Jobs
Interviews

163 Cpt Coding Jobs - Page 2

Setup a job Alert
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

3.0 - 8.0 years

0 - 1 Lacs

Visakhapatnam

Remote

Job Title : Consultant Medical Coder (Contractual for 1 months- full time-Remote) Job Overview : Review patient visit summary documents and identify the best Payer Side, ICD10, CPT code(s) for the diagnosis and/or treatment. May involve selecting from existing codes, providing/writing codes, and ranking code. Company overview: iMerit is a well-funded, rapidly expanding global leader in data services for Artificial Intelligence in Healthcare. iMerits dedicated Medical Division works with the world’s largest pharmaceutical companies, medical device manufacturers, and hospital networks to supply the data that powers advances in Machine Learning. At iMerit, we have successfully delivered data services to power cutting-edge technologies such as digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. In 2022, iMerit was awarded the prestigious Great Place to Work certification for the second year in a row. The certification is recognized by employees and employers around the globe as the ‘Gold Standard’ for workplace excellence. This recognition reiterates the company’s commitment to creating an inclusive work culture where employees can grow as technology professionals and achieve their goals. In iMerit gender equality is not a business metaphor but being put in practice in its true sense. Our Women in Tech, making up over 50% of the company, are thriving and contributing to the development of cutting-edge AI technologies in different industries. If you are an aspiring learner, looking to make a career in a fast-growing technology company, join iMerit’s rapidly expanding team and become part of an award-winning organization that is shaping the future of data enrichment, annotation and labeling in Artificial Intelligence, Machine Learning. For more information, visit: www.imerit.net Job Role : Review patient visit summary documents and identify the best Payer Side,CPT,ICD10 code(s) for the diagnosis and/or treatment, Settlement. May involve selecting from existing codes, providing/writing codes, and ranking codes. To ensure maximum consistency in annotating. Ensure formatting in reports are maintained according to Research guidelines. Adapt seamlessly to changes in the training process. Skills we are looking for : Minimum 2-10 years of experience in Payer Side, CPT, ICD-10 CM coding. Must have CPC/ CCA/ CCS/ AAPC/ CCP-AS/ CMBS/ RHIT Certification. Experience in ICD-10-CM, CPT coding experience will be an advantage. Experience in multiple specialty documentation. Knowledge of medical terminology, AHDI guidelines and procedures. Ability to operate designated word processing, dictation, and transcription equipment, and other equipment as specified. Ability to access appropriate reference materials. Excellent listening skills and ability to understand diverse accents and dialects and varying dictation styles. Ability to work under pressure with time constraints. Ability to use excellent English grammar and spelling. Ability to speak, read and write the English language fluently. Qualification: Any Graduates or post graduates Experience: Minimum 2-10 Years Mode of work : Fulltime (MON-FRI) Project Duration : 1 Months Shift Timing : 2pm-10pm Salary : Competitive Location : Remote

Posted 2 weeks ago

Apply

4.0 - 9.0 years

3 - 4 Lacs

Chennai

Work from Office

• The IPDRG Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. Required Candidate profile * Training Strategy & Planning * Design and implement the overall technical training strategy for medical coding teams (IPDRG).

Posted 2 weeks ago

Apply

2.0 - 4.0 years

3 - 5 Lacs

Hyderabad

Work from Office

Hiring for AR Calling - Hyderabad, Manikonda Walk-in Location: Survey No. 201, Ltd 99LH, Lanco Hills Technology Park, Lanco Hills Private Rd, Hyderabad, Telangana 500089 Contact me : P Aishwarya ;9030711720 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 precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. ======================================================================= Payment posting Minimum 14 months - 3 years CTC 3.4 LPA - 4.8 LPA Looking for Immediate joiners Mandate WFO, no hybrid Transport radius should be 25KM Day Shift - 9:30 am - 6:30 pm Fixed shift/ Fixed week off ' Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

Posted 2 weeks ago

Apply

1.0 - 6.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting & Payment Posting QC 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 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Posted 2 weeks ago

Apply

1.0 - 6.0 years

4 - 7 Lacs

Gurugram, Delhi / NCR

Work from Office

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

Posted 2 weeks ago

Apply

12.0 - 16.0 years

0 Lacs

hyderabad, telangana

On-site

The role of overseeing the hospital's accounts receivable operations is crucial for ensuring efficient billing, collections, and follow-up on outstanding balances. As the Accounts Receivable Manager, you will be responsible for managing a team of billing specialists and other staff, overseeing their performance in accounts receivable functions. Your key duties will include developing and implementing processes to enhance billing and collections efficiency, analyzing accounts receivable reports and key performance indicators to identify trends and areas for improvement, and ensuring compliance with current US healthcare regulations and reimbursement policies. In this leadership role, you will be expected to implement effective policies and procedures for accounts receivable management, provide training and support to staff on billing procedures, policies, and regulations, as well as handle any other duties as assigned. The ideal candidate for this position should possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field, along with at least 12-15 years of experience in hospital billing and accounts receivable management. A thorough understanding of US healthcare regulations and reimbursement policies is essential, as well as knowledge of healthcare billing and coding systems, including ICD-10 and CPT coding. Additionally, the successful candidate should have experience in managing and leading teams, excellent communication, analytical, and problem-solving skills, and a strong attention to detail. Proficiency in Microsoft Office Suite, particularly Excel and Word, is required, along with the ability to adapt to changing priorities and handle multiple tasks simultaneously. If you meet the above qualifications and are excited about this opportunity, we encourage you to submit your resume to mvuyyala@primehealthcare.com.,

Posted 2 weeks ago

Apply

4.0 - 9.0 years

25 - 35 Lacs

Bengaluru

Remote

AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure output quality. Technical Execution: Build, fine-tune, and deploy models using PyTorch, TensorFlow, HuggingFace Transformers , and scikit-learn . Integrate LLM APIs for code summarization and document understanding. Implement vector search and orchestration platforms for real-time AI assistance. Role & responsibilities Preferred candidate profile

Posted 2 weeks ago

Apply

10.0 - 15.0 years

14 Lacs

Bengaluru

Remote

Role & responsibilities Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness, and alignment with payer guidelines. Provide subject matter expertise to the ML development team, helping explain documentation requirements, billing logic, and workflow detailsparticularly within the Athena EHR platform. Identify edge cases and guide the creation of test cases and labeled datasets for model improvement. Perform quality assurance reviews and root-cause analysis of audit errors, offering structured feedback for continuous learning. Lead knowledge-sharing efforts across teams and support documentation of best practices. Preferred candidate profile

Posted 2 weeks ago

Apply

2.0 - 6.0 years

0 Lacs

noida, uttar pradesh

On-site

You will be joining Sinex Management Pvt Ltd, a company specializing in providing comprehensive medical billing and revenue cycle management services to healthcare providers. Your primary goal will be to optimize revenue, minimize claim denials, and streamline billing processes to allow medical professionals to focus on patient care. By leveraging the expertise of our billing specialists, you will ensure accurate claim submissions, timely reimbursements, and adherence to industry standards. Our tailored solutions cater to various healthcare settings, such as small clinics, group practices, and independent physicians, to enhance cash flow and reduce administrative burdens. Your role will be a full-time on-site position based in Noida, India. Your responsibilities will include managing daily medical billing tasks, submitting claims accurately, following up with insurance companies, and upholding compliance with industry regulations. You will play a crucial role in reducing claim denials, facilitating timely reimbursements, and safeguarding data confidentiality as per HIPAA guidelines. Additionally, providing exceptional support and solutions to clients will be an integral part of your responsibilities. To excel in this role, you should have experience in medical billing, proficiency in CPT coding and claim processing, and adeptness in insurance follow-ups and reimbursement procedures. Your ability to ensure compliance with industry standards and HIPAA regulations, coupled with strong organizational skills and attention to detail, will be essential. Excellent communication, customer service, and problem-solving skills, along with a proactive approach to addressing client needs, will set you up for success. While relevant qualifications in medical billing or related fields are preferred, your willingness to work on-site in Noida, India is paramount for this position.,

Posted 2 weeks ago

Apply

2.0 - 7.0 years

3 - 8 Lacs

Chennai

Work from Office

Minimum 2+ Years of Experience in ED Professional Both Certified & Non certified Can apply Mode of Interview - Virtual & Walk In Looking for Immediate joiner preferred Salary - Best in Industry Work Location - Chennai Regards, Krish Hr 9342780488

Posted 2 weeks ago

Apply

2.0 - 4.0 years

3 - 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: Manikandan - 9551070726 -manikandan.ravi1@sutherlandglobal.com 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 precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .

Posted 2 weeks ago

Apply

1.0 - 6.0 years

4 - 5 Lacs

Pune

Work from Office

Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) 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 US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424

Posted 2 weeks ago

Apply

1.0 - 6.0 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

Posted 3 weeks ago

Apply

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 received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)

Posted 3 weeks ago

Apply

3.0 - 6.0 years

6 - 9 Lacs

Noida

Work from Office

Role & responsibilities Check the result of the automated coding solution and provide feedback regarding error in the AI engine. Submit the generated report through post-auditing within the 24-hr TAT. Improve the automated coding engine Knowledge of E&M and Surgery Coding

Posted 3 weeks ago

Apply

1.0 - 4.0 years

1 - 3 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

Immediate Job Openings for EM Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in EM Medical Coding. Specialty : EM Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 32K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Pune - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Posted 3 weeks ago

Apply

1.0 - 5.0 years

1 - 5 Lacs

Chennai, Tiruchirapalli, Bengaluru

Work from Office

Immediate Job Openings for IP DRG Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IP DRG Medical Coding. Specialty : IP DRG Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Posted 3 weeks ago

Apply

1.0 - 5.0 years

1 - 5 Lacs

Hyderabad, Chennai, Bengaluru

Work from Office

Immediate Job Openings for Surgery Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Surgery Medical Coding. Specialty : Surgery Medical Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Hyderabad/Trichy/Salem/Pune - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Posted 3 weeks ago

Apply

1.0 - 3.0 years

1 - 3 Lacs

Salem, Chennai, Tiruchirapalli

Work from Office

Immediate Job Openings for IVR Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IVR Medical Coding. Specialty : IVR Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 35K CTC Max Joining: Immediate Joiners only Location : Chennai/Trichy/Salem - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Posted 3 weeks ago

Apply

1.0 - 6.0 years

4 - 6 Lacs

Bangalore/Bengaluru

Work from Office

ESSENTIAL DUTIES AND RESPONSIBILITIES Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Performs other duties as assigned. MINIMUM JOB REQUIREMENTS Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Possession of a current Certified Professional Coder (CPC) issued by the American Academy of Professional Coders preferred. Two (2) years of medical coding experience is required, or the; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills/Abilities: Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

Posted 3 weeks ago

Apply

2.0 - 3.0 years

4 - 5 Lacs

Kochi, Ernakulam, Thrissur

Work from Office

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). Appeals - - Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP - Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOBs for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes

Posted 3 weeks ago

Apply

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 knowledge of medical procedures, conditions, illnesses, and treatment practices Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. Should be good with MS-Office. Should be ready to work in shifts. Interested & eligible candidates can send their resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Posted 1 month ago

Apply

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 precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .

Posted 1 month ago

Apply

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 1 month ago

Apply

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: Name: Vinitha Phone: +91 91500 46898 Email: vinitha.panneer@corrohealth.com

Posted 1 month ago

Apply
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies