Revenue Integrity - Surgery & Emergency Department (ED) (Mumbai)

Revenue Integrity - Surgery & Emergency Department (ED) (Mumbai)

09 Nov
|
Eclat Health Solutions
|
Mumbai

09 Nov

Eclat Health Solutions

Mumbai

Open Positions

- 10 Revenue Integrity Coders
- 2 Revenue Integrity Quality Analysts (QA)

Location

Mumbai

Experience

- Coder: 3 to 8 Years
- QA: 6 to 12 Years

Shift

US Shift

Job Responsibilities

- Review and validate coding for Surgery and Emergency Department encounters.
- Perform charge capture validation and revenue leakage analysis.
- Review and resolve claim edits and coding denials.
- Validate CPT, HCPCS, ICD-10-CM codes and modifier assignments.
- Review NCCI, MUE, LCD/NCD edits and payer guidelines.
- Conduct documentation audits and compliance reviews.
- Collaborate with Coding, Billing, CDI, and Operations teams to maximize reimbursement and coding accuracy.
- Identify process improvement opportunities and provide coding education where required.

Required Specialties

- General Surgery
- Orthopedic Surgery
- Neurosurgery
- Vascular Surgery
- Cardiovascular Surgery
- GI Procedures
- Urology
- ENT
- Emergency Department (ED)
- Observation Coding
- Critical Care Coding
- Revenue Integrity Reviews

Preferred Certifications

- CPC
- CCS
- COC
- CPMA (for QA)

📌 Revenue Integrity - Surgery & Emergency Department (ED) (Mumbai)
🏢 Eclat Health Solutions
📍 Mumbai

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