medical coding specialist

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

MEDFAR Solutions Cliniques

<div>Company Description 
<ul><li>
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.</li></ul> 

Job Description 
The Medical Coding Team Lead will oversee a team of medical coders, ensuring accurate and timely coding of medical diagnoses, procedures, and services for healthcare facilities. The role involves managing day-to-day operations, ensuring compliance with industry standards (e.g., ICD-10, CPT, and HCPCS coding), and acting as the primary point of contact between the coding team and other departments. The Team Lead will also mentor and train coding staff, monitor performance metrics, and ensure the department meets organizational goals and regulatory requirements
Key Responsibilities:
1. Team Management:<ul><li>
Supervise a team of medical coders, ensuring workload distribution and deadlines are met.</li><li>
Conduct regular performance evaluations and provide feedback to team members.</li><li>
Serve as the primary point of escalation for coding-related issues or complex cases.</li><li>
Foster a collaborative and productive team environment by providing guidance, support, and training opportunities.</li></ul>
2. Quality Assurance:<ul><li>
Ensure coding accuracy and compliance with industry standards such as ICD-10, CPT, and HCPCS codes.</li><li>
Perform random audits of coded claims to ensure accuracy and adherence to organizational and regulatory guidelines.</li><li>
Implement corrective actions and training plans when discrepancies are identified during audits.</li></ul>
3. Training and Development:<ul><li>
Organize and conduct regular training sessions on updates to coding standards, regulations, and software tools.</li><li>
Mentor junior coders and help develop their skills to improve performance.</li><li>
Keep the team updated on regulatory changes and best practices in medical coding.</li></ul>
4. Operational Oversight:<ul><li>
Manage day-to-day operations of the coding team, ensuring tasks are completed on time and meet quality standards.</li><li>
Track and report team performance metrics, including coding accuracy, productivity, and turnaround times.</li><li>
Collaborate with other departments such as billing, compliance, and healthcare providers to resolve coding and reimbursement issues.</li></ul>
5. Compliance and Documentation:<ul><li>
Ensure that coding practices are in compliance with HIPAA regulations, organizational policies, and state/federal guidelines.</li><li>
Maintain accurate documentation of all coding processes and updates for auditing purposes.</li><li>
Assist in preparing the department for internal and external audits.</li></ul>
6. Process Improvement:<ul><li>
Identify areas of inefficiency in the coding process and recommend improvements.</li><li>
Implement new processes, tools, or systems to enhance the efficiency and accuracy of medical coding operations.</li></ul>
7. Client/Stakeholder Relations:<ul><li>
Act as a liaison between the coding team and other internal and external stakeholders, including physicians, administrative staff, and external auditors.</li><li>
Address and resolve any queries related to coding from insurance companies, providers, or billing departments.</li></ul> 

Qualifications 
Education:<ul><li>
Bachelor&rsquo;s degree in Health Information Management, Medical Coding, or a related field preferred.</li><li>
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification required.</li></ul>
Experience:<ul><li>
6+ years of experience in medical coding, with at least 2 years in a supervisory or leadership role.</li><li>
Extensive knowledge of ICD-10, CPT, and HCPCS coding systems with E&amp;M coding.</li><li>
Experience with healthcare billing processes and Electronic Health Record (EHR) systems.</li></ul>
Skills:<ul><li>
Strong leadership, communication, and interpersonal skills.</li><li>
High level of accuracy and attention to detail in coding and documentation.</li><li>
Ability to work under pressure and manage multiple tasks simultaneously.</li><li>
Proficiency in coding software and MS Office tools (Excel, Word, etc.).</li></ul> 
Additional Information 
<ul><li>
Fixed Night Shifts</li><li>
Transportation Faciity</li><li>
Health Insurance and Other Benefits</li></ul></div>

Team Lead-Medical Coding

CPA CLINICS

Job Description: Medical Compliance Officer (Doctor)Location: DHA, Lahore (On‑site) Experience Required: Minimum 5 yearsPosition OverviewWe are seeking an experienced Medical Compliance Officer (Doctor) to join our team on‑site in DHA, Lahore. This role will support our clinics in New York by ensuring medical documentation compliance, reviewing clinical notes, performing medical coding, and preparing records for billing and claims processing. In addition, the role will involve holistic care coordination for chronic care patients, making it a vital link between providers, patients, and billing teams. The position requires proficiency in CureMD EMR software for documentation, coding, and workflow management.Key Responsibilities<ul><li>Medical Compliance Oversight: Ensure all clinical documentation adheres to U.S. healthcare compliance standards (HIPAA, CMS, payer guidelines).</li><li>Notes Review: Audit and review patient notes for accuracy, completeness, and compliance with medical and legal standards.</li><li>Medical Coding: Assign appropriate ICD‑10, CPT, and HCPCS codes to patient encounters to ensure accurate billing and claims submission.</li><li>Billing Readiness: Prepare documentation so that claims can be processed promptly and correctly.</li><li>Claims Support: Collaborate with billing teams to resolve discrepancies, denials, or coding issues.</li><li>Telehealth Documentation: Support providers during virtual visits by reviewing notes, coding appropriately, and ensuring compliance for telehealth encounters.</li><li>Holistic Chronic Care Support: Assist in developing and maintaining care plans for patients with chronic conditions (e.g., diabetes, hypertension, COPD). Document lifestyle factors, medication adherence, and preventive care measures to support long‑term management.</li><li>Provider Support: Work closely with physicians and healthcare providers to clarify documentation requirements and improve compliance workflows.</li><li>Training &amp; Guidance: Provide ongoing education to clinical staff regarding documentation standards, compliance updates, and coding best practices.</li><li>Quality Assurance: Conduct periodic audits of medical records to identify gaps, risks, or areas for improvement.</li><li>Regulatory Updates: Stay current with U.S. healthcare regulations, payer requirements, and compliance changes, and implement updates into workflows.</li><li>On‑Site Collaboration: Work directly with the compliance and administrative team to ensure smooth coordination with New York clinics.</li></ul>Qualifications<ul><li>Medical degree (MBBS or equivalent) with specialization or certification in medical compliance/coding preferred.</li><li>Minimum 5 years of experience in medical compliance, documentation review, and coding.</li><li>Strong knowledge of ICD‑10, CPT, HCPCS coding systems and U.S. healthcare billing standards.</li><li>Familiarity with HIPAA and CMS compliance requirements.</li><li>Experience in telehealth documentation and chronic care patient support preferred.</li><li>Excellent communication skills (English proficiency required; bilingual ability is a plus).</li><li>Detail‑oriented with strong analytical and problem‑solving skills.</li><li>Ability to work on‑site in DHA, Lahore and coordinate with U.S.‑based teams across time zones.</li></ul>This is an on‑site role in DHA, Lahore, with working hours aligned to U.S. clinic operations, evening &ndash; early morning Pakistan time.Job Type: Full-timePay: Rs170,000.00 - Rs220,000.00 per monthApplication Question(s):<ul><li>Do you hold a valid MBBS (or equivalent medical degree) and are you licensed/qualified as a doctor?</li><li>How many years of experience do you have in medical compliance, documentation review, and coding?</li><li>What is your understanding of HIPAA and CMS compliance requirements?</li><li>Are you proficient in ICD‑10, CPT, and HCPCS coding systems? Please give examples of coding work you&rsquo;ve handled.</li><li>Have you worked with CureMD EMR software before? If not, what EMR/EHR systems are you familiar with?</li><li>Do you have experience supporting telehealth sessions and ensuring documentation is compliant?</li><li>Have you assisted in documenting or coordinating care for chronic patients (e.g., diabetes, hypertension, COPD)?</li><li>Are you comfortable making follow‑up calls to U.S. patients for education, compliance, and chronic care support?</li><li>Are you comfortable working evening&ndash;early morning Pakistan time (aligned with U.S. clinic hours)?</li><li>Have you conducted compliance audits or trained staff on documentation and coding standards? Please share an example.</li></ul>Work Location: In person

Medical Compliance Doctor

TalentGrade

The Role
 Job Title: Medical Coder Location: United Arab Emirates Job Summary: We are seeking a detail-oriented Medical Coder to support healthcare billing and insurance processes. The role involves accurate medical coding and coordination with insurance approvals in compliance with UAE healthcare regulations. Eligibility Criteria: - Candidates with prior UAE medical coding experience, or - Freshers from India with hands-on experience in UAE insurance approvals - DHA License or DHA Eligibility Letter is mandatory Key Responsibilities: - Assign accurate medical codes (ICD, CPT, etc.) based on clinical documentation - Handle insurance approvals and coordinate with insurance providers - Ensure compliance with UAE healthcare and insurance guidelines - Review medical records for accuracy and completeness - Support billing and reimbursement processes - Maintain confidentiality and data accuracy at all times Required Skills: - Strong knowledge of medical coding standards and insurance approval workflows - Familiarity with UAE healthcare insurance systems - Good attention to detail and analytical skills - Ability to work independently and meet deadlines Preferred: - Immediate joiners - Prior experience in UAE healthcare settings - This position is suitable for candidates looking to build or continue a career in medical coding within the UAE healthcare sector.
 
Requirements
 The ideal candidate is a detail-oriented and disciplined medical coding professional with a clear understanding of medical terminology, coding standards, and healthcare documentation. The candidate should be capable of accurately assigning ICD and CPT codes, reviewing clinical records for completeness, and supporting insurance approval and reimbursement processes. Experience in UAE healthcare systems or prior exposure to UAE insurance approvals is essential. Freshers from India with practical approval-handling experience are also encouraged to apply. The candidate must possess a DHA License or Eligibility Letter, demonstrate strong analytical skills, maintain confidentiality, and work efficiently under deadlines while ensuring compliance with UAE healthcare regulations.
 
About the company
 TalentGrade HR Consultancies LLC is a premier human resource consultancy firm headquartered in Dubai, serving clients across the UAE, Qatar, Saudi Arabia, Kuwait, Oman, and India. We specialize in delivering tailored recruitment and staffing solutions for the healthcare, pharmaceutical, IT, engineering, and hospitality sectors globally.

Medical Coder

Decipher Health Records LLP

Key Responsibilities<ul><li>Review and analyze medical records to identify relevant diagnoses, procedures, and services.</li><li>Assign accurate ICD-10-CM, CPT&reg;, and HCPCS Level II codes based on clinical documentation.</li><li>Ensure coding compliance with federal, state, and payer-specific regulations.</li><li>Verify that coded data supports medical necessity and adheres to coding conventions.</li><li>Work closely with physicians, nurses, and other healthcare staff to clarify documentation and resolve coding discrepancies.</li><li>Submit coding information for billing and reimbursement processes.</li><li>Assist with denials management by correcting coding errors and providing supporting documentation.</li><li>Maintain updated knowledge of coding guidelines, regulatory changes, and industry updates.</li><li>Participate in internal audits and quality improvement initiatives.</li><li>Protect patient confidentiality in accordance with HIPAA requirements</li></ul>*<ul><li>.Required Qualifications</li><li>Certification such as CPC, CCS, CCS-P, CCA, or equivalent.</li><li>High school diploma or equivalent (Associate degree in Health Information Management preferred).</li><li>Strong understanding of medical terminology, anatomy, physiology, and disease processes.</li><li>Proficiency in ICD-10-CM, CPT&reg;, and HCPCS Level II coding systems.</li><li>Experience with Electronic Health Records (EHR) and coding/billing software.</li></ul>Job Type: Full-timePay: ₹9,149.38 - ₹31,352.25 per monthBenefits:<ul><li>Paid time off</li><li>Provident Fund</li></ul>Work Location: In person

Medical Coding

UMED

Medical Coder1. Bachelor degree from an accredited college / university2. Certified coder from AAPC/AHIMA3. Minimum of two to three years coding, preauthorization, submission, and resubmission experience in i.e., hospital, clinic, homehealthcare or other related healthcare field. Will be prioritize4. Proficient in ICD 10, CPT 4 coding conventions5. Ability to train the health professionals for clinical documentation improvement6. Comply with all guideline requirements regarding coding procedures and practices7. Assign and sequence all codes for services rendered8. Collaborate with billing department to ensure treatment codes are accurate received9. Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures10. Knowledge of relevant software system such as MS Office, particularly ExcelJob Types: Full-time, PermanentPay: From AED2,500.00 per monthApplication Question(s):<ul><li>can you join immediately?</li></ul>License/Certification:<ul><li>AAPC/CPC (Required)</li></ul>

Billing Freedom

We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.<ul><li>Experience in CPT and ICD-10 coding</li><li>Claims appeal and resolution experience</li><li>Perform posting charges</li><li>Minimum of 1 month and up to 3 years of hands-on experience in Medical Billing.</li><li>Perform completion of claims to payers</li><li>Submit billing data to the appropriate insurance providers</li><li>Analysis and resolution of denied claims/cases. Identify and resolve billing issues</li><li>Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified.</li><li>Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient.</li><li>We are seeking an experienced medical biller with a strong background in medical billing and coding. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Its an onsite night shift job, are you able to do work from 8pm to 5am?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Executive

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