Qualifications: Must have: Holds an active Medical Coding Certification (CPC, COC, CCS and/or CCS-P) With at least 2+ years of OP (SDS and/or ED – E/M) coding experience Nice to have: Advantage will be given to
Job Purpose The Clinical Documentation Integrity Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that
Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career
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
PRINCIPLE PURPOSE OF JOB: We are currently seeking Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing and interpreting and assign the correct
Role Overview We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team. This role is critical for ensuring clean claim submissions, maintaining coding
The Risk Adjustment Coder is responsible for reviewing and accurately assigning diagnosis codes to medical records in accordance with ICD-10-CM coding guidelines, CMS-HCC Risk Adjustment methodologies, and client-specific requirements. This role ensures complete and compliant documentation to
ROLE AND RESPONSIBILITIES The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals Coder/CV Nurse
Job Expectations: Position Type: Experienced - Senior/Lead Employment Type: Full-Time, Permanent (Direct Hire) Work Setup & Location: Hybrid (4 days onsite per week) - Bridgetowne Ortigas, Pasig Work Schedule: Weekdays; Mid Shift Available Headcounts: 10+ FTEs
We are seeking a detail-oriented and experienced Same Day Surgery (SDS) Medical Coder to accurately review, assign, and validate medical codes for outpatient surgical procedures. The ideal candidate has strong knowledge of CPT, ICD-10-CM, HCPCS Level II,
The Risk Adjustment HCC Coder is responsible for accurately reviewing and assigning ICD-10-CM diagnosis codes that map to Medicare Advantage and ACA Commercial Risk Adjustment models. The role ensures compliance with coding guidelines, documentation standards, quality metrics,
Job Expectations: Position Type: Experienced - Mid/Senior Employment Type: Full-Time; Permanent (Direct Hire) Work Setup & Location: Hybrid (2-3x onsite/week) - BGC, Taguig Work Schedule: Weekdays; Day Shift Headcounts Needed: 10+ FTEs Industry: Healthcare About the
Job Expectations: Position Type: Experienced - Mid/Senior Employment Type: Full-Time; Permanent (Direct Hire) Work Setup & Location: Hybrid (2-3x onsite/week) - BGC, Taguig Work Schedule: Weekdays; Night Shift (US) Headcounts Needed: 30+ FTEs Industry: Healthcare About
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
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
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
R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global
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
Job Title: Home Health Coder (10 FTE, Temp WFH) Department: ( Location: onsite wrok Reports To: (Insert Reporting Manager/Position) Position Overview: We are looking for a highly skilled Home Health Coder to join our team. This temporary, work-from-home