RCM Coding Specialist
6 months ago
We are united in our mission to make a positive impact on healthcare. Join Us
South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2023 Company of the Year | 2023 BIG Innovation Awards Fastest-Growing Company of the Year – Large (Bronze) | 2022 Best in Biz AwardsWho we are:
We Are Modernizing Medicine (WAMM) We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.
At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars
Who We Are We Are Modernizing Medicine (WAMM) We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.
The Medical coding quality Auditor is a key position within the Modmed India Operations. Coders will be assigned to a group of practices under one or multiple specialties reporting to a specialty lead, while they are responsible for working on modifiers escalated by practice or Global Partners, a coder is responsible for observing and analyzing the areas and identifying opportunities to improve the process efficiency which will enhance the overall outcome for new and established customers.
Position Title – Medical coding Auditor 3
Your Role
Audit the work done by Global Partners and provide timely feedback to teams to aid in the quick resolution of denied coding claims. Review & work on Coding denials from the Payers. Serve as a point of contact as coding SME for coding questions and clarifications for the MMI team. Review claims assigned to practices due to Coding issues in order to find out any trends and will work with CAs if practice education/ intervention is required. Analyse coding denials to determine trends where preventive measures can be placed, such as scrub edits, provider training, action plans, coder training, etc. Participates in coding educational opportunities (webinars, internal training, etc.). Will keep updated on the Payer Guidelines impacting on supplying the Codes. If needed, may assist in the production coding of clients of various specialties and scopes of coding.Skills & Requirements:
5+ years of working experience in medical coding domain where minimum 2 years’ experience as SME/Quality in coding with Multi speciality experience Certification Mandatory - CPC Having strong knowledge in Gastro, Orthopaedics, Ophthalmology, Dermatology and Podiatry is preferred. Hands on knowledge of Coding Denials on providing the resolution. Good knowledge of Payer Guidelines to resolve the Denials related to Coding. Good writing and Verbal communication in English Can work independently during the India Night Shift Can run reports and analyze the trends and scenarios. A strong hand in MS Excel will be a plus Expert in supplying/auditing/ analyzing the CPT, ICD Codes along with appropriate Modifiers CPC from AAPC or CCS from AHIMA Bachelors or Masters in Science with a background of Anatomy ModMed Benefit Highlights - India Specific
ModMed Benefits Highlight
At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:
ModMed Benefits Highlight:
At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:
Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k) Plan with immediate vesting in the company matching contribution, Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.-
Clinical Coding Analyst
1 month ago
Hyderabad, Telangana, India R1 RCM Full timeResponsibilities:As a Clinical Coding Analyst at R1 RCM, you will be responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM codes for diagnoses and procedures. You will also ensure the correct sequencing of codes based on medical record documentation and assign POA indicators correctly. Additionally, you will have a thorough...
-
Healthcare RCM Improvement Specialist
2 weeks ago
Hyderabad, Telangana, India ModMed Full timeAbout ModMedModMed is a leading provider of intelligent, specialty-specific cloud platforms for the healthcare industry. Our mission is to empower doctors and patients by placing them at the center of care.The RoleWe are seeking an experienced Healthcare RCM Improvement Specialist to join our team in India. As a key member of our operations, you will be...
-
Hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
R1 RCM | Legal Specialist | hyderabad
1 week ago
Hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
Certified Freshers
6 months ago
Hyderabad, Telangana, India R1 RCM, Inc. Full timeAbout R1RCM R1 RCM India is proud to be a Great Place To Work® Certified organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally,...
-
R1 RCM | Associate Director | hyderabad
3 weeks ago
hyderabad, India R1 RCM Full timeJob Description – Associate Director – Coding Quality R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable...
-
R1 RCM | Associate Director | hyderabad
3 weeks ago
hyderabad, India R1 RCM Full timeJob Description – Associate Director – Coding QualityR1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable...
-
R1 RCM | Associate Director | hyderabad
2 weeks ago
hyderabad, India R1 RCM Full timeJob Description – Associate Director – Coding Quality R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable...
-
Rcm Trainer
2 months ago
Hyderabad, Telangana, India VIPSA TALENT SOLUTIONS Full time**Job Summary**: The RCM Trainer is responsible for delivering high-quality training programs to new and existing employees in the Revenue Cycle Management (RCM) domain. This role involves developing and implementing training materials, facilitating learning sessions, and assessing the effectiveness of training programs to ensure the team is proficient in...
-
R1 RCM | Legal Specialist | hyderabad
1 week ago
hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
R1 RCM | Legal Specialist | hyderabad
1 week ago
hyderabad, India R1 RCM Full timeR1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
Medical Coding
1 month ago
Hyderabad, Telangana, India R1 RCM, Inc. Full time**About US**: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
Medical Coding
1 month ago
Hyderabad, Telangana, India R1 RCM, Inc. Full time**About US**: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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...
-
Associate Director
2 months ago
Hyderabad, India Axis Services Full timeHyderabad Upto 50LPA- We are hiring | Associate Director - Coding (RCM Healthcare) | 50 LPA | Physician billing & Hospital billing- Eligibility Criteria: Exp: Min 18+ yrs exp in Medical Coding || (Health Care)- Package: Up to 50 LPA - Locations: Hyderabad- Work from office- 2 way cab- Relieving letter is mandatoryRoles & Responsibilities:- Be able to drive...
-
Supervisor, Coding
4 months ago
Hyderabad, Telangana, India Ventra Health, Inc. Full timeAbout Us: - Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and...
-
RCM Quality Assurance Specialist
6 months ago
Hyderabad, India ModMed Full timeAt Modernizing Medicine, we look for passionate, innovative, creative Rock Stars! Inc. 5000 Fastest-Growing Private Companies in America 2023 Company of the Year | 2023 BIG Innovation Awards Fastest-Growing Company of the Year – Large (Bronze) | 2022 Best in Biz Awards South Florida Business Journal, Best Places to Work 2021 Who we are: ...
-
RCM Lead Trainer
6 months ago
Hyderabad, India ModMed Full timeAt Modernizing Medicine, we look for passionate, innovative, creative Rock Stars! Inc. 5000 Fastest-Growing Private Companies in America 2023 Company of the Year | 2023 BIG Innovation Awards Fastest-Growing Company of the Year – Large (Bronze) | 2022 Best in Biz Awards South Florida Business Journal, Best Places to Work 2021 Who we are: ...
