Summary As an Medical Coder Quality you will be assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/Emergency Department services What youll
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
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
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
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
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 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 in assigning CPT, ICD-10-CM, and HCPCS codes. Identify
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 in
Overview Mandatory 3+ Years of experience After CPC/CCS Certification BDS Mandatory 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
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. 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
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of
Overview Experienced Surgery Coder with 3+ years of multi-specialty outpatient surgery coding experience, including IVR and General Surgery Currently seeking experienced E&M coders who are CPT coding experts of E&M cases performed ED Facility, IP EM. CPC certification.
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
Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage Review and analyze denied claims and identify root causes Initiate outbound calls to provider offices for denial clarification and resolution Document call outcomes and update claim status
Skills Required Strong analytical and critical-thinking skills Excellent medical record review and interpretation skills Effective written and verbal communication Ability to work independently and manage multiple priorities Knowledge of denial management and appeals processes Strong problem-solving
Job Family:Coding Quality OP (India) Travel Required:None Clearance Required:None What You Will Do: Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations
Job Family:Coding Quality OP (India) Travel Required:None Clearance Required:None What You Will Do: Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations
1. Coding Audit and Review Conduct detailed DRG validation audits on selected inpatient medical records to ensure coding accuracy, completeness, and compliance with ICD-10-CM/PCS, AHA Coding Clinic, and CMS guidelines. Review documentation to confirm that all reported diagnoses and