64 Icd10 Jobs - Page 3

As a Medical Billing Specialist, your primary responsibility will be to efficiently manage the end-to-end Account Receivable (AR) processes in medical billing. You will be required to follow up on claim approvals, denials, and appeals diligently to ensure timely reimbursements. Generating and analyzing AR reports will be crucial for tracking collection performance. In addition, you will need to communicate effectively with insurance companies and patients to address billing inquiries in a prompt manner. It is essential to reconcile accounts, process refunds, and resolve any billing discrepancies that may arise. Your expertise in CPT, ICD-10, and HCPCS coding is vital for this role. To excel in this position, you should possess 1-3 years of experience in medical billing and AR management. A strong understanding of healthcare insurance claims and billing processes is essential. Excellent communication and negotiation skills are a must, along with proficiency in billing software and MS Office. Previous experience in Revenue Cycle Management, specifically in Physician Billing, will be advantageous. Your ability to analyze insurance remittance advice, clearinghouse rejections, and denials will be critical for success. This is a full-time position that involves working night shifts from 5:30 PM to 2:30 AM at the office. The role offers benefits such as a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. Prior work experience of at least 1 year is preferred for this role. The job requires in-person work at the specified location. In summary, as a Medical Billing Specialist, you will play a pivotal role in ensuring efficient AR processes, timely reimbursements, and effective communication with stakeholders to optimize billing operations.,

Huron assists its clients in driving growth, enhancing performance, and maintaining leadership in their respective markets. Healthcare organizations are supported in fostering innovation capabilities and accelerating key growth initiatives, enabling them to shape the future rather than be disrupted by it. Collaboratively, clients are empowered to achieve sustainable growth, improve internal processes, and enhance consumer outcomes. Health systems, hospitals, and medical clinics face significant pressure to enhance clinical outcomes and reduce the cost of patient care. Merely investing in new partnerships, clinical services, and technology is insufficient to bring about meaningful change. To ensure long-term success, healthcare organizations must empower their leaders, clinicians, employees, affiliates, and communities to cultivate cultures that promote innovation for optimal patient outcomes. Joining the Huron team entails aiding clients in adapting to the rapidly evolving healthcare landscape, optimizing existing business operations, enhancing clinical outcomes, creating a more consumer-centric healthcare experience, and fostering engagement among physicians, patients, and employees throughout the enterprise. The role entails overseeing the day-to-day production and quality functions of a team of coders focused on achieving client production and coding accuracy goals. This includes planning, directing, supervising, evaluating feedback workflows, and coordinating activities among all coding staff within the team. Excellent communication skills, attention to detail, as well as strong technical and problem-solving abilities are crucial for success in this position. JOB DETAILS: - Assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems for medical records - Code outpatient and/or inpatient records with a minimum accuracy of 96% and meeting turnaround time requirements - Exceed productivity standards for Medical Coding as per inpatient and/or specialty-specific outpatient coding norms - Uphold professional and ethical standards while focusing on continuous improvement to prevent revenue leakage and ensure compliance - Enhance coding skills, knowledge, and accuracy through participation in coding team meetings and educational conferences - Specialize in areas such as Inpatient, E&M, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, among others - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Interpret client requirements and project specifications to code charts accordingly - Adhere to prescribed coding standards like ICD-9/ICD-10 and CPT while ensuring accuracy and correctness of patient information - Assign appropriate medical codes to diagnoses and services, following client-specific guidelines and updates - Meet client productivity targets within specified timelines and deliver quality outputs - Prepare and maintain status reports QUALIFICATIONS: - Graduation in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology disciplines - Minimum of 2 years of industry experience - CPC (Certified Coding Professional) or CCS (Certified Coding Specialist) certification Position Level: Senior Analyst Country: India,

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include 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. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. 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 Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

About iMerit: iMerit is a well-funded, rapidly expanding global leader in data services. Our dedicated Medical Division collaborates with the world's largest pharmaceutical companies, medical device manufacturers, and hospital networks to provide the data driving advancements in Artificial Intelligence. At iMerit, we have a successful track record of delivering services that support cutting-edge technologies like digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. We are in search of an enthusiastic professional to lead a team of healthcare professionals in standardizing a large volume of healthcare data into common medical ontologies. The ideal candidate will possess experience in managing large teams, setting and achieving Key Performance Indicators (KPIs), and fostering collaborative relationships with clients. Prior involvement in extensive healthcare data operations and services would be highly beneficial. This role involves close coordination with US stakeholders and requires full-time commitment during PM-Shift in India, with in-office presence mandatory. Role: As a full-time Project Manager (PM), you will be responsible for overseeing medical data projects, working with various types of medical data to generate datasets for machine learning applications. Responsibilities: - Ensure timely, within scope, and within budget delivery of all projects - Coordinate internal resources and external vendors for seamless project execution - Develop and monitor a detailed project plan - Report and escalate issues to management when necessary - Manage client relationships and engage with all stakeholders - Implement risk management strategies to mitigate project risks - Maintain thorough project documentation throughout the project lifecycle Experience/Education: - Prior experience in Project Management within Healthcare Services - Familiarity with medical ontologies like Snomed, LOINC, RxNORM, and ICD-10 - Medical background such as Physician/MBBS with relevant experience Skills: - Proficient in grasping medical concepts - Excellent English reading comprehension and communication skills - Strong computer literacy - Passion for enhancing healthcare outcomes and a strong work ethic - Willingness to work night shifts due to the project's requirement for IST night shifts - Full-time office-based work Benefits: - Competitive compensation package - Exposure to collaborating with leading healthcare and AI companies - Opportunities for personal and professional growth - Engage in an international, collaborative team environment,

The primary responsibility of this role is to manage various aspects of Accounts Receivable (AR) processes in medical billing. This includes following up on claim approvals, denials, and appeals to ensure timely reimbursements. You will also be responsible for generating and analyzing AR reports to track collection performance. Additionally, the role involves communicating with insurance companies and patients to address billing inquiries, reconciling accounts, processing refunds, and resolving billing discrepancies. A key requirement for this role is a strong understanding of CPT, ICD-10, HCPCS codes. The ideal candidate should possess 1-3 years of experience in medical billing and AR management, with a solid knowledge of healthcare insurance claims and billing processes. Excellent communication and negotiation skills are essential for effectively interacting with stakeholders. Proficiency in billing software and MS Office is also required. Experience in Revenue Cycle Management (Physician Billing) is preferred, along with the ability to analyze insurance remittance advice, clearinghouse rejections, and denials. This is a full-time position with a night shift schedule from 5:30 PM to 2:30 AM and requires on-site work. In terms of benefits, the role offers a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. The preferred candidate should have at least 1 year of total work experience. The work location is in person.,

About iMerit: iMerit is a well-funded, rapidly expanding global leader in data services. The dedicated Medical Division of iMerit collaborates with the world's largest pharmaceutical companies, medical device manufacturers, and hospital networks to provide data that drives advancements in Artificial Intelligence. iMerit has a successful track record of delivering services that support cutting-edge technologies like digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. We are looking for an enthusiastic professional to lead a team of healthcare professionals in normalizing a significant volume of healthcare data into standard medical ontologies. The ideal candidate should have experience in managing large teams, defining and achieving Key Performance Indicators (KPIs), and collaborating effectively with clients. Prior experience in large-scale healthcare data operations and services would be highly beneficial. This full-time role involves coordinating with stakeholders in the US and follows the PM-Shift India schedule, requiring in-office work exclusively. Role: As a full-time Project Manager (PM) for medical data projects, you will be responsible for handling various types of medical data to create datasets for machine learning applications. Responsibilities: - Ensure timely delivery of all projects within scope and budget - Coordinate internal resources and third-party vendors for project execution - Develop a detailed project plan to monitor progress - Report and escalate issues to management when necessary - Manage client relationships and engage with all stakeholders - Implement risk management strategies to reduce project risks - Maintain comprehensive project documentation Experience/Education: - Project Management experience in Healthcare Services - Familiarity with medical ontologies like Snomed, LOINC, RxNORM, and ICD-10 - Medical background such as a Physician/MBBS with relevant experience Skills: - Proficient in understanding medical concepts - Strong English reading comprehension and communication skills - Computer literacy - Passion for enhancing healthcare outcomes and a strong work ethic - Ability to work night shifts, as the project requires IST night shift work - Full-time office-based work required Benefits: - Competitive compensation package - Exposure to innovative companies in healthcare and AI - Opportunities for professional growth and leadership development - Collaborative international work environment with a teamwork focus,

You are seeking fresher to gain experience in Health Claims. You will be required to go through a few days of training and will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulations, and contractual agreements. Your responsibilities will include reviewing and analyzing medical claims submitted by healthcare providers for accuracy, completeness, and compliance with insurance policies and regulatory requirements. You will need to verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Additionally, you will be assigning appropriate medical codes (e.g. ICD-10, CPT) to diagnoses, procedures, and services according to industry standards and guidelines. Adjudicating claims based on established criteria including medical necessity and coverage limitations will be a crucial part of your role, ensuring fair and accurate reimbursement. You will be expected to process claims promptly and accurately using designated platforms, investigating and resolving 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 also 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 adherence to 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 a key aspect of the position. Documenting all claims processing activities, decisions, and communications accurately and comprehensively in the designated systems or databases will be required. Ideal candidates for this position would hold a Masters/Bachelors degree in fields like Nursing, B.Pharma, M.Pharma, BPT, MPT, or a related field. Excellent analytical skills with attention to detail and accuracy in data entry and claims adjudication are essential. Effective communication and interpersonal skills, along with the ability to collaborate across multidisciplinary teams and interact professionally with external stakeholders, are highly valued. Demonstrated ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment is crucial. A problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed is also desired. A commitment to continuous learning and professional development in the field of healthcare claims processing is expected from all candidates.,

As a skilled Denial Coder with at least 1 year of experience in Denials and Radiology coding, your main responsibility will be to analyze denied claims, pinpoint root causes, and implement corrective actions to ensure accurate claim processing and reimbursement. You will review and analyze denied radiology claims, identifying denial reasons and applying correct CPT, ICD-10, and HCPCS codes. Collaboration with billing teams to resolve coding discrepancies will be essential, along with the submission of corrected claims and the appeal of denials when necessary. To qualify for this role, you must hold a certification as a medical coder (CPC, COC, CCS, or equivalent) and have a minimum of 1 year of experience in denial management and radiology coding. Proficiency with medical billing software and EHR systems is also required. In return for your expertise, we offer a competitive salary and incentives, along with health benefits and opportunities for professional growth. If you are interested in this position, please share your resume at saranya@intignizsolutions.com or call 8919956083.,

You will be joining CliniLaunch, an IAO, LSSSDC, and NSDC accredited institution specializing in healthcare upskilling and placement assistance. With headquarters in Bangalore and branch offices in Koramangala (Bangalore), Panjagutta (Hyderabad), and Guindy (Chennai), CliniLaunch offers industry-recognized training programs and career support to healthcare professionals. As a Medical Coding Specialist, your role will involve reviewing patient medical records, extracting relevant information, and assigning accurate medical codes (ICD-10, CPT, HCPCS) for diagnoses, procedures, and services. You will ensure compliance with coding guidelines, collaborate with healthcare professionals, and support maintaining coding accuracy to minimize claim denials. Additionally, you will participate in training sessions to stay updated on coding practices and assist the billing department with necessary coding information. The ideal candidate should have a Bachelor's degree in Health Information Management, Medical Coding, or a related field. While certification in medical coding (e.g., CPC, CCS, CCA) is a plus, it is not mandatory for freshers. Strong attention to detail, knowledge of medical terminology and anatomy, excellent communication, organizational skills, and proficiency in Microsoft Office and basic computer skills are essential for this role. This is a Full-time position suitable for recent graduates or individuals passionate about healthcare and coding, representing a great opportunity to kickstart your career in the dynamic field of medical coding.,

Position Details Designation: Associate Vice President Reporting To: Vice President Department: Clinical Support Solutions - Coding Location: Hyderabad IKS Overview IKS Health is a leading Provider Enablement Platform that empowers healthcare providers to deliver better, safer, and more efficient care through a strategic blend of technology and expertise. Our solutions support provider groups in creating a physician-led, patient-centric care delivery model, allowing providers to be co-navigators of the patient's care journey. We aim to restore joy and viability to the practice of medicine by equipping providers with the necessary tools and resources to focus on what truly matterspatient care. As an integrated Provider Enablement Platform, IKS Health is the go-to resource for providers and organizations looking to scale effectively, improve quality, and achieve cost savings through innovative technology and solutions. Our care delivery processes and business solutions are driven by four interrelated Feature Clusters: 1. Revenue Optimization Services: Comprehensive financial solutions maximizing revenue and minimizing collection costs. Key offerings include Revenue Cycle Management (RCM), Denial Prediction Engine, and Real-time Adjudication. 2. Clinical Support Solutions: A suite of services designed to improve clinical outcomes and patient satisfaction while lowering medical costs. Services include Synchronous & Asynchronous Scribes, IKS AssuRx, and Coding Solutions. 3. Value-Based Care: Solutions focused on achieving better outcomes and greater value, including Risk & Quality Optimization and Care Coordination. 4. Digital Health Solutions: Platforms that leverage technology for data-driven value across the care continuum, including IT asset management and bespoke solutions. IKS Health currently impacts over 35,000 physicians in leading U.S. health systems, with plans to expand further in the coming years. Profile Description The Associate Vice President of Coding will be responsible for ensuring that the operations of IKS Coding meet or exceed client requirements and operate efficiently. This role will lead the coding Line of Business, focusing on scalability and industry best practices. Key Responsibilities Operations Management: - Ensure operations deliver as per SLAs for all aligned accounts. - Manage end-to-end transitions and migrations of new accounts. - Collaborate with clients and internal teams for efficient operations execution. - Drive process improvements to bridge identified gaps. - Maintain budgeted headcount and manage invoicing accuracy. - Conduct data analysis and prepare dashboards for client calls. - Collaborate with sales to design new offerings and drive revenue. People Management: - Provide direction and support to the coding team. - Foster a meritocratic work environment and boost employee morale. - Identify training needs and ensure comprehensive employee development. - Oversee performance management, especially for bottom quartile employees. - Manage hiring decisions and attrition mitigation strategies. Client Engagement: - Prepare reports and dashboards for clients and senior management. - Partner in the implementation and transition of new accounts. - Maintain high customer satisfaction levels. Financial Accountability: - Oversee overall P&L for the coding vertical, including revenue forecasts and budgeting. Functional Competencies - Strong expertise in ICD-10 and CPT coding; familiarity with specialties preferred. - In-depth understanding of coding guidelines and RCM cycle in U.S. healthcare. - Proven ability to lead and mentor large delivery teams. - Strong client management and process improvement skills. - Knowledge of handling P&Ls and budgets at the account level. Education & Experience - Bachelor's degree in any field; AHIMA/AAPC certification required. - Preferred qualifications include BPT, MPT, nursing degrees, or relevant health sciences. - Minimum 12 years of experience in core coding operations, including coding audits and client management. - Experience managing P&L at the business or account level is essential. Join us at IKS Health and play a pivotal role in transforming healthcare delivery!,

Ortho Coders Assign ICD-10, CPT, HCPCS codes for orthopedic treatments, surgeries Review, validate clinical documentation for coding accuracy Ensure compliance, coding guidelines, payer policies Conduct coding quality audits, error correction Required Candidate profile E&M IP/OP Coders Assign E&M codes (CPT, ICD-10, HCPCS) for inpatient, outpatient Review physician documentation for medical necessity and compliance Adherence to CMS, AAPC, and AHIMA guidelines Perks and benefits Plus incentives and Perks Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate

Hiring a Certified Medical Coder with strong expertise in both coding and auditing. Responsible for accurate code assignment, compliance, and detailed audits to ensure proper billing. Must be well-versed in ICD, CPT, HCPCS, and healthcare regulations

Position Overview This role provides hands-on experience in analyzing the requirements from business users/analysts and build software solutions for the business users/analysts and their matrix partners. The focus of the work is to continue to enhance self-service capabilities for the users to do their job more effectively in the National Affordability and Clinical Analytics space. Specific focus will be on data work and legal/compliance/regulatory audits related to the No Surprises Act. In this role, you will have an opportunity to influence business direction through data-led insights to build and design solutions that support enterprise needs. This is a hands-on position with work being highly visible to the highest levels of Evernorth? management who are motivated to see the successful results of our efforts. The solutions you contribute to focuses on enabling analysts and users to perform analytics leveraging data-driven insights and strategies to drive affordability and enable growth. Responsibilities Understand business requirements from business leaders, users, and/or analystsUnderstand and analyse current systems and develop programs matching the requirementsUnit Test the developed/modified process to ensure the requirements are metAnalyze software programs and optimize (operational, performance, and cost) wherever possibleBuild automations on recurring jobs and schedule jobs to avoid manual intervention and to improve performanceTroubleshoot problems and arrive at resolutionWork with users to help them with system understandingReview the solution with users to make sure UAT criteria are metCoordinate with onshore for daily handover-takeoverIdentify opportunities and drive process improvementsTake accountability for the process/tasks owned by self Qualifications Someone who relates to the world, through data - without data, you feel lost Creative and naturally curious - you're constantly looking for ways to add value and can't help but get immersed in the challenge of uncovering insightful data patternsObjective, logical, and fact-oriented youre rationale in your data discovery Self-starter - you enjoy working with minimal supervision and thrive off independence to enable value in your own unique waysAbility to make sound decisions and piece together puzzles with limited direction youre your own leader Time management skillsTeam skills for collaboration to achieve common goalsaligned with the organizationFamiliarity with agile methodologyFamiliarity with modern delivery practices such as continuous integration, behavior/test driven development, and specification by example Required Education Bachelors degree in related technical areas either Business Analytics, Data Science, Mathematics/Statistics, Computer Science, or a related quantitative field 5-8 years of work experienceExperience working in an onshore/offshore model Proven experience with development of application solutionsTechnology/Domain certifications such as Python, SAS, AWS, PAHMDemonstrated ability to automate processes with quantifiable and measurable before/after results Technical Requirements Ability to hear and translate ideas into self-built functional designs with complementary technical details that support scale and require minimal maintenance 4+ years of experience building reports leveraging business intelligence reporting capabilities i.e. Tableau with demonstrated stories of how the business has acted against insightsStrong programming skills - SAS, Python, SQLFamiliarity with most of the following technologies- Tableau, Excel Macros, TOAD, Databricks Desired Experience and Skills US healthcare analytics and claims-related experience, reimbursement methodologies, and medical terminology (CPT, Dx, ICD10, HCPCS, Rev Codes, etc.)Exposure to Cloud technologies such as AWS, DatabricksHealthcare experience including Medical/Behavioral Claims and Cost ContainmentConstantly consider the, So What? and Now What? behind your work and ask the right questions to anticipate and gauge whether a team/project will deliver what is neededExercises extreme comfort with ambiguity with the humbleness to know when something isnt working and to Location & Hours of Work Full-time position, working 40 hours per week. Expected overlap with US hours as appropriatePrimarily based in the Innovation Hub in Hyderabad, India in a hybrid working model (3 days WFO and 2 days WAH)

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