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
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
Position: QUALITY DIRECTOR Location: Ortigas/Eastwood Work Set Up: Onsite QUALIFICATIONS: QUALITY DIRECTOR - Has Background in Revenue Cyle Management (RCM) - With HEALTHCARE, PRIOR AUTH, REVERIFICATION - Has 10 YEARS EXPERIENCE - Can Start ASAP/Immediately
Qualifications: BS Nursing with active license (registered Nurse). 6 – 12 months Hospital experience e.g., Primary, Secondary, Tertiary Must be willing to accept 2 years training bond Amenable to work in Davao Willing to work onsite...
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
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
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 Regional
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
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
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
We Are Pooling Medical Coders (Q3 Start)! We are currently pooling Medical Coders for our In/Outpatient Coding Programs, tentatively starting Q3. Newly coding-certified Registered Nurses without prior coding experience are welcome to apply. Job Requirements: Must be a Registered
Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront of it.
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
Ready to take your medical coding career to the next level? As a Denial Management Executive (DME) , youll use your coding expertise to resolve insurance claim denials, optimize reimbursements, and support healthcare providers in improving
Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront of it.
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.
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