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2.0 - 6.0 years
0 Lacs
pune, maharashtra
On-site
As an Operations Manager, your role will involve supporting a growing client base and managing the day-to-day operational activities of the production team. You will be responsible for ensuring that the team delivers according to set expectations while maintaining the required quality standards. This will require day-to-day coordination with internal and external teams. **Key Responsibilities:** - Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project - Ensure the team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA - Ensure optimum utilization of the staff and manage...
Posted 18 hours ago
5.0 - 9.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Coding Denial Supervisor, you will be responsible for providing direction to a team of Coding Denial Specialists to work on assigned claim edits and rejection work queues. Your role will involve ensuring timely investigation and resolution of health plan denials, as well as assisting in determining appropriate actions and providing resolutions for such denials. Key Responsibilities: - Ensure timely investigation and resolution of health plan denials - Implement and maintain policies and procedures for denial management - Provide training and support to team members to enhance their skills and knowledge - Escalate coding and processing issues based on denial trending Qualification Requir...
Posted 23 hours ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As an experienced Medical Coder, your role at SolvEdge will involve reviewing and analyzing Evaluation and Management (E&M) documentation for both Inpatient (IP) and Outpatient (OP) settings to assign accurate diagnosis and procedure codes. Your attention to detail and solid understanding of medical terminology, anatomy, ICD-10-CM, CPT, and HCPCS Level II coding systems will be essential in ensuring compliance and optimizing reimbursement. Your responsibilities will include: - Reviewing and analyzing E&M documentation for IP & OP records to assign accurate diagnosis and procedure codes. - Ensuring coding compliance with industry standards, client-specific protocols, and regulatory guidelines...
Posted 23 hours ago
0.0 - 4.0 years
0 Lacs
thiruvananthapuram, kerala
On-site
As a Life Science Graduate with CPC/CCA Certification, your key responsibilities in this role will include: - Assigning appropriate ICD-10-CM and ICD-10-PCS codes to inpatient records based on physician documentation. - Reviewing patient medical records to ensure accurate coding of diagnoses and procedures. - Assigning correct Diagnosis-Related Group (DRG) codes based on patient's diagnosis, comorbidities, and treatments. - Maintaining high attention to detail to avoid billing errors and ensure accurate coding. - Keeping updated with industry standards. Qualifications required for this position: - Life Science Graduates only. - CPC/CCA Certified/Non Certified. - Good knowledge of medical cod...
Posted 1 day ago
3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
You will act as an expert in Inpatient and multispecialty coding, including E&M, Surgery, IPDRG, Cardiology, Orthopedics, among others. Your responsibilities will include ensuring compliance with ICD-10-CM, CPT, PCS, and HCPCS Level II coding guidelines. You will analyze and resolve coding-related denials, working closely with RCM teams to reduce denial rates. - Conduct coding audits and quality reviews - Recommend improvements and corrective actions based on analysis - Train and mentor coders - Deliver updates on regulatory changes and best practices - Collaborate with internal stakeholders such as billing, CDI, and denial management teams As an Analyst specializing in Inpatient Coding, you...
Posted 3 days ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Coding OP in India, your role will involve analyzing patient information and accurately converting it into medical codes. You will be responsible for ensuring coding accuracy to avoid billing denials and validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time. It is crucial to maintain current coding knowledge and credentials, with extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Key Responsibilities: - Analyzing patient information and converting it into medical codes - Ensuring coding accuracy to prevent billing denials - Validating documentation to support E/M codes - Maintaining cur...
Posted 4 days ago
2.0 - 6.0 years
0 Lacs
hyderabad, telangana
On-site
As a Medical Coder at our company located in Hyderabad, TS, your main responsibilities will include: - Having hands-on experience with NLP and Non-NLP Coding - Reviewing, validating, and refining codes generated through NLP/AI systems - Reviewing physician notes, operative reports, diagnostic results, and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes Qualifications required for this role include: - Must have certification - Bachelor's degree in a related field from an accredited college or university Please note that certification is preferred for this position. This is a full-time job requiring in-person work at our office location.,
Posted 4 days ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As an experienced and certified Medical Coding Trainer specializing in Denial Management, your role will involve facilitating training programs focused on Denial Management. Your expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, along with a deep understanding of the Revenue Cycle Management (RCM) cycle, will be instrumental in delivering effective training sessions. It is essential that you are AHIMA/AAPC certified and possess strong analytical skills to accurately interpret medical records and provide appropriate denial actions based on your analysis. Moreover, your ability to communicate effectively and handle diverse groups of coders will be crucial for this ...
Posted 4 days ago
5.0 - 10.0 years
0 Lacs
hyderabad, telangana
On-site
As a Coding Claim Edits Coder, you will be responsible for reviewing charge sessions that require resolution via claims system edits. Your role will involve resolving coding-related edits and denials such as NCCI, NCD, LCD, MUE by applying appropriate modifiers and following updated coding guidelines. Additionally, you will be expected to identify and address issues with denied or rejected claims. Qualifications required for this position include: - Education: Science Graduate or Postgraduate. - Credentials: Must possess current AHIMA/AAPC certificate(s). - Communication: Possess outstanding verbal and written proficiency in English. Please note that this role requires 5 to 10 years of exper...
Posted 4 days ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Assurance Analyst and Trainer for Medical Coding at LexiCode, you will be part of a dynamic team of coding experts committed to providing top-notch coding services to clients. Your main role will involve reviewing medical codes for accuracy and ensuring adherence to coding guidelines and regulations. Your responsibilities will include: - Thoroughly analyzing medical records to identify relevant diagnoses and procedures. - Reviewing medical codes to guarantee accuracy and alignment with clinical documentation. - Maintaining the precision and integrity of coded data. - Keeping updated on changing coding guidelines, regulations, and industry best practices through continuous resear...
Posted 5 days ago
3.0 - 7.0 years
0 Lacs
thane, maharashtra
On-site
As a Team Leader Operations in the Medical Coding department at our Airoli, Navi Mumbai office, your role involves the following responsibilities: - **Team Supervision** - Lead and manage a team of Home Health Medical Coders. - Provide mentorship, coaching, and continuous guidance to team members. - Conduct regular performance reviews and feedback discussions. - Address and resolve team queries, concerns, and operational challenges. - **Quality Assurance & Compliance** - Ensure accurate and timely coding of Home Health records, including assigning ICD-10-CM and OASIS codes. - Review coded data to identify errors, inconsistencies, or non-compliance. - Monitor adherence to coding guidelines, r...
Posted 5 days ago
5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
Role Overview: As a Multispecialty Surgery Coding SME (Professional & Facility), you will be responsible for serving as a Subject Matter Expert (SME) in both professional and facility surgery coding. Your role will involve providing extensive knowledge, training, auditing, and guidance on complex surgical coding across various specialties, ensuring adherence to ICD-10-CM, CPT, HCPCS, and CMS guidelines. Key Responsibilities: - Act as the primary resource for addressing inquiries related to multispecialty surgical coding for both professional and facility settings. - Accurately assign codes for intricate surgical procedures in specialties such as orthopedic, cardiovascular, neurological, dige...
Posted 6 days ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
You will be working as a Medical Coder at LexiCode, responsible for accurately assigning medical codes to reflect clinical documentation while ensuring compliance with coding guidelines and regulations. Here is a breakdown of your key responsibilities and qualifications: **Key Responsibilities:** - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Accurately assign medical codes to precisely reflect clinical documentation. - Ensure the integrity and precision of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. - Participate in coding audits and quality improvement initia...
Posted 6 days ago
6.0 - 10.0 years
0 Lacs
guntur, andhra pradesh
On-site
Role Overview: As a Medical Coding Trainer at Clinformatiq, you will be responsible for mentoring and guiding students to help them establish successful careers in the healthcare industry. Your presence at the Guntur institute is crucial for conducting in-person training sessions and providing hands-on training to the students. Key Responsibilities: - Conduct in-person training sessions for students on Medical Coding principles, guidelines, and tools. - Design and deliver engaging curriculum incorporating real-world case studies. - Mentor and support students in developing practical coding skills. - Stay updated with ICD, CPT, HCPCS guidelines, and industry best practices. - Assist in prepar...
Posted 6 days ago
1.0 - 5.0 years
0 Lacs
ahmedabad, gujarat
On-site
You will be responsible for coding on medical reports by assigning appropriate CPT & ICD codes based on the documentation and per the client's specifications. You will also work on medical reports assigning appropriate CPT, ICD, and modifiers based on the documentation provided. It is essential to perform assigned tasks and complete targets with speed and accuracy as per client SLAs. In case of any communication or issues, you should escalate them to seniors in a timely manner. It is expected that you are willing to learn and keep yourself updated with the latest codes. Working cohesively in a team setting and assisting team members to achieve shared goals is crucial. You will need to determ...
Posted 1 week ago
8.0 - 12.0 years
0 Lacs
lucknow, uttar pradesh
On-site
As a Process Trainer / Quality Analyst with 8+ years of experience in HCC, your role will involve the following key responsibilities: - Design and deliver effective HCC process training for new hires and existing team members. - Collaborate with Operations and QA teams to update training materials as per client and process changes. - Conduct pre- and post-training assessments to evaluate learning outcomes. - Ensure all training activities adhere to HIPAA and healthcare compliance standards. - Maintain training records, attendance logs, and certification data accurately. - Analyze performance trends and contribute to process improvement. - Submit regular reports on training effectiveness and ...
Posted 1 week ago
2.0 - 7.0 years
0 Lacs
noida, uttar pradesh
On-site
As a Certified ED Facility Coder at Noida location, your role involves performing accurate coding for ED facility services using CPT, ICD-10-CM, and HCPCS. You will be responsible for ensuring compliance with coding guidelines and regulatory requirements while collaborating with internal teams to resolve coding-related queries. Key Responsibilities: - Perform accurate coding for ED facility services using CPT, ICD-10-CM, and HCPCS. - Ensure compliance with coding guidelines and regulatory requirements. - Collaborate with internal teams to resolve coding-related queries. Qualifications Required: - Certification: CPC (AAPC Certified Mandatory). - Specialty: Emergency Department (ED) Facility C...
Posted 3 weeks ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
Role Overview: As a Coding OP in India, your main responsibility will be to analyze patient information and accurately convert it into medical codes. You will need to ensure coding accuracy to avoid billing denials and validate documentation to support ED, E/M (Evaluation and Management) codes based on medical decision-making or time. It is crucial to maintain current coding knowledge and credentials, including extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines. Key Responsibilities: - Analyze patient information and accurately convert it into medical codes - Ensure coding accuracy to avoid billing denials - Validate documentation to support ED, E/M co...
Posted 3 weeks ago
5.0 - 9.0 years
0 Lacs
hyderabad, all india
On-site
You are an experienced, certified Senior Same Day Surgery Medical Coder with extensive knowledge of CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documents, and excellent communication skills. **Responsibilities:** - Code medical records for Inpatient and Outpatient Surgical Specialties including Orthopedics, General Surgery, Cardiology, Spine, Oral, etc. with a minimum of 5+ years of experience. - Assign ICD-10-CM & PCS diagnoses and procedure codes accurately and comprehensively. - Demonstrate advanced technical knowledge in specific inpatient and outpatient surgical and medical specialties. - Utilize extensive knowledge of medical terminology. - Research and apply coding...
Posted 3 weeks ago
1.0 - 7.0 years
0 Lacs
hyderabad, all india
On-site
Role Overview: As a Medical Coder / Senior Medical Coder at R1RCM, your role involves reviewing patient medical records following PHI, HIPPA guidelines and converting them into medical coding codes as per ICD-10-CM and PCS guidelines. You will be responsible for completing daily assigned tasks within the given time frame with expected quality, ensuring timely communication with internal and external stakeholders, and adhering to organization policies. Key Responsibilities: - Review inpatient medical records and assign accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. - Assign and sequence codes accurately based on medical record documentation. - Assign POA indicato...
Posted 3 weeks ago
1.0 - 5.0 years
0 Lacs
chennai, all india
On-site
Job Description You will be joining a dynamic team of coding experts at LexiCode and your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Accurately assign medical codes to precisely reflect clinical documentation. - Ensure the integrity and precision of coded data. - Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. - Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standa...
Posted 3 weeks ago
1.0 - 7.0 years
0 Lacs
hyderabad, telangana
On-site
Role Overview: As a Medical Coder / Senior Medical Coder at R1, your main responsibility will be to review patient medical records in compliance with PHI and HIPPA guidelines and convert them into medical coding codes following ICD-10-CM and PCS guidelines. You will be expected to complete daily assigned tasks with high quality and within the specified timeframe, communicate effectively with internal and external stakeholders, and adhere to organizational policies. Key Responsibilities: - Review inpatient medical records and accurately assign ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. - Sequence codes accurately based on medical record documentation and assign POA in...
Posted 3 weeks ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Assurance Analyst for Medical Coder at LexiCode, you will be part of a dynamic team of coding experts dedicated to providing exceptional coding services to clients. Your main role will involve reviewing medical codes for accuracy, ensuring compliance with coding guidelines and regulations. **Key Responsibilities:** - Thoroughly review and analyze medical records to identify relevant diagnoses and procedures. - Check ICD-10-CM and PCS codes for accuracy to accurately reflect clinical documentation. - Maintain the accuracy and integrity of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. - Participate i...
Posted 1 month ago
5.0 - 9.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Senior Training Specialist in Medical Coding at our company in Chennai, you will be responsible for providing training in Coding Denial Management, ensuring compliance with industry standards, and supporting clients through the transition process. Your expertise in ICD-10-CM, CPT conventions, and HCPCS codes will be crucial in accurately coding medical records and providing appropriate denial actions. Your role will involve mentoring a diverse group of coders, facilitating continuous education for clients, and participating in compliance audits. Key Responsibilities: - Follow the training agenda and conduct training sessions for Coding Denial Management - Accurately assign codes using I...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
punjab
On-site
As a Medical Biller / Coder, your role involves overseeing coding activities to ensure customer service and quality expectations are met. You will be the primary contact for coding questions related to Client Services and Operations. Your responsibilities include reviewing reports to identify specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will need to proactively identify issues and plan for their resolution for clients and accounts. It is crucial to maintain compliance with HIPAA and ISO standards, adhere to company policies, and review and report on process updates and team metrics with the management team. You...
Posted 1 month ago
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