Subject Matter Expert - Billing and Collections

Enovis Corp; Hyderabad; On-site; INR 900,000 - 1,300,000; Full time

Benefits offered by this job

Medical insurance

Leaves & holidays

Transport allowance

Night shift allowance

Job summary

Enovis, Hyderabad, India, seeks a Subject Matter Expert in Billing and Collections to bridge clinical documentation and revenue cycle operations. You will review records, support CDI initiatives, validate charge capture, and address payer compliance under CMS and US payer guidelines.

You will collaborate with coders, payers, and AR teams to reduce denials, improve cash flow, and mentor junior staff, contributing to process improvements in a fast-paced orthopedics-focused medical technology

Qualifications

• Bachelor's degree in a healthcare field required.
• Experience with US payer guidelines and medical necessity requirements preferred.
• 2–5+ years in US Healthcare RCM, CDI, or denial management.

Responsibilities

• Review clinical documentation and ensure coding accuracy and payer compliance.
• Analyze claims for denials and underpayments; assist in resolutions and appeals.
• Collaborate with coders to ensure ICD-10-CM, CPT, HCPCS coding accuracy and audit readiness.
• Support denial prevention and revenue optimization initiatives.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Medical terminology

Anatomy & physiology

CMS guidelines

Revenue Cycle Management

EMR/EHR systems

Education

Bachelor's degree in Nursing, Life Sciences, Healthcare Administration, Pharmacy, or related field

Job description

## Subject Matter Expert - Billing and CollectionsApplylocations: Enovis India - Hyderabadtime type: Full timeposted on: Posted Todayjob requisition id: R0033541## **Who We Are****ABOUT ENOVISTM**Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com.**What You'll Do**At EnovisTM we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence — with the goal of transforming medical technology as we know it.Because that’s how we change the lives of patients for the better. And that’s how we create better together. Why work at Enovis? See for yourself.As a key member of the Revenue Cycle Management team, you will play an integral part in helping Enovis drive the medical technology industry forward by transforming patient care and improving patient outcomes.## Job Title: Subject Matter Expert## Location: Hyderabad, India## Business Unit: Revenue Cycle Management**Role Summary:** The Subject Matter Expert serves as a bridge between clinical documentation and revenue cycle operations, ensuring accurate medical record review, coding support, charge capture validation, payer compliance, and denial prevention. This role collaborates with healthcare providers, coders, billing teams, and payers to optimize reimbursement while maintaining compliance with US healthcare regulations and payer guidelines.The position requires strong communication skills, analytical abilities, and knowledge of revenue cycle management (RCM) to resolve claim issues, reduce outstanding AR, and improve cash flow. Additionally, the Senior Process Executive will mentor junior associates and contribute to process improvements.This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovations possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.**Key Responsibilities:****Clinical Documentation Review*** Review medical records to ensure completeness, accuracy, and compliance with payer requirements.* Identify documentation gaps that may impact coding accuracy and reimbursement.* Support Clinical Documentation Improvement (CDI) initiatives.* Educate providers on documentation best practices.**Revenue Cycle Support*** Analyze claims for documentation-related denials and underpayments.* Assist in resolving clinical denials, medical necessity denials, and authorization-related denials.* Review appeals and prepare supporting clinical documentation.* Ensure accurate charge capture and reimbursement optimization.**Coding & Compliance Collaboration*** Work closely with medical coders to ensure accurate ICD-10-CM, CPT, and HCPCS coding.* Validate medical necessity requirements based on payer policies.* Monitor compliance with CMS, Medicare, Medicaid, and commercial payer regulations.* Support internal and external audits.**Denial Management*** Investigate denied claims and identify root causes.* Prepare clinical appeal letters and supporting documentation.* Track denial trends and recommend corrective actions.* Collaborate with AR and billing teams to reduce denial rates.**Required Skills:****Education*** Bachelor's Degree in Nursing, Life Sciences, Healthcare Administration, Pharmacy, or related healthcare field.* RN (Registered Nurse), BPT, B.Pharma, M.Pharma, or equivalent clinical qualification preferred.**Experience*** 2–5+ years of experience in US Healthcare RCM, Clinical Documentation Review, CDI, Utilization Management, or Denial Management.* Experience working with Medicare, Medicaid, and Commercial Insurance payers.* Knowledge of medical necessity guidelines and payer policies.**Technical Knowledge**Candidate should have an understanding of:* ICD-10-CM* CPT/HCPCS coding fundamentals* Medical terminology* Anatomy and physiology* CMS guidelines* Revenue Cycle Management processes* EMR/EHR systems**Preferred Certifications*** Certified Clinical Documentation Specialist (CCDS)* Certified Documentation Improvement Practitioner (CDIP)* CPC, CCS, or CRC certification* RN License (if applicable)# ABOUT ENOVISEnovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generatemeasurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit www.enovis.com to learn more.**“Creating better together”. It’s the Enovis purpose, and it’s what drives us and empowers us every day on a global scale.** We know that the power to create better – for our customers, our team members, and our shareholders – begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.## What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors:Our Enovis Purpose, Values and Behaviors on Vimeo## We offer a comprehensive benefits package which includes:* Medical, Life, and Accidental Insurance* Leaves and Holidays* Transportation Allowance/ Pick and Drop Facility* Nightshift Allowances and Other Benefits