Responsibilities: - Review diagnosis and medication coding for infusion services, especially when payer limitations apply. - Assess payer medical policies and CMS guidelines to confirm medical necessity and coverage eligibility. - Ensure clinical documentation aligns correctly with billing codes
Responsibilities: - Review and validate diagnosis and medication coding for infusion services, with a focus on payer-specific requirements and restrictions, serving as the primary resource for complex or non-standard cases. - Analyze payer medical policies and CMS guidelines to
Position Summary: The professional coder functions under the direction of the Tenet Regional Coding Director. The professional coder is responsible for assignment of medical coding by abstracting and review of the medical documentation according to Tenet Physician Resources
Location: BGC Taguig or Iloilo City Work Setup: Hybrid but work onsite frequency is still being deliberated Work Schedule: Night Shift, Shifting Schedule, No fixed weekends off Target Start Date: August 3, 2026 Headcount Requirement: 30
Responsibilities: Review coding and documentation Determine reimbursement eligibility Apply Medicare and payer guidelines Validate ICD-10, CPT, HCPCS coding Resolve reimbursement/claim issues Support compliance and audits Collaborate with billing, reimbursement, and clinical teams Recommend process improvements Qualifications: Healthcare-related bachelors degree
Subject Matter Expert (SME) – Medical Biller | WFH | Nightshift The Medical Billing SME is responsible for providing deep domain expertise across the end-to-end medical billing lifecycle, ensuring accurate, compliant, and efficient revenue cycle operations.
Working Conditions: Working full remote Willing to work in a nightshift schedule Project-based 6 months contract Duties and Responsibilities: This position works within the Clinical Analysis Group (CAG) developing statistical algorithms and performing various analyses, ensuring
We are currently looking for experienced OUTPATIENT CODERS to be part of our team! Job Descriptio nAs an Outpatient Medical Coder, you will be responsible for reviewing and coding medical records for outpatient encounters, ensuring compliance with
Job Description: The Head of Revenue Cycle Management (RCM) is responsible for leading and optimizing the end-to-end revenue cycle process to maximize organizational revenue, improve cash flow, and ensure compliance with healthcare regulations and payer requirements. This
Key Responsibilities Review diagnosis and medication coding for infusion services, particularly when payer restrictions are identified. Evaluate payer medical policies and CMS guidelines to determine medical necessity and coverage. Ensure accurate alignment between clinical documentation and billing codes prior