management. To be successful in this role, you should possess: - Bachelor's degree in any related field, with a Master's degree preferred. - Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification. - Minimum of 8 years of experience in medical coding, with at least 3 years in a supervisory or managerial role. - Strong leadership skills, in-depth knowledge of coding systems and regulations, excellent communication skills, and proficiency in coding software and EHR systems. Ventra Health offers competitive compensation based on various factors, including geographic location, skill set, experience, qualifications, and other job-related reasons. In addition, this position is eligible for a discretionary incentive bonus according to company policies. Ventra Health is committed to Equal Employment Opportunity in the US and does not accept unsolicited agency resumes. Please verify any communication claiming to represent Ventra Health to protect yourself from scammers. All legitimate roles are posted on https://ventrahealth.com/careers/. Ventra Health is dedicated to making digital experiences accessible to all users and continually improves user experience through adherence to accessibility standards. For more information, visit https://ventrahealth.com/statement-of-accessibility/.,

As a Certified CPC Coder specializing in radiology billing operations within the Revenue Cycle Management team, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while complying with US healthcare regulations. Your responsibilities will include reviewing and validating CPT, ICD-10, and HCPCS codes for radiology studies, conducting audits to maintain high-quality standards, and ensuring regulatory compliance with HIPAA, CMS regulations, and facility-specific billing protocols. You will be responsible for preparing and submitting accurate invoices to partner healthcare facilities based on contracted fee schedules, as well as validating invoice line items against study volumes, modality types, and applicable reimbursement rates. Effective collaboration with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation, along with clear communication with facility billing departments and insurance representatives, will be essential in this role. Additionally, you will be expected to generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics, maintain detailed billing logs and reconciliation spreadsheets, and identify opportunities to streamline billing processes and improve revenue cycle efficiency. Your technical skills should include advanced proficiency in Microsoft Excel, experience with billing software such as Kareo, AdvancedMD, and knowledge of electronic data interchange formats. To qualify for this role, you should possess a Bachelor's degree in a relevant field, CPC Certification from AAPC, additional certifications in radiology coding, and a minimum of 3 years of hands-on experience in US medical billing and coding, preferably with radiology billing expertise. Proficiency in analytical problem-solving, strong communication skills, time management abilities, and adaptability to changing healthcare regulations are key competencies required for success in this position. In return, we offer competitive compensation, comprehensive benefits including health insurance and paid time off, flexible work arrangements, professional development opportunities, and a clear career progression path within our growing RCM division. If you are ready to advance your career in healthcare revenue cycle management and contribute to our innovative and collaborative team, we encourage you to apply by submitting your updated resume, cover letter, CPC certification, and relevant credentials for consideration.,

The role of RPM & CCM Billing Specialist at MedQuik Solutions in Chennai involves managing billing processes, invoicing, client communication, client billing, and accounting tasks. As a Billing Specialist, you will be responsible for CCM Billing, ensuring accurate documentation and reimbursement for Chronic Care Management services. You will review patient records and medical charts to code diagnoses and procedures correctly for RPM and CCM services, resolving billing discrepancies promptly for timely claim submissions and reimbursements. It is essential to stay updated with billing codes, insurance regulations, and compliance guidelines. The ideal candidate should have a minimum of 2 years of experience in RPM and CCM billing, proficiency in medical billing software, particularly eCW and allegiance MD, a strong understanding of ICD-10, CPT, and HCPCS codes for RPM and CCM services, and excellent organizational skills with attention to detail. Collaboration with healthcare teams to ensure accurate and timely billing is also a key requirement. If you are a billing specialist passionate about RPM and CCM services and seeking to enhance healthcare efficiency while advancing your career, we encourage you to apply for this full-time on-site role at MedQuik Solutions. Join us in our mission to optimize revenue cycle management and improve patient care quality. To apply for this position, please send your resume to askar.ali@medquiksolutions.com. #RPMBilling #CCMBilling #RevenueCycleManagement #HealthcareCareers #MedQuikSolutions,

The primary responsibility of this role is to maintain proper documentation of client software for submission to insurance companies and create a detailed audit trail for future reference. Additionally, the role involves recording post-call actions, conducting post-call analysis for claim follow-ups, and addressing customer inquiries, requests, and complaints effectively through phone calls to ensure prompt resolution at the first point of contact. It is essential to provide customers with accurate information regarding products/services, conduct thorough research on available documentation such as authorizations, nursing notes, and medical records on client systems, and interpret received explanation of benefits before initiating the call. Applicants for this position should have 1-4 years of experience in accounts receivable follow-up/denial management for US healthcare customers. Excellent verbal communication skills and call center expertise are required. Knowledge of denials management and accounts receivable fundamentals is preferred. Candidates must be willing to work night shifts consistently, possess basic computer skills, and ideally have prior experience in a medical billing company with knowledge of medical billing software. Familiarity with the medical billing cycle, healthcare terminology, and ICD-10/CPT codes is advantageous. Interested candidates can reach out to Teena Binu, HR at 9003142494. This is a full-time, permanent position that is open to fresher candidates. The benefits include provided meals, health insurance, paid sick time, paid time off, and provident fund. The work schedule includes night shifts and rotational shifts with a performance bonus. Experience of at least 1 year is preferred. The work location is in person. (Note: Job Types, Benefits, Schedule, Experience, and Work Location details have been excluded from the final Job Description),

You are being sought after to join our dynamic healthcare team as a Junior Medical Coder / Medical Coder in Kolkata. You should possess a solid foundation in medical coding principles, familiarity with coding systems such as ICD-10 and CPT, and a strong commitment to accuracy. This entry-level position offers an excellent opportunity for advancement within the healthcare industry. Your main responsibilities will include reviewing and analyzing patient medical records to ensure accurate code assignment, adhering to coding guidelines and regulatory requirements, learning to operate medical coding software, assigning appropriate diagnostic and procedural codes using ICD-10 and CPT systems, staying updated on industry changes, attending relevant training sessions, and maintaining the confidentiality and security of patient information. To qualify for this position, you should hold a Bachelor's or Master's degree in life sciences, medical, pharmacy, nursing, or a related field. While 2-3 years of experience in a relevant field is preferred, entry-level candidates with internship experience are also encouraged to apply. You should have a good understanding of medical terminology, anatomy, and coding systems, and possess skills such as attention to detail, analytical thinking, and effective communication. Proficiency in using coding software and electronic health record systems is essential. In return for your contributions, we offer a competitive salary, health insurance coverage, professional development opportunities, and a collaborative and supportive work environment. This is a full-time, permanent position with benefits including provided food, health insurance, and paid time off. The work location is in person. If you are looking to grow your career in medical coding and contribute to the healthcare industry, we welcome your application for this exciting opportunity.,

As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participation in coding team meetings, educational conferences, and ongoing skill development activities is essential to stay updated with coding practices. Applicants for this role should hold a graduate degree in life sciences with 2-4 years of experience in medical coding, specifically in Radiology specialty. Prior experience in medical coding audit and physician education, particularly in Radiology Coding, will be advantageous. Proficiency in coding procedures, medical terminology in an ambulatory setting, and familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding is required. Having certifications such as CCS, CPC, CPC-H, CIC, COC from AAPC or AHIMA, along with current coding certification, will be beneficial. A strong understanding of medical coding and billing systems, regulatory requirements, auditing concepts, and principles is necessary to succeed in this role. If you are inspired, talented, and motivated to grow in healthcare revenue cycle management, Pacific BPO welcomes you to join their team and contribute to their vibrant culture.,

As a Certified Medical Coder specializing in Hierarchical Condition Category (HCC) coding, you will be instrumental in maintaining the precision and reliability of our home healthcare data. Your main duty involves reviewing medical records and assigning the appropriate codes for diagnoses and procedures. Collaborating closely with healthcare providers is essential to ensure adherence to all coding standards and regulations. Your responsibilities will include meticulously reviewing and coding medical records according to ICD-10 and CPT guidelines, working with healthcare providers to address coding inconsistencies, staying abreast of coding and compliance updates, assisting in data analysis and reporting, and being based out of our office in Trivandrum. The ideal candidate should possess 1-3 years of medical coding experience, proficiency in ICD-10 and CPT systems, a solid understanding of medical terminology and healthcare regulations, meticulous attention to detail, knowledge of HIPAA regulations, effective communication skills, and the ability to thrive in a collaborative team setting. A valid Certified Professional Coder (CPC) certification is mandatory for this role. The salary package offered ranges from 20,000 to 25,000 per month, depending on experience and expertise. If you are enthusiastic about maintaining accuracy and compliance in medical coding and thrive in a collaborative office environment, we encourage you to apply. Walk-in interviews will be conducted from July 16, 2025 (Wednesday) to July 19, 2025 (Saturday) at IQCTS Academy in Trivandrum. This is a full-time position with day shift hours, based at our office in Trivandrum. To apply, please submit your updated resume and certification details to teamumetech@gmail.com.,

If you are looking to advance your healthcare career and gain a deeper understanding of healthcare revenue cycle management, it is essential to view your healthcare business processes through the lens of the customer. Access Healthcare offers you the opportunity to enhance your expertise in the business of healthcare, join a company that recognizes and values your contributions, and allows you to evolve into a trusted partner for your clients. You will be supported in your professional growth and empowered to focus on key performance indicators that are crucial for your clients. As a Client Partner for medical coding - Denial services at Access Healthcare in Mumbai, India, you will play a pivotal role in auditing the coding of medical records, ensuring accurate diagnosis and CPT codes are assigned in accordance with ICD-10 and CPT-4 systems. Your responsibilities will include efficiently coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96% within specified turnaround times. By exceeding productivity standards and upholding professional and ethical practices, you will contribute to revenue optimization for clients while adhering to industry standards. To excel in this role, you must possess excellent communication skills, a solid understanding of coding procedures and medical terminology in an ambulatory setting, and proficiency in medical coding and billing systems, regulatory requirements, auditing concepts, and principles. Continuous improvement is key, and you will be encouraged to enhance your coding skills and knowledge through participation in coding team meetings and educational conferences. The ideal candidate will have 1 to 8 years of experience in Medical Coding and be well-versed in CPT-4, ICD-9, ICD-10, and HCPCS coding. Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA is mandatory for this role, demonstrating your commitment to excellence in medical coding practices. Join Access Healthcare's dynamic team and embark on a rewarding career journey where your skills and expertise will be valued and nurtured.,

If you are looking to advance your career in healthcare and deepen your expertise in healthcare revenue cycle management, it is essential to analyze your healthcare business processes through the lens of the customers. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and supports your professional growth. Become a valuable partner to your clients by focusing on key performance indicators that are crucial to their success. Embark on a rewarding career as a Medical Coder specializing in Surgery at Access Healthcare in Pune, India. We are seeking individuals who are passionate, skilled, and driven to excel in a dynamic work environment. Various opportunities await you in our vibrant organization. As a Medical Coder - Surgery, your responsibilities will include accurately assigning diagnosis and CPT codes to medical records based on the ICD-10 and CPT-4 systems of coding. You will be tasked with coding records related to surgeries with a minimum accuracy rate of 96% and meeting specified turnaround time requirements. It is essential to surpass productivity standards for Medical Coding for Surgery, adhering to inpatient and/or specialty-specific outpatient coding norms. Upholding professional and ethical standards is paramount in this role. Continuous improvement is a key focus area, where you will engage in projects aimed at helping clients prevent revenue loss while ensuring compliance with industry standards. Stay updated on coding skills, knowledge, and accuracy by actively participating in coding team meetings and educational conferences. To qualify for this position, candidates should possess: - 1 to 4 years of experience in Medical Coding for Surgery specialty - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Certification such as CCS, CPC, CPC-H, CIC, COC from AAPC or AHIMA is highly desirable - Mandatory certification in medical coding - Proficiency in medical coding and billing systems, understanding of regulatory requirements, auditing concepts, and principles If you meet the above criteria and are eager to take your career to the next level in the field of Medical Coding for Surgery, we encourage you to apply and be part of our dedicated team at Access Healthcare.,

If you want to advance in your healthcare career and enhance your expertise in healthcare revenue cycle management, it is essential to view your healthcare business operations through the perspective of the customer. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and empowers you to establish genuine partnerships with clients. This company invests in your professional development and provides opportunities to directly impact the key performance indicators that are crucial to your clients. Embark on your professional journey as a Medical Coder - Surgery at Pacific BPO, an Access Healthcare company. We are eager to connect with individuals who are driven, skilled, and passionate about their work. Our dynamic work environment offers numerous possibilities for personal and professional growth. Location: Noida, India Responsibilities: - Accurately assign diagnosis and CPT codes based on the ICD-10 and CPT-4 coding systems for various medical records - Code medical records related to surgeries with a precision rate of at least 96 PERCENT and within specified turnaround time - Meet or exceed productivity standards for Medical Coding for Surgery, adhering to norms for inpatient and specialized outpatient coding - Uphold high levels of professionalism and ethical standards - Engage in continuous improvement initiatives by participating in projects that help clients prevent revenue loss while ensuring compliance with regulations - Enhance coding skills, knowledge, and accuracy through involvement in coding team meetings and educational conferences Requirements: - Graduates in life sciences with 1 - 4 years of experience in Medical Coding, particularly in Surgery - Proficiency in Surgery Coding is mandatory - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be advantageous - Freshers with sound knowledge of medical terminology, Human Anatomy, and Physiology are encouraged to apply - Valid current coding certification is a must, with proof of certifications - Strong understanding of medical coding and billing systems, regulatory requirements, auditing concepts, and industry principles Join us at Pacific BPO and be part of a team that values your expertise and supports your professional development. Apply now and take your career to new heights in the healthcare industry.,

The role of a Medical Coder specializing in Evaluation & Management (EM) and Inpatient (IP) services requires a minimum of 1 year of experience in Medical Coding. The ideal candidate must hold a CPC or CCS certification. This position involves working day shifts. Key Responsibilities: - Review and analyze patient medical records to ensure accurate coding of EM and IP services. - Assign appropriate ICD-10, CPT, and HCPCS codes based on the provided documentation. - Ensure adherence to coding guidelines and regulatory requirements. - Collaborate closely with physicians and billing teams to address any documentation discrepancies. - Conduct quality checks to maintain coding accuracy standards. - Stay informed about coding regulations and industry best practices. Required Skills & Qualifications: - Minimum of 1 year of experience in EM/IP coding. - Mandatory certification in CPC or CCS. - Proficient understanding of ICD-10, CPT, and HCPCS coding guidelines. - Strong attention to detail and accuracy in work. - Excellent communication and analytical abilities. - Familiarity with healthcare compliance and regulatory standards.,

If you want to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must view your healthcare business processes through the eyes of the customer. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and supports your development, allowing you to establish a genuine partnership with your clients. Embark on your professional journey as a Surgery Coding Auditor at Pacific BPO, an Access Healthcare company, which values inspired, talented, and driven individuals. Numerous opportunities await you in our dynamic and inclusive work environment. As a Surgery Coding Auditor, your responsibilities will include auditing medical records to ensure accurate assignment of diagnosis and CPT codes according to ICD-10 and CPT-4 coding systems. You will be tasked with coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent while meeting turnaround time requirements. Strive to exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help clients optimize revenue and comply with industry standards. Additionally, you will be expected to enhance your coding skills and knowledge by participating in coding team meetings, educational conferences, and various projects aimed at preventing revenue leakage. To qualify for this position, candidates should hold a graduate degree in life sciences and possess 2-4 years of experience in Medical Coding for Surgery. Previous experience in Medical Coding Audit and Physician Education, particularly in Surgery Coding, will be advantageous. A solid understanding of coding procedures and medical terminology in an ambulatory setting is essential for success in this role. If you are passionate about healthcare, possess the required qualifications, and are eager to make a difference in the field of medical coding, we encourage you to apply for this exciting opportunity in Noida, India. Join our team at Pacific BPO and contribute to our mission of delivering high-quality healthcare services while fostering professional growth and development.,

You will be working in the Mumbai office with a night shift timing from 8 pm to 5 am. As part of your role, you will be responsible for Claims Follow-Up & Collections which involves monitoring outstanding insurance claims, conducting timely follow-ups with insurance providers, reconciling daily AR reports, and identifying billing errors for resolution. Additionally, you will handle Denial Management & Appeals by analyzing denial trends, preparing and submitting appeals for denied claims, and maintaining records of appeal status. You will also be in charge of Reporting & Compliance tasks like generating aging reports, AR summaries, and maintaining accurate collection records. Your primary function will include collaborating with insurance representatives and internal stakeholders to streamline the Accounts Receivable processes. To qualify for this role, a Bachelor's degree in Accounting, Finance, Business Administration, or a related field is preferred along with at least 2 years of experience in accounts receivable, medical billing, or revenue cycle management. Proficiency in RCM software such as EPIC, Athenahealth, Cerner, or others is required. To stand out, you should have a strong knowledge of insurance reimbursement processes, AR management, and medical billing. Familiarity with CPT, ICD-10, and HCPCS codes, proficiency in Microsoft Excel and financial reporting tools, and the ability to manage high-volume AR portfolios independently will be beneficial. In terms of behavioral skills, being a problem-solver to identify and resolve healthcare billing discrepancies, organized to manage high volumes efficiently, and analytical to understand healthcare financial data and denial patterns are crucial. The benefits of this role include annual public holidays, 30 days of total leave per calendar year, a Mediclaim policy, Lifestyle Rewards Program, Group Term Life Insurance, Gratuity, and more.,

At Davies North America, you will be part of a team that prides itself on innovation and excellence by combining advanced technology with top-notch professional services. As a crucial member of the global Davies Group, your role will involve assisting businesses in managing risk, enhancing operations, and leading transformation within the insurance and regulated sectors. Currently, we are seeking a dedicated Medical Bill Reviewer to join our expanding team. Your responsibilities will include but are not limited to the following: - Entering compensation fee schedules and other relevant data into the system accurately and efficiently - Adjudicating provider bills in compliance with state Workers Compensation Fee Schedule rules - Ensuring accurate data entry and maintaining satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve cost savings - Reviewing medical bills based on medical necessity, treatment provided, adjuster authorizations, and other factors - Utilizing Fee Schedules, online documents, and client instructions for bill review - Researching usual and customary/Fee Schedule applications as needed - Handling provider and customer inquiries via phone calls - Continuous training to enhance knowledge in medical terminology, State Fee Schedule, and relevant reference materials - Performing additional duties as assigned To excel in this role, you should possess: - Minimum of one-year experience in medical terminology/medical office settings - Proficient typing skills (60+ wpm) and accurate numerical data entry - Ability to process 120 bills per day with a 95%+ accuracy rate - Previous experience with specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with various state WC programs, especially 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 and organizational abilities - Capability to multitask, prioritize, and meet deadlines in a fast-paced environment - Team player with exceptional interpersonal skills - Attention to detail and problem-solving capabilities - Ability to work independently and collaboratively with minimal supervision - Discretion in handling sensitive and confidential information - Fluency in English About Davies: Davies is a specialized professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. Our mission is to assist clients in managing risk, improving core business processes, and driving growth. With a global team of over 8,000 professionals across ten countries, our services cover claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Over the past decade, Davies has experienced significant growth, focusing on research & development, innovation & automation, colleague development, and client service. We currently serve more than 1,500 insurance, financial services, public sector, and highly regulated clients.,

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must evaluate your healthcare business processes through the perspective of your customers. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and empowers you to become a trusted partner to your clients. This organization invests in your professional development and allows you to directly impact the key performance indicators that are significant to your clients. Embark on a fulfilling career journey as a Client Partner specializing in medical coding for Evaluation & Management (E&M) and Emergency Department (ED) services at Access Healthcare. We are constantly seeking individuals who are passionate, skilled, and driven to join our dynamic team. Multiple opportunities await you in our thriving work environment. As a Client Partner for medical coding, your responsibilities will include: - Conducting audits on medical record coding to assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems - Performing coding and audits for Outpatient and/or Inpatient records with a minimum accuracy rate of 96% and meeting turnaround time requirements - Exceeding productivity benchmarks for Medical Coding as per the specified norms for inpatient and/or specialty-specific outpatient coding - Upholding high standards of professionalism and ethics - Engaging in continuous improvement initiatives by undertaking projects that help clients prevent revenue loss while adhering to regulatory standards - Enhancing coding skills and knowledge through participation in coding team meetings and educational conferences Job Requirements: To be eligible for this role, candidates should possess the following qualifications: - 1 to 4 years of experience in Medical Coding - Familiarity with Coding Procedures and Medical Terminology in an ambulatory care setting - Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding - Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be advantageous - Certification is mandatory. - Sound understanding of medical coding and billing systems, regulatory requirements, auditing principles, and concepts.,

We are looking for a OP Medical Coder - Freshers to join our team in Calicut. This is a Hybrid job opportunity. The ideal candidate should be a CCS / CPC Certified coder from AAPC/AHIMA with a Medical Background. You should be ready to join immediately. It is essential for the candidate to possess an understanding of the coding principles and systems for ICD-10, CPT, and HCPCS. We are specifically looking for Non-Licensed medical professionals (Physician, nurse, or therapist) with a life science background. Please be informed that only short-listed candidates will be contacted. Kindly ensure that your email subject follows the format: Candidate name _ Location _ Graduation Name. Interested applicants are requested to share their updated resume to recruitment@greycodes.ae.,

The ideal candidate should have 1 - 3 years of experience in HCC Coding and hold certification in AAPC/AHIMA-CPC, CRC, CCS, COC. The work location for this position is in Hyderabad. Your responsibilities will include assigning codes to diagnoses and procedures utilizing ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. You will be required to review medical charts under the diagnosis and procedure to assign the related CPT and ICD-10 codes accurately. Ensuring that you assign codes based on coding and customer guidelines is essential. You should demonstrate proficiency in coding outpatient/inpatient charts across various specialties with over 97% accuracy and within the specified turnaround time. In cases of complex or unusual coding, you are responsible for searching for additional information. Additionally, receiving and reviewing patient charts and documents for accuracy, ensuring the currency and validity of all codes, and participating in coding meetings and educational conferences to maintain coding skills and accuracy are part of your duties. Compliance with medical coding policies and guidelines is crucial. Desired skills for this role include experience in HCC coding, knowledge of the US healthcare industry, understanding of client-specific process rules and regulatory requirements, strong knowledge of anatomy, physiology, and medical terminology, familiarity with ICD-10 codes and procedures, and excellent oral and written communication skills. The perks and benefits for this position include a competitive salary, incentives, and more. Tech-Intelleon specializes in designing, developing, and delivering innovative web and mobile applications to enhance business capabilities and accelerate growth. By leveraging advanced technology and software solutions, we assist clients in reducing customer acquisition lead times and improving brand positioning, enabling them to outperform the competition. Our focus is on delivering robust and scalable product solutions with rich user experience and advanced 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 on extensive research and a client base spanning 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. We are a team of young and experienced professionals working together to push the boundaries of technology. If you are ready to make a difference with us, visit www.techintelleon.com for more information.,

ParaData Software (PDS) is a prominent software and staffing solutions provider based in Pune, with a decade of industry experience. Specializing in customized solutions to enhance businesses in the digital era, our proficient team excels in software development, digital transformation, and IT consulting. By tackling intricate challenges and fostering growth for organizations of all magnitudes, we are committed to delivering exceptional services. We are currently seeking a full-time Medical Billing Expert to join ParaData Software Systems Inc. in Pune, offering a hybrid work model with the possibility of remote work. As a Medical Billing Expert, your primary responsibilities will include managing medical terminology, denials, ICD-10 coding, insurance claims, and Medicare billing. This role entails on-site work in Pune, with prospects for remote work as well. The ideal candidate should possess the following qualifications: - Proficiency in Medical Terminology, ICD-10, and Medicare knowledge - Previous experience in handling denials and insurance claims - Strong grasp of medical billing processes - Meticulous attention to detail and accuracy in billing practices - Familiarity with medical billing software - Exceptional communication and interpersonal skills - Ability to thrive in a hybrid remote work environment - Certification in Medical Billing or a related field would be advantageous If you are a skilled Medical Billing Expert looking to make a meaningful impact in the healthcare industry, we invite you to join our dynamic team at ParaData Software Systems Inc. and contribute to our mission of driving innovation and success for our clients.,

The position of RCM Quality Analyst in our Revenue Cycle Management (RCM) department in Visakhapatnam, India, is currently open for a detail-oriented and analytical individual. As an RCM Quality Analyst, you will play a crucial role in evaluating and enhancing the quality of revenue cycle processes to ensure accuracy, compliance, and efficiency in all operations. Your responsibilities will revolve around quality and process auditing, data analysis, reporting, feedback and training, continuous improvement, and documentation. Your main tasks will include conducting regular audits to identify discrepancies and areas for improvement, analyzing data to optimize processes, preparing detailed reports for management, providing feedback to the team, and assisting in training initiatives. Moreover, you will collaborate with the RCM team to implement process improvements, maintain accurate documentation, and uphold quality assurance standards. To qualify for this role, you should possess a bachelor's degree in healthcare administration, finance, business, or a related field, along with 2-4 years of experience in revenue cycle management focusing on quality assurance or auditing. Proficiency in RCM software, electronic health records (EHR), and medical billing systems is required, as well as a deep understanding of healthcare billing, coding, and reimbursement processes including ICD-10, CPT, and HCPCS codes. Strong analytical skills, attention to detail, communication skills, problem-solving abilities, and a collaborative approach to teamwork are also essential for success in this role. Additionally, this position offers a fixed night shift, competitive salary, allowances, and insurance benefits. If you are looking to make a meaningful impact in healthcare revenue cycle management and possess the necessary qualifications and skills, we encourage you to apply for the RCM Quality Analyst position and be part of our dynamic team in Visakhapatnam.,

As a Same Day Surgery Medical Coder, you will be responsible for handling the day-to-day operations of Same-day Surgery Coding. Your primary tasks will include coding records according to prescribed coding standards such as ICD-9/ICD-10 and CPT, assigning diagnosis and procedure codes for patient charts, and ensuring adherence to the company's Coding Compliance policy/plan. It is essential to have a minimum of two years of Same-day Surgery Coding experience and hold a CPC or COC certification. A graduation in Life Science or medical sciences is also required. Your role will involve working towards service levels to meet productivity and quality requirements. You will be expected to improve performance based on feedback provided by the reporting manager and prepare and maintain status reports. This position is based in Chennai and offers a salary ranging from 4 to 7.5 LPA Max. The work timings are during the day shift with Saturday and Sunday as fixed offs. The ideal candidate for this position must have CCS or CIC certification, with a preference for CPC or COC certification. The job falls under the Healthcare & Life Sciences functional area in the BPO/KPO Call Centre industry. This is a full-time, permanent employment opportunity. If you meet the qualifications and experience required for this role, please share your updated CV with raghu@starworthglobal.com or contact 9176668384 to express your interest.,

As a Manager Coding specializing in Outpatient Coding within the Quality department, you are expected to have a minimum of 8 years of experience in the Medical Coding industry. Your expertise should encompass Inpatient coding, Medical Coding guidelines, and Coding Techniques such as ICD-10 and CPT. It is essential to possess a strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology. Proficiency in using MS Office tools is required along with exceptional communication and interpersonal skills. Your primary responsibilities will involve supervising and managing a team of over 50 Quality Analysts. You are tasked with fostering a motivating team environment that promotes open communication. Capacity planning for the Quality Assurance team based on project requirements, task delegation, setting deadlines, and ensuring quality control in line with client Service Level Agreements (SLAs) are key aspects of your role. Furthermore, it is your duty to oversee the effective implementation of the organization's Quality Management System, monitor team performance metrics, conduct random audits, and perform Root Cause Analysis (RCA) on audit observations. Identifying knowledge gaps and collaborating with quality leads and operation managers to develop improvement action plans is crucial. Discovering training needs, offering coaching to Quality Analysts, resolving conflicts, recognizing achievements, promoting creativity, suggesting team-building activities, and initiating improvement plans are additional responsibilities. To excel in this role, you must possess a minimum of 8 years of experience in Medical Coding, either in Operations or Quality teams specializing in IP DRG or Outpatient medical Coding. Leadership experience managing medium to large teams, particularly across multiple sites, is essential. Holding certifications such as CPC, CIC, COC, or CSS would be advantageous. A successful candidate for this role should hold a Graduate or Post Graduate degree in any field, demonstrating a strong foundation for effective leadership and management within the Medical Coding domain.,

The role of overseeing the hospital's accounts receivable operations is crucial for ensuring efficient billing, collections, and follow-up on outstanding balances. As the Accounts Receivable Manager, you will be responsible for managing a team of billing specialists and other staff, overseeing their performance in accounts receivable functions. Your key duties will include developing and implementing processes to enhance billing and collections efficiency, analyzing accounts receivable reports and key performance indicators to identify trends and areas for improvement, and ensuring compliance with current US healthcare regulations and reimbursement policies. In this leadership role, you will be expected to implement effective policies and procedures for accounts receivable management, provide training and support to staff on billing procedures, policies, and regulations, as well as handle any other duties as assigned. The ideal candidate for this position should possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field, along with at least 12-15 years of experience in hospital billing and accounts receivable management. A thorough understanding of US healthcare regulations and reimbursement policies is essential, as well as knowledge of healthcare billing and coding systems, including ICD-10 and CPT coding. Additionally, the successful candidate should have experience in managing and leading teams, excellent communication, analytical, and problem-solving skills, and a strong attention to detail. Proficiency in Microsoft Office Suite, particularly Excel and Word, is required, along with the ability to adapt to changing priorities and handle multiple tasks simultaneously. If you meet the above qualifications and are excited about this opportunity, we encourage you to submit your resume to mvuyyala@primehealthcare.com.,

You are a Senior Manager of Medical Coding Operations specializing in Same Day Surgery, based in Airoli, Navi Mumbai. With over 11 years of experience in the medical coding field, you possess in-depth knowledge of Surgery Medical Coding guidelines, ICD-10, and CPT coding techniques. Your strong foundation in Anatomy & Physiology, Advanced Medical Terminology, Pharmacology, and Psychology, along with proficiency in MS Office, excellent communication, and interpersonal skills, make you an ideal candidate for this role. Your primary responsibilities include managing coding transitions, providing training and leadership to the coding team, understanding and exceeding client expectations, leading project transitions, making effective decisions, conducting research and analytics, mentoring coders, collaborating with stakeholders, overseeing client interactions, and managing a team of multispecialty coders. Additionally, you will assist in facility creation and team building as per project requirements. You must have at least 11 years of experience in Medical Coding, specializing in Surgery Coding, possess proficiency in MS Word and Excel, demonstrate strong organizational skills, attention to detail, multitasking abilities, and hold a graduation degree in any stream. Mandatory certifications such as CCS, CIC, COC, or CPC are required for this role.,

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting appeals with accurate documentation, and monitoring deadlines for timely submissions. The ideal candidate will possess a strong understanding of the US healthcare billing cycle, hands-on experience with EMR/EHR systems, in-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you are passionate about healthcare revenue management and proficient in resolving complex denials, we encourage you to apply and be a part of the Zapare team. #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity,

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services according to industry standards will be a crucial part of your job. Additionally, you will adjudicate claims based on established criteria like medical necessity and coverage limitations to ensure fair and accurate reimbursement. It will be your responsibility to process claims promptly and accurately using designated platforms. You will investigate and resolve discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams. Collaboration with billing, audit, and other staff to address complex claims issues and ensure proper documentation and justification for claim adjudication will be essential. To excel in this role, you should maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends to ensure compliance and best practices in claims processing. Providing courteous and professional customer service to policyholders, healthcare providers, and other stakeholders regarding claim status, inquiries, and appeals is also expected. Documenting all claims processing activities, decisions, and communications accurately and comprehensively in designated systems or databases is a key part of the job. Participation in training programs, team meetings, and quality improvement initiatives to enhance skills, productivity, and overall performance is encouraged. Ideally, you should have a Masters/Bachelors degree in Nursing, B.Pharma, M.Pharma, BPT, MPT, or a related field. Excellent analytical skills with attention to detail, accuracy in data entry, and claims adjudication are essential. Effective communication and interpersonal skills, the ability to collaborate across multidisciplinary teams, and interact professionally with external stakeholders are required. You should possess a problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed. A commitment to continuous learning and professional development in the field of healthcare claims processing is crucial for success in this role.,