Certified Inpatient Medical Coding Auditor

POSITION SUMMARY The Consultant is responsible for supporting the Consulting Services Team in delivering cybersecurity, privacy, and compliance services across a diverse portfolio of client engagements. This role operates as a flexible, deployable resource, contributing to multiple concurrent or sequential engagements based on business needs. This role requires proactive initiative to study, ask questions, and rapidly learn the organization’s solutions, methodologies, and delivery standards. Consultants must be comfortable transitioning between engagements, adapting quickly to new client environments, and delivering value immediately. Consultants focus on executing client deliverables, enhancing service quality, and improving project efficiency under the guidance of senior team members. They are expected to develop broad subject matter expertise, contribute to process improvements, and build trusted relationships across a variety of clients and internal teams. SPECIFIC JOB RESPONSIBILITIES Serve as a deployable consulting resource, supporting multiple client engagements across varying industries, with a focus on healthcare. Adapt quickly to new client environments, priorities, and team structures while maintaining high-quality delivery. Support the execution of cybersecurity and compliance consulting engagements under senior leadership guidance. Work closely with clients to collect data, conduct risk assessments, gap analyses, and document findings. Assist in evaluating client security postures, including vulnerability management, compliance alignment, and risk exposure. Develop and contribute to recommendations aligned with industry frameworks such as NIST, ISO 27001, CIS Controls, and HIPAA. Support clients in designing and implementing security controls, policies, and procedures.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

Become a part of our caring community As a Medical Assistant you will be the first contact for patient care, responsible for administrative responsibilities in addition to patient care. Working onsite in a clinical environment and reporting to the Center Administrator you will perform varied activities and moderately complex administrative, operational, and customer support assignments. Location Address CenterWell Senior Primary Care office located at: 4886 N Dowlen Rd., Beaumont, TX., 77708 You will be reporting to the: Supervisor, Center Administration Job Responsibilities As a Medical Assistant you will perform clinical tasks such as: You will perform pre-visit planning based on patient visit type You will obtain and record medical history and vital signs You will room patients and assist healthcare providers with medical procedures and treatments You will perform specimen collection and point of care testing You will prepare and administer medication under the direction of healthcare provider You will ensure accurate documentation in the electronic health record (HER) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Required Qualifications An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAH, AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, or NHA Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider High school diploma or equivalent 1+ years of MA experience Phlebotomy experience Medication/vaccine administration ex

Become a part of our caring community The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment. As the Medical Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Work with teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications AHIMA or AAPC CPC (Certified Professional Coder) Certification 3 or more years of medical coding education or auditing in a healthcare setting experience Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. Experience speaking with leadership, webinars public speaking or presentation skills with healthcare providers Live in NC, SC, GA, VA or TN Preferred Qualifications Bachelor's Degree Value-based care Primary care Medicare Risk Adjustment kn

ABOUT US Nestem Technologies is ISO 9001:2015 Certified and Govt Recogonized Leading Healthcare BPO Service provider. Medical Coding Job offered For US Healthcare BPO. Also Nestem Provides Pharmacovigilance, Clinical Research and Clinical Data Management Courses with Assured Placements MEDICAL CODING Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT and HCPCS. ELIGIBILITY UG / PG in Life Science, Medical, Paramedical, Dental, Pharmacy, physiotherapy, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Botony, Zoology, Bioinformatics, Genetics, BAMS, BHMS, BSMS, BNYS, BUMS, BEMS, Nutrition & Dietetics, Neuro Science, Food Microbiology, Industrial, Medical, Applied Microbiology, Genomics, Plant Biology, Advance Zoology COURSE OFFERED FOR FRESHERS 1. Medical Coding For Beginners (MCB) 2. Advance certification in Medical Coding (ACMC) HIGHLIGHTS OF NESTEM TECHNOLOGIES ISO 9001:2015 Certified and Govt Registered Institution Presentation and Video Classes by well Experienced Certified Trainers Complete Anatomy, Physiology and Pathology Training Complete Medical Coding (ICD-10 CM, CPT-4 & HCPCS) Training Complete Coverage of Industrial Requirement Flexible Class Timings, Placements with Certification High End Study Materials Software's for Practice, Free Communication, Technical & Attitude Classes PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai, Vellore, Trichy, Coimbatore, Salem, Pune, Bangalore & Hyderabad. 10700/- to 14600/- PM initially DIRECT PLACEMENT ONLY IN CHENNAI *We provide direct placement for those having well knowledge in Human Anatomy & Physiology at FREE OF COST. This assistance will be given at our specific MNC Client in Chennai. For further Information Call us on 860 8291 818

ABOUT US Nestem Technologies is ISO 9001:2015 Certified and Govt Registered Leading Healthcare KPO Service provider. Medical Coding Job offered For US Healthcare KPO. MEDICAL CODING Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT and HCPCS. ELIGIBILITY UG / PG in Life Science, Medical, Paramedical, Dental, Pharmacy, physiotherapy, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Botony, Zoology, Bioinformatics, Genetics, BAMS, BHMS, BSMS, BNYS, BUMS, BEMS, Nutrition & Dietetics, Neuro Science, Food Microbiology, Industrial, Medical, Applied Microbiology, Genomics, Plant Biology, Advance Zoology, Radiology, Emergency Care, Anesthesia, Cardiac Perfusion, Physician Assistant PLACEMENTS & PAY DETAILS FOR TRAINED 10700/- to 14700/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 9791196983