Location: Mumbai (Work from Office)

Experience: 3 - 8 Years

Shift: US Shift

Notice Period: Immediate to 30 Days Preferred

Job Summary

Eclat Health Solutions is hiring experienced Revenue Integrity Coders for our Surgery & Emergency Department (ED) Revenue Integrity team.

Revenue Integrity experience is MANDATORY.

We are specifically looking for professionals with hands-on experience in Revenue Integrity functions such as Charge Entry, Charge Validation, Charge Capture, Documentation Review, Coding Audits, Denials Management, and Revenue Leakage Prevention.

Candidates with only Medical Coding experience and no Revenue Integrity exposure will not be contacted.

HCC, Risk Adjustment, General Medical Coding, Medical Billing, AR Calling, Payment Posting, or unrelated coding profiles without Revenue Integrity experience will not be considered.

Required Specialty Exposure

Revenue Integrity

Surgery Coding

Same Day Surgery

Emergency Department (ED)

Observation Coding

Charge Entry

Charge Validation





Denials Management

Documentation Review

Coding Audits

Charge Capture

Revenue Leakage Identification

Key Responsibilities

Review operative reports, physician documentation, and ED records.

Assign accurate ICD-10-CM, CPT, and HCPCS codes.

Perform charge validation and charge capture reviews.

Identify missed charges and revenue leakage opportunities.

Perform documentation reviews and coding audits.

Analyze coding denials and recommend corrective actions.

Ensure compliance with CMS, NCCI, payer-specific, and client guidelines.

Achieve productivity, quality, and SLA targets.

Mandatory Skills:

Revenue Integrity, Charge Entry, Charge Validation, Charge Capture, Surgery Coding, ED Coding, Observation Coding, Denials, CPT, ICD-10-CM, HCPCS, Documentation Review, Coding Audits.

Preferred Certifications

CPC

CCS

COC

📌 Revenue Integrity Coders and QA with Surgery and ED Combination (Navi Mumbai)
🏢 ECLAT Health Solutions
📍 Navi Mumbai