1613 Cpt Jobs - Page 41

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Delivery Lead Collections for Patient Financial Services, India, this role is responsible for the operational management of the insurance collection team within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. Responsibilities may include the following and other duties may be assigned: As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Required Knowledge and Experience: Bachelor’s degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here Show more Show less

Role & responsibilities Job Summary The Accounts Officer RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, technologists, and operations staff to resolve any discrepancies in study data or missing documentation. - Prepare and compile invoices to be submitted to partner facilities based on contracted billing schedules and fee structures. - Validate invoice line items against modality type, study volume, and applicable rates. - Track submission status and follow up on invoice approvals and payment receipts. - Maintain and update billing logs, reconciliation sheets, and monthly facility billing records. - Work with the finance team to ensure all billables are accounted for and revenue is recorded accurately. - Escalate and resolve issues related to underpayment, rejected invoices, or coding errors. - Generate periodic reports on invoice status, aging, collections, and reconciliation metrics. - Ensure compliance with HIPAA, payer-specific guidelines, and company billing protocols. Required Qualifications - Bachelors degree in Accounting, Finance, Business Administration, or a related field. - Minimum 3 years of experience in US medical billing, preferably with exposure to radiology practices. - Strong understanding of CPT, ICD-10, and HCPCS coding—especially for diagnostic imaging. - Experience working with billing/invoicing tools and RCM platforms (e.g., Kareo, AdvancedMD, eClinicalWorks). - Proficiency in Microsoft Excel (including VLOOKUP, pivot tables, basic formulas). - Familiarity with EDI formats (837P, 837I, 835) and US healthcare billing standards. - Strong analytical, organizational, and problem-solving skills. - Excellent written and verbal communication skills. - Ability to work independently and across time zones with a high degree of accuracy. Compensation & Benefits Benefits: As per policy - Includes Paid Time Off, Flexible Shift, Potential for long-term growth within the finance and RCM team Preferred candidate profile

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. 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 in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)

Greetings from Shearwater Health !!!! Job Title: Quality and Training Lead (CPC/CCS Certified) Department: Medical Coding Industry: Healthcare Experience Level: 3-5 Years Job Type : On-site Shift : Mid Shift Location: Shearwater Health - 3rd Floor, We works, Olympia cyberspace, Arulayiammanpet, SIDCO Industrial Estate, Guindy, Chennai, Tamil Nadu 600032. CONTACT HR : Deepthi Sai - 9944611634 / dsai@swhealth.com Preferably looking for Immediate joiners !!! ** Interested candidates can share your updated resume and CPC/CCS license (Active license is mandatory) on email to dsai@swhealth.com to proceed further with your application. Subject on Email: Application for QAT Lead Full Name: Phone Number: Email ID: Highest Educational Qualification: Active License: (CPC/CCS) Address: Total year of experience: current Organisation: Key skills: (Eg: ED/ EM /SDS) Current CTC: Expected CTC: Notice period: Last working day (If applicable): Role Summary: The Quality and Training Lead is a hands-on expert responsible for executing and overseeing quality assurance and training functions within the medical coding team. This dual-role professional ensures high coding accuracy, delivers impactful training, and drives process improvements in alignment with client standards and operational goals. Key Responsibilities: Quality Assurance: Perform regular coding audits, identify trends and error patterns Document findings and provide direct feedback to coders Collaborate with operations to implement corrective actions Participate in calibration meetings and client quality discussions Training: Design and deliver New Hire Training and ongoing learning sessions Develop engaging training materials for both in-person and virtual formats Conduct learning assessments and provide follow-up coaching Participate in client trainings and ensure alignment with standards Operational Support: Generate and share quality/training reports and updates Support cross-functional projects and ensure adherence to SLAs Act as a subject matter expert for coding quality and education. Key Competencies: Strong communication, client focus, and collaborative mindset Skilled in quality tools, process improvement, and training delivery Analytical with attention to detail and a commitment to excellence Ethical decision-making and compliance-driven Qualifications: Required: Certified Coder (CPC, CIC, COC, CCS, CRC, etc.) AAPC or AHIMA Minimum 3+ years of medical coding experience Minimum 2+ years in a QA or Training capacity Preferred: Advanced knowledge of client-specific coding processes Strong organizational, analytical, and interpersonal skills Proficiency in MS Office (Excel, Word, PowerPoint) Excellent English communication and facilitation skills

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. Primary Responsibilities Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies 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 in any discipline Experience of handling HCC team (QRAO) for 2+ years as assistant manager or working as deputy manager Experience in Performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, Foster Teamwork, Handles Pressure, Giving Feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc) Proven ability to operate basic office equipment (copier and facsimile machine)

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of "Meets Expectations" or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine

Responsibilities · Conduct comprehensive data analysis using statistical and exploratory methods to uncover patterns and insights that drive data-driven decision-making in the US healthcare domain. · Work with large datasets, including healthcare business unit (BU)-specific data such as claims, eligibility, provider networks, patient demographics, payments, and utilization trends. · Leverage knowledge of healthcare industry metrics (e.g., HEDIS, CMS Star Ratings, risk adjustment models, and revenue cycle data) to optimize analytics strategies. · Collaborate with data science and engineering teams to ensure data quality, availability, and reliability for AI/ML-driven healthcare analytics solutions. · Design and maintain data pipelines for efficient ingestion, transformation, and storage of claims, electronic health records (EHR), HL7/FHIR data, and real-world evidence (RWE). · Ensure compliance with HIPAA, PHI, and other regulatory requirements when handling healthcare datasets. · Develop and maintain dashboards and reports that translate complex healthcare data into actionable insights for business stakeholders. · Use visualization tools such as Streamlit over Snowflake, Power BI, or similar platforms to represent key healthcare metrics, trends, and performance indicators. · Apply expertise in healthcare cost, quality, and operational performance analytics to deliver meaningful insights. · Work closely with cross-functional teams, including data science, engineering, API development, and healthcare operations, to understand data needs and deliver tailored solutions. · Partner with healthcare payers, providers, and revenue cycle management teams to enhance data quality and ensure alignment with industry standards. · Actively engage with Data Science, Data Engineering, and Business Units to enhance process understanding and ensure data accuracy for regulatory and business reporting. · Maintain a proactive mindset in exploring new analytical techniques, regulatory changes, and healthcare industry trends. Engage with industry experts, attend relevant healthcare and data science conferences, and contribute to continuous learning within the team. Qualifications · Bachelor’s degree in computer science, Information Systems, or a related field. · 5-8 years of hands-on experience in data analysis, preferably within the US healthcare domain, with exposure to payer, provider, claims, and financial data analytics. · Strong proficiency in SQL and Python, including libraries such as pandas for data manipulation and analysis. · Experience with healthcare data visualization and storytelling using tools such as Streamlit, Snowflake, Power BI, Tableau, or similar. · Familiarity with ETL pipelines, data warehousing, and cloud platforms (AWS, Azure, GCP) for healthcare data processing. · Deep understanding of US healthcare data, including claims, payments, eligibility, patient encounters, and provider networks. · Strong knowledge of healthcare standards and regulations (HIPAA, PHI, HL7, FHIR, CMS, Medicare/Medicaid reporting, NCQA, HEDIS, and risk adjustment models). · Experience in revenue cycle management (RCM), medical coding (ICD, CPT, DRG), and healthcare cost/utilization analytics is a plus. · Ability to analyze complex healthcare datasets and derive meaningful insights that impact operational efficiency, patient outcomes, and cost optimization. · Experience working with predictive modeling and AI-driven healthcare analytics is an advantage. · Excellent communication and stakeholder management skills, with the ability to translate technical findings into business insights. · Strong collaboration skills to work effectively with healthcare business teams, IT, and data science professionals. A curious mindset with a willingness to explore new challenges and drive innovation in healthcare analytics. Show more Show less

Roles and Responsibilities Assign accurate medical codes using ICD-10, CPT, HCPCS Level II codes for patient diagnoses and procedures. Maintain confidentiality and adhere to HIPAA regulations at all times. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding. Apply coding guidelines and regulations to ensure compliance with industry standards. Conduct thorough evaluations of patient records to identify relevant code options.

Role : Bench Sales Recruiter Location : Telecom Nagar, Gachibowli(On-site). Experience : 1-3 Years Job Roles and Responsibilities: 1. Marketing our Bench Consultants (H1B/OPT/CPT/F1/L1, GC & US CITIZEN) resumes with tier1 vendors/clients. 2. Developing new contacts with tier 1 vendors / Clients. 3. Understanding their resume skillset, keywords, tools and formatting it as required. 4. Searching Requirements on Job boards and submitting the resume. 5. Communicating with the consultants daily and update about submission and interviews. 6. Arranging interviews with tier one vendors or end clients. 7. Follow up with the candidate and client in each stage and until closing the candidate profile. 8. Strong experience in US Recruitment Cycle (Contract, Contract to Hire , Permanent) and terminology (Tax Terms, Employment Status, Time Zones etc.) 9. Clear understanding of the US Staffing processes/ Techniques, W2/ 1099/ Corp-to-Corp/ H1 Transfers 10.Negotiate rates with the Vendors/ Clients. Track the submissions and make regular follow-ups. 11. Meet or exceed sales targets on a consistent basis. Maintain accurate records of sales activities and client interactions. 12. Keep up-to-date with industry trends and developments. Benefits: 1. Best in industry, 2. Employee friendly workplace, 3. Perfect work-life balance, 4. Amazing incentive structure, 5. Provident Fund . Job Types: Full-time, Permanent Pay: ₹15,000.00 - ₹20,000.00 per month Benefits: Paid sick time Provident Fund Schedule: Day shift Fixed shift Morning shift UK shift Experience: Bench Sales Recruiting : 1 year (Required) Language: English (Required) Work Location: In person

We are looking for a CPC (Certified Professional Coder) certified medical coder to join our dynamic healthcare team. As a CPC coder, you will play a crucial role in ensuring accurate medical coding of diagnoses, procedures, and services, facilitating efficient billing and regulatory compliance. ✅ Key Responsibilities: Review and assign accurate CPT, ICD-10-CM, and HCPCS codes based on medical documentation. Ensure coding practices align with current coding guidelines and regulatory requirements. Work closely with providers and billing staff to clarify diagnoses and services for appropriate code assignment. Perform audits and coding reviews to ensure coding accuracy and compliance. Assist in identifying and resolving coding-related billing issues and denials. Maintain up-to-date knowledge of coding changes, payer guidelines, and compliance standards. Ensure data integrity, privacy, and confidentiality of patient records. Utilize coding software and EMR/EHR systems efficiently. Requirements: CPC certification from AAPC (American Academy of Professional Coders) [Mandatory] Freshers and HCC experienced Candiates can apply for the position. Strong knowledge of anatomy, physiology, and medical terminology Familiarity with insurance and payer rules including Medicare/Medicaid High attention to detail and strong analytical skills Excellent communication and organizational abilities Work from office, No WFH option Why Join Us? Competitive salary and benefits package Opportunities for growth and continuing education Supportive team environment Flexible working arrangements. Commitment to compliance and excellence in healthcare documentation Job Types: Full-time, Permanent, Fresher Pay: ₹13,500.00 - ₹45,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Morning shift Supplemental Pay: Overtime pay Performance bonus Work Location: In person Application Deadline: 25/06/2025

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 settings: Multispecialty 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.

Job Description: We are seeking a detail-oriented and experienced TPA Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing, particularly in handling billing processes for patients covered by third-party insurance administrators. The role involves verifying insurance coverage, preparing and submitting claims, and ensuring timely and accurate billing and collections. The TPA Billing Specialist will also be responsible for resolving billing discrepancies, communicating with insurance companies, and providing exceptional customer service to patients and insurance providers. Responsibilities: Verify insurance coverage and eligibility for patients covered by third-party administrators Prepare and submit insurance claims accurately and timely Follow up on unpaid claims and denials, and appeal as necessary Resolve billing discrepancies and answer patient inquiries regarding billing Maintain up-to-date knowledge of insurance regulations and billing guidelines Communicate with insurance companies, patients, and third-party administrators to ensure proper billing and collections Provide exceptional customer service to patients and insurance providers Assist in training and mentoring other billing staff as needed Qualifications: High school diploma or equivalent required; Associate's or Bachelor's degree preferred Minimum of 2 years of experience in medical billing, specifically with third-party administrators Proficient in billing software and electronic medical records (EMR) systems Knowledge of medical terminology, ICD-10, and CPT coding Strong attention to detail and accuracy Excellent communication and customer service skills Ability to work independently and as part of a team Certified Professional Coder (CPC) certification a plus Job Type: Full-time Benefits: Provident Fund Schedule: Rotational shift Supplemental Pay: Yearly bonus Experience: total work: 3 years (Required) Billing: 2 years (Required) Work Location: In person

1. Educational Qualifications Bachelor’s degree in commerce, Finance, Business Administration, Healthcare Management, or related field Additional certifications in healthcare billing, coding, or hospital administration preferred 2. Work Experience Minimum 3–5 years ’ experience in hospital OPD operations and billing management Experience handling patient registration, appointment scheduling, billing, and collections Familiarity with hospital billing software and medical coding (ICD, CPT codes) 3. Operational Skills Efficient management of OPD workflows, patient flow, and appointment systems Coordination with clinical departments to ensure smooth OPD functioning Handling billing queries, insurance claims, and payment follow-ups 4. Daily OPD Follow-Up Ensure daily tracking of OPD patient revisit, diagnostics, and treatment completion Coordinate follow-up calls/SMS/emails with the front office team Generate and review daily follow-up status reports 5. Billing & Financial Management Accuracy in billing, invoicing, and cash handling procedures Managing insurance billing, third-party payments, and reconciliations Knowledge of healthcare insurance policies and claim processes 6. Technical Skills Proficiency in Hospital Information Systems (HIS), billing software, and MS Excel Ability to generate reports on revenue, patient statistics, and billing metrics 7. Communication & Leadership Strong communication skills for managing billing staff and interacting with patients Training and supervising billing and OPD staff for compliance and quality Handling patient complaints and billing disputes effectively 8. Compliance & Documentation Ensuring compliance with hospital billing policies and regulatory standards Maintaining audit-ready billing and financial documentation 9. Performance Indicators Billing accuracy and reduction in billing errors Patient satisfaction related to billing and OPD services Timely billing and claim submissions Revenue cycle efficiency and collection rates Staff productivity and attendance Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹50,000.00 per month Benefits: Leave encashment Paid sick time Paid time off Schedule: Day shift Rotational shift Supplemental Pay: Overtime pay Performance bonus Yearly bonus Education: Master's (Preferred) Experience: HOSPITAL BILLING & OPD: 1 year (Preferred) Language: English (Preferred) Work Location: In person

Job Family Summary: The Reconciliation Manager will oversee and lead the insurance reconciliation process for a large Qatar-based public healthcare client. The role involves managing a team responsible for reconciling outpatient and inpatient claim payments, identifying payment variances, and driving corrective actions across the claims’ lifecycle. The candidate will act as a subject matter expert in Qatar healthcare payer regulations and will work closely with internal teams and external stakeholders to ensure high-quality reconciliation and financial reporting. Role Summary: The Reconciliation Manager will be responsible for leading the end-to-end insurance reconciliation process for a major public healthcare client in Qatar. This role requires in-depth expertise in analyzing payment variances, resolving underpayments, and ensuring accurate alignment between claims submitted and payments received. The ideal candidate will bring strong knowledge of Qatar healthcare payer processes, regulatory requirements (NHIC/QCHP), and experience in managing a reconciliation team within a provider-side RCM environment. This is a strategic role that involves working cross-functionally with coding, submission, and resubmission teams to improve overall revenue integrity and ensure timely closure of receivables. Primary Responsibilities: · Lead the reconciliation and collections team for Qatar outpatient and inpatient medical claims. · Ensure accurate, timely reconciliation of claims against remittances from payers, with a focus on reducing payment gaps. · Oversee tracking of underpayments, denials, and delayed reimbursements; drive root cause analysis and process improvement. · Coordinate with claims submission, resubmission, and coding teams to support end-to-end RCM effectiveness. · Prepare and review reconciliation dashboards and payment status reports for internal and client reviews. · Stay updated on Qatar RCM regulations, NHIC/QCHP guidelines, and payer-specific payment rules. · Ensure high standards in documentation, audit readiness, and internal controls for all reconciliation activity. · Maintain clean claim rates and optimize first-pass resolution. · Identify operational gaps and proactively recommend improvements to minimize revenue leakage. · Collaborate with client representatives and support any external audits or business reviews. · Manage the performance and development of a reconciliation team working in back-office operations. Job Requirements: · Bachelor’s degree in Healthcare, Business, or related field. · Certification in Medical Coding (CPC, CCS, or equivalent) is required. · Experience working in provider-end RCM for GCC clients is preferred. · 10+ years of experience in Healthcare Revenue Cycle Management, including reconciliation, collections, or AR operations · Prior experience with Qatar or UAE (Northern Emirates) providers or TPAs is highly preferred · Strong knowledge of insurance payment processes, denial types, eClaim standards, and coding (ICD-10, CPT) · Proven ability to work with large datasets, ERP systems, and financial reporting tools · Excellent command of MS Excel for reconciliation and dashboard preparation · Knowledge of Qatar’s eClaim framework and regulatory guidelines (NHIC, QCHP) · Strong people management and team leadership capabilities · Attention to detail, analytical thinking, and ability to work independently · Excellent verbal and written communication skills Job Types: Full-time, Permanent Pay: ₹1,200,000.00 - ₹1,500,000.00 per year Benefits: Flexible schedule Health insurance Paid time off Provident Fund Schedule: Day shift Monday to Friday Weekend availability Supplemental Pay: Performance bonus Ability to commute/relocate: Perungalathur, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Application Question(s): What is your last drawn CTC? What is your expected CTC? What is your notice period with your current organization? Experience: UAE / Qatar: 8 years (Required) Work Location: In person Speak with the employer +91 8939107007

Location- Balewadi Highstreet Shift : US Shift Strong understanding of medical coding including ICD/CPT codes , billing rules , NCCI edits , payer enrolment , and eligibility checks . Experience in handling manual billing and coding processes accurately and efficiently. Responsible for following up with payers to resolve claim rejections and denials , including resubmissions and documentation. Attention to detail and ability to work independently with minimal errors. Good communication skills for coordinating with internal teams and external payers. Show more Show less

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & QC - Payment Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Pujitha 8148552460

Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020-2025 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 Vinodhini 7540052460 https://medi-code.in/

JOB TITLE: Manager DEPARTMENT: Operations REPORT TO: AVP, Operations PRINCIPAL PURPOSE OF THE JOB We are currently seeking a manager to manage Medical Coding programs. His/her Primary responsibility will be to support and monitor day-to-day work processes and meet production and Service Level Agreements. Assessing and forecasting staffing requirements based on client communication and incoming volume. Should coach team members in achieving team deliverables and escalate appropriately and as needed. Monitor activities of team members; provide feedback and counsel team members regarding performance, timekeeping, and personnel issues. JOB RESPONSIBILITIES Project Transition and Stability People Readiness: Ensure timely completion of resource planning and hiring Creating training manual and SOP Process Changes and Enhancements SLA's delivery Business Health and SLAs Baseline performance thresholds- Establish and periodically revisit performance thresholds Ensure all SLAs are met Ensure all budgets are met Process Improvement & Team Management Process Changes and Enhancements Reduce operational costs, Healthier Margins Identify single points of failure. Create back-up Development of second and third-line leader Process enhancements (measurable) Data Analytics Talent Engagement & Development Talent Acquisition Performance Management 3. Talent Engagement & Development RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Graduation in Life Science preferred In-depth knowledge of human anatomy and medical terminologies Certified Professional Coder (CPC), CIC, CCS from the American Academy of Professional Coders (AAPC), with knowledge of HCPCS, ICD, CPT, and DRG preferred Minimum 8-10 years of experience in E&M coding and minimum 3-5 years of experience as an Asst Manager or Manager Qualified candidates can share resume - Jitendra.pandey@cotiviti.com

Summary As a Manager - Medical Coding you will be Leading your team in assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/Emergency Department services What you'll do Responsible for managing the coding functions. The coding manager is responsible for planning, implementing, and educating coding staff and other departments to ensure coding quality and timely reimbursement. Attend client calls. Primary contact for coding questions relating to Client services and Operations. Review reports to identify specific issues, investigate and correct as per the coding guidelines, and implement solutions. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work. Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff. Assists in the department budget and identifies and recommends opportunities to decrease cost and improve services. Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions. Manage the coding workflow for efficiency. Handles special projects as requested by leadership/Client. Participate in audits of coded data to validate documentation support services rendered for reimbursement and clinical documentation improvement program. Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy. What you have Education : Bachelor's Degree in any life science Licences/Certifications: CPC/COC/CRC/CCS/CIC Interpersonal skills necessary to provide effective leadership to departmental personnel 8+ years experience in multispecialty E&M and surgery procedures 4+ years experience in managing coding team Previous leadership or supervisory experience that includes conducting coaching/training of coding staff Show more Show less

Assign accurate ICD-10-CM, CPT, and HCPCS codes for Home Health services. Review and analyze medical records to ensure proper coding and compliance with CMS regulations. Ensure coding accuracy and adherence to payer-specific guidelines. Required Candidate profile Collaborate with physicians, healthcare providers, and billing teams to clarify documentation and coding requirements. Strong understanding of medical terminology, anatomy, and physiology. Perks and benefits Plus perks and incentives Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Graduation Not Required

Ortho Coders Assign ICD-10, CPT, HCPCS codes for orthopedic treatments, surgeries Review, validate clinical documentation for coding accuracy Ensure compliance, coding guidelines, payer policies Conduct coding quality audits, error correction Required Candidate profile E&M IP/OP Coders Assign E&M codes (CPT, ICD-10, HCPCS) for inpatient, outpatient Review physician documentation for medical necessity and compliance Adherence to CMS, AAPC, and AHIMA guidelines Perks and benefits Plus incentives and Perks Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate

Job Description Develop and deliver comprehensive training programs, focusing on Cybersecurity topics , fundamentals & concepts. Conduct Research , Design and Update curriculum for beginners and advanced learners in order to stay updated with evolving cybersecurity threats, tools, and technologies to ensure the curriculum remains relevant. Train and mentor students on tools, such as Wireshark, Metasploit, Burp Suite, and Splunk. Prepare Students for Certification - Train students to achieve industry-recognized certifications, such as CompTIA Security+, AZ-900, AZ-500, and Certified Ethical Hacker (CEH). This role requires a strong passion for teaching and mentoring students Required Skills with Qualification and Certification : Post Graduate in Computer Science/Information Technology Certifications such as CEH, CompTIA Security+, OSCP, CHFI, CISA/CISM, CPT/CVAPT, or GIAC certifications are required. Experience with cloud security (AWS, Azure, or GCP) , AWS GuardDuty, Azure Defender . Knowledge of data encryption, tokenization, and secure coding practices. Understanding of secure coding practices and CI/CD pipeline security Deep knowledge of firewalls (e.g., Palo Alto, Fortinet, Cisco ASA) Data Loss Prevention (DLP) Experience with IAM tools (Okta, Azure AD, ForgeRock, Ping Identity) with knowledge in Single Sign-On (SSO), Multi-Factor Authentication (MFA), LDAP, SAML, OAuth2 Knowledge of Container and Kubernetes Security Must have knowledge on network defence, Python programming, ethical hacking, intrusion detection, penetration testing, digital forensics, governance risk, cybersecurity fundamentals, and compliance. Should have a detailed understanding of cybersecurity methodologies with solid networking and Linux skills, Minimum 5 years of industry experience in cybersecurity with an experience in instructional design and curriculum development in Cyber Security is preferable. Location - Kolkata Freshers please do not apply. For those interested in applying for this position please send your resume at career@moople.in or call Veronica at 99033 97861 Show more Show less

The ideal candidate will lead initiatives to generate and engage with business partners to build new business for the company. This candidate will be focused and have strong communication skills. They should be able to think critically when making plans and have a demonstrated ability to execute a particular strategy. Especially for CPI, CPL and CPS verticals along with Branding. Responsibilities- - Identify partnership opportunities - Develop new relationships in an effort to grow business and help company expand - Maintain existing business - Think critically when planning to assure project success Qualifications- - Bachelor's degree or equivalent experience - 2 - 4 years' prior industry related business development experience in Affiliate Industry - Strong communication and interpersonal skills - Proven knowledge and execution of successful development strategies - Focused and goal-oriented - Can perform well with the Domestic market - Verticals- CPL,CPA, CPM, CPC, CPT, CPR, CPS, CPI and Branding - Have good hold on campaigns through majorly these verticals- Entertainment , Shopping, Finance , Gaming, Insurance, Banking, BFSI and utilities. Designation- Business Development Manager Experience- 2-4 years Salary- Best as per the industry Office Hours- 10am - 6pm Office Location- Noida, Sector-132 Show more Show less

Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 11 Jun 2025 End Date 25 Jun 2025 Required Experience 1 - 3 Years Basic Section No. Of Openings 20 Grade 1C Designation Senior Coder Closing Date 25 Jun 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill MEDICAL CODING HEALTHCARE HIPAA CPT ICD-9 EMR MEDICAL BILLING HEALTHCARE MANAGEMENT REVENUE CYCLE ICD-10 Education Qualification No data available CERTIFICATION No data available Job Description Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) ing the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports