Team & Operations Management: Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors. Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
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
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
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
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
Skills and abilities: Must be CPC/CRC/CCS certified with a minimum of 2-3 years’ experience in HCC Risk Adjustment coding. Must have thorough knowledge in ICD 9 & ICD 10 Coding Should have sound experience in Risk adjustment coding (Prospective/Concurrent/Retrospective)
Update and maintain SOPs, ensuring proper version control and standardization of all process documents. Monitor and maintain key metrics including KRA updates, KAT reports, calibration data, and team performance dashboards. Track and analyze production, quality, attendance,
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
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.
Team & Operations Management: Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors. Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder 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
This role is not for 2070 Health. About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and
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
Job Description: Job Title: DWS Internal Auditor – Technology Applications Corporate Title: AVP Location: Pune, India Role Description About DWS DWS Group is one of the world’s leading asset managers and leverages the opportunities of an ever
Company Description We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our
Perform detailed auditing of coded medical records as per client-specific guidelines to ensure accuracy and completeness. Meet defined quality benchmarks (including 98% ATA quality) and productivity targets while maintaining required audit samples. Record audit findings, provide
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
Company Description We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our
Position Overview: This role focuses on hands-on claims review, coding validation, and RCM processes. The Coding Auditor will identify incorrect coding/billing, support denials management, and ensure compliance with payer and CMS guidelines to improve payment accuracy. Specialty Expertise: Evaluation &
Join our team as a Medical Coding Auditor, specializing in ED & E/M coding. Responsibilities include reviewing medical charts, assigning accurate CPT and ICD-10 codes, ensuring compliance, and supporting billing teams. Knowledge in CPT and ICD-10 guidelines, with high