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2.0 - 6.0 years

0 Lacs

karnataka

On-site

You will be working as a Clinical Data Coder 1 with a focus on MedDRA and WHODD coding. With 2-5 years of work experience, the role is based in Bangalore and requires office-based work. Your key skills will include expertise in MedDRA, WHODD, clinical data coding, and clinical coding. As a Clinical Data Coder, you will provide essential data management support to the Data Management team to meet sponsor and company requirements effectively. You will be responsible for Clinical Data Management and/or Coding activities, potentially leading as a Lead Coder or Data Operations Coordinator for specific tasks on mega trials. Your main responsibilities will include managing coding activities and projects throughout the study life-cycle with minimal guidance, validating coding applications and reports, conducting data reviews, resolving data clarifications, and ensuring coding project timelines are met. Additionally, you will be involved in Serious Adverse Event (SAE) reconciliation activities and may act as a backup for Lead Coders or Data Team Leads. Your role will also involve performing quality control procedures, assisting in implementing new technology, handling audit requirements for studies, and ensuring compliance with operating procedures and work instructions. Effective communication and collaboration with the team will be essential, along with maintaining strong working relationships. To qualify for this role, you should have a degree in Pharmacy, Dental, Medical, Nursing, Life Sciences, or a related field. You must possess excellent knowledge of medical terminologies, pharmacology, anatomy, and physiology, along with in-depth familiarity with medical dictionaries such as MedDRA and WHODD. Understanding the Data Management process from study start-up to database lock will be crucial for success in this position.,

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1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

You will play a crucial role in supporting various initiatives that enhance the healthcare financial experience at Zelis India. Your responsibilities will include reviewing claims within the Clinical Coding Policy queues and maintaining up-to-date clinical guidelines for these claims. You will also analyze specific coding scenarios, assist in edit ideation, and provide root-cause analysis of edit performance issues. Communication and teamwork are essential as you collaborate with the team and leadership to ensure edits are working as intended and to support decision-making with validation data. As the Clinical Coding Policy Analyst, you will work closely with leadership on departmental functions and special projects, as well as with resolution analysts. Your role will involve creating and maintaining job aides to promote consistency in clinical validations and claims workflow process improvements. Additionally, you will assist in submitting IT requests for enhancements and maintaining industry knowledge of claim edit references from organizations such as AMA, CMS, and NCCI. To excel in this role, you must be a Certified Coder (CCS, CCS-P, or CPC) with a preferred background as an RN, LPN, or LVN. You should have a solid understanding of claims workflow, the ability to interpret claim edit rules and references, and apply industry coding guidelines to claim processes. Experience in reviewing Medical Records and applying NCCI editing is necessary, along with proficiency in manipulating data in Excel and managing business relationships. Excellent verbal and written communication skills are vital for effective collaboration and documentation. In addition, you will need a bachelor's degree or equivalent certification such as an active CPC credential. Your role will involve maintaining updated process guidelines, enhancing automation, and documenting improvements to ensure high standards of service delivery. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, Zelis India provides a dynamic environment for professional growth and a holistic workplace experience. Your contributions will be instrumental in upholding Zelis" award-winning culture and optimizing technology and processes for efficiency and effectiveness.,

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4.0 - 8.0 years

0 Lacs

hyderabad, telangana

On-site

As a Senior Associate, Healthcare Systems Implementation Consultant at RSM, you will be an integral part of our National Healthcare Consulting practice, contributing to the seamless integration of leading healthcare IT applications throughout the systems implementation life cycle. Your responsibilities will encompass defining customer requirements, system configuration, testing, training, and providing go-live support. Additionally, you will play a vital role in strategic IT projects like IT systems assessments, software selections, and roadmap development, all while collaborating with a diverse project team. At RSM, our team of professionals in the National Healthcare consulting practice possesses extensive knowledge of the Healthcare industry, covering areas such as financial analysis, revenue cycle management, regulatory reporting, HIPAA privacy, security, and Healthcare IT. Your role will require a fundamental understanding of the consulting cycle process within the healthcare domain, enabling you to contribute significantly to the development of our healthcare practice by actively engaging with clients, developing proposals, and presenting solutions. Key responsibilities include implementing leading packaged software solutions tailored to healthcare business and management processes, regulatory requirements, and other business needs. You will work with industry-specific solutions such as Epic, Cerner, and Solventum (3M), deploying innovative strategies and validating proposed future states to align with project objectives. Furthermore, you will collaborate closely with clients to configure, test, and validate software applications, contribute to IT systems assessments and software selection projects, and provide training to client personnel on new processes/systems. Travel may be required, including international trips to support system implementation efforts. The basic qualifications for this role include a Bachelor's degree in Computer Science, Health Information Management, or a related field, along with a minimum of four years" experience in systems implementation projects and assessments. Direct experience with software implementation in a healthcare setting, prior consulting experience, and familiarity with leading electronic health records systems such as Epic and Cerner are essential. Additional experience with Clinical Coding, Clinical Documentation, Patient Engagement, and CRM solutions would be advantageous. At RSM, we value our employees and offer a competitive benefits and compensation package, as well as flexibility in work schedules to help you balance personal and professional commitments. We are committed to providing equal opportunities and reasonable accommodations for individuals with disabilities throughout the recruitment process and employment/partnership. If you require accommodation to participate in the recruiting process, please contact us at careers@rsmus.com. Learn more about our total rewards and explore career opportunities at https://rsmus.com/careers/india.html.,

Posted 2 weeks ago

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4.0 - 6.0 years

0 Lacs

Hyderabad, Telangana, India

On-site

We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, inclusive culture and talent experience and our ability to be compelling to our clients. Youll find an environment that inspires and empowers you to thrive both personally and professionally. Theres no one like you and thats why theres nowhere like RSM. Senior Associate, Healthcare Systems Implementation Consultant RSM&aposs National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM&aposs National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Basic Qualifications Bachelor&aposs degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus At RSM, we offer a competitive benefits and compensation package for all our people.?We offer flexibility in your schedule, empowering you to balance lifes demands, while also maintaining your ability to serve clients.?Learn more about our total rewards at https://rsmus.com/careers/india.html. RSM does not tolerate discrimination and/or harassment based on race; colour; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender (including gender identity and/or gender expression); sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the Indian Armed Forces; Indian Armed Forces Veterans, and Indian Armed Forces Personnel status; pre-disposing genetic characteristics or any other characteristic protected under applicable provincial employment legislation. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please send us an email at [HIDDEN TEXT]. Show more Show less

Posted 3 weeks ago

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2.0 - 6.0 years

0 Lacs

karnataka

On-site

As a Clinical Data Coder 1 specializing in MedDRA and WHODD, with 2-5 years of work experience, your primary responsibility will be to provide comprehensive data management expertise to the Data Management (DM) team for meeting sponsor and company needs. You will be involved in performing Clinical Data Management and/or Coding activities, taking on leadership roles such as Lead Coder or Data Operations Coordinator (DOC) for specific CDM tasks, or leading coding tasks on mega trials. In this role, you will independently manage coding activities and projects throughout the full study life-cycle, ensuring high quality and timely delivery with minimal guidance. Your responsibilities will include validating and testing coding applications and reports, conducting data review, resolving data clarifications, and managing coding project timelines under the guidance of the DOC or Data Team Lead (DTL). Additionally, you will be involved in Serious Adverse Event (SAE) reconciliation activities, performing quality control procedures, and assisting in the implementation of new technology related to coding and data management. You will also be expected to handle audit requirements for studies, maintain compliance with core operating procedures and work instructions, and collaborate effectively with the study team. To excel in this role, you should hold a qualification in Pharmacy, dental, medical, nursing, life sciences, or a related field, with excellent knowledge of medical terminologies, pharmacology, anatomy, and physiology. You should possess in-depth knowledge of medical dictionaries such as MedDRA and WHODD, and have a solid understanding of the Data Management process from study start-up to database lock. Your ability to bring coding and project-related solutions to the DM team, maintain good communication within the team, and adapt to changing requirements will be crucial for success in this position. Your dedication to meeting objectives as assigned, along with your attention to detail and commitment to quality, will contribute to the overall success of the data management processes within the organization.,

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6.0 - 9.0 years

8 - 12 Lacs

Hyderabad

Work from Office

Senior Associate, Healthcare Systems Implementation Consultant RSM's National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities: Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Basic Qualifications: Bachelor's degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus

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2.0 - 5.0 years

3 - 8 Lacs

Thane, Bengaluru

Hybrid

Job Title / Primary Skill: Clinical data coder Years of Experience: 2-5 Years Job Location: Bangalore/Thane Must Have Skills: Clinical coding, MedDRA, WHODD, Clinical data management Good To Have Skills: Rave, Job Description Provide comprehensive data management expertise (defined as efficient and quality data management products) to Data Management (DM) team to meet sponsor and company needs. Perform Clinical Data Management and/or Coding activities, and may provide leadership either in the role of the Lead Coder or in a specific CDM task (e.g. Data Operations Coordinator (DOC) or lead a coding related task on a mega trial). In-depth knowledge of medical dictionaries used for coding (e.g., MedDRA, WHODD etc.). Understanding of the Data Management process from study start-up through to database lock. Essential Functions • Serve independently as a Clinical Data Coder and/or Lead Coder or DOC for one or more protocols. • Manage delivery of coding activities and/or stand alone coding projects through full study life-cycle (with minimal guidance). • Validates/tests the coding application and programming of coding reports • may also test coding related datasets, coding related edits or any coding related programming activities. • Perform comprehensive data management and coding related tasks including, conducting data review and writing and resolving data clarifications. • Manage coding related project timelines with guidance from the DOC or Data Team Lead (DTL) or Manager. • Perform Serious Adverse Event (SAE) reconciliation activities. • May serve as a back-up for a Lead Coder, DOC or DTL. • Perform comprehensive quality control procedures, Assist in implementing new technology. • Independently bring coding and project related solutions to the DM team. • Handle audit requirements for respective studies including stand-alone coding projects as applicable. • Understand and comply with core operating procedures and work instructions. • Perform other duties as directed by the study team or Manager, or meet objectives as assigned • Develop and maintain good communication and working relationship with the team. Professional Attributes Excellent organizational, communication, leadership and computer skills. Ability to exercise excellent attention to detail. Ability to act independently and with initiative required to resolving problems. Ability to establish and maintain effective working relationships with coworkers, managers and clients. Excellent organizational, communication, leadership and computer skills. Ability to exercise excellent attention to detail. Ability to act independently and with initiative required to resolving problems. Ability to establish and maintain effective working relationships with coworkers, managers and clients. Educational Qualification: Pharmacy, dental, medical, nursing, life sciences or related field qualification or educational equivalent

Posted 2 months ago

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4.0 - 6.0 years

5 - 9 Lacs

Hyderabad

Work from Office

RSM's National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities: Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Basic Qualifications: Bachelor's degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus

Posted 2 months ago

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