The Manager will oversee the daily operations of the Claims Resolution function, ensuring accurate and timely processing of healthcare claims. They are responsible for leading team members, developing efficient workflows, and ensuring compliance with complex regulatory requirements.
The Senior QA Engineer will own the test strategy, design automation frameworks from scratch, and perform both manual and automated testing across Salesforce and .NET environments. They will also define release gates, mentor team members, and collaborate with operations to ensure high-quality software delivery.
The manager oversees end-to-end Electronic Remittance Advice (ERA) processing and leads a remote overseas operations team to ensure accurate payment posting. They are responsible for optimizing team performance, maintaining compliance with HIPAA and payer contracts, and troubleshooting EDI transaction issues.
The Technical Project Manager will coordinate cross-functional teams across operations and technology to ensure project planning, status tracking, and delivery visibility. They are responsible for maintaining project documentation, managing dependencies, and facilitating clear communication between business stakeholders and technical teams.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production, resolve complex coding scenarios, and maintain compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production targets, resolve complex coding scenarios, and maintain compliance with regulatory requirements.
The Professional Coder is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes to ensure clean claim submission. They must also manage coding production, resolve complex coding scenarios, and maintain compliance with regulatory and payer-specific requirements.
The Professional Coder is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes to ensure clean claim submission. This role also involves managing coding production, resolving complex coding scenarios, and maintaining compliance with regulatory requirements.
The Medical Coding Manager provides operational leadership for a team of coders, ensuring coding accuracy, productivity, and regulatory compliance. They serve as the primary escalation point for complex coding issues and partner with cross-functional teams to optimize revenue cycle performance.
Provide operational leadership for medical coding activities to ensure accuracy, productivity, and compliance across various specialties. Partner with billing and clinical teams to reduce denials and protect revenue integrity through audit oversight and KPI management.
Oversee front-end billing operations and claim intake for high-volume enterprise healthcare accounts. Coordinate with account managers and AR teams to resolve complex billing issues and optimize system workflows.
Review and accurately code E&M cases for inpatient, outpatient, and emergency room services to maximize reimbursement. Maintain a 95% accuracy rate while staying current on coding guidelines and communicating trends to leadership.
