7 Outpatient Coding Jobs

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must evaluate your healthcare business processes through the perspective of your customers. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and empowers you to become a trusted partner to your clients. This organization invests in your professional development and allows you to directly impact the key performance indicators that are significant to your clients. Embark on a fulfilling career journey as a Client Partner specializing in medical coding for Evaluation & Management (E&M) and Emergency Department (ED) services at Access Healthcare. We are constantly seeking individuals who are passionate, skilled, and driven to join our dynamic team. Multiple opportunities await you in our thriving work environment. As a Client Partner for medical coding, your responsibilities will include: - Conducting audits on medical record coding to assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems - Performing coding and audits for Outpatient and/or Inpatient records with a minimum accuracy rate of 96% and meeting turnaround time requirements - Exceeding productivity benchmarks for Medical Coding as per the specified norms for inpatient and/or specialty-specific outpatient coding - Upholding high standards of professionalism and ethics - Engaging in continuous improvement initiatives by undertaking projects that help clients prevent revenue loss while adhering to regulatory standards - Enhancing coding skills and knowledge through participation in coding team meetings and educational conferences Job Requirements: To be eligible for this role, candidates should possess the following qualifications: - 1 to 4 years of experience in Medical Coding - Familiarity with Coding Procedures and Medical Terminology in an ambulatory care setting - Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding - Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be advantageous - Certification is mandatory. - Sound understanding of medical coding and billing systems, regulatory requirements, auditing principles, and concepts.,

As a Certified Medical Coder at Corro Health, you will play a crucial role in accurately assigning appropriate medical codes to patient records. This position is currently open for both EM and IP coding roles at our Hyderabad office, with the option to work from the office. We are looking for individuals who can join immediately and possess either AAPC or AAHIMA certification. To excel in this role, prior experience in medical coding is essential, particularly in areas such as multispecialty coding, denials management, or inpatient/outpatient coding. Your expertise in these areas will ensure the accuracy and compliance of our coding practices. At Corro Health, we offer a competitive salary package that is considered one of the best in the industry. You will thrive in a professional and collaborative work environment where your contributions are valued. Additionally, we have a referral program in place, encouraging you to refer your friends and grow our team together. If you are ready to take on this exciting opportunity, please reach out to our HR representative, Vinitha, at +91 91500 46898 or via email at vinitha.panneer@corrohealth.com. Join us in shaping the future of medical coding and refer your friends to be a part of our dynamic team as well.,

Designation: Vice President / Associate Vice President Department: Medical Coding Operations Job Location: Navi Mumbai 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

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,

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