MBBS,MD MPH / MHA - Appeals
Core
Clinical audit of patient Electronic Hospital Records (EHR) to evaluate, assess, and monitor clinical conditions, query physicians for missing documentation, and assign ICD-10 codes for insurance claims.
Role type
Clinical auditor / Medical coder
Builds
Insurance claim submissions with accurate ICD-10 coding
Domain
US Healthcare
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical audit, EHR evaluation, ICD-10 coding, physician query management, medical record documentation strengthening
Preferred skills
US Healthcare experience, ECFMG Certification, USMLE Scores
Technologies
Electronic Hospital Records (EHR), ICD-10
Responsibilities
Clinical audit of patient EHRs, Query physicians for missing documentation, Assign ICD-10 codes for insurance claims
Seniority
Mid-level professional