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Medical Coding Analyst
Key Responsibilities Manage data integrity of product master ensuring master data is accurate and complete Perform data quality audits for medical coding data and make necessary changes to ensure data accuracy Provide accurate data and meet contractual...codes required AHIMA or AAPC medical coding certification highly desired
Insurance Specialist I
Correct errors and submit claims and appeals in accordance with payer guidelines Required Qualifications 1+ years of experience in a clinical laboratory, preferably in genetic billing 1+ years of experience in managing denials Knowledge of CPT codes..., medical terminology, insurance plans, and ICD 10 codes Proficient in MS Excel and possess strong computer skills Familiarity with different payer plans and basic understanding of A/R processes
RPA Developer Analyst
develop, test, and deploy RPA bots to automate tasks in the claims lifecycle Monitor, maintain, and troubleshoot RPA solutions to ensure performance and compliance Required Qualifications: Strong understanding of healthcare claims processing and medical...coding Experience designing and developing RPA bots using platforms like UiPath or Automation Anywhere Familiarity with QNXT's system architecture and data models Knowledge of healthcare regulatory standards such as HIPAA Programming/scripting experience
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Senior Charge Specialist
Key Responsibilities Assign appropriate billing codes for various healthcare services and evaluate medical records for coding accuracy Research and assign codes for non-standard procedures while ensuring compliance with coding guidelines Provide guidance
CPC Certified Medical Coder
Key Responsibilities Review and accurately code medical records for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines Ensure coding compliance with ICD-10-CM, CMS-HCC, and other relevant guidelines Collaborate with healthcare
Senior DBA Developer
A company is looking for a Senior DBA Developer to support advanced medical coding applications.