8 Outpatient Coding Jobs

Role & responsibilities Conducts acute outpatient coding reviews to validate diagnosis, CPT, HCPCS and modifiers. Analyzes all other coded data for completeness, accuracy, compliance and adherence to coding guidelines. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to coders referencing current ICD-10-CM, CPT Official Coding Guidelines and AHA Coding Clinics Responsible for knowledge, understanding and application of National Correct Coding Initiative (NCCIs) edits, including but not limited to Procedure-to-Procedure edits (PTPs) edits; Medical Unlikely Edits (MUEs); Add-On Codes (AOC’s) to ensure accurate reimbursement and compliance with Medicare guidelines. Extensive understanding of OCE billing edits as it relates to outpatient facility coding. Industry knowledge of Medicare regulations and payment policies, including OPPS and how they apply to acute outpatient coding and billing. Maintains productivity and quality goals as set by audit leaders. Audit evaluation and management codes for the Emergency Department including thorough knowledge of American College of Emergency Physician (ACEP) Facility guidelines or similar. Ensures client coding audits are completed accurately and timely by meeting client turn around and audit quality expectations. Responsible for maintaining current certification(s), CEU’s, and up-to-date knowledge of coding guidelines. Demonstrates a broad understanding of charge capture, revenue integrity and charge master (CDM) concepts to help prevent noncompliance risks, optimize payments and minimize downstream issues with claim edits. Completes required internal education, compliance training and other mandatory educational requirements. Utilize proprietary systems and encoder tools efficiently and accurately to make audit determinations, generate audit recommendations through workflow processes accurately. Ensure the confidentiality and rights of the patient and the client health system. And must maintain all required client access. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. Preferred candidate profile 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Strong understanding of end-to-end RCM processes including charge entry, payment posting, denial management, and AR follow-up. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting.

Designation: Vice President / Associate Vice President Department: Medical Coding Operations Job Location: Navi Mumbai / Hyderabad Work from office JD: Specialties: Operations and Performance management Migrations / Setup start-up projects Planning & Budgeting revenues and controls Client Relationship Management Process and people related change management. Farming within existing engagements Key Responsibilities: Handling P&L Management, Service Delivery, Client Relationship, and Internal Stakeholder Management Heading the offshore Service delivery of Multi-specialty Coding Implement programs to ensure attainment of business plan for growth and profit. Provide directions and structure for operating units. will be responsible for designing, setting up and managing a process excellence/quality framework for that ensures that our coders deliver high quality of work. Work with delivery and training functions to create feedback loops from quality assessment to training and operations management. Implement improved processes and management methods to generate higher ROI and workflow optimization. Provide mentoring and guidance to subordinates and other employees. Responsible for managing multiple accounts. Looking after end to end management of program covering multiple work streams with a total span. Facilitating process re-engineering and improvements to enhance customer engagement. Generating new prospects for the organization to showcase capabilities. Ensuring attrition control & job enrichment at process levels Required Skillset: 15+ years in Medical Coding with current role as Director or Above or equivalent to managing operations team of medical coding Must have handled outpatient Coding / Inpatient Coding team Education : Any Graduate or Life Science Graduate Interested candidate can share their profile on anandi.bandekar@gebbs.com

Process Performance Metrics: Responsible for meeting and exceeding the performance metrics goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place. Building Talent: The candidate will be responsible for creating an environment to identify and groom talent future leaders within the team, work with cross-functional & DRs to develop IDPs. Continuous Improvement: Be able to drive efficiency and meet exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work. As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility; Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirements Able to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise) Manage day-to-day operations and ensure that deliverables are being met (including quality parameters) Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being met Work closely with senior leadership on cost management (P&L) Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests

Process Performance Metrics: Responsible for meeting and exceeding the performance metrics goals, work closely with onshore counterparts and senior leadership to define and monitor the scope of metrics, collaborate with other key functional leaders offshore (Quality & Education) and build a conducive work environment. Set measurable goals metrics, for the team, aligned with the overall business goals & organizational values and have an effective review/feedback process in place. Building Talent: The candidate will be responsible for creating an environment to identify and groom talent future leaders within the team, work with cross-functional & DRs to develop IDPs. Continuous Improvement: Be able to drive efficiency and meet exceed the initiative targets, create strategies to build & sustain operational excellence, identify and work on opportunities to bring in additional scope of work. As Operations Delivery Leaders, below (but not limited to) would be key areas of responsibility; Should be able to handle a span ~600 associates spread across locations (NCR, HYD, Bangalore). The span may vary depending upon the business requirements Able to manage all service lines under Outpatient Coding (should be AHIMA or AAPC certified and have strong domain expertise) Manage day-to-day operations and ensure that deliverables are being met (including quality parameters) Collaborate with Middle Revenue Cycle PMO on transition and ensure that timelines are being met Work closely with senior leadership on cost management (P&L) Client relationship management Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests

Greetings from Savista Global!!! We are Hiring EM OP/IP Coders in Chennai Job description: Accurately code physician practitioner services through review of medical record documentation and encounter forms. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/NCCI policies. Working knowledge of E/M (Inpatient & Outpatient setting), CPT coding - Medicare 1995/1997 Documentation Guidelines. Convert document into numeric format \ Enter Logs Should be aware of entire E/M section (All range of E/M codes) Should have knowledge of minor CPT codes along with E/M Should know to handle trauma charts as well. Should be aware of all E/M modifiers. Excellence in ICD10-CM and CPT coding principles and guidelines. Knowledge of medical terminology, abbreviations, techniques, and surgical procedures; anatomy and physiology; major disease processes; pharmacology Desired Candidate profile: Graduation, life science background preferably Physiotherapist, Pharma, Nursing, Biochemistry and Microbiology. Certification Mandatory. CPC or equivalent valid coding certification Minimum of 2 year performing CPT E/M and ICD 10 coding for academic facility Strong human anatomy/physiology knowledge Should have good reading comprehension & abstraction skills Work from office only. Perks & Benefits: Best platform to enhance your skills. Transportation will be provided for both ways pick up and drop off. Interested Candidates please reach us at 8448999198/8448999197 . Regards, HR Team.

Job description Role: Senior Medical Coder / Quality Analyst! Specialties: EMOP, IPDRG, ED Professional, ED Facility Surgery. Certification: Certified Only! Work Locations: Chennai, Hyderabad, Pune, Bangalore, Salem, Trichy Experience Required: 1 to 7 years. Job Summary: We are looking for a skilled Medical Coder to join our team, responsible for accurately coding insurance claims and patient records . The ideal candidate should have strong attention to detail, analytical skills, and expertise in medical coding standards to ensure compliance with industry regulations. Key Responsibilities: Accurately code and abstract patient encounters. Research and analyze data for proper reimbursement. Ensure correct sequencing of codes as per government and insurance guidelines. Review and verify medical documentation for diagnoses, procedures, and treatment outcomes. Identify and resolve documentation deficiencies. Act as a subject matter expert and provide guidance to the coding team. Ensure medical records are accurately processed and maintained . Assign diagnostic and procedural codes based on industry standards. Required Skills & Qualifications: Strong knowledge of CPT, ICD-10, and HCPCS coding . Experience in RCM (Revenue Cycle Management) . Proficiency in medical billing and claims processing . Strong analytical and problem-solving abilities. High level of attention to detail to ensure coding accuracy. Perks & Benefits: Competitive Salary & Incentives Training & Career Growth Opportunities Apply Now! Send your updated resume to himabindu@jobixoindia.com WhatsApp: 7200152078(Aashwiny HR) or 7200054625(HimaBindu HR)

The Coding Trainer is expected to establish an academy for the internal Home Care Coding Specialist Diagnosis (HCS-D) certification and provide training to new hires to help them secure the certification. To deliver process training for resources hired for the aligned business (LHC) Primary Responsibilities: Create, develop, and deliver a medical coding refresher training course for Home Care Coding Specialist Diagnosis (HCS-D) Accomplish training readiness and all logistics required to conduct the academy training (coding manuals, training rooms, etc.) Prepare learning materials whenever required Responsible for tracking assessment scores Organize, coordinate, and communicate training programs for the business Provide feedback on regular basis Partner with leadership to provide coaching during training Provide feedback to management on individual and group training results Provide feedback to the instructional design team Outlier management Training Development Review and update training materials as needed Self-Motivating attitude Ability to facilitate diverse groups of people Team Player Attention to detail Quality focus Flexible to travel depending on business requirement to conduct training from different sites Willing to keep oneself updated with all annual coding updates and do production to keep the skills alive Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Educational background: healthcare-related is preferred with at least 3+ years experience as a coder Professional coder certification with credentialing from AAPC (CPC, CIC, COC) and/or AHIMA (CCS) to be maintained annually 2+ years of experience working as a coder in outpatient or inpatient coding. Experience in training is preferred 1+ years of experience in Home Healthcare Coding Willingness to upskill oneself and get certified in process training curriculum & HCS-D Working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word, Excel) and Windows operating systems Ability to deliver desired results in different training modes (face to face, virtual) Willing to work on weekends, holidays, and shifting schedules Preferred Qualifications: Knowledge & working experience in any of the below mentioned specialties. (Preferred) Evaluation & Management Emergency Department Ancillary Surgery & Same Day Surgery

Job description Role: Senior Medical Coder / Medical Coder! Specialties: EMOP, IPDRG, ED Professional, Surgery. Certification: Both Certified & Non-Certified Candidates Work Locations: Chennai, Hyderabad, Pune, Bangalore, Salem, Trichy Experience Required: 1 to 7 years. Job Summary: We are looking for a skilled Medical Coder to join our team, responsible for accurately coding insurance claims and patient records . The ideal candidate should have strong attention to detail, analytical skills, and expertise in medical coding standards to ensure compliance with industry regulations. Key Responsibilities: Accurately code and abstract patient encounters. Research and analyze data for proper reimbursement. Ensure correct sequencing of codes as per government and insurance guidelines. Review and verify medical documentation for diagnoses, procedures, and treatment outcomes. Identify and resolve documentation deficiencies. Act as a subject matter expert and provide guidance to the coding team. Ensure medical records are accurately processed and maintained . Assign diagnostic and procedural codes based on industry standards. Required Skills & Qualifications: Strong knowledge of CPT, ICD-10, and HCPCS coding . Experience in RCM (Revenue Cycle Management) . Proficiency in medical billing and claims processing . Strong analytical and problem-solving abilities. High level of attention to detail to ensure coding accuracy. Perks & Benefits: Competitive Salary & Incentives Training & Career Growth Opportunities Apply Now! Send your updated resume to himabindu@jobixoindia.com WhatsApp: 7200152078(Aashwiny HR) or 7200450038(Nivetha HR)