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6.0 - 10.0 years
9 - 14 Lacs
Mohali
Work from Office
Operations Team Lead Medical Coding | Cotiviti, Mohali Eligibility Criteria: Qualification : BHMS, BAMS, BUMS, MBBS, BPT, MPT with CPC/CIC/CCS certification (If not certified should be ready to complete within given timeline) Excellent communication. Should be TL on Papers for atleast 2 Years with Medical coding experience(Preferred IPDRG OR Multi specialty) Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, ICD-10-PCS etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general k...
Posted 4 months ago
1.0 - 3.0 years
2 - 5 Lacs
Chennai
Work from Office
Hiring for AR Calling - Chennai Walk-in Location: A1 Block, Ground floor, Gateway Office Parks, 16, GST Road, Perungalathur, Chennai - 600 063, Tamil Nadu. Contact us: Sandhiya - 7550106180 - sandhiya.haridass@Sutherlandglobal.com Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for preci...
Posted 4 months ago
1.0 - 6.0 years
4 - 7 Lacs
Gurugram, Delhi / NCR
Work from Office
Hiring for SR AR Analyst for one of the Leading US Healthcare Company Location: Gurugram | Salary: Up to 7 LPA Req: Graduate with min 1 yr exp in AR Follow-ups Perks: Both side cabs Sat-Sun fixed off Apply at 9354076916 / 6291864166 Required Candidate profile Expertise in RCM (Revenue Cycle Management) AR calling and insurance follow-ups (Denials, Rejections, Appeals) Familiarity with CPT, ICD-10, and HCPCS codes Knowledge of HIPAA guidelines
Posted 4 months ago
1.0 - 6.0 years
4 - 9 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Exciting Career Opportunity at CorroHealth! We are currently hiring experienced and certified IVR Medical Coders to join our dynamic team across multiple locations. Position IVR Medical Coder Work Location NCR, Bangalore, Chennai, Hyderabad Mode: Work from Office Notice Period Immediate Joiners Preferred Notice Period Accepted: Up to 1 Month Eligibility Criteria Certification: Only CIRC Certification is mandatory Other Certification not eligible Experience: Prior experience in IVR medical coding is highly desirable Why Join Us? Competitive salary Best in the industry Opportunity to work with a leading healthcare solutions provider Collaborative and growth-oriented work environment Contact HR...
Posted 4 months ago
12.0 - 16.0 years
0 Lacs
hyderabad, telangana
On-site
Position Details Designation: Associate Vice President Reporting To: Vice President Department: Clinical Support Solutions - Coding Location: Hyderabad IKS Overview IKS Health is a leading Provider Enablement Platform that empowers healthcare providers to deliver better, safer, and more efficient care through a strategic blend of technology and expertise. Our solutions support provider groups in creating a physician-led, patient-centric care delivery model, allowing providers to be co-navigators of the patient's care journey. We aim to restore joy and viability to the practice of medicine by equipping providers with the necessary tools and resources to focus on what truly matterspatient care...
Posted 4 months ago
1.0 - 3.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Hiring for AR Calling - Manikonda, Hyderabad Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in...
Posted 4 months ago
0.0 - 4.0 years
1 - 2 Lacs
Kolkata
Remote
Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty Denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead ...
Posted 4 months ago
1.0 - 3.0 years
4 - 8 Lacs
Chennai
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritiz...
Posted 4 months ago
0.0 years
1 - 2 Lacs
Chennai
Work from Office
Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are hiring Medical Coding Freshers with a Life Science background . Both CPC Certified and Non-Certified candidates are encouraged to apply. Eligibility: Educational Background: Life Sciences (e.g., B.Sc, M.Sc, B.Pharm, M.Pharm, Nursing, etc.) Certification: CPC certification is a plus, but not mandatory Freshers are welcome! Job Role: Review and analyze medical records Assign appropriate medical codes using ICD-10-CM, CPT, and HCPCS Ensure accuracy and compliance with coding standards If you are planning to come directly, please call and confirm your schedule in advance . Interested candidate contact or share your updated resum...
Posted 4 months ago
2.0 - 5.0 years
2 - 4 Lacs
Hassan
Work from Office
Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund
Posted 4 months ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426
Posted 4 months ago
1.0 - 5.0 years
3 - 6 Lacs
Hyderabad
Work from Office
Roles and Responsibilities Accurately code medical records using ICD-10-CM/PCS, CPT, HCPCS codes. Ensure compliance with AAPC guidelines for coding accuracy and completeness. Review and edit medical records to ensure accurate diagnosis and procedure coding. Maintain confidentiality of patient information at all times. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding. Desired Candidate Profile 1-5 years of experience in medical coding (ICD-10-CM/PCS & CPT). Strong knowledge of anatomy, physiology, pathology, pharmacology, and medical terminology. Proficiency in AAPC certification preferred; CPC certified candidates will be considered. Intereste...
Posted 4 months ago
1.0 - 4.0 years
2 - 3 Lacs
Hyderabad
Work from Office
Responsibilities: * Manage AR calls, denials & appeals * Meet revenue cycle targets * Execute RCM processes from start to finish * Authorize claims & manage exceptions * Handle medical billing tasks with accuracy Health insurance Provident fund
Posted 4 months ago
0.0 - 2.0 years
1 - 4 Lacs
Kochi, Chennai, Coimbatore
Work from Office
Job Description Job Title: Medical Coder Experience: 0 to 2 Years Location: Kochi Employment Type: Full-Time Shift: Day / Night Shift (Based on Business Requirement) Salary: Best in the Industry Job Summary: We are seeking highly motivated individuals to join our medical coding team. The ideal candidate will be responsible for reviewing and accurately coding diagnoses using ICD-10-CM for risk adjustment purposes in compliance with CMS guidelines. Key Responsibilities: Review and analyse patient medical records to assign accurate ICD-10-CM codes for HCC. Ensure compliance with federal coding regulations and company policies. Abstract relevant clinical information from medical records. Partici...
Posted 4 months ago
1.0 - 5.0 years
2 - 6 Lacs
Noida
Work from Office
Job Opening: Denial Medical Coder (CPC Certified) Location: Noida, India Experience: 1+ Years Certification Required: CPC (AAPC Certified) About the Role: We are seeking a skilled and detail-oriented Denial Medical Coder with over 1 year of experience to join our dynamic healthcare team in Noida. The ideal candidate will be CPC certified and have a strong understanding of denial management, coding guidelines, and insurance claim processes. Key Responsibilities: Analyze and resolve denied medical claims. Review and code medical records using ICD-10, CPT, and HCPCS codes. Ensure compliance with federal regulations and coding guidelines. Collaborate with billing teams to resubmit corrected clai...
Posted 4 months ago
1.0 - 6.0 years
1 - 6 Lacs
Pune, Chennai, Coimbatore
Work from Office
Dear Coder's, Greetings from Access healthcare Huge hiring for Experienced & Certified Coders/Senior Medical coders/SQ's (No freshers) CERTIFICATION IS MANDATORY Minimum 1 year experience needed Salary as per market standards Only for certified coders Relieving letter is not mandatory Preferably Immediate joiner's 10-15 days' notice period acceptable, Required Specialty : Denial - Chennai, Coimbatore, Pune WFO/WFH E/M OP Coder - Chennai WFH, Coimbatore WFO, Pune WFO E/M OP TO DENIAL- Coder - Chennai, Coimbatore, Pune WFO Surgery - Chennai, Coimbatore, Pune WFO ED Facility - Chennai WFH, Coimbatore WFO, Pune WFO Interview Mode: Virtual. Work mode : WFO/WFH both available. Contact: HR SAMEEMA-...
Posted 4 months ago
16.0 - 26.0 years
25 - 40 Lacs
Pune
Work from Office
Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you! Summary: We are currently seeking an AVP Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance ...
Posted 4 months ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst - Charge Entry & QC - Payment Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, T...
Posted 4 months ago
1.0 - 4.0 years
1 - 3 Lacs
Noida
Work from Office
Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits rec...
Posted 4 months ago
1.0 - 5.0 years
3 - 8 Lacs
Bengaluru
Work from Office
Role & responsibilities : Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines Preferred c...
Posted 4 months ago
4.0 - 6.0 years
6 - 16 Lacs
Noida, Gurugram
Hybrid
Job Description: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of 'As Is' and 'To Be' processes to develop solution Comply with the terms and conditions of the emplo...
Posted 4 months ago
4.0 - 9.0 years
4 - 8 Lacs
Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written a...
Posted 4 months ago
4.0 - 9.0 years
4 - 8 Lacs
Noida, Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written a...
Posted 4 months ago
0.0 - 3.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collectio...
Posted 4 months ago
0.0 - 3.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collectio...
Posted 4 months ago
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