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
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
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
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
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
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
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
Opportunity Overview: We are seeking a Technical, Hands-on Manager to lead a team in building AI-driven healthcare enterprise applications. In this role, you will combine strong people leadership with deep technical expertise to guide the development
Overview Software Development Engineer in Test (SDET) Bangalore, India About HealthEdge HealthEdge is a leading healthcare technology company transforming how healthcare payers manage costs, improve outcomes, and deliver exceptional member experiences. Our innovative software solutions power some
Who We Are ABOUT ENOVIS Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company, providing customized solutions for hospitals, health systems, pharmacies, ambulatory surgery centers, clinical laboratories, and physician offices worldwide. The
XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health
We are seeking a Senior Software Engineer to contribute across our interoperability server, cloud infrastructure application development and healthcare workflow solutions. This role will engage with an international spectrum of teams and diverse technologies, providing opportunity
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
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
Staff SWE, Application Opportunity Overview: This is a unique opportunity to join a high-caliber software engineering team that is experiencing rapid growth. You’ll play a key role in building impactful healthcare technology on a modern technology
Tech Lead AArete is one-of-a-kind when it comes to consulting firm culture. We’re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for
Senior Data Engineer AArete is one-of-a-kind when it comes to consulting firm culture. We’re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word
Description Responsibilities Review ,analyze, and load managed care payer contracts into Practice Management(PM) systems. Accurately enter CPT codes, fee schedules, reimbursement rates, and contract terms for contract loading and maintenance. Perform contract reviews and validation to ensure
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.