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2.0 years
3 - 3 Lacs
India
On-site
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
Posted 1 month ago
1.0 years
3 Lacs
Hyderābād
On-site
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
Posted 1 month ago
0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
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
Posted 1 month ago
0.0 - 2.0 years
1 - 2 Lacs
Ariyalur, Kumbakonam, Tiruchirapalli
Work from Office
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
Posted 1 month ago
0 years
0 Lacs
Kerala, India
On-site
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
Posted 1 month ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
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.
Posted 1 month ago
8.0 years
0 Lacs
Greater Kolkata Area
On-site
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)
Posted 1 month ago
0 years
0 Lacs
Diglipur, Andaman and Nicobar Islands, India
On-site
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.
Posted 1 month ago
7.0 - 12.0 years
6 - 12 Lacs
Hyderabad, Pune, Bengaluru
Work from Office
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
Posted 1 month ago
5.0 years
0 Lacs
Vishakhapatnam, Andhra Pradesh, India
On-site
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.
Posted 1 month ago
1.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
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
Posted 1 month ago
1.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
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
Posted 1 month ago
1.0 years
0 Lacs
Pune, Maharashtra, India
On-site
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
Posted 1 month ago
0 years
0 Lacs
India
Remote
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
Posted 1 month ago
0.0 - 2.0 years
3 - 7 Lacs
Coimbatore
Work from Office
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
Posted 1 month ago
10.0 - 15.0 years
6 - 11 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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 or Postgraduate inLife Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P 10+ years of coding experience with about 3-4 yr experience as a Team Lead Knowledge of organizational structure, workflow, and operating procedures Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Proficient in healthcare reimbursement methodologies Proven ability to manage and enable teams to reach their goals Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness 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. #njp #NTRQ
Posted 1 month ago
4.0 - 9.0 years
7 - 12 Lacs
Noida
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settingsMultispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. 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: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier 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
Posted 1 month ago
0.0 - 2.0 years
3 - 7 Lacs
Chennai
Work from Office
Primary Responsibilities: 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 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 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 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: Graduate – Any Graduate 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 Certified Fresher or Experience in medical coding or with any other previous experience Experience in Medical Coding G23 (0 to 2+ years), G24 ( 3 to 5 years) Must be a certified coder through AAPC or AHIMA Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff 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
Posted 1 month ago
3.0 years
4 Lacs
India
On-site
Dynamic and results-driven US IT Recruiter with 3 years of hands-on experience in end-to-end recruitment processes for IT positions across various domains. Proficient in sourcing, screening, and onboarding candidates for contract, contract-to-hire, and full-time roles for direct clients and Tier 1 vendors in the US market. Key Responsibilities: Perform full-cycle recruitment: requirement gathering, sourcing, screening, scheduling interviews, negotiating rates, and closing offers. Source potential candidates through job portals (Dice, Monster, CareerBuilder, TechFetch), social media (LinkedIn), internal databases, and referrals. Review resumes for appropriate skills, experience, and knowledge based on job descriptions. Conduct initial HR screenings to assess communication skills, technical fit, visa status (H1B, GC, USC, OPT, CPT, etc.), and availability. Coordinate interviews with account managers and clients, and ensure timely feedback. Negotiate compensation with consultants and vendors, ensuring compliance with company margins and client budgets. Maintain regular follow-ups with consultants post-placement to ensure smooth onboarding and retention. Work closely with account managers to understand job requirements and deliver qualified candidates within deadlines. Maintain applicant tracking systems and recruitment reports to ensure compliance and transparency. Stay updated on current hiring trends, technologies, and immigration regulations affecting US staffing. Technical Skills & Tools: Job Boards: Dice, Monster, CareerBuilder, TechFetch, Indeed ATS: CEIPAL, JobDiva, Bullhorn (or others) Communication: Zoom, Microsoft Teams, Skype CRM & Email: Outlook, Gmail, Salesforce (if applicable) Knowledge of W2, C2C, and 1099 employment types and tax terms Required Qualifications: Bachelor’s degree in HR, Business Administration, IT, or related field. Minimum 3 years of hands-on US IT recruitment experience. Strong understanding of various IT technologies and market trends. Excellent communication and interpersonal skills. Ability to work independently in a fast-paced environment and handle multiple requisitions simultaneously. Job Type: Full-time Pay: From ₹40,000.00 per month Benefits: Health insurance Internet reimbursement Paid sick time Paid time off Schedule: Monday to Friday Supplemental Pay: Commission pay Performance bonus Quarterly bonus Yearly bonus Work Location: In person Application Deadline: 30/06/2025 Expected Start Date: 01/07/2025
Posted 1 month ago
0 years
1 - 1 Lacs
Kollam
On-site
Job Description: We are hiring a Hospital Management / Medical Coding Trainer for our Kollam center to train students on hospital operations, healthcare administration, and medical coding (ICD-10, CPT, HCPCS). Responsibilities: Deliver engaging and practical sessions as per the curriculum. Support students with assignments and case studies. Track attendance and performance. Update training materials as needed. Requirements: Degree in Life Sciences, Hospital Management, or related field. Medical coding knowledge preferred (ICD-10, CPT). Good communication skills in Malayalam and English. Prior teaching/training experience is an advantage. Job Types: Full-time, Permanent Pay: ₹10,000.00 - ₹15,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Morning shift Work Location: In person Application Deadline: 29/06/2025 Expected Start Date: 03/07/2025
Posted 1 month ago
0 years
4 - 7 Lacs
Gurgaon
On-site
“R1 RCM India is proud to be a Great Place To Work® Certified™ organization. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities” . Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities · Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. · Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. · Able to interact independently with counterparts. · Project Management · Performance management · First level of escalation and able to end to end closure of highlighted issues · Work in all shifts on a rotational basis WFO only · Need to be cost efficient with regards to processes, resource utilization and overall constant cost management · Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follows up Good knowledge of SQL/Power BI/Excel Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com Visit us on Facebook
Posted 1 month ago
3.0 years
0 Lacs
Karnataka, India
On-site
We are looking for a highly motivated real-world evidence (RWE) data scientist who has experience in generating insights/evidence from claims and EHR real world data (RWD) to join our growing Bangalore-based RWE analytics team at Clarivate. About You – Experience, Education, Skills, And Accomplishments Graduate degree in Data science/analytics, Epidemiology, Biostatistics, or related quantitative field At least 3 years’ experience in a consultative, client-facing role At least 3 years’ experience using SQL, Python, programming against large relational databases leveraging interoperable-linked, patient-level data at scale Healthcare data expert across various data types (e.g. open/closed claims, inpatient/ambulatory EMR, commercial labs, social determinants, etc.) and codified healthcare data standards (e.g. ICD, CPT, HCPCS, LOINC, Snomed, etc.) It would be great if you also had . . Experience evaluating fit-for-purpose data and implementing research protocols Experienced applying RWD to specific healthcare and life sciences-related research questions and use cases, such as RWE/epidemiology, HEOR, R&D, commercial, public health What will you be doing in this role? Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, charge master) using SQL and Python to identify actionable insights for clients Empower clients to generate RWE utilizing best-in-class observational research by conducting pre-sale feasibility analyses of varying breadth and depth Consult with clients to identify business problems and generate analytics-based solutions Develop and communicate technical, operational, and business specifications to junior analysts and engagement leads Work cross-functionally to support operational processes to deliver data analytics projects on time and with accuracy Contribute to the development and maintenance of internal documentation, code templates, analytics automation, and other process improvement initiatives to support internal team efficiency, effectiveness, and growth About The Team We are a highly motivated team of 20+ analytics, biostatistics, epidemiology, and data science professionals distributed across three countries, working together to provide analytics and insights using Clarivate’s RWD product for pharmaceutical, biopharma, and Med Tech clients. Hours of Work You will be expected to work on a work schedule (12: 00 PM IST to 9:00 PM IST) to provide for reasonable hours of collaborative work with the US team and there could be a slight extension on an as-needed basis. Location - Bengaluru At Clarivate, we are committed to providing equal employment opportunities for all qualified persons with respect to hiring, compensation, promotion, training, and other terms, conditions, and privileges of employment. We comply with applicable laws and regulations governing non-discrimination in all locations.
Posted 1 month ago
0 years
1 - 3 Lacs
India
On-site
Job Title: US IT Recruiter (Healthcare, TPA, & Energy Domain) Location: Vadodara Experience Required: 6–12 Months Shift Timings: EST (6:30 pm -3:30 am IST) Employment Type: Full-Time Job Summary: We are seeking a dynamic and motivated US IT Recruiter with 6–12 months of experience in recruiting for Healthcare Insurance , Third-Party Claims (TPA) , and Energy sector clients . The ideal candidate will be responsible for full-cycle recruitment of IT professionals , managing client requirements, sourcing, screening, and coordinating interviews while ensuring the best talent delivery across various domains. Key Responsibilities: Handle end-to-end recruitment for US clients in Healthcare, TPA, and Energy industries. Work on IT requirements (Java, .NET, BA, QA, Data Engineers, Cloud, etc.). Screen and shortlist candidates through various job portals (Dice, Monster, CareerBuilder, LinkedIn, etc.). Schedule and coordinate interviews between candidates and clients. Build strong relationships with candidates and maintain a pipeline for recurring roles. Work closely with the Account Managers / Team Leads to understand client expectations and deliverables. Update and maintain ATS / CRM systems with accurate candidate records. Required Skills: 6–12 months of experience in US IT Staffing / Recruitment . Good understanding of US Visa types (H1B, GC, USC, TN, OPT, CPT, etc.). Familiarity with healthcare, insurance claims (TPA) , or energy clients is a plus. Excellent verbal and written communication skills. Proficient in using sourcing tools (Dice, Monster, CareerBuilder, LinkedIn, etc.). Ability to work in a fast-paced, deadline-driven environment. Preferred Qualifications: Bachelor’s degree in human resources, IT , or related field. Experience working with VMS systems (e.g., Fieldglass, Beeline, IQNavigator) is a plus. Prior experience with technical screening and rate negotiations . Why Join Us? Exposure to top-tier clients in critical industries. Growth opportunity within a fast-paced IT recruiting team. Mentorship and training for freshers or junior recruiters. Competitive salary + incentives. Job Type: Full-time Pay: ₹10,560.54 - ₹30,000.00 per month Benefits: Health insurance Provident Fund Schedule: Night shift Language: English (Required) Work Location: In person
Posted 1 month ago
2.0 - 3.0 years
1 - 1 Lacs
India
On-site
We are looking for a Certified Fitness Trainer for our Gym Studio in Sector 43, Noida. - Required to be ACSM, ACI, K11 etc CPT certified - You will be required to work Daily 5-6 hour shift, rotationally as required in Morning or Evening as per the roster - Should have 2-3 year experience as a professional trainer in a reputable gym/club etc - Should be well versed with traditional and modern training methodologies - Willing to learn our new standards of operations - Should be polished in English and Hindi to communicate with clients - Should be well versed in creating scientific and curated plans for clients - Assist clients in all their training needs - Manage the day-to-day operations of the gym training and work with the Admin and staff to create a safe and productive environment for all stakeholders Job Type: Part-time Pay: ₹13,000.00 - ₹15,000.00 per month Schedule: Rotational shift Ability to commute/relocate: Gautam Budh Nagar, Uttar Pradesh: Reliably commute or planning to relocate before starting work (Required) Work Location: In person
Posted 1 month ago
1.0 years
1 - 3 Lacs
India
On-site
Key Responsibilities: Patient Records Management: Maintain and update patient medical records both in digital and physical formats. Ensure all records are complete, accurate, and timely filed after patient discharge or outpatient visits. Retrieve and provide patient records to authorized personnel when required. Documentation and Data Entry: Enter patient demographics, diagnosis, treatment details, and discharge summaries into hospital systems. Ensure correct coding and classification of diseases and procedures using ICD and CPT codes (if applicable). Compliance and Confidentiality: Ensure compliance with legal, ethical, and hospital policies regarding patient data. Handle requests for medical records from patients, doctors, or legal authorities following due authorization. Record Storage and Retrieval: Organize and maintain an efficient filing system for active and archived records. Track record movement and ensure timely retrieval for audits, insurance claims, and clinical purposes. Quality Assurance: Conduct periodic audits of medical records to ensure completeness and accuracy. Identify and correct errors or inconsistencies in documentation. Liaison Duties: Coordinate with doctors, nurses, billing staff, and other hospital departments for smooth records management. Support the billing and insurance departments with required documentation. Technology and EMR: Work with Electronic Medical Record (EMR) or Hospital Information Systems (HIS). Assist in digitizing older records and maintaining digital databases. Job Types: Full-time, Permanent Pay: ₹15,000.00 - ₹25,000.00 per month Schedule: Day shift Education: Bachelor's (Preferred) Experience: MRD: 1 year (Preferred) Work Location: In person
Posted 1 month ago
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