Job Description : AR Callers (1 8 Yrs) Min 1Yr into AR QA's/SME on Papers Experience is mandatory End to End Process knowledge on Denial Management Complete and send appropriate claim forms according to CMS and third party Payer Guidelines.…
Job Description – Associate, Inpatient Prior AuthorizationAssociate – Inpatient Prior Authorization Department: Revenue Cycle Management / Utilization Management Reports To: Team Lead – Prior Authorization / Prior Authorization Supervisor Job Level: Associate / Entry to Mid Level Work Location: RMZ,…
Hello, Greetings from Eclat Health !!! We are hiring for IVR QA's Open Positions : QA's Eligibility for QA Min 5 years Work Location : Hyderabad Work Mode: WFH after 6 MonthsInterested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com…
Hello, Greetings from Eclat Health !!! We are hiring for Profee Surgery Coder's Open Positions : Coder's Eligibility for Coder Min 2 year Work Location : Hyderabad Interested Contact : Viraja HR (8121012268) Mail : viraja.gurrala@eclathealth.com RegardsViraja HREclat Health Solutions…
Job Title: Team Lead – Payor (Risk Adjustment coding/HCC) Department: Production Location: Vijayawada Reports To: Manager – Payor Employment Type: Full time, Mon through Fri, with occasional evening or weekend availability as required for project deadlines. Eligibility: Minimum of 6…
Job Title: Team Lead – Hospital Billing (RCM) Department: Revenue Cycle Management Location: Hitech City, Hyderabad Shifts : Night Shifts Job Summary: Responsible for leading the hospital billing team (20 Agents), ensuring timely and accurate claim submissions, resolving billing issues,…
Job description Perform pre call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail…
SME – Outpatient & Inpatient E/M Coding (Multispecialty) Job Summary: We are seeking an experienced E/M Coding Subject Matter Expert (SME) with strong expertise in outpatient and inpatient E/M coding across multiple specialties, including podiatry, pediatrics, psychiatry, orthopedics, and surgery.…
Multispecialty Surgery Coding – SME (Professional & Facility) Job Summary: We are seeking an experienced Multispecialty Surgery Coding Expert to serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. The SME will provide in depth…
Job description We have openings for EM Multisepcialty coders (Any Certification is Mandatory) Location: Hyderabad Interview mode: Virtual Looking for immediate joiners!!! EM Coder Skillset Requirement: 2 years and above experience in EM Coding Holding a Coding certification (CPC is…
Job Description Review and interpret clinical documentation from orthopedic surgery encounters (inpatient, outpatient, or ASC). Assign appropriate CPT, ICD 10 CM, and HCPCS Level II codes for orthopedic surgeries including: Joint replacements (hip, knee, shoulder),Fracture repairs,Arthroscopies, Ligament/tendon repairs Spinal surgeries…
Pathology Medical Coder// QA Key Responsibilities: Review and interpret pathology reports and clinical documentation Assign accurate ICD 10 CM, CPT, and HCPCS codes for pathology services Ensure compliance with AAPC/AHIMA coding guidelines Stay updated with coding changes and payer policies…
Job Responsibilities: Accurately code SDS and Special Procedures through review of medical record documentation and encounter forms for Outpatient facility Assign accurate surgical codes using ICD 10 CM, CPT, and HCPCS coding guidelines Ensure all codes are compliant with applicable…
Need Good knowledge on Anatomy, Physiology, and English Language. * Certification is mandatory.