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,
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.
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 guidelines,
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 guidelines,
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 procedures
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 diagnosis, procedures,
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 in CPT,
Join the Team Modernizing Medicine At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired
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 diagnosis, procedures,
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
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
Job Title: HCC Medical Coder (Risk Adjustment) – Hyderabad Experience: 1–3 years Work Model: On-site Location: Hyderabad, India About the Role We are seeking a detail-oriented HCC Medical Coder with 1–3 years of hands-on experience in risk adjustment
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Are you our new Finance Executive in Chennai? We offer As a part of a global conglomerate, the candidate will have an opportunity to perform in a challenging work environment, gain exposure and a chance to
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
Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put
Job Description SummaryWe build and buy software that touches clinical trials, patient safety, manufacturing, quality systems and commercial operations. It now ships weekly rather than yearly, is increasingly AI-assisted, and increasingly contains AI. Our control framework