Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS
Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS
Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS
CPC+ 3 years experience in multi-specialty surgery coding including E&M IP and OP, General surgery (Optional), Infusion and Injection and predominantly in Radiation oncology Auditing and denial management experience (Optional) Skills and abilities: Follow every aspect of
Currently seeking experienced E&M coders who are CPT coding experts of E&M cases performed ED Facility, IP EM. Exceeds the productivity standards as per productivity norms. Focuses on continuous improvement. Focuses on updating skills, knowledge and accuracy
Skills and abilities: • Auditing experience on IP DRG. • Knowledge in Microsoft outlook/excel/word. • Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: • Follow every aspect of SOP without fail • Complete
Overview CPC certification. Manadtory 3+ Years of experience After Certification Overall 3+ years of coding experience Specialty worked: Outpatient surgery APC Facility coding is an added advantage Good communication, flexibility reliability Responsibilities and Essential Functions: Follow every aspect
Perform accurate coding for complex IVR, cardiovascular procedures, and general surgery cases. Apply coding expertise with 2–10 years of relevant experience post CPC certification. Complete assigned audits with high quality and within defined timelines. Adhere strictly to all
Surgery Coder (CPC-certified) and Certified USRN (Active NCLEX) with 3+ years of post-certification experience in outpatient multi-specialty coding, including injection and infusion, IVR, and radiation oncology. Brings added expertise in APC facility coding along with strong communication skills,
Overview CPC certification. Overall 3+ years of coding experience Specialty worked: Outpatient surgery APC Facility coding is an added advantage Good communication, flexibility reliability Responsibilities and Essential Functions: Follow every aspect of SOP without fail Complete received Audits
Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation. Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors. Perform detailed clinical reviews to validate
3+years of experience after certification is must Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements. Review and analyze clinical documentation for completeness and accuracy
ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail. Complete received Audits for quality review and ensure quality output. To achieve Quality SLA and quality production target. Excellent verbal and written communication. Follow project
Medical Coding Team Lead – Surgery & Payment Integrity is responsible for overseeing a team of medical coding specialists to ensure accurate, compliant, and timely auditing of surgical procedures across multiple specialties. This role demands strong technical expertise
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
About DP World Trade is the lifeblood of the global economy, creating opportunities and improving the quality of life for people around the world. DP World exists to make the world’s trade flow better, changing what’s
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Roles and responsibilities Quickly grasp technical client requirements and articulate a matching solution architecture based on Sciera’s product portfolio, in writing (including RFI/RFP), online or during face to face meeting (including presentation and demo workshops) Strong
Information Security & QMS Analyst Experience: 2–5 Years | Locations: Chennai (1) | Bengaluru (1) Role Overview Support Information Security, Data privacy, QMS activities, including audits, contract reviews, project security assessments, in alignment with ISO 9001