Job Opportunity: Medical Billers and Coding Specialist Company: Elevate Calls Inc Location: Permanent Work From Home Job Type: Full-time About Us: We are currently seeking dedicated and skilled Medical Billers and Coding Specialists to join our team. If
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
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
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
-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
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,
Claims Analyst Remote/Full-time Join Our Mission at Genesis Orthopedics & Sports Medicine! At Genesis Orthopedics & Sports Medicine, we believe high-quality orthopedic care should be accessible to all—not just those who can afford it. After 17
The Charge Capture Auditor is responsible for reviewing, validating, and auditing clinical charges to ensure accurate charge capture, coding compliance, and optimal reimbursement. This role works closely with clinical departments, coding teams, revenue cycle operations, and providers to
The Operations Manager – Quality Medical Coding is responsible for leading coding quality initiatives, driving compliance, and ensuring the accuracy and integrity of medical coding operations across multiple specialties and service lines. This role oversees coding quality programs, audit processes,
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
Position Title: DRG Clinical Validation Auditor USRN with at least 2 years of bedside experience Candidates must have 1-2 years of hospital coding experience. One or more of the following certifications: Certified Documentation Improvement Practitioner (CDIP- AHIMA)
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
Company Description Empower ABA provides specialized Applied Behavior Analysis (ABA) services for children diagnosed with Autism Spectrum Disorder (ASD). The organization focuses on delivering professional, evidence-based therapy designed to maximize each child’s potential. Expert ABA therapists
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.
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
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
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
Job Title: Medical Coder Skills: 2–4 years in Medical Coding (physician groups, hospital billing, or healthcare BPO) Experience: Exposure to Chart Reviews, Clinical Documentation, DRG audit, E&M coding, InterQual Location: Muntinlupa, Philippines We at Coforge are hiring Medical