medical coding specialist

Elico Ltd

Role Description : The Certified Medical Coder will be responsible for accurately coding medical records, ensuring compliance with coding guidelines, and optimizing revenue.Daily tasks include reviewing and analyzing patient records, assigning appropriate codes, and collaborating with healthcare professionals to clarify information.The role also involves monitoring coding accuracy and staying updated with coding regulations and standards.Location : HyderabadEducation : Bachelor&rsquo;s degree in Nursing, Allied Health, Life Sciences, or a related healthcare fieldQualifications : <ul><li>CPC, CCS certified or equivalent credential.</li><li>2&ndash;5 years of experience in clinical documentation review, medical coding, utilization review, or related healthcare documentation work.</li><li>Strong understanding of medical terminology, disease processes, and healthcare documentation standards.</li><li>Excellent analytical, written communication, and summarization skills.</li><li>Familiarity with EHR/EMR systems (e.g., Epic, Cerner, Meditech) and Microsoft Office tools.</li></ul>Responsibilities : <ul><li>Review and evaluate medical records, progress notes, discharge summaries, and other clinical documentation for accuracy and completeness.</li><li>Prepare concise and comprehensive clinical summaries highlighting key diagnoses, treatments, medications, and outcomes.</li><li>Ensure documentation aligns with coding, billing, and compliance requirements (e.g., ICD-10, CPT, CMS, HIPAA).</li><li>Identify gaps, inconsistencies, or missing information in clinical documentation and escalate for clarification or correction.</li><li>Support preauthorization, claims, and medical necessity reviews by providing clinical context and supporting summaries.</li><li>Collaborate with physicians, nurses, coders, and case managers to maintain high-quality clinical documentation.</li><li>Maintain confidentiality and data integrity in accordance with HIPAA and organizational policies.</li><li>Participate in internal audits, training sessions, and process improvement initiatives related to documentation standards.</li></ul>Job Types: Full-time, PermanentPay: &#8377;360,000.00 - &#8377;540,000.00 per yearWork Location: In person

Certified Medical Coder

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

THE KIDNEY CENTRE

The Kidney Centre is a centrally located specialty hospital, offering a collegial workplace experience with balanced work hours and competitive compensation packages. We invite applications from interested and suitably qualified candidates to fill the following position:Position Overview:We are currently seeking a detail-oriented and experienced Medical Coder to join our healthcare team. The ideal candidate will be responsible for reviewing clinical documentation and assigning accurate medical codes for diagnoses, procedures, and services, ensuring compliance with all regulations and optimizing reimbursements.Key Responsibilities:<ul><li>Review and analyze patient medical records and documentation</li><li>Assign appropriate ICD-10, CPT, and HCPCS codes based on medical documentation</li><li>Ensure coding accuracy and compliance with federal regulations and insurance requirements</li><li>Collaborate with physicians, billing staff, and other healthcare providers to clarify diagnoses or obtain additional information</li><li>Assist in audits and provide coding education when needed</li><li>Maintain confidentiality of patient records and adhere to HIPAA regulations</li></ul>Qualifications:<ul><li>Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required</li><li>Minimum [1-2] years of medical coding experience (preferred)</li><li>Strong knowledge of anatomy, physiology, and medical terminology</li><li>Experience with electronic medical records (EMR) and coding software</li><li>High attention to detail and accuracy</li><li>Excellent communication and organizational skills</li></ul>Interested candidates can apply at careers@kidneycentre.comPlease mention the position applied for in the subject line, or you can submit it to the Human Resources Department. For inquiry Tel # 0213-5661000, Ext#271.Job Types: Full-time, ContractWork Location: In person

Medical Coder

Guidehouse

<div>Job Family:
Coding Quality OP (India) 
Travel Required:
None 
Clearance Required:
None<div>
Job Posting</div><div><div><div><div><div><div><div><div><div>
What you will do:<ul><li>
Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay QA, an implement measures/schedules to return to established schedules at the earliest possible time. This should be done closely with each quality specialist to ensure the needs are met and that satisfy our client requirements.</li><li>
Responsible for ensuring that the QA communicates a valid, workable schedule for his or her client each week. Accurate, sensible &amp; on-time.**If this doesn&rsquo;t happen properly, it&rsquo;s the responsibility of the Lead QA Specialist to make it happen promptly.</li><li>
Review medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnosis and procedures using coding guidelines. When applicable, ensure MS-DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal/complaint reimbursement for hospital and/or professional charges. This involves reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding purposes.</li><li>
Answers queries from the quality staff on a day-to-day basis and escalating to the Director of Coding as necessary.</li><li>
Meets agreed sampling targets and accuracy.</li><li>
Keeps abreast of coding guidelines and reimbursement reporting requirements.</li><li>
Documents QA data on teams of QA/coders and records findings in the QA system (Guide Audit), which will be for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization. This also involves guidance and mentorship of coders.</li><li>
Helps to ensure that continuing education is planned, scheduled and completed for all coding/QA teams through the coordination of the US.</li><li>
Coordinates scheduled quality meetings with the QA and production staff.</li><li>
Project Launch - Active involvement in project launch sessions along with team leaders to understand the coding process.</li><li>
Have a rotational arrangement and is flexible to work with any given team as assigned.</li><li>
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. -</li><li>
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply ICD-9-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.</li><li>
Assist with research and development and presentation of continuing education programs on areas of specialization.</li><li>
Assist with special projects as required. Example: Focused audits; client launches, etc.</li></ul>
What you will need:<ul><li>
Minimum of 5+years of experience on medical coding with Anesthesia coding</li><li>
Should be certified from AAPC/AHIMA</li><li>
Hands on experience in Anesthesia</li><li>
Must be a Graduate</li><li>
Ensure data collection capability in relevant systems and business processes</li><li>
Strong analytical, research, and organizational skills required.</li><li>
ICD-10-PCS coding systems, ensuring accuracy and compliance with all regulatory and reimbursement requirements</li></ul>
What would be nice to have:<ul><li>
Proficiency in MS Office/excel</li><li>
Experience in coding software or encoder (3M, Trucode, Optum)</li><li>
Familiarity with EMR systems (EPIC, Cerner, etc.,)</li><li>
Knowledge of multiple coding specialties Anesthesia etc.</li></ul></div></div></div></div></div></div></div></div></div> 
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
About Guidehouse
Guidehouse is an Equal Opportunity Employer&ndash;Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse&rsquo;s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant&rsquo;s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.</div>

Quality Analyst Profee

Lotus Holistic Medical Center

We are looking for a detail-oriented and experienced Medical Coder to assist our medical staff with malpractice-related documentation and coding. The candidate will ensure accurate and compliant medical coding, supporting internal processes and maintaining proper records for staff malpractice cases.Key Responsibilities:<ul><li>Review and analyze medical records related to staff malpractice documentation.</li><li>Assign appropriate ICD-10, CPT, and HCPCS codes to ensure compliance with legal and insurance requirements.</li><li>Verify accuracy of diagnosis and procedure codes related to malpractice incidents.</li><li>Maintain confidentiality of all staff and patient records.</li><li>Collaborate with the administration and legal departments to ensure timely and accurate submission of required documents.</li><li>Assist in audit preparation and provide clarification when needed.</li></ul>Qualifications:<ul><li>Diploma or Bachelor&rsquo;s degree in Medical Coding, Health Information Management, or a related field.</li><li>Strong knowledge of medical terminology, ICD-10, and CPT coding systems.</li><li>Attention to detail, accuracy, and ability to handle sensitive information.</li><li>Minimum 1&ndash;2 years of experience in medical coding (experience in malpractice documentation is a plus).</li></ul>Job Types: Full-time, Contract

Medical Coder – Malpractice Documentation (Staff Support)

Gargash Hospital

Medical Coder Job Location : Dubai, UAE Key Responsibilities : Accurately code medical diagnoses, treatments, and procedures using ICD-10, CPT, and HCPCS coding systems. Review patient medical records and ensure proper assignment of codes for billing and reimbursement purposes. Collaborate with medical staff to ensure accurate documentation and code assignment. Handle coding for various departments including outpatient, inpatient, emergency, and specialty care. Submit and follow up on insurance claims, ensuring proper reimbursement for services rendered. Ensure compliance with insurance and hospital policies, as well as all applicable regulations and standards. Participate in audits and assist with any coding-related inquiries. Stay updated on coding and billing regulations, policies, and changes in healthcare law. Qualifications : Must have a certification in medical coding (e.g., CPC, CCA, CCS). Minimum 3-4 years of experience in medical coding within a hospital or clinical setting in Dubai. Extensive knowledge of ICD-10, CPT, HCPCS coding systems and DRG-based billing. Experience with healthcare insurance claims, billing processes, and reimbursement regulations. Attention to detail with a strong focus on accuracy and compliance. Ability to work both independently and in a team-oriented environment. Strong communication skills and the ability to collaborate effectively with healthcare professionals. Experience with medical coding software and hospital information systems.

The Pearl International Hospital

Medical CoderThe Medical Coder will be responsible for ensuring precise and compliant coding of all clinical procedures and diagnoses across outpatient and inpatient services. The role requires deep expertise in CPT coding and solid understanding of ICD-10-AM for accurate claim processing and reimbursement. The ideal candidate will ensure that all submitted claims reflect the true scope of medical services provided and comply with Qatar&rsquo;s payer and MoPH requirements.Key Responsibilities<ul><li>Review clinical documentation for consultations, procedures, and surgeries to assign accurate CPT codes and corresponding ICD-10-AM codes.</li><li>Validate that all CPT codes accurately reflect the services rendered, including modifiers and multiple procedure rules.</li><li>Collaborate with physicians to ensure documentation supports the CPT codes used for billing.</li><li>Review, audit, and correct codes prior to claim submission to avoid denials or underpayment.</li><li>Reconcile discrepancies between clinical, billing, and coding data to maintain accuracy.</li><li>Stay up to date on CPT updates, NCCI edits, and payer-specific coding policies.</li><li>Support the billing and insurance teams in claim review and appeals by providing coding justifications.</li><li>Prepare monthly coding quality reports and identify trends in documentation or claim rejections.</li></ul>Minimum Requirements<ul><li>Bachelor&rsquo;s degree or diploma in Health Information Management, Medical Records, or related field.</li><li>Valid medical coding certification (CPC, CCS, or equivalent).</li><li>Minimum 3 years of coding experience</li><li>Advanced proficiency in CPT coding for medical, surgical, and diagnostic procedures.</li><li>Working knowledge of ICD-10-AM and insurance claim requirements in Qatar.</li><li>Familiarity with payer systems such as AlKoot, QLM, GlobeMed, etc.</li><li>Strong communication and documentation review skills.</li><li>Ability to meet deadlines with a high level of accuracy and attention to detail.</li><li>Ability to provide physician feedback on documentation improvement.</li><li>Working knowledge of claim resubmission and coding audits.</li></ul>Job Type: Full-time

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