Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
As a Medical Billing Coding Specialist , you will be responsible for reviewing patient medical records, assigning accurate codes to diagnoses, procedures, and services performed, and ensuring that all billing submissions comply with the relevant coding regulations and
Job Purpose The Inpatient Medical Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities · Conduct audits and coding reviews to ensure all documentation is accurate and precise including
We are seeking a detail‑oriented and experienced Full Cycle Medical Biller to manage end‑to‑end revenue cycle processes. The ideal candidate will ensure accurate claim submission, timely reimbursement, and compliance with healthcare regulations while maintaining excellent communication
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN Clinical Auditors to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled
The Clinical Appeals Specialist is responsible for reviewing and preparing clinical and coding-related appeals for denied or downgraded healthcare claims. This role involves analyzing medical documentation, applying ICD-10 coding guidelines, and utilizing MCG/InterQual criteria to support medical necessity and
Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid
Work From Anywhere in LATAM Work Schedule: EST Compensation Range: $1,300 USD/month based on experience A healthcare services organization specializing in behavioral-health revenue cycle operations is looking for a Billing Specialist to keep claims clean, accurate,
We are looking for a detail-oriented and certified Outpatient QA Coder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance with
We are looking for a detail-oriented and certified IP DRGV Auditor Coder to join our team. In this role, you will be responsible for reviewing clinical documentation and assigning accurate codes for inpatient encounters in compliance
Job Title : Quality Analyst Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production
The Complex Claims Specialist is responsible for reviewing and resolving high-complexity insurance claims, including escalations, disputes, and denied cases. This role involves analyzing medical and billing data, ensuring compliance with policies, and coordinating with multiple stakeholders
About the Company Shearwater Health is a leading healthcare solutions provider, serving clients across the globe. We are dedicated to delivering high-quality, cost-effective medical coding and revenue cycle management services. Our mission is to empower healthcare organisations
We are hiring for Certified Medical Coders with risk adjustment experience to support growing operations. Whats in it for you? Work from home Competitive pay Certificate renewal coverage SIL with cash conversion HMO & Life Insurance