Visakhapatnam
INR 2.5 - 6.0 Lacs P.A.
Work from Office
Full Time
Role & responsibilities Getting providers/physicians enrolled and contracted with payers. Maintenance and recredentialing requirements of the providers. Tracking and updating credentialing related information. Sharing updates with clients & management for all credentialing updates Preferred candidate profile Minimum 2- years experience is required in Medical Billing and/or Account Receivables for US Healthcare mandatory. Should have worked as a credentialing analyst for at least 1 year of medical billing service providers. Should have end to end provider US healthcare credentialing. Should have experience in CMS 855I, 855R. Tracks expiration dates and maintains current state licenses, DEA certification, malpractice coverage and any other required documents for all providers. Malpractice coverage and any other required documents for all providers. Compiles information and sets up provider files in verity credentialing system. Maintains verity credentialing software to ensure information is accurate and up to date. Completes initial provider credentialing applications, monitors applications, and follows up as needed. Track all expired provider certification. initiate re-credentialing application as requested by insurance companies. Collect all the data and documents required for filling credentialing application form the physicians. Store the documents centrally on our secure document management systems. Understand the top payers to which the practice sends claims and initial contract with the payers. Good experience in CAQH, PECOS application. Knowledge of all provider enrollments related portals and navigation. Experience in Medicare, Medicaid, Commercial payer enrollment process. Strong communication skills with a neutral accent. Proficiency in Microsoft office tools Willingness to work the night shift Education and Experience - Graduation completed - 3+ Years with minimum 1 year in credentialing for US Healthcare Providers. Perks and benefits Free cab facility to female employees all statutory benefits friendly environment work life balance please share your resumes to hiring@medrcm360.com, ta@medrcm360.com, careers@medrcm360.com and WhatsApp the resumes or call us to +91 7416630188, +917386430588, 7416630788.
Visakhapatnam
INR 2.25 - 5.0 Lacs P.A.
Work from Office
Full Time
We are seeking a highly skilled and detail-oriented Surgery Coder with experience in Pain Management to accurately code Spinal procedures for surgical billing and reimbursement. The coder will ensure correct CPT, ICD-10-CM, and HCPCS assignment in compliance with CMS, ACR, and payer-specific guidelines. Role & responsibilities Review and analyze Pain management procedure reports with appropriate CPT codes. Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for procedures such as SCS, MBB, RFA, Kyphoplasty and joint injections. Validate coding against medical necessity, documentation, and compliance standards. Stay current on evolving coding rules for Spinal procedures as outlined by CMS, SIR, and ACR. Participate in coding audits, quality assurance checks, and process improvement activities. Preferred candidate profile Certification: CPC , CCS preferred. Minimum 23 years of experience in surgery coding. Strong knowledge of CMS guidelines, payer-specific edits, and IR procedural terminology. Proficiency with EMRs and coding/billing software tools. Preferred Skills: CPC or CIRCC certification (strongly preferred or in progress). Experience coding both hospital outpatient and Office coding . Should be aware of Codify or super coder for procedures leading and anatomy of peripheral and cardiac systems. Ability to handle high-volume, high-complexity surgical cases. Should have a science background. Perks and benefits All statutory benefits, friendly environment, work life balance. Please share your resumes to hiring@medrcm360.com, ta@medrcm360.com, careers@medrcm360.com or WhatsApp us through +91-7386430588, +91-7416630188,+91-7416630788.
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