35 Coding Guidelines Jobs

Who we are: R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to trans...

Description We are seeking a skilled EM IP/OP coder to join our dynamic healthcare team in India. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with industry regulations. This role is essential for maintaining the quality of our healthcare documentation and facilitating efficient billing processes. Responsibilities Review and analyze medical records to ensure accurate coding of diagnoses and procedures using ICD-10, CPT, and HCPCS codes. Collaborate with healthcare providers to clarify diagnoses and procedures when necessary. Ensure compliance with coding guidelines and regulations to maintain the integrity of coding practices. Conduct ...

Job Summary We are seeking a skilled Medical Coding Specialist with 2 to 4 years of experience to join our team in a hybrid work model. The ideal candidate will have expertise in healthcare products and medical coding. This role involves ensuring accurate coding of medical records contributing to the efficiency of healthcare services and supporting the companys mission to improve patient care. The position operates during day shifts and does not require travel. Responsibilities Ensure accurate and timely coding of medical records to support healthcare operations and billing processes. Collaborate with healthcare professionals to verify and clarify coding information ensuring compliance with ...

Job Description: Assign appropriate ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) diagnosis codes and ICD-10-PCS (Procedure Coding System) codes to inpatient records based on physician documentation. Review and code all documents for inpatient encounters, including surgeries, tests and diagnosis. Apply codes, which classify patient cases into groups that are used for reimbursement. Code records in a timely manner to meet billing cycles and hospital deadlines. Ensuring compliance with coding guidelines and regulations.

As a Quality Assurance Analyst for Medical Coder at LexiCode, you will be part of a dynamic team of coding experts dedicated to providing exceptional coding services to clients. Your main role will involve reviewing medical codes for accuracy, ensuring compliance with coding guidelines and regulations. **Key Responsibilities:** - Thoroughly review and analyze medical records to identify relevant diagnoses and procedures. - Check ICD-10-CM and PCS codes for accuracy to accurately reflect clinical documentation. - Maintain the accuracy and integrity of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. - Participate i...

Company Description The CPA Institute is a premier educational institution dedicated to excellence in Pharmaceuticals, Clinical Research, Medical Coding, and Life Sciences. With 12 years of experience, we empower professionals with the knowledge and skills needed to thrive in the healthcare and life sciences sectors. Our programs are designed to prepare students for competitive examinations such as the Graduate Pharmacy Aptitude Test (GPAT), National Institute of Pharmaceutical Education and Research Joint Entrance Exam (NIPER JEE), and Government Pharmacist Exam. Role Description This is a full-time on-site role for a Medical Coding Trainee. The position is located in Lucknow. The Medical C...

Company Description At Smartclues Technologies LLP, our mission is to provide reliable and efficient IT services to small businesses. We strive to help our clients achieve their goals and grow their businesses by leveraging the latest technologies and best practices. Our team of experienced IT professionals is dedicated to providing exceptional service and support to our clients. We stay up-to-date with the latest industry trends to ensure that our clients receive the best possible solutions. Smartclues Technologies LLP offers a wide range of IT services, from network setup and maintenance to cloud solutions and cybersecurity, to meet the needs of small businesses. Role Description This is a...

Role: Emergency Department CDI (ED CDI) Specialist Department: CDI Qualification : life science stream At least 2 yrs in clinical documentation improvement • Certifications: CPC Location: Chennai/ Hyderabad Contact : 6379093874 Sangeetha(Whats App)

As a Quality Assurance Analyst for Medical Coding at LexiCode, your primary responsibility will be to review assigned medical codes for accuracy and ensure compliance with coding guidelines and regulations. Your role involves thoroughly reviewing and analyzing medical records, ensuring the integrity and precision of coded data, staying updated on evolving coding guidelines and regulations, participating in coding audits and quality improvement initiatives, maintaining productivity levels, and upholding strict patient confidentiality standards in compliance with HIPAA regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedure...

Company Description We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our organization you will be joining a smart and driven team that shares your passion for exploration and discovery in the Healthcare Software vertical. Our significant investment in people, processes, and technology equips our employees with the resources and opportunities to drive substantial value for all our client partners. Job Description Review and validate coded encounters for accuracy and consistency across providers and specialties. Identify and ...

As a dynamic senior software engineer, you will join us as Team Lead, Software Engineering to lead Engineering team units and foster a culture of Engineering Excellence. Your role is pivotal for our success as a market force and thought leader in cutting-edge Engineering practices. You will have a direct impact on building the software powering the Indian hyperscale cloud ecosystem. **Key Responsibilities:** - Lead frontend and backend Engineering teams with tactical and operational management oversight. - Ensure consistency and predictability in Product delivery and quality by establishing sound SDLC standards, practices, and processes. - Conduct timely reviews of Engineering activities, ad...

Role Overview: As an Emergency Department Clinical Documentation Improvement (ED CDI) Specialist in the Clinical Documentation Improvement department at Chennai/Hyderabad, you will play a crucial role in enhancing the quality and accuracy of clinical documentation in the Emergency Department. Your responsibilities will involve collaborating with various stakeholders to ensure compliance with regulatory standards, optimize reimbursement, and improve patient care outcomes. Key Responsibilities: - Perform regular audits of clinical documentation in the ED to identify areas for improvement, ensuring accuracy and completeness of reports. - Provide ongoing education and training to ED staff on bes...

As a Senior Software Engineer at CGS India, you will play a crucial role in refining and enhancing the capabilities of current systems to meet engineering needs. Reporting to the Team Lead, you will be involved in designing, developing, and maintaining new product introduction related healthcare application systems. Your responsibilities will include promoting best practices, adapting quickly in a collaborative environment, and driving change to address challenging problems. - Work across various stages of the software development life cycle, including business requirement gathering, development, and testing activities - Develop scalable applications and services using cutting-edge technolog...

Process: .Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

You are eagerly looking for a meticulous Denial Coder to be a part of the team. Your responsibilities will include reviewing and analyzing denied claims to identify errors, assigning appropriate codes for resolution, documenting findings, maintaining records, and actively participating in audits to enhance processes. Your qualifications should ideally include a Bachelor's degree in health information management or a related field, certification as a Certified Professional Coder (CPC) or similar, a minimum of 5 years of experience in medical coding and claims denial management, proficiency in medical terminology, coding guidelines, and insurance processes, exceptional analytical skills, and e...

.Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

Role Overview: As a Medical Coder/Senior Coder/QA, your primary responsibility will be to assign codes, abstract information, maintain knowledge, and ensure accuracy and quality in the coding process. You will review and analyze patient medical records to ensure accurate code assignment, adhere to coding guidelines and regulatory requirements, and effectively utilize medical coding software. Key Responsibilities: - Assign codes and abstract information from patient medical records - Review and analyze patient medical records to ensure accurate code assignment - Adhere to coding guidelines and regulatory requirements - Utilize medical coding software effectively - Apply understanding of anato...

As a skilled Medical Coding Specialist with 2 to 3 years of experience in healthcare products and medical coding, your role will involve ensuring accurate coding of medical records to maintain data integrity and compliance with healthcare regulations. You will collaborate with healthcare professionals to verify and clarify coding information for accuracy. Analyzing medical records and assigning appropriate codes to diagnoses and procedures will be part of your responsibilities. It is essential for you to maintain up-to-date knowledge of coding guidelines and industry standards to ensure efficient healthcare data management. Key Responsibilities: - Ensure accurate coding of medical records to...

Role Overview: As a Quality Assurance Analyst for Medical Coder at LexiCode, you will be part of a dynamic team of coding experts focused on delivering top-notch coding services to clients. Your main role will involve reviewing medical codes for accuracy and ensuring compliance with coding guidelines and regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify relevant diagnoses & procedures. - Review ICD-10-CM and PCS codes for accuracy to ensure they accurately represent clinical documentation. - Maintain the integrity and precision of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous ...

As an Auditor - Coding, you will play a crucial role in supervising and mentoring a team of coding auditors to ensure high-quality and compliant coding practices. Your responsibilities will include conducting quality audits, identifying discrepancies, and implementing corrective actions to enhance coding accuracy. Collaborating with QA teams, you will work on improving coding efficiency and developing strategies to reduce denials. Additionally, you will engage with stakeholders such as physicians, revenue cycle, and compliance teams to ensure adherence to proper coding practices. To excel in this role, you should possess a Bachelor's degree in any discipline, along with certifications such a...

The role of an SPE-Medical Coding HC involves ensuring accurate coding of healthcare products and services to facilitate efficient billing and reimbursement processes. You will be working night shifts from the office, utilizing your expertise in medical coding to support healthcare operations. To be eligible for this position, you should have a minimum of 2 years and a maximum of 4 years of experience in Clinical Coding Revenue Cycle Management and Medical Coding. Your responsibilities in this role will include meeting the 100% daily productivity target based on team/client requirements, maintaining an accuracy rate of 98% in internal and client audit reports, achieving a coding protocols as...

.Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.

You are an experienced IP DRG finalizer or retro review process professional seeking a full-time remote role at KPC TechnoVision in Ahmedabad. In this position, you will be responsible for conducting retro reviews of IP DRG claims, identifying coding and documentation errors, and ensuring compliance with coding guidelines. Your key tasks will include analyzing and auditing medical records, providing feedback to coding staff, and communicating audit results to stakeholders. To excel in this role, you should have a strong background in IP DRG auditing and retro review processes. A deep understanding of coding guidelines and regulations is essential, along with excellent analytical and critical...

The Quality Assurance Analyst for Medical Coding at LexiCode plays a crucial role in ensuring accuracy and compliance with coding guidelines. You will be responsible for reviewing medical records, verifying codes, and upholding coding standards. Your dedication to maintaining precision and confidentiality is essential for the success of our coding services. Key Responsibilities: - Thoroughly analyze medical records to identify relevant diagnoses and procedures. - Verify medical codes for accuracy and alignment with clinical documentation. - Maintain the integrity and accuracy of coded data. - Stay updated on coding guidelines and industry best practices through continuous research. - Partici...

The Quality Assurance Auditor/Trainer for Outpatient Surgery Coding position at LexiCode involves reviewing and analyzing medical records to ensure accurate coding and compliance with guidelines. The role requires staying updated on coding regulations and participating in quality improvement initiatives. The ideal candidate should possess AHIMA or AAPC credentials, have at least 1 year of experience in outpatient surgery coding, and be proficient in ICD-10-CM and PCS coding systems. Strong analytical skills, attention to detail, and effective communication are essential for this role to maintain coding accuracy standards and patient confidentiality in line with HIPAA regulations.,