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163 Cpt Coding Jobs

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0.0 - 1.0 years

1 - 2 Lacs

Coimbatore, Tamil Nadu, India

On-site

Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Vinothini 7540052460 Coimbatore

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1.0 - 6.0 years

1 - 12 Lacs

Chennai, Tamil Nadu, India

On-site

Description We are seeking an experienced IPDRG Coder to join our team in India. The ideal candidate will be responsible for accurately coding inpatient medical records to ensure compliance with IPDRG guidelines and facilitate proper billing and reimbursement. Responsibilities Review and analyze medical records to assign appropriate ICD-10-CM and CPT codes for inpatient services. Ensure accurate coding of diagnoses and procedures according to the guidelines of the IPDRG (Inpatient Prospective Payment System). Collaborate with healthcare providers to clarify documentation and ensure compliance with coding regulations. Maintain knowledge of coding updates, regulations, and compliance requirements related to IPDRG. Prepare and submit coded data for billing and reimbursement purposes. Conduct quality checks and audits on coded data to ensure accuracy and completeness. Skills and Qualifications 1-6 years of experience in medical coding, specifically in IPDRG or inpatient coding. Proficiency in ICD-10-CM and CPT coding systems. Strong understanding of medical terminology, anatomy, and physiology. Experience with coding software and electronic health record (EHR) systems. Attention to detail and accuracy in coding. Excellent analytical and problem-solving skills. Strong communication skills to effectively collaborate with healthcare providers. Contact Dinesh HR - 9345717910

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1.0 - 4.0 years

1 - 4 Lacs

Chennai, Tamil Nadu, India

On-site

Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes. - Must have a minimum 3+ years of experience in E&M inpatient and/or outpatient medical record review, coding and reimbursement. Coding audit experience preferred. - Must have strong knowledge of ICD-10 CM/PCS and CPT coding and prospective payment systems and proficiency with Microsoft Windows operating systems and Office applications, such as Word, Excel, PowerPoint - Able to work well with minimal supervision. - Able to communicate clearly both written and verbally. - Able to generate reports for management review that present audit results in a clear manner. - Able to meet deadlines and respond well to frequent changes in regulation. - Able to maintain positive and productive relationships with internal and external teams and customers. - Able to work independently and be a self-starter. Roles & Responsibilities: - In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.- - Creates update tracker and responsible for updating the team on trends and changes. - Provides feedback & coaching on common error scenarios - Performs review of claims denied/rejected for coding, documentation and clinical validation. - Prepares reports for management review and identifies trends. - Conducts focused retrospective audits and regular scheduled audits of individual coders. - Creates update tracker and responsible for updating the team on trends and changes. - In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

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2.0 - 4.0 years

2 - 4 Lacs

Chennai, Tamil Nadu, India

On-site

Requirements : - Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes. - Must have a minimum 3+ years of experience in E&M inpatient and/or outpatient medical record review, coding and reimbursement. Coding audit experience preferred. - Must have strong knowledge of ICD-10 CM/PCS and CPT coding and prospective payment systems and proficiency with Microsoft Windows operating systems and Office applications, such as Word, Excel, PowerPoint - Able to work well with minimal supervision. - Able to communicate clearly both written and verbally. - Able to generate reports for management review that present audit results in a clear manner. - Able to meet deadlines and respond well to frequent changes in regulation. - Able to maintain positive and productive relationships with internal and external teams and customers. - Able to work independently and be a self-starter. Roles & Responsibilities: - In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.- - Creates update tracker and responsible for updating the team on trends and changes. - Provides feedback & coaching on common error scenarios - Performs review of claims denied/rejected for coding, documentation and clinical validation. - Prepares reports for management review and identifies trends. - Conducts focused retrospective audits and regular scheduled audits of individual coders. - Creates update tracker and responsible for updating the team on trends and changes. - In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

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2.0 - 5.0 years

2 - 5 Lacs

Chennai, Tamil Nadu, India

On-site

Eligibility Criteria: Candidates should have experience in Evaluation & Management (OP / IP) Must have strong knowledge of ICD-10 CM/PCS and CPT coding Anesthesia coding & Sugery Coding is an added advantage Must have Minimum 2 years of experience in E&M Coding Looking for Certified Medical Coders - Any Certification Roles & Responsibilities:- Creates update tracker and responsible for updating the team on trends and changes. Provides feedback & coaching on common error scenarios Performs review of claims denied/rejected for coding, documentation and clinical validation. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual coders. Creates update tracker and responsible for updating the team on trends and changes. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.

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8.0 - 12.0 years

0 Lacs

chennai, tamil nadu

On-site

As an integral member of our coding team, you will play a key role in ensuring the efficient and effective management of day-to-day operations. Your responsibilities will include overseeing coding activities across all facilities, including Inpatient/Outpatient and Nursing Home Services, to ensure that customer service and quality expectations are consistently met. You will serve as the primary point of contact for coding questions related to Client services and Operations, reviewing reports to identify specific issues, investigating them in accordance with coding guidelines, and implementing effective solutions. Your strong analytical skills will be essential in managing multiple tasks and generating solutions based on the available information. To qualify for this role, you must have supervisory experience and hold a coding certification, specifically a CPC certification. Additionally, a minimum of 8-10+ years of experience in multilevel coding management and multispecialty coding is required. Proficiency in icd-10-cm and cpt coding, along with a comprehensive understanding of medical terminology, is essential to excel in this position. If you are a seasoned coding professional looking to make a significant impact within a dynamic team, we invite you to submit your resume to our HR department via email or fax. We are always on the lookout for talented individuals like yourself and will reach out to you if a suitable position becomes available.,

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0.0 - 2.0 years

1 - 2 Lacs

Trichy, Tamil Nadu, India

On-site

Job description Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Kowshika 7200652461 Trichy

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1.0 - 6.0 years

3 - 15 Lacs

Hyderabad, Telangana, India

On-site

Qualification: CPC or COC certification is preferred Minimum of oneyearSame-day Surgery coding experience Minimum Graduation in Life Science or medical sciences Job description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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1.0 - 6.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

Qualification: CPC or COC certification is preferred Minimum of oneyearSame-day Surgery coding experience Minimum Graduation in Life Science or medical sciences Job description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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6.0 - 10.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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1.0 - 6.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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1.0 - 6.0 years

3 - 15 Lacs

Trichy, Tamil Nadu, India

On-site

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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1.0 - 6.0 years

3 - 15 Lacs

Hyderabad, Telangana, India

On-site

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and maintain status reports

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5.0 - 6.0 years

4 - 8 Lacs

Hyderabad

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 prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. Apply Internal Employee Application

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1.0 - 3.0 years

4 - 8 Lacs

Noida

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 analyse 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 prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application

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1.0 - 3.0 years

1 - 5 Lacs

Mumbai

Work from Office

About US: AM Medical IT Solutions Pvt. Ltd , located in Mumbai, is dedicated to offering high-quality and cost-effective services to the medical and dental industry. The company specializes in medical and dental revenue cycle management services, account receivable recovery, physician credentialing, contract negotiations, practice management, Chronic Care Management, and software support. With a focus on serving solo practitioners, group-practice physicians, and hospitals for an extensive period, AM Medical IT Solutions is a trusted partner in the healthcare industry. Role Opened: Medical Billing Credentialing/ Provider Enrollment AR/ Sr AR Associate Payment Poster Experience Level: HSC/ Graduate with Min 6 months in Physician Billing/RCM is must. Interested candidates are encouraged to connect directly via Call or WhatsApp at 9326870837/987196013 Interview Venue : A002 UB, Boomerang Building, Oberoi Garden, Chandivali, Andheri East, Mumbai 400072 Landmark : Near to Sakinaka Metro Station

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8.0 - 13.0 years

8 - 15 Lacs

Bengaluru

Work from Office

We are currently seeking an Manager for IP DRG Medical Coding at Vee Healthtek. Job Description: - Must have over 8 years of experience in Medical Coding - Specialization in IP DRG Medical Coding - Experience of 8+ years on IP DRG - Designation: Manager/AM - Location: Bangalore (Work from office) Candidates must have experience in team handling, with a minimum of 4 years in team management, excellent communication skills, and client management abilities. Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

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13.0 - 20.0 years

12 - 22 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

We are currently seeking an Associate Director for EM/ED Medical Coding at Vee Healthtek. Job Description: - Must have over 13 years of experience in Medical Coding - Specialization in EM/ED Medical Coding - Experience of 13+ years on EM/ED - Designation: Associate Director/Director - Location: Bangalore/Chennai/Hyderabad (Work from office) Candidates must have experience in team handling, with a minimum of 8 years in team management, excellent communication skills, and client management abilities. Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

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13.0 - 20.0 years

12 - 22 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

We are currently seeking an Associate Director for IP DRG Medical Coding at Vee Healthtek. Job Description: - Must have over 13 years of experience in Medical Coding - Specialization in IP DRG Medical Coding - Experience of 13+ years on IP DRG - Designation: Associate Director/Director - Location: Bangalore/Chennai/Hyderabad (Work from office) Candidates must have experience in team handling, with a minimum of 8 years in team management, excellent communication skills, and client management abilities. Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

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1.0 - 5.0 years

1 - 5 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

Immediate Job Openings for Certified Radiation Oncology Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Radiation Oncology Medical Coding. Specialty : Radiation Oncology Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Hyderabad - WFO Interested Candidate can Call Immediately to 9443238706 (Available on Whatsapp) or forward your profile to ramesh.m@veehealthtek.com Regards, Ramesh - HRD 9443238706 ramesh.m@veehealthtek.com Vee Healthtek

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1.0 - 5.0 years

1 - 5 Lacs

Salem, Chennai, Tiruchirapalli

Work from Office

Immediate Job Openings for Certified Denials Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Denials Medical Coding. Specialty : Denials Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Hyderabad - WFO Interested Candidate can Call Immediately to 9443238706 (Available on Whatsapp) or forward your profile to ramesh.m@veehealthtek.com Regards, Ramesh - HRD 9443238706 ramesh.m@veehealthtek.com Vee Healthtek

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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 RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Chanchal 9251688424

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1.0 - 3.0 years

2 - 3 Lacs

Chennai

Work from Office

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai Mode of Work: Work from the office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT). The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

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2.0 - 5.0 years

1 - 3 Lacs

Chennai

Work from Office

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting - Near Madhavaram Location preferred. Experience & Requirements: Minimum 2+ years of experience in US Medical Billing. Candidates who worked in charge entry process for at least 2 years completely are eligible. Good verbal and written communication skills. Charge Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are needed. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Good knowledge on CPT codes and Modifiers. Patient demographics experience is a add on. Good knowledge on general billing details and Insurance knowledge is required. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

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3.0 - 7.0 years

0 - 0 Lacs

Bangalore Rural, Bengaluru

Work from Office

Job Description: Certified CPC Coder - Revenue Cycle Management Position Overview Job Title: Certified CPC Coder (RCM) - Radiology Specialist Positions Available: 10 immediate openings Location: Bengaluru, India Department: Revenue Cycle Management / Medical Billing Reports to: RCM Manager Employment Type: Full-time Experience Required: Minimum 3 years in US medical billing (Radiology expertise preferred) About This Role Join our growing Healthcare Revenue Cycle Management team as a Certified CPC Coder specializing in radiology billing operations. In this critical role, you'll ensure accurate coding and billing for diagnostic imaging studies while maintaining compliance with US healthcare regulations. This position offers excellent growth opportunities within our expanding RCM division and the chance to work with cutting-edge healthcare technology. Key Responsibilities Medical Coding & Compliance Code Review & Validation: Review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies ensuring 99%+ accuracy rates Documentation Analysis: Analyze radiology reports and ensure proper coding compliance with CMS guidelines and payer-specific requirements Quality Assurance: Conduct regular audits of coded studies to maintain high-quality standards and identify areas for improvement Regulatory Compliance: Ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols Revenue Cycle Operations Invoice Management: Prepare, compile, and submit accurate invoices to partner healthcare facilities based on contracted fee schedules Reconciliation: Validate invoice line items against study volumes, modality types, and applicable reimbursement rates Payment Tracking: Monitor invoice submission status, follow up on approvals, and track payment receipts through completion Collections Support: Assist in resolving payment delays, rejected claims, and coding-related billing issues Collaboration & Communication Cross-functional Coordination: Work closely with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation Stakeholder Management: Communicate effectively with facility billing departments and insurance representatives Issue Resolution: Escalate and resolve complex billing issues including underpayments, denials, and coding appeals Reporting & Analytics Performance Metrics: Generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics Data Management: Maintain detailed billing logs, reconciliation spreadsheets, and monthly facility billing records Process Improvement: Identify opportunities to streamline billing processes and improve revenue cycle efficiency Required Qualifications Education & Certification Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field CPC Certification from AAPC (American Academy of Professional Coders) - Required Additional certifications in radiology coding (CPC-A, CIRCC) - Preferred Professional Experience Minimum 3 years of hands-on experience in US medical billing and coding Radiology billing experience strongly preferred (CT, MRI, X-ray, Ultrasound, Nuclear Medicine) Proven track record of maintaining high coding accuracy (95%+ preferred) Experience with denial management and appeals processes Technical Skills Advanced proficiency in Microsoft Excel (VLOOKUP, pivot tables, macros, advanced formulas) Billing Software Experience: Proficiency with RCM platforms such as: Kareo, AdvancedMD, eClinicalWorks, Epic, Cerner, or similar systems EDI Knowledge: Understanding of electronic data interchange formats (837P, 837I, 835, 277, 276) Database Management: Experience with SQL queries and database management - Preferred Core Competencies Analytical Excellence: Strong problem-solving skills with attention to detail and accuracy Communication Skills: Excellent written and verbal English communication abilities Time Management: Ability to manage multiple priorities and meet tight deadlines Independence: Self-motivated with ability to work autonomously across different time zones Adaptability: Flexibility to adapt to changing healthcare regulations and billing requirements What We Offer Competitive Compensation Base Salary: 40,000 - 55,000 per month Performance-based increases and annual salary reviews Shift allowances for non-standard hours Comprehensive Benefits Package Health Insurance: Medical coverage for employee and family Paid Time Off: Generous leave policy including vacation, sick leave, and personal days Flexible Work Arrangements: Hybrid work options and flexible shift timings Professional Development: Training budget for continuing education and certifications Career Advancement: Clear promotion pathways within RCM and Finance departments Additional Perks Modern Workspace: State-of-the-art office facilities in Bengaluru Technology Allowance: Latest hardware and software tools Team Building: Regular team events and company-wide celebrations Wellness Programs: Fitness memberships and mental health support Growth Opportunities Career Progression Path Senior CPC Coder (12-18 months) RCM Team Lead (2-3 years) RCM Supervisor/Manager (3-5 years) Director of Revenue Cycle Operations (5+ years) Skill Development Advanced Coding Certifications (CCS, RHIA, CIRCC) Healthcare Analytics and business intelligence training Leadership Development programs Cross-functional exposure to clinical operations and IT systems Application Process How to Apply Ready to advance your career in healthcare revenue cycle management? We want to hear from you! Application Requirements: Updated resume highlighting relevant RCM experience Cover letter demonstrating knowledge of radiology billing Copies of CPC certification and relevant credentials References from previous healthcare billing roles Next Steps: Application Review: 2-3 business days Technical Assessment: Online coding and Excel proficiency test HR Interview: Initial screening and culture fit assessment Technical Interview: RCM knowledge and problem-solving scenarios Final Interview: Meeting with RCM Manager and team Why Join Our Team? Innovation: Work with cutting-edge healthcare technology and AI-powered RCM solutions Growth: Be part of a rapidly expanding company with international presence Culture: Collaborative environment that values expertise and professional development Impact: Play a crucial role in healthcare revenue optimization and patient care support Recognition: Performance-based rewards and career advancement opportunities We are an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, or any other characteristic protected by law. Application Deadline: Open until filled Start Date: Immediate Job ID: RCM-CPC-2025-001 Max exp 5 to 6 years Do we provide cab? currently no. Shift timings - Flexible Shift Day & Night Shift (no female candidates for night shift) Working Days & Week offs – Flexible (different for all) it will be 6 days working – week offs will be communicated and decided during the interview process Location in Bangalore - BDA Complex, Bldg 51/2, 2nd floor, 12th Main Rd, opp. A2B, Sector 6, HSR Layout, Bengaluru, Karnataka 560102 Salary date – 7th day of every month Other benefits - As per policy - Includes Paid Time Off, Flexible Shift, Potential for long-term growth within the finance and RCM team

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