12 Aug
|
AgileGrid Solutions
|
India
12 Aug
AgileGrid Solutions
India
About The Company Established as a leading provider of healthcare technology solutions, Tivor Tech specializes in delivering comprehensive medical coding, billing, and revenue cycle management services tailored to the U.S. healthcare industry. Our commitment to accuracy, compliance, and efficiency has positioned us as a trusted partner for healthcare providers across various specialties. With a focus on innovation and excellence, Tivor Tech continuously strives to enhance healthcare operations, reduce denials, and optimize revenue streams for our clients.
Our dedicated team of healthcare professionals and technical experts work collaboratively to ensure seamless service delivery and uphold the highest standards of integrity and professionalism.
About The Role Tivor Tech is seeking an experienced Medical Coder specializing in Emergency Room and Pain Management coding to join our dynamic team. This role is crucial in ensuring the accurate and compliant coding of ER, interventional pain management, and personal injury cases, which directly impacts revenue cycle processes and payer reimbursements. The ideal candidate will possess a strong understanding of U.S. healthcare coding standards, including ICD-10-CM, CPT, HCPCS, and modifiers, with the ability to interpret complex medical documentation.
Working in our night shift aligned with U.S. healthcare hours, the coder will review detailed medical records, assign appropriate codes, and support our commitment to compliance and quality assurance.
Qualifications The successful candidate should have at least 2 years of U.S. medical coding experience, with a focus on Emergency Room and Pain Management coding. A thorough knowledge of ICD-10-CM, CPT, HCPCS, E/M coding, and modifiers is essential. Familiarity with NCCI edits, medical necessity criteria,
and payer-specific guidelines is required to ensure accurate coding and compliance.
Experience reviewing physician and procedural documentation, along with a solid understanding of U.S. healthcare billing and revenue cycle management, is preferred. Attention to detail, the ability to work independently, and excellent communication skills are vital.
Certifications such as CPC, CCS, COC, or CIC are advantageous and preferred, demonstrating professional expertise and commitment to industry standards.
Responsibilities Review and analyze ER, pain management, and procedural documentation to ensure coding accuracy and completeness.
Assign precise ICD-10-CM, CPT, HCPCS, E/M codes, and applicable modifiers based on documentation.
Code a variety of ER services including imaging, laboratory tests, injections, IV therapies, and other documented procedures.
Accurately code pain management procedures such as epidural steroid injections (ESI), trigger point injections (TPI), facet joint injections, medial branch blocks (MBB), radiofrequency ablation (RFA), nerve blocks, and joint injections.
Assess documentation for medical necessity, laterality, anatomical levels, imaging guidance, and procedural details to ensure proper coding and billing.
Identify and rectify issues related to undercoding, overcoding, unbundling, duplicate coding, and documentation gaps.
Adhere to CPT, ICD-10-CM, HCPCS, NCCI, CMS, and payer-specific guidelines to maintain compliance.
Support the resolution of coding-related denials, assist with appeals, and implement claim corrections as needed.
Collaborate with healthcare providers and revenue cycle management teams to address documentation and coding concerns.
Maintain high standards of coding accuracy, compliance, and productivity, meeting organizational benchmarks.
Advantages At Tivor Tech, we value our employees and offer a competitive benefits package designed to support your professional growth and personal well-being. Our benefits include comprehensive health insurance plans, including medical, dental, and vision coverage. We provide paid time off, holidays, and leave policies to promote work-life balance.
Opportunities for ongoing training, certifications, and career advancement are actively supported. Additionally, our employees benefit from a collaborative work environment, adaptable working hours aligned with U.S. healthcare shifts, and performance-based incentives.
Tivor
Tech is committed to fostering a culture of innovation, respect, and excellence, ensuring that our team members are motivated and engaged.
Equal Opportunity Tivor Tech is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, disability, or any other protected status under applicable law.
We believe that a diverse workforce enhances our ability to serve our clients effectively and fosters a culture of mutual respect and collaboration. All qualified applicants will receive consideration for employment without regard to any protected characteristic.
📌 Medical Coder (India)
🏢 AgileGrid Solutions
📍 India