Requirement:
Job Description:
Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness and accuracy. CDI includes a review of disease process, diagnostic findings, and what documentation might be missing. A CDI specialist often has both clinical and medical coding backgrounds. CDI specialist should review the inpatient medical record documentation and query a provider concerning anything ambiguous or not complete prior to claim submission
Requirement:
Job Description:
Outpatient clinical documentation improvement (CDI) encompasses a variety of settings, including ambulatory and outpatient departments, such as critical care, rehabilitation outpatient centers, ambulatory services care, same-day surgery centers, ancillary services, diagnostic imaging centers, cardiac catheterization centers, behavioral health, gastrointestinal and chemotherapy, and radiation therapy centers. Outpatient CDI also applies to professional services in physician practices and centers, family medicine, and primary care providers with a heavy focus on delivering value-based care. CDI analyst focuses on improving the accuracy and completeness of documentation in outpatient settings, such as physician offices and outpatient procedures. Does retrospective review of medical records to identify areas where documentation may be lacking or needs improvement. This process helps ensure accurate coding, billing, and reimbursement, as well as improves the overall quality of patient care.
Requirement:
Job Description:
IPDRG stands for Inpatient Prospective Diagnosis Related Group. It is a coding system that classifies patient hospital stays based on diagnoses, procedures performed, and resources used, enabling standardized reimbursement for inpatient services. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information.
Requirement:
Job Description:
A Hospital Accounts Receivable (AR) Specialist is responsible for managing and tracking patient and insurance payments to ensure timely reimbursement for healthcare services. They handle tasks like submitting insurance claims, following up on outstanding payments, addressing denials, and ensuring compliance with relevant regulations
Insurance Follow-up: Contact insurance companies to follow up on outstanding claims and address any issues or delays in payment.
Denial Management: Review and analyze denied claims, identify reasons for denial, and prepare and submit appeals to ensure timely resolution.
Requirement:
Job Description:
An Outpatient Accounts Receivable (AR) Specialist is responsible for managing and tracking patient and insurance payments to ensure timely reimbursement for healthcare services. They handle tasks like submitting insurance claims, following up on outstanding payments, addressing denials, and ensuring compliance with relevant regulations
Insurance Follow-up: Contact insurance companies to follow up on outstanding claims and address any issues or delays in payment.
Denial Management: Review and analyze denied claims, identify reasons for denial, and prepare and submit appeals to ensure timely resolution.
Location: Baner, Pune
Experience: minimum 3 years
Responsibilities:
Qualifications:
OR
Send your resume via WhatsApp to +91-8055855243
Location: Pune
Experience: 3 Years
Job Duties:
Minimum Requirements:
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Send your resume via WhatsApp to +91-8055855243
Location: Pune
Experience: 3 Years
Job Description:
Qualifications for Medical Coder :
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Send your resume via WhatsApp to +91-8055855243
Location: Pune
Experience: 1 Years
Skills optional: HCC Skills
Mandatory: CPC or equivalent valid coding certification
Job Description:
OR
Send your resume via WhatsApp to +91-8055855243
Job Description: E/M + Radiology Coders (1-2 Years of Experience)
Position: E/M + Radiology Coder
Vacancies: 5
Experience: 1-2 Years
Location: Pune
Employment Type: Full-Time
Job Overview:
We are seeking five (5) skilled E/M (Evaluation and Management) and Radiology Coders with 1-2 years of experience to join our team. The selected candidates will play a vital role in ensuring accurate coding of medical records while maintaining compliance with all applicable guidelines and regulations.
Key Responsibilities:
Qualifications and Skills:
Preferred Skills:
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Job Description: E/M + Pathology Coders
Position: E/M + Pathology Coder
Vacancies: 5
Experience: 1-2 Years
Certification: Preferred
Work Location: Pune
Job Overview:
We are looking for dedicated and detail-oriented E/M + Pathology Coders with 1-2 years of experience to join our team. The role involves accurately coding medical records, ensuring compliance with coding standards, and supporting billing teams in resolving coding-related queries.
Key Responsibilities:
Qualifications and Skills:
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Interested candidates can WhatsApp their details to +91-8055855243.
Job Description: E/M + Charge Entry Specialist
Position: E/M + Charge Entry Specialist
Vacancies: 5
Experience: 1-2 Years
Certification: Preferred
Work Location: Pune
Job Overview:
We are seeking five (5) experienced E/M + Charge Entry Specialists to join our team in Pune. The ideal candidates will have a strong background in charge entry and evaluation/management (E/M) coding, ensuring the accurate and timely processing of medical billing and coding data.
Key Responsibilities:
Qualifications and Skills:
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Interested candidates can WhatsApp their details to +91-8055855243.
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