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0.0 - 2.0 years

2 - 4 Lacs

Hyderabad

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We are looking for a highly motivated and enthusiastic individual to join our team as a Trainee in X-Ray at Vijaya Diagnostic Centre. The ideal candidate will have a strong foundation in healthcare and be eager to learn and grow with our organization. Roles and Responsibility Assist the senior staff in performing various medical procedures, including X-ray examinations. Maintain accurate records of patient information and procedure details. Ensure proper patient preparation and positioning for X-ray procedures. Collaborate with other departments to ensure seamless patient care. Participate in ongoing education and training to enhance skills and knowledge. Contribute to the development and implementation of new protocols and procedures. Job Requirements Strong understanding of medical terminology and imaging principles. Ability to work effectively in a fast-paced environment and prioritize tasks. Excellent communication and interpersonal skills. Basic knowledge of medical equipment and instruments. Ability to maintain confidentiality and handle sensitive information. Strong attention to detail and organizational skills. Additional Info For more information, please contact us at 9630724ea8fa4ee5 or email us at [insert email ID].

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0.0 - 1.0 years

2 - 6 Lacs

Bengaluru

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The Coderperforms a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement. Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit. The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes. The Coder identifies and abstracts records consistently and accurately. Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum. Meets departmental productivity standards for coding and entering inpatient and/or outpatient records. Participates in coding meetings and education conferences to maintain coding skills and accuracy. Demonstrates willingness and flexibility in working additional hours or changing hours. Demonstrates thorough understanding on how position impacts the department and hospital. Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff. Attend conference calls as necessary to provide information relating to Coding Should be a Graduate Certified Fresher/ experience in medical coding or with any other previous experience. If experience in Medical Coding G23 (0 to 1 Year) Must be a certified coder through AAPC or AHIMA. Certifications accepted include CPC, CCS,CIC and COC Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / Offer process.

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0.0 - 2.0 years

3 - 7 Lacs

Pune

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Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessStrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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 Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications: Should be a Graduate – Any Graduate Certified Fresher or Experience in medical coding or with any other previous experience Must be a certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone G23 (0 to 2+ years), G24 (3+ years) If experience in Medical Coding All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / Offer process 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. #NTRQ External Candidate Application Internal Employee Application

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1.0 - 3.0 years

3 - 6 Lacs

Chennai

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We are looking for a highly skilled and experienced Medical Data Abstractor to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Chennai I. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Accurately and efficiently abstract medical data from various sources. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information. Collaborate with team members to achieve project goals and objectives. Develop and implement effective data abstraction processes to improve quality and productivity. Identify and resolve data discrepancies or errors promptly. Participate in ongoing training and professional development to stay current with industry trends and best practices. Job Strong knowledge of medical terminology and concepts, including anatomy, physiology, and pharmacology. Excellent analytical and problem-solving skills, with attention to detail and accuracy. Ability to work independently and as part of a team, with strong communication and interpersonal skills. Proficiency in using computer software applications, including Microsoft Office and other relevant tools. Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines. Commitment to delivering high-quality results and maintaining a focus on customer satisfaction.

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1.0 - 5.0 years

2 - 3 Lacs

Pune

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We are looking for a highly skilled and experienced Assistant to join our Imaging Services team at Vijaya Diagnostic Centre. The ideal candidate will have 0 to 5 years of experience in the healthcare industry. Roles and Responsibility Assist in planning and implementing imaging services, including patient preparation and explaining procedures. Operate various medical imaging equipment, such as X-ray machines and CT scanners, under the direction of senior staff. Maintain accurate records of patient information, imaging results, and treatment plans. Collaborate with other healthcare professionals to provide comprehensive care to patients. Stay updated on the latest developments in medical imaging technology and techniques. Participate in quality improvement initiatives to enhance patient care and outcomes. Job Requirements Strong understanding of medical imaging principles and practices. Ability to work effectively in a fast-paced environment with attention to detail. Excellent communication and interpersonal skills. Ability to maintain confidentiality and handle sensitive information. Basic knowledge of medical terminology and anatomy. Familiarity with hospital policies and procedures related to patient care and safety.

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3.0 years

0 Lacs

Noida, Uttar Pradesh, India

Remote

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Job Title: Tier 1 / VMS / MSP Manager/Business Development Manager (BDM) - US Staffing Location: Remote / Onsite (Noida , Gurugram) Employment Type: Full-Time Job Summary: We are seeking a highly motivated and results-driven Business Development Manager (BDM) with strong experience in US Staffing , specifically handling Tier 1 Vendors, VMS (Vendor Management Systems), and MSP (Managed Service Providers) accounts. The BDM will be responsible for driving new business opportunities, expanding existing client relationships, and achieving revenue targets by selling staffing and workforce solutions. Key Responsibilities: Identify, develop, and manage new business opportunities with Tier 1 vendors, VMS, and MSP clients in the US staffing market. Build strong relationships with client decision-makers (Account Managers, Program Managers, Procurement, and HR contacts) to maximize account penetration and growth. Conduct market research to identify new leads and potential clients aligned with the company's service offerings. Negotiate contracts, pricing, and SLAs with clients to ensure profitable engagements. Work closely with internal recruiting teams to ensure delivery and fulfillment of client requirements. Maintain a strong sales pipeline, provide accurate forecasting, and achieve quarterly and annual sales targets. Collaborate with leadership to develop strategic plans for business growth and market penetration. Attend client meetings, vendor summits, networking events, and conferences as required. Track all sales activities and client interactions in CRM tools and prepare regular reports for leadership. Qualifications: 3-8 years of proven experience in business development / sales in US IT Staffing industry , specifically with Tier 1 / VMS / MSP clients. Strong understanding of US staffing market dynamics, recruiting life cycle, and client delivery models. Proven track record of consistently achieving or exceeding sales targets. Existing relationships and network with Tier 1 vendors and MSP programs is highly preferred. Excellent negotiation, communication, and presentation skills. Strong interpersonal skills and the ability to build trust with clients. Highly self-motivated, goal-oriented, and capable of working independently. Proficiency in CRM tools (e.g., Salesforce, Bullhorn, Zoho, etc.) and MS Office Suite. Nice to Have: Experience in both IT and Non-IT staffing verticals. Understanding of compliance, labor laws, and immigration policies (H1B, OPT, CPT, etc.) in the US staffing context. Benefits: Competitive Base Salary + Attractive Commission Structure Remote Work Flexibility Medical, Dental, and Vision Insurance Career Growth Opportunities Performance Bonuses

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2.0 - 5.0 years

2 - 5 Lacs

Pune

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We are looking for a skilled Phlebotomist to join our team at Vijaya Diagnostic Centre. The ideal candidate will have 1-3 years of experience in the healthcare industry, preferably in phlebotomy or sample collection. Roles and Responsibility Collect and process samples from patients with precision and accuracy. Maintain confidentiality and handle sensitive information with discretion. Operate medical equipment such as centrifuges and other laboratory instruments safely. Prepare and maintain accurate records of sample collection and processing. Collaborate with healthcare professionals to ensure smooth workflow. Ensure compliance with safety protocols and regulations. Job Requirements Minimum 1 year of experience in phlebotomy or sample collection. Strong knowledge of medical terminology and procedures. Ability to work effectively in a fast-paced environment. Excellent communication and interpersonal skills. Familiarity with laboratory equipment and software. Ability to maintain confidentiality and handle sensitive information.

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0.0 - 2.0 years

1 - 3 Lacs

Bengaluru

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We are looking for a skilled Typist to join our team at Vijaya Diagnostic Centre in the healthcare industry. The ideal candidate will have excellent documentation skills and be able to work efficiently in a fast-paced environment. Roles and Responsibility Prepare and maintain accurate and up-to-date records and documents. Develop and implement effective filing systems, both physical and digital. Provide administrative support to ensure smooth operations. Coordinate with various departments to ensure seamless communication. Maintain confidentiality and handle sensitive information with discretion. Perform other related duties as assigned by management. Job Requirements Proficient in typing with high accuracy and speed. Excellent knowledge of Microsoft Office and other productivity software. Strong organizational and time management skills. Ability to work independently and as part of a team. Good communication and interpersonal skills. Familiarity with medical terminology and healthcare procedures is an advantage.

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5.0 - 10.0 years

5 - 9 Lacs

Hyderabad

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Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : SAP Sales and Distribution (SD) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will be responsible for managing the team and ensuring successful project delivery. Your typical day will involve collaborating with multiple teams, making key decisions, and providing solutions to problems for your immediate team and across multiple teams. Roles & Responsibilities:1 Resource is responsible for designing and implementing SAP Condition Contract Settlement (CCS) solutions in a global environment.2 Ability to work on complex configuration scenarios along with writing functional specifications for complex customizations3 Ability to conduct User Acceptance testing and Business user training sessions Professional & Technical Skills: 1 Min 6+ years SAP CCS SD experience including complete project life-cycle experience as well as maintenance and enhancement responsibilities.2 Prior experience in implementing and/or maintaining large-scale ERP application.3 Familiarity with functionalities like Condition Contract and Settlement (CCS), Sales Scheduling Agreements, Customer returns processing, Credit/Debit note processing, Pricing in general, Serial Number Management, Batch Management, Condition contract (Rebates), Credit Management and Integration with Third party systems.4 Knowledge on using all sort of workbench and Vistex basic transactions such as Agreement workbench, Condition Contract for V4, IP document workbench, Calculation run, Calculation bucket for Reporting transactions etc.5 Cross functional knowledge on SAP MM/WM/FI.6 Experience working with Solution manager and Application Lifecycle Management (ALM) tools.7 Experience working with supply chain technology organization is highly preferable.8 Ability to work remotely with good verbal and written communication and collaboration skills to effectively connect with both business and technical IT teams9 The candidate should have a minimum of 5 years of experience in SAP Condition Contract Settlement (CCS) Additional Information:1 A minimum of 15 years of education is required Qualification 15 years full time education

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5.0 - 9.0 years

2 - 7 Lacs

Hyderabad

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SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions. ** Hand on experience in ECW software preferrable**

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2.0 years

3 - 3 Lacs

India

On-site

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Hello all! Grab the opportunity, urgent hiring !! Screatives looking for an Experienced Bench Sales Recruiter for the Hyderabad location. Minimum 2 year of experience as Bench Sales Recruiter in US Staffing Benefits: Best Salary + Regular, Quarterly & Annual Incentive + Health Insurance +Provident Fund + In-office meals. Work Location: Hyderabad (On-site) Work Hours: Night Shift - 5 days/week (Mon to Fri) Timings: 7:00 PM IST to 4:00 AM IST Interview Mode: In-Person Reference are highly appreciated. Who Are We Looking for Exactly? Minimum Graduation Good communication skills Must have 2 Year of experience as a Bench Sales Recruiter Excellent verbal and written communication skills. Strong time management and organizational skills. Roles and Responsibilities for Bench Sales Recruiters: Experience in US Tax terms like W2, Corp2Corp & 1099, etc. Must be self-motivated and disciplined to work with limited supervision. Responsible for marketing IT Bench Consultants (H1B, US Citizen, GC, OPT, EAD, and CPT) with vendors. Excellent Knowledge of visa classification Terms, Rules & Policies H1B, OPT, Stem OPT, H4 EAD, and TN Visa. Must be a results-oriented self-starter with the ability to meet deadlines. Good experience in cold calling, and price negotiation, and need to have good convincing and closing skills. Must be a Pro to build network relations with new vendors using social networking sites such as LinkedIn. Generate, Interact, and Develop Tier-1 Vendors or Implementation partner's networks daily. Identify the right requirements that should match our consultant profiles on various job portals, submit the consultants, and follow up for interview schedules. Good understanding of US staffing business, Bench sales, and recruitment process. Maintaining submissions database, Interview Coordination, and taking care of the joining formalities, background checks, and references has a context menu Thanks & Regards, S. Sree Harsha 8331901353 Job Type: Full-time Pay: ₹25,000.00 - ₹30,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Night shift Experience: Bench Sales Recruiter: 1 year (Required) Work Location: In person

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1.0 years

3 Lacs

Hyderābād

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Company Description Quantazone is a leading consulting and professional services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost Job Description Review the provider's claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claim's 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 collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM – 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Qualifications Any Graduate can apply Minimum 1 year experience in the related field Additional Information Good communication skills and a fair command of the English language Experienced in AR Follow-up and Denials Management Excellent analytical and comprehension skills

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0 years

0 Lacs

Noida, Uttar Pradesh, India

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JD - Medical annotations trainer As a Medical Annotations trainer, we are looking for a doctor (MBBS) who has:  Good clinical knowledge – 2 plus years of experience in various clinical departments of a large hospital  Awareness of different medical coding systems like – SNOMED, RxNorm, CPT, ICD 10, LOINC.  Has experience in a training role and has the following competencies: A. Training needs assessment through: 1. Review and assessment of the project objectives 2. Evaluation of skillset and knowledge base of new annotators 3. Evaluation of performance of annotators 4. Review of client and management feedback B. Creation of training programs C. Preparation of learning materials for training programs D. Develop onboarding programs for new annotators E. Conduct surveys to gauge effectiveness of training programs F. Regularly evaluate the work produced by annotators to assess whether it meets quality standards.  Other requirements: 1. Good written and oral communications skills 2. Capacity to foster a healthy, stimulating work environment that harnesses teamwork. 3. Keen Interest in future digital skills such as working with artificial intelligence and data. 4. High orientation to detail, is a patient, self-motivated worker who loves to learn new processes and technologies

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0.0 - 2.0 years

1 - 2 Lacs

Ariyalur, Kumbakonam, Tiruchirapalli

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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, PHARMACY B.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020 -2024 passed out 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

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0 years

0 Lacs

Kerala, India

On-site

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RedTeam Hacker Academy is a premier cybersecurity training institute committed to developing the next generation of ethical hackers and cybersecurity professionals.We are looking for passionate and skilled cybersecurity professionals to join our team as Cyber Security Trainers. If you are enthusiastic about sharing knowledge, staying updated with cybersecurity trends, and making an impact in the industry, this opportunity is for you. Responsibilities Develop, update, and maintain high-quality training content and modules. Deliver engaging and informative training sessions (online and offline) for RedTeam courses, including: ADCD, CPT, CICSA, CSA, CCSA, CRTA, CEH, P+, S+, CYSA+, CHFI Guide and mentor students and junior trainers across various RedTeam branches. Ensure timely course completion and maintain training quality. Prepare students for success with assessments, mock interviews, and career guidance. Maintain training documentation: attendance, course diaries, feedback, and evaluations. Represent RedTeam in college workshops, webinars, and events like the RedTeam Security Summit. Collaborate with the R&D team for innovation and content enhancement. Conduct corporate training based on your area of expertise. Qualifications Strong knowledge of cybersecurity concepts and tools Prior experience in training or mentoring is a plus Relevant certifications (CEH, CompTIA, etc.) preferred Excellent communication and presentation skills

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5.0 years

0 Lacs

Hyderabad, Telangana, India

On-site

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Outpatient Clinical Documentation Improvement (CDI) Specialist Location: Hyderabad, India Employment Type: Full-Time Position Summary The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities Documentation Review : Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. Query Process : Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. Coding Support : Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. Compliance : Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. Data Analysis : Monitor and analyze documentation trends, identifying opportunities for improvement in clinical documentation processes and provider education. Quality Improvement : Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications Education : Life Science Graduate or Postgraduate. Experience : Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills : Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “Outpatient CDI Specialist Application” in the subject line.

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8.0 years

0 Lacs

Greater Kolkata Area

On-site

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We are seeking an experienced Data Catalog Lead to lead the implementation and ongoing development of enterprise data catalog using Collibra. This role focuses specifically on healthcare payer industry requirements, including complex regulatory compliance, member data privacy, and multi-system data integration challenges unique to health plan operations. Key Responsibilities Data Catalog Implementation & Development : Configure and customize Collibra workflows, data models, and governance processes to support health plan business requirements Develop automated data discovery and cataloging processes for healthcare data assets including claims, eligibility, provider networks, and member information Design and implement data lineage tracking across complex healthcare data ecosystems spanning core administration systems, data warehouses, and analytics Data Governance : Build specialized data catalog structures for healthcare data domains including medical coding systems (ICD-10, CPT, HCPCS), pharmacy data (NDC codes), and provider taxonomies Configure data classification and sensitivity tagging for PHI (Protected Health Information) and PII data elements in compliance with HIPAA requirements Implement data retention and privacy policies within Collibra that align with healthcare regulatory requirements and member consent management Develop metadata management processes for regulatory reporting datasets (HEDIS, Medicare Stars, MLR reporting, risk adjustment) Technical Integration & Automation Integrate Collibra with healthcare payer core systems including claims processing platforms, eligibility systems, provider directories, and clinical data repositories Implement automated data quality monitoring and profiling processes that populate the data catalog with technical and business metadata Configure Collibra's REST APIs to enable integration with existing data governance tools and business intelligence platforms Required Qualifications Collibra Platform Expertise : 8+ years of hands-on experience with Collibra Data Intelligence Cloud platform implementation and administration Expert knowledge of Collibra's data catalog, data lineage, and data governance capabilities Proficiency in Collibra workflow configuration, custom attribute development, and role-based access control setup Experience with Collibra Connect for automated metadata harvesting and system integration Strong understanding of Collibra's REST APIs and custom development capabilities Healthcare Payer Industry Knowledge 4+ years of experience working with healthcare payer/health plan data environments Deep understanding of healthcare data types including claims (professional, institutional, pharmacy), eligibility, provider data, and member demographics Knowledge of healthcare industry standards including HL7, X12 EDI transactions, and FHIR specifications Familiarity with healthcare regulatory requirements (HIPAA, ACA, Medicare Advantage, Medicaid managed care) Understanding of healthcare coding systems (ICD-10-CM/PCS, CPT, HCPCS, NDC, SNOMED CT) Technical Skills Strong SQL skills and experience with healthcare databases (claims databases, clinical data repositories, member systems) Knowledge of cloud platforms (AWS, Azure, GCP) and their integration with Collibra cloud services Understanding of data modeling principles and healthcare data warehouse design patterns Data Governance & Compliance Experience implementing data governance frameworks in regulated healthcare environments Knowledge of data privacy regulations (HIPAA, state privacy laws) and their implementation in data catalog tools Understanding of data classification, data quality management, and master data management principles Experience with audit trail requirements and compliance reporting in healthcare organizations Preferred Qualifications Advanced Healthcare Experience : Experience with specific health plan core systems (such as HealthEdge, Facets, QNXT, or similar platforms) Knowledge of Medicare Advantage, Medicaid managed care, or commercial health plan operations Understanding of value-based care arrangements and their data requirements Experience with clinical data integration and population health analytics Technical Certifications & Skills Collibra certification (Data Citizen, Data Steward, or Technical User) Experience with additional data catalog tools (Alation, Apache Atlas, IBM Watson Knowledge Catalog) Knowledge of data virtualization tools and their integration with data catalog platforms Experience with healthcare interoperability standards and API management (ref:hirist.tech)

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0 years

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Diglipur, Andaman and Nicobar Islands, India

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Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services.

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7.0 - 12.0 years

6 - 12 Lacs

Hyderabad, Pune, Bengaluru

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We are currently seeking an Team Lead/ Senior Team Lead for EM/ED Medical Coding at Vee Healthtek Job Description: - Must have over 7 years of experience in EM/ED Medical Coding - Specialization in EM/ED Medical Coding - Experience of 7+ years on EM/ED - Designation: Team Lead/Senior Team Lead - Location: Bangalore/Hyderabad/Pune (Work from office) - Salary: Based on the experience and interview outcome and looking for immediate joiners. Note: A minimum of two years of experience in a team leadership position, along with substantial experience in client management. 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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5.0 years

0 Lacs

Vishakhapatnam, Andhra Pradesh, India

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We are looking for an experienced and driven Senior US IT Recruiter to manage the full recruitment life cycle for US-based IT positions. The ideal candidate should have deep knowledge of the US staffing process and a proven track record of successful placements. Key Responsibilities: Lead full-cycle recruitment including sourcing, screening, shortlisting, interviewing, and onboarding. Source candidates using US job boards such as Dice, Monster, CareerBuilder, LinkedIn, etc. Understand client job requirements thoroughly and communicate them clearly to candidates. Work closely with clients and account managers to understand hiring needs and timelines. Negotiate rates and salary terms (W2, C2C, 1099) effectively with candidates and vendors. Manage candidate pipelines and maintain an updated internal database. Ensure a high interview-to-hire ratio and meet weekly/monthly hiring goals. Mentor and assist junior recruiters as needed. Required Qualifications: 5+ years of hands-on experience in US IT recruitment . Excellent understanding of US tax terms, work visas (H1B, GC, USC, CPT, OPT), and employment types (W2, C2C, 1099). Experience working in US time zones (EST/PST preferred). Strong knowledge of IT technologies, roles, and terminology. Outstanding communication, interpersonal, and negotiation skills. Ability to work independently with minimal supervision. Must be willing to work onsite in Visakhapatnam . Nice to Have: Experience working with direct clients and Tier-1 vendors. Familiarity with applicant tracking systems (ATS) and recruitment CRM tools. Prior team leadership or mentoring experience. Perks & Benefits: Competitive salary and performance-based incentives. Growth-oriented work environment. Opportunity to work with experienced recruiters and US-based clients.

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1.0 years

0 Lacs

Bengaluru, Karnataka, India

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Description Amazon strives to be the world's most customer-centric company, where customers can research and purchase anything they might want online. We set big goals and are looking for people who can help us reach and exceed them. The CPT Data Engineering & Analytics (DEA) team builds and maintains critical data infrastructure that enhances seller experience and protects the privacy of Amazon business partners throughout their lifecycle. We are looking for a strong Data Engineer to join our team. The Data Engineer I will work with well-defined requirements to develop and maintain data pipelines that help internal teams gather required insights for business decisions timely and accurately. You will collaborate with a team of Data Scientists, Business Analysts and other Engineers to build solutions that reduce investigation defects and assess the health of our Operations business while ensuring data quality and regulatory compliance. The ideal candidate must be passionate about building reliable data infrastructure, detail-oriented, and driven to help protect Amazon's customers and business partners. They will be an individual contributor who works effectively with guidance from senior team members to successfully implement data solutions. The candidate must be proficient in SQL and at least one scripting language (e.g. Python, Perl, Scala), with strong understanding of data management fundamentals and distributed systems concepts Key job responsibilities Build and optimize physical data models and data pipelines for simple datasets Write secure, stable, testable, maintainable code with minimal defects Troubleshoot existing datasets and maintain data quality Participate in team design, scoping, and prioritization discussions Document solutions to ensure ease of use and maintainability Handle data in accordance with Amazon policies and security requirements Basic Qualifications 1+ years of data engineering experience Experience with data modeling, warehousing and building ETL pipelines Experience with one or more query language (e.g., SQL, PL/SQL, DDL, MDX, HiveQL, SparkSQL, Scala) Experience with one or more scripting language (e.g., Python, KornShell) Preferred Qualifications Experience with big data technologies such as: Hadoop, Hive, Spark, EMR Experience with any ETL tool like, Informatica, ODI, SSIS, BODI, Datastage, etc. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Company - ADCI - BLR 14 SEZ Job ID: A3018752

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1.0 years

0 Lacs

Hyderabad, Telangana, India

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Company Description Quantazone is a leading consulting and professional services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost Job Description Review the provider's claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claim's 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 collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM – 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Qualifications Any Graduate can apply Minimum 1 year experience in the related field Additional Information Good communication skills and a fair command of the English language Experienced in AR Follow-up and Denials Management Excellent analytical and comprehension skills

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1.0 years

0 Lacs

Pune, Maharashtra, India

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Company Description Quantazone is a leading consulting and professional services organization. We are the trusted partner to enterprises and organizations worldwide, delivering technology-enabled solutions for extraordinary outcomes in quality and cost Job Description Review the provider's claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claim's 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 collections with a convincing approach. Good understanding of the US Healthcare revenue cycle and its intricacies Shift Timing: Night shift (US Shift) (5.30 PM – 2.30 AM IST) Shift Days: Monday - Friday Salary: Upto 28K CTC {Including Night Shift Allowance} Qualifications Any Graduate can apply Minimum 1 year experience in the related field Additional Information Good communication skills and a fair command of the English language Experienced in AR Follow-up and Denials Management Excellent analytical and comprehension skills

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0 years

0 Lacs

India

Remote

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Triple Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triple—where we redefine the essence of remote hiring. Summary As a medical biller, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies. Responsibilities Perform charge and demo entries. Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems ( ICD-10 and CPT) Review bills for accuracy and completeness and obtain any missing information. Knowledge of insurance guidelines especially Medicare and state Medicaid. Check each insurance payment for accuracy and compliance with the contract. Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures. Document all actions taken in the company or Client host system. Adhere to HIPAA, patient confidentiality, and compliance requirements at all times. Research payor rules and regulations to maintain current payor knowledge. Qualifications Proficiency in medical coding (ICD-10, CPT, HCPCS). Strong attention to detail to ensure accuracy in billing and coding. Knowledge of medical terminology and anatomy. Familiarity with healthcare billing software and electronic health records (EHR). Ability to navigate insurance claim processes and resolve issues. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone

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0.0 - 2.0 years

3 - 7 Lacs

Coimbatore

Work from Office

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Primary Responsibilities: The Coderperforms a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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: Should be a Graduate Any Graduate Certified Fresher or experience in medical coding or with any other experience If experience in Medical Coding G23 (0 to 2+ years), G24 (3+ years) 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 / Offer process 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. #NTRQ

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