Summary As a Medical Coding Analyst, you will be analyzing the denials and AR pertaining to Medical coding Process by following ICD and federal/Payor guidelines What youll do Investigate, analyse, and resolve the following denials from Payers Medical Necessity
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
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 payments.
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
Designation - Coding Manager Location - Chennai Relocation candidates can also apply. Handle coding transitions and manage delivery for various outsourcing partners and hospital groups. Provide training, mentoring, and support for all coding requirements within the organization. Lead and
Opening for US Healthcare COE Medical Coding _Chennai Location : Chenna iShift - US Shif tExperience :Associate Manager- 8 to 11 Year sManager - 12 to 15 Year s Key Responsibilitie s:Drive transformation initiatives across coding and RCM
About R1: R1 RCM is a leading provider of revenue cycle management, or RCM, services and physician advisory services, or PAS, to healthcare providers in the United States. We are dedicated to transforming the commercial infrastructure
Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical
Job Title: AR Caller / AR Follow up (RCM) – Senior Executive Job Type: Full-Time | Work Mode: Work from Office Location: Gurugram, Sec 18 About the Position: We are looking for an experienced AR Denials
Job Title: AR Caller / AR Follow up (RCM) – Senior Executive Job Type: Full-Time | Work Mode: Work from Office Location: Gurugram, Sec 18 About the Position: We are looking for an experienced AR Denials
Job description: Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements. Verify that all necessary clinical documentation is included to support claim submissions and medical necessity.
Opportunity Overview: This is a unique opportunity to join a high-caliber software engineering team that is growing quickly. You will play a key role in building impactful healthcare technology on a modern technology stack, with a
Description Why work at nimble? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are
Opportunity Overview: As a Staff Machine Learning Engineer, you will play a critical technical leadership role on Cohere Health’s Enterprise ML team, with a primary focus on powering and scaling machine learning capabilities within our Intake
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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
About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and
Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical