As a Multi-Specialty Quality Reviewer, you will be responsible for conducting internal quality reviews across different medical coding specialties to assess coder performance and coding accuracy. This role will focus on identifying areas for improvement, enhancing coding efficiency, and
The Coding Quality Manager is responsible for developing and implementing coding audit monitoring and education activities for providers and coders, in support of the organization’s adherence to applicable CMS requirements, official coding guidelines, government regulations and internal policies. Manages
Qualifications: -4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies,
-Bachelors degree holder -4-8 years of experience in healthcare revenue cycle management, with specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity
Client Management: -Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services. -Understand client challenges related to coding compliance and billing workflows and recommend tailored solutions. -Conduct regular meetings
At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our
We are looking for skilled CDI Specialists and Inpatient Coders to join our dynamic team and drive clinical and coding accuracy across client systems. Job Responsibilitie sAnalyze inpatient medical records to ensure clinical documentation accurately reflects patient
Monee is a leading digital payments and financial services provider in Southeast Asia, with a growing presence in Latin America. Its mission is to better the lives of individuals and businesses in the region with financial
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
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
What You’ll Do Hospital Claims Processing & Adjudication • Review and adjudicate hospital and facility claims, including inpatient, outpatient, emergency room, and ancillary services, following established policies, benefit plans, and standard procedures. • Check claims for
Benefits: HMO with free dependents Group life insurance Annual Performance Incentive Annual Appraisal 20 Paid Time Off (PTO) per year Permanent Work From Home Position Summary: The professional coder functions under the direction of the Tenet
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
UnifyCX is looking for highly detail-oriented Facility Medical Billers to join our motivated and ambitious team. What Will You Do? We are looking for proactive and performance-driven Facility Medical Billers to support accurate and efficient billing
UnifyCX is looking for highly detail-oriented Physician Medical Billers to join our motivated and ambitious team. What Will You Do? We are looking for proactive and performance-driven Physician Medical Billers to support accurate and efficient billing
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
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
Qualifications: -Extensive knowledge of US hospital billing and accounts receivable calling workflows, insurance claim management (commercial, Medicare, Medicaid), denials management, and collections processes for 10 years. -Proven ability to lead large teams (onshore/offshore) and coordinate complex
About Visaya KPO: Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a