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
Job Summary We are looking for a Clinical Documentation Improvement (CDI) Specialist responsible for ensuring accurate, complete, and compliant inpatient clinical documentation to support coding accuracy, reimbursement, and high-quality healthcare data reporting. The role involves reviewing medical
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
Join Our Team as a Claims Denials Management Specialist (Technical) Position open to El Salvador and Guatemala Only Are you ready to take your career to the next level? Were seeking a dynamic individual to join
The Claim Resolution Specialist holds a dynamic position within the claims workflow, responsible for submitting appeals to reverse denials and initiate payments, as well as assessing the need for additional actions, such as further appeals or
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
We are hiring for Certified Medical Coders with risk adjustment experience to support growing operations. Whats in it for you? Work from home (selected accounts) Up to PHP100,000 sign-on bonus (selected RA onsite accounts) Competitive pay
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
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
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
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 our co-source partners
What is an Inpatient Coder? An Inpatient Coder specializes in coding the medical records of patients who are admitted to hospitals or healthcare facilities for treatment. They are responsible for translating patients’ healthcare information, including diagnoses, symptoms,
We Are Pooling Medical Coders – Outpatient Coding Program (Q2 Start)! We are currently pooling Medical Coders for our Outpatient Coding Program, tentatively starting Q2. Newly coding-certified Registered Nurses without prior coding experience are welcome to apply. Job Requirements: Must