- 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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