316 Modifiers Jobs - Page 2

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Life Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open inter...

Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge Must possess good communication skill with neutral accent Initiate telephone calls to provider office to communicate the outcome of the denial review Willing to work in Eastern shift. Must be spontaneous and have high energy level Minimum work experience in voice process will be an added advantage Manage claims with timely follow up Must be good with MS Office, especially Excel and PPT Understand the client requirements and specifications of the project Ensure that the deliverable to the client and adhere to the quality standards Mandatory CPC or CCS certification. Should ...

About the job Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall. Responsibilities Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and proc...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology moda...

Job Title: Specialist – Surgery Coding Experience: 1 to 6 Years Location: Hyderabad, Coimbatore, Mumbai Job Summary: We are looking for a skilled and detail-oriented Surgery Coding Specialist with 1 to 6 years of experience in medical coding, preferably with exposure to Gastroenterology and Anesthesia . The ideal candidate will be responsible for reviewing medical records, validating documentation completeness, and assigning accurate CPT, ICD, and modifier codes in accordance with standard coding guidelines and client-specific requirements. Key Responsibilities: Retrieve and review the correct medical records of patients for Inpatient (IP) and Outpatient (OP) Surgery and E&M services. Valida...

Company Description Faith Industries Ltd (FIL) is one of India's oldest integrated Wax & Polymer Additives manufacturing companies, established in 1976. With a state-of-the-art facility in Santej, near Ahmedabad, FIL has expanded its footprint to over 30 countries and received the STAR EXPORT HOUSE status from the Government of India. FIL specializes in providing performance-oriented polymer additive solutions to polymer processors worldwide, with a focus on the PVC sector. Our diverse product range includes stabilizers, waxes, specialty lubricants, stearates, epoxidized soybean oil, processing aids, impact modifiers, and paint driers. Role Description This is a full-time, on-site role for a...

Full Time - US Shift (6:30pm - 3:30am) On-site - Ahmedabad Claim Executive is responsible for preparing, submitting, and tracking healthcare claims to insurance companies, ensuring accurate and timely reimbursement. This role involves validating claim data, resolving rejections, coordinating with payers, and supporting the end-to-end claims management process in compliance with payer and HIPAA guidelines. Key Responsibilities: Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Track claim status and follow up on pending or denied claims. Handle claim rej...

Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall. Responsibilities Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and com...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology moda...

Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by ...

Company Description Ambit Global Solution is a leading medical and dental billing and revenue cycle management company based in Ahmedabad. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts. Ambit's powerful technology solutions and client-focused service enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators. Client satisfaction is the primary focus, supported by detailed processes, experienced personnel, cutting-edge technology, and a forward-thinking approach. Role Description This is a full-time on-site role at Ambit Global Solution in Ahmedabad. The Senio...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology moda...

About Us: Company Profile: Biosint Group is a Leading Research based manufacturer and exporter of quality feed supplements and veterinary healthcare products. With a strong focus on Research and Development we are committed towards innovation, quality, and sustainability. Our commitment towards animal health and performance drives us to deliver innovative products focusing on immunology-backed solutions that improves the health and productivity in poultry and other farm animals globally. Products Manufactured / Services Offered: Biosint manufactures a wide range of specialized feed supplements involving immunomodulatory peptides, metabolic modifiers, fertility enhancers, non-antibiotic growt...

Project Role : Business Architect Project Role Description : Identify opportunities to deliver tangible business value by assessing the current state, capturing high-level requirements, and defining business solutions. Translate business needs into technology-enabled solutions and operating models. Support transformation by developing business cases and guiding implementation of key initiatives. Must have skills : Medicare Advantage Good to have skills : Health Insurance Operations, Electronic Medical Records (EMR) Minimum 5 Year(s) Of Experience Is Required Educational Qualification : 15 years full time education Summary: As a Configuration Lead, you will identify opportunities to deliver t...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiolo...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology moda...

Role 1 Description - SAP ABAP RAP Developer on SAP BTP This is a full-time role for an SAP ABAP RAP Developer located in Hyd or Jaipur. The SAP ABAP RAP Developer will be responsible for day-to-day tasks including object-oriented programming, programming in the SAP environment, and working with IDocs and BAPIs, SAP Fiori/UI5 and involves developing and maintaining application components on SAP BTP ABAP on Cloud, i mplemented event-driven architectures using SAP Event Mesh. Engineered cloud-based microservices using Nssode.js, Java, and SAP HANA Cloud for high-performance data processing, integrating seamlessly with SAP CPI and RESTful APIs . This role requires experience working on SAP BTP A...

1) Design and Develop ODOO apps (new module development and customization). 2) Analyze the Scope document. 3) Create low level requirement document in discussion with different teams. 4) Follow best practices in Software development to ensure the readability and maintainability of the code Required Skills Proficiency in Python and Odoo framework components - model, fields, modifiers, actions, views, menu, security, controllers. Should be aware of core Odoo modules such as Sales, Purchase, Delivery, Accounting. Should proactively look for ways to make the architecture, code, and operations better Job Type: Full-time Pay: ₹20,000.00 per month Experience: Odoo POS: 1 year (Required) Work Locati...

Epic Resolute Professional Billing JD: Revenue cycle specific duties would be: Maintain/link/create orderables, chargeables and performables Create EAP (Procedure orders) Perform Charge review and create charge router Linking procedures to charges Charge reconciliation Fee schedule build Creating billing modifiers Routing bills based on department Maintaining workques Insurance rules Please add this to the basic analyst duties of: 1. EPIC Resolute Billing Certified Analyst Acting as the primary support contact for the application's end‐users 2. Identifying issues that arise in their application area as well as issues that impact other application teams, and working to resolve them 3. Guiding...

Job Family Coding OP (India) Travel Required None Clearance Required None What Will You Do Review medical records and operative reports to assign accurate CPT, ICD 10CM and ASA codes Abstract Anesthesia services include time, modifiers and physical status Follow ASA guidelines and payer specific rules for anesthesia billing and compliance Verify documentation of anesthesia Start/ stop time procedures and medical necessity Ensure to use appropriate modifiers and check concurrency rules for anesthesiologists and CRNA’s Maintain up to date knowledge in CPT, ICD 10CM, HCPCS, ASA crosswalk and CMS guidelines Participate in audits and provide feedback on documentation improvement What You Will Nee...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiolo...

Job Title: Interventional Radiology Medical Coder Work from Office Location Chennai Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR pr...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology moda...

Job Title: Interventional Radiology Medical Coder Work from Office Location Chennai Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR pr...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiolo...