Subject Matter Expert - Billing and Collections

Who We Are

ABOUT ENOVIS™

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 visitwww.enovis.com.

What You'll Do

AtEnovis™wepayattentiontothedetails.Weembracecollaborationwithourpartnersandpatientsandtakeprideinthepursuitofscientificexcellence—withthegoaloftransforming medical technology as we know it.

Becausethat’showwechangethelivesofpatientsforthebetter.Andthat’showwecreatebettertogether.WhyworkatEnovis?Seeforyourself.

As a key member oftheRevenue Cycle Management team, you will play an integralpartinhelpingEnovisdrivethemedicaltechnologyindustryforwardbytransformingpatientcare and improving patient outcomes.

JobTitle: Subject Matter Expert

Location: Hyderabad,India

BusinessUnit: RevenueCycleManagement

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)

ABOUTENOVIS

EnovisCorporation(NYSE:ENOV)isaninnovation-drivenmedicaltechnologygrowth companydedicatedtodevelopingclinicallydifferentiatedsolutionsthatgenerate

measurablybetterpatientoutcomesandtransformworkflows.Poweredbyacultureof continuousimprovement,globaltalentandinnovation,theCompany’sextensiverangeofproducts,servicesandintegratedtechnologiesfuelsactivelifestylesinorthopedics andbeyond.Visitwww.enovis.comtolearnmore.

“Creatingbettertogether”.It’stheEnovispurpose,andit’swhatdrivesusandempowersuseverydayonaglobalscale.Weknowthatthepowertocreatebetter–forourcustomers,ourteammembers,andourshareholders–beginswithhavingthe bestteam,pursuingcommongoals,operatingatthehighestlevels,anddeliveringextraordinary outcomes.

WhatdoescreatingbettertogethermeantousatEnovis?Discoverthe“why”behind our purpose, values and behaviors:

OurEnovisPurpose,ValuesandBehaviorsonVimeo

Weofferacomprehensivebenefitspackagewhichincludes:

• Medical,Life,andAccidentalInsurance
• LeavesandHolidays
• TransportationAllowance/PickandDropFacility
• NightshiftAllowancesandOtherBenefits

ABOUTENOVIS

EnovisCorporation(NYSE:ENOV)isaninnovation-drivenmedicaltechnologygrowth companydedicatedtodevelopingclinicallydifferentiatedsolutionsthatgenerate

measurablybetterpatientoutcomesandtransformworkflows.Poweredbyacultureof continuousimprovement,globaltalentandinnovation,theCompany’sextensiverangeofproducts,servicesandintegratedtechnologiesfuelsactivelifestylesinorthopedics andbeyond.Visitwww.enovis.comtolearnmore.

EQUALEMPLOYMENTOPPORTUNITY

Enovisprovides equalemployment opportunities basedonmerit, experience, andotherwork-related criteria and without regard to race, color, ethnicity, religion, national origin,sex,age,pregnancy,disability,veteranstatus,oranyotherstatusprotectedby

applicablelaw.Wealsostrivetoprovidereasonableaccommodationtoemployees’beliefsandpracticesthatdonotconflictwithEnovispoliciesandapplicablelaw.We valuetheuniquecontributionsthateveryemployeebringstotheirrolewithEnovis.

EQUAL EMPLOYMENT OPPORTUNITY
Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees’ beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.