3 jobs found in Winchester

Aditi Consulting is seeking a compliance-focused professional to help assure adherence to SOPs, cGMP, and CFR guidance in the manufacturing of solid oral dosage pharmaceuticals. The role emphasizes accuracy, documentation integrity, and cross-functional collaboration. Responsibilities include reviewing SOP revisions, conducting real-time batch record audits, performing environmental monitoring, and supporting CAPA-driven site improvements. #J-18808-Ljbffr

Position Overview This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits. Key Responsibilities Maintain a safe and clean work environment, adhering to unit safety and infection control standards. Coding Duties: Utilize Electronic Health Records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify or correct documentation as needed. Ensure all medical records are complete,...

Position Overview This role is responsible for the accurate and timely submission of medical claims to insurance providers across a variety of healthcare settings. The individual will ensure payments for medical services are received promptly and may act as a liaison between healthcare providers, patients, and insurance companies. Key Responsibilities Maintain a safe and clean work environment, adhering to safety and infection control standards. Review patient billing information for accuracy and completeness, obtaining missing details as needed. Identify appropriate insurance parties to bill, including secondary and tertiary insurers. Utilize electronic health record (EHR) systems to perform billing tasks and maintain compliant medical records. Process claims and apply payments or credits accordingly. Verify insurance payments for accuracy and contract compliance. Investigate and resolve denied or partially paid claims by collaborating with involved parties....