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5 - 9 years
6 - 8 Lacs
Hyderabad
Work from Office
Eligibility Criteria:Education Any Graduate, Post Graduate.Currently working as Process Trainer/QA/SME/Team leader/Group Coordinator will be added advantage.Candidate should possess minimum of 5+ years of experience in medical coding in coding/auditing/training role. Candidate should have overall experience of 4 years in the applied specialty. Candidate should be certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified)Should have expert knowledge of ICD-10-CM, CPT, hospital outpatient, and emergency department coding rules, National Correct Coding Initiative edits, CPT Assistant coding guidelines, APCs, Official Coding Guidelines and Coding Clinic guidelines.Excellent process knowledge & Domain understanding. Ability to review and interpret complex medical records.Multispecialty proficiency will be an added advantage. Ability to learn new applications/software systems effectively and efficiently.Ability to work independently and make sound decisions. Good verbal and written communication and analytical skills. Skilled in interpersonal, written, and verbal communication, including email. Responsibilities:Floor support and 100% reviews to coders during transitions & Prebill phase to ensure meeting on quality standards.Conducting focused and retro reviews for all assigned coders and FacilitiesRegular audit feedbacks and coding queries resolution. Providing regular updates monthly coding articles, newsletters & hot topics for enhancing coders knowledge & expertiseParticipating in client call and meetings. 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.
Posted 1 month ago
1 - 6 years
2 - 6 Lacs
Hyderabad
Work from Office
Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.
Posted 1 month ago
1 - 6 years
3 - 6 Lacs
Hyderabad
Work from Office
Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. 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.
Posted 1 month ago
0 - 3 years
0 - 0 Lacs
Hyderabad, Telangana
Work from Office
Job Role: Bench Sales Recruiter Office Timings: 9:00 AM EST – 6:00 PM EST Experience required - 2 to 3 years Timings: US Shift – EST Time zone Job Description Roles and Responsibilities : · Expert in Bench Sales including OPT, CPT, H1B s,H1B Transfers, TN s, GC s, H4 EAD s · Should have expertise in Transferring H1B profiles. · Coordinating with the consultant in order to know their comfortableness with the requirement before submitting to the Vendor. · Posting the resume on all job portals like Dice, Monster, social networking portals, etc. · Have a good knowledge on resume rewriting of candidate. · Submitting the consultants to all the suitable job postings on all portals. · Broadcasting the Profile of the consultant and the Hotlist of the company on a periodical basis. · Track the submissions and make regular follow-ups. · Reaching out for the maximum number of open requirements in the market. · Intimate the entire team regarding client submissions to avoid duplications. · Inform the consultant regarding the vendor calls and end client interview schedules. · Prepare the consultants for the end client interviews. · Negotiate rates with the Vendors/ Clients. · Taking care of the Consultants whether they are comfortable with the work environment. · Talking to the Vendors regarding the performance of the consultant and the queries that the consultant brings to Management Notice. · Maintaining Good interpersonal Relation with the Client and the Vendors. · Identifying potential Vendors and maintaining a healthy relation with them. · Expert in creating and updating the resumes for candidates according to the client requirement. · Having an experience of working with Tier 1 Vendors and coordinating with them Desired Candidate Profile : · Should have 2-3 yrs of Experience as US IT Bench Sales Recruiter and have experience as Lead · Should have Very Good Communication Skills · Leadership skills · Who is proactive, Creative in work · Must have the ability to handle a team Perks and Benefits Attractive Incentives & Bonus packages for the deserved candidates. Education UG :Any Graduate in Any Specialization PG :Post Graduation Not Required, Any Postgraduate in Any Specialization. Job Type: Full-time Pay: ₹10,004.57 - ₹30,000.00 per month Schedule: Night shift US shift Ability to commute/relocate: Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required) Experience: total work: 3 years (Preferred) Work Location: In person
Posted 1 month ago
3 - 8 years
4 - 9 Lacs
Noida, New Delhi, Greater Noida
Work from Office
Hello Folks, Corrohealth is Hiring for Executive / Senior Executive - HIM Roles and Responsibilities: - Extracting relevant information from patient records. Examining documents for missing information. Assigning CPT, HCPCS, ICD 9/ICD-10-CM, APC, DRG and ASA codes. Ensuring documents are grammatically correct and free from typing errors. Performing chart audits. Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification:- 2.6 4 years of work experience as a medical coder. Any one of the following coding certifications CPC, COC, CRC, CPC-P from AAPC CCS, CCA from AHIMA Proficient computer skills. Excellent communication skills, both verbal and written. Strong people skills & Outstanding organizational skills. Ability to maintain the confidentiality of information Interested candidates can connect with Vipin-7292096762 or Drop your CV - vipinkumar.sanjayshukla@corrohealth.com
Posted 1 month ago
3 - 7 years
2 - 3 Lacs
Chennai
Work from Office
Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting Payment Posting Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge/Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311
Posted 1 month ago
1 - 5 years
2 - 7 Lacs
Chennai
Work from Office
Greetings from Medical Billing Wholesalers... Location: Chennai (WFO) Experience: 1-5 Years Key Skills: E&M Coding, Denial Management, Inpatient Coding, DRG, ICD-10, CPT. Certification: Not Mandatory Note: No Cross Training Interested can contact : Lavanya - 78710 90718 / Gowri - 77084 62567 Job Description: We are hiring experienced Medical Coders with strong expertise in: E&M Coding: Assign accurate Evaluation & Management codes as per CMS guidelines. or Denial Coding: Review and resolve coding-related denials from payers; work on appeals and resubmissions. or IP/DRG Coding: Code inpatient records using ICD-10-CM/PCS and validate MS-DRGs/APR-DRGs. Desired Candidate Profile: Certification: CPC / CCS / CIC (Not Mandatory) Experience:1- 5 years in Medical Coding Strong knowledge of ICD-10, CPT. Excellent analytical and communication skills
Posted 1 month ago
2 - 4 years
3 - 4 Lacs
Bengaluru
Remote
Key Responsibilities: Training & Curriculum Development: Develop and deliver structured training programs for medical coding. Cover essential topics like ICD-10-CM, CPT, HCPCS, medical terminology, anatomy & physiology, and compliance. Prepare study materials, assignments, case studies, and assessments. Conduct interactive sessions and practical coding exercises. Stay updated with the latest medical coding regulations and industry trends. Student Engagement & Mentorship: Mentor students on medical coding career opportunities. Conduct Q&A sessions, real-world coding practice, and doubt-clearing sessions. Provide guidance for certification exams like CPC, CCS, COC, or CIC. Compliance & Industry Alignment: Ensure training aligns with HIPAA guidelines, coding compliance, and healthcare regulations. Collaborate with industry experts to bring real-world insights into training. Assessment & Feedback: Evaluate student performance through quizzes, mock exams, and coding tests. Continuously improve training based on student feedback. Qualifications & Experience: Essential: Bachelor's/Masters degree in Life Sciences, Biotechnology, Medicine, or Healthcare Management. Certified Medical Coder (CPC, CCS, COC, or CIC preferred). 2+ years of experience in medical coding, auditing, or training. Strong understanding of ICD-10, CPT, HCPCS, medical billing, and coding guidelines. Excellent teaching, communication, and presentation skills. Desirable: Experience with EHR/EMR systems and insurance claim processing. Prior experience in training or corporate education. Strong analytical and problem-solving skills. Why Work at Biotecnika?
Posted 1 month ago
0 - 3 years
4 - 9 Lacs
Mumbai, Maharashtra
Work from Office
Job Title: Medical Claims Auditor – US Healthcare (TPA) Location: Malad West, Mumbai. Department: Claims / Quality Assurance Job Overview: We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. In this role, you will be responsible for conducting audits on medical claims to ensure accuracy, compliance with plan provisions, and adherence to federal and state regulations. Your expertise will help maintain quality assurance within the claims process, reduce errors, and support the financial integrity of our TPA operations. Key Responsibilities: ● Perform pre-payment and concurrent audits on medical claims for self-funded and level-funded health plans. ● Verify claims for accuracy in coding (ICD-10, CPT, HCPCS) for the application of plan benefits. ● Review plan documents alongside claim codes to determine the proper benefit assignments. ● Collaborate with claims examiners, supervisors, and compliance teams to resolve discrepancies. ● Document audit findings, prepare detailed reports, and present outcomes to internal stakeholders. ● Ensure claims adhere to regulatory guidelines including HIPAA, ERISA, and other applicable federal/state requirements. ● Participate in internal quality assurance initiatives and continuous improvement efforts. ● Maintain confidentiality of sensitive member and provider information. Required Qualifications: ● 3 years of experience in medical claims auditing, preferably in a US healthcare TPA or insurance environment. ● Strong knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS) , and claims forms ( CMS-1500, UB-04 ). ● Familiarity with healthcare regulations including HIPAA, ERISA, and ACA. ● Proficiency in auditing tools, claim systems, and Microsoft Office Suite. ● Certifications such as CPC, CPMA, or CCS are mandatory. ● Excellent analytical, organizational, and communication skills. Preferred Tools/Systems Experience: ● Claims adjudication platforms such as Trizetto, VBA, Plexis. ● EMR/EHR platforms and audit management systems. Job Type: Full-time Pay: ₹400,000.00 - ₹900,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Education: Bachelor's (Required) Experience: Medical Claims Auditor: 3 years (Required) Language: English (Required) License/Certification: CPC Certification (Required) Location: Mumbai Suburban, Maharashtra (Required) Shift availability: Night Shift (Required) Work Location: In person
Posted 1 month ago
1 - 6 years
4 - 9 Lacs
Noida, Hyderabad, Chennai
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders/ Trainers/ QA with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. About the role: Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. Requirements: 1 to 7+ Years experience in IP DRG medical Coding 1 plus years of experience for coders 5 plus years of experience for Trainer /QA with CCS/CIC mandatory Lead analyst- QA on papers mandatory with CCS certification Education Any Graduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC / CPC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. notice period is acceptable Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person Harrishma HR Contact mail - hpalaniappan@r1rcm.com/ 9677152997 If you are not interested, refer any of your friends who has the relevant experience
Posted 1 month ago
0 - 1 years
0 - 0 Lacs
Nagpur, Maharashtra
Work from Office
Job description At least 1+ years of experience in accounts receivable and medical billing processes Knowledge of health insurance and billing regulations, including CPT, ICD-10, and HCPCS codes Experience with common medical billing software like Kareo, AdvancedMD, and NextGen Demonstrated ability to identify and resolve payment discrepancies and denials Excellent attention to detail and ability to work under pressure and meet tight deadlines Strong communication and problem-solving skills, with the ability to work effectively in a team environment Flexible with work schedules and able to work occasional weekends if needed Experience in revenue cycle management or working with commercial health insurance carriers is a plus Job Types: Full-time, Permanent Pay: ₹8,204.92 - ₹15,628.64 per month Benefits: Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Education: Higher Secondary(12th Pass) (Preferred) Experience: AR: 1 year (Preferred) Language: English (Preferred) Shift availability: Night Shift (Preferred) Work Location: In person
Posted 1 month ago
0 - 3 years
0 Lacs
Pune, Maharashtra
Work from Office
Roles and Responsibilities: Deliver structured training sessions in Medical Coding and Billing to college students as per the prescribed curriculum. Plan, prepare and execute engaginglectures and practical sessions that are aligned with industry standards. Facilitate hands-on learning, case studies, and real-life examples to make training effective and application-oriented. Maintain dailyattendance records, student progress reports, and other documentation as required. Conduct assessments and provide timely feedback to students to track their learning progress. Coordinate with college authorities and Tech Mahindra Foundation teamto ensure smooth training delivery. Support students in preparation for certification exams and job readiness, including soft skills and interview preparation if required. Participate in training of trainer (ToT) sessions, curriculum updates, and periodic evaluations by Tech Mahindra Foundation. Any other tasks assigned by Reporting Manager. Desired Skill Sets: In-depth knowledge of ICD-10, CPT, HCPCS, and other coding systems. Strong communication and presentation skills. Passion for teaching and mentoring students. Proficiency in MS Office and digital tools for online/offline training delivery. Educational Qualification: Graduate in Life Sciences / Paramedical / Allied Health / Medical field. Certification in Medical Coding (CPC or equivalent) preferred. Experience: Minimum 1–3 years of experience in Medical Coding and Billing or in training/teaching the subject. HowtoApply Eligible Candidates please share your updated profiles at: shruti.m@techmahindrafoundation.org Job Type: Full-time Benefits: Health insurance Schedule: Day shift Language: English (Preferred) Work Location: In person
Posted 1 month ago
0 - 3 years
0 Lacs
Hyderabad, Telangana
Work from Office
Skills: *Well versed with complete bench sales life cycle. *Hands of experience in opt ,cpt marketing. ***Note : People who are near to ECIL or willing to relocate can apply. Job Type: Full-time Pay: Up to ₹62,619.00 per year Benefits: Flexible schedule Schedule: Monday to Friday Night shift Education: Bachelor's (Preferred) Experience: Recruiting: 3 years (Preferred) total work: 3 years (Preferred) Language: English (Required) Work Location: In person
Posted 1 month ago
0 - 3 years
0 Lacs
Hyderabad, Telangana
Work from Office
Frontend Arts brings together the brightest minds to create breakthrough technology solutions, helping our customers gain a competitive advantage. We are focused in technology innovation to accelerate the digital transformation of our customers, end users with a modern process driven development cycle ensuring high quality and scalable solutions that is compliant, secure, high performance and reliable. Should have 3+ years of good experience in marketing the Bench Consultants, and regular interaction with the bench candidates Finding best projects to consultants using my tier one contacts and through different web portals like Dice, corp - corp, Monster, Career builder, Net-temps, Job serve, computer jobs, and professional networking sites such as LinkedIn Experienced with a full cycle of Sales, submitting the consultants, confirming the best rates for consultants, following up on interview schedules, and closing the best deals Ability to interact, develop Vendor network, and get the OPT and H1-B candidates placed in quick turnaround time Experience working with H1B, OPT, CPT and H4-EAD candidates preferred. Submit the candidates for suitable positions and follow up regarding the rates and client interviews regularly Arrange interview calls for consultants and place them on projects as early as possible Follow up with the client/prefer vendors for relevant feedback and candidates after interview Co-ordinating a smooth on-boarding along with closing the start and end dates of projects Keep track of candidates roll off time (at least 2 weeks before) and getting their updated resume ready to market Maintain the database of rolled off consultants Keep track of contract details such as project extensions, start and end dates for existing resources Excellent written and oral English communication skills Ability to work well within the team Frontend Arts is an Equal Opportunity Employer with a commitment to diversity. We stand against discrimination based on race, color, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation or any other legally protected status. Job Type: Full-time Schedule: Night shift US shift Application Question(s): Do you have experience in c2c, w2, 1099? Education: Bachelor's (Preferred) Experience: Bench Sales: 3 years (Required)
Posted 1 month ago
- 6 years
3 - 4 Lacs
Hassan
Work from Office
Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund
Posted 1 month ago
1 - 5 years
8 - 14 Lacs
Hyderabad
Work from Office
Hiring for Home Health Coding - Coder , QA , TC , TL || Up to 14 LPA || Joining Bonus for immediate joiners - Up to 30 K || Min 1 to 5 yrs of exp in home health coding Home health Coders -- 75k -- Certified / Non certified -- WFH Home health QA -- 1 lakh -- Certified / Non certified -- WFH Home health TC-- 14 lpa -- Certified / Non certified -- WFO Home health TL-- 14 lpa -- Certified / Non certified -- WFO Notice Period : Immediate joiners Relieving letter is mandatory Interested & eligible candidates can share there updated resume to HR Deepthi - 8341982307 Note : Only Home Health coding experienced candidates should apply .
Posted 1 month ago
0 years
0 Lacs
Ahmedabad, Gujarat, India
On-site
Job Title: Implementation, Training & Support SpecialistLocation: Ahmedabad (Gujarat)Shift Time: US Shift - (5:30 PM to 3:00 AM IST)Job Type: Full-timeJob Overview:We seek a highly skilled and motivated EHR/RCM specialist to join our team. The ideal candidate will primarily be responsible for delivering comprehensive training on EHR (Electronic Health Records) and medical billing processes. Additionally, they will provide implementation training support as needed. This role requires excellent communication skills, adaptability, and a willingness to work night shifts. Key Responsibilities: 1. Training Delivery:Conduct detailed and engaging training sessions on EHR systems and medical billing workflows for new hires and existing employees.Customize training programs based on the needs of different teams, ensuring all participants gain a clear understanding of processes and tools.2. Implementation Support:Assist with the implementation and integration of EHR systems for new clients.Provide on-site or remote support during onboarding, ensuring smooth transitions and user adoption.3. Content Development:Created and updated training materials, including manuals, presentations, videos, and other resources, aligned with the latest system updates and industry standards.4. Performance Monitoring:Assess trainee performance through tests, feedback sessions, and on-the-job evaluations to identify areas for improvement.Provide additional support to ensure team members are proficient in using EHR and billing systems.5. Stakeholder Collaboration:Work closely with IT, billing, and operations teams to address training needs and system improvements.Serve as the primary contact for EHR training-related queries and troubleshooting.6. Compliance and Standards:Ensure that all training adheres to HIPAA regulations and healthcare industry standards.Keep abreast of changes in medical billing rules and EHR functionalities to update training modules accordingly.7. Reporting and Documentation:Maintain accurate records of training sessions, participant attendance, and outcomes.Prepare reports on training effectiveness and suggest improvements to management. Qualifications:Experience: Prior experience in EHR training, medical billing, or a similar role is preferred but not required.Communication Skills: Exceptional verbal and written communication skills, with the ability to explain complex concepts effectively.Technical Proficiency: Familiarity with EHR systems, medical billing software, and coding standards (CPT, ICD-10).Adaptability: Willingness to work on a night shift to align with client requirements and team schedules.Interpersonal Skills: Strong ability to engage with diverse audiences and foster a positive learning environment. Preferred Qualifications:Certification in medical billing or coding is a plus.Experience in US healthcare workflows and EHR systems.
Posted 1 month ago
4 years
0 Lacs
Chennai, Tamil Nadu
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities: Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication Prepare training documentation, SOPs, reference guides, and maintain accurate training record Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance Participate in coding calibration meetings and contribute to coding related discussions Support coders with complex case resolution, documentation improvement education, and coding clarification Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement 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: Bachelor’s degree in health information management, life science or a related field is preferred AAPC/AHIMA Certification is required: CPC, CIC, CCS, COC 8+ years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role In-depth understanding of 2021 E&M guideline changes and CMS documentation Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies Solid Knowledge of US healthcare RCM system Familiarity with EMR/EHR, compliance standards, auditing platforms Excellent attention to detail and accuracy in coding and documentation Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.) Skills: Solid understanding of medical terminology, anatomy, and physiology Excellent communication and presentation skills Proficiency in using training software and tools Solid organizational and time management skills Analytical thinking 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.
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function is under direct supervision, the ED Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analysing 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: Urgent Care Centres and ED Setting Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA Certification from AAPC or AHIMA 2+ years of experience in multispecialty Evaluation & Management medical coding Hands-on experience in coding Emergency Department services along with Critical care Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines Proven ability to code 12 charts per hour and meeting the standards for quality criteria Proven expertise in determining the EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Proven ability to extract and code various screening CPT codes and PQRS codes from the documentation Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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.
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the ED 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: Urgent Care Centres and ED Setting Be able to code 12 charts per hour and meeting the standards for quality criteria Constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and PQRS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 Certification from AAPC or AHIMA 2+ years in multispecialty Evaluation & Management medical coding Hands-on experience in coding Emergency Department services along with Critical care Sound knowledge in Medical Terminology, Human Anatomy & Physiology Expertise in determining the EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Posted 1 month ago
2 - 7 years
6 - 8 Lacs
Madurai
Work from Office
Physics Faculty – NEET/IIT-JEE Kannan’s Academy, Madurai Teach Grades 11–12 with a concept-driven, exam-focused approach. Handle DPT, CPT, FLT, Olympiad prep, and mentoring. Strong subject expertise required. Required Candidate profile Postgraduate in Physics with 2+ years of experience in NEET/IIT-JEE Coaching. Strong in core topics. Passionate, result-driven, and committed to structured academic delivery.
Posted 1 month ago
0.0 - 3.0 years
0 Lacs
Noida, Uttar Pradesh
On-site
Sr. US IT Recruiter Sector-135 Noida - Onsite (5 Days) US Shift (EDT & EST) Hours Note: Fresher, HR & Talent Acqusition people kindly don't apply. Salary Range - ₹25000-40000/Monthly Currently, we don't have CAB facilities, so we are only looking for Male candidates for now. Job description: We're looking for a US IT Recruiter with a minimum of 3-5 years of verifiable experience in the US IT Recruiting industry with excellent command over both written & spoken English, a tenacious go-getter who’s able to screen and source quality IT resumes and someone who’s comfortable conversing with candidates, vendor partners and clients in the US to place IT Consultants on projects in the US. · Very strong experience screening US IT resumes and placing US IT consultants in the US on C2C, 1099, and W2, specifically on C2C and 1099. · Exceptional knowledge of being able to filter out IT resumes that do not match the criteria. · Solid experience sourcing resumes with the correct technology skill sets that align with the job description. · Strong experience understanding technology skills stated in the job description and relaying those skills to the candidates. · Should be able to quickly scan the job description for technology keys words and should be able to understand the requirements for the position. · Solid understanding of talking to diverse set of candidates (both GCs and USCs) and explaining in detail the technology skill sets required for the position. · Very strong English conversational skills to talk to US candidates. · Should be able to quickly source resumes for multiple positions and hand it over to the BDMs. · Experience preparing the candidates for interviews. · Excellent written and conversational communication skills – candidate will need to write emails in the interview · Highly experienced in sourcing and screening potential candidates from several channels LinkedIn, indeed, Dice and supplying these to the Account Mgr/BDMs for submission to vendors/clients. · Extremely proficient in Ciepal, DICE and LinkedIn. Should be able to post requirements on LinkedIn groups. · Solid understanding of employment types, primarily C2C, 1099, C2H, W2 etc. · Strong understanding of US work authorization types & docs required therein OPT, CPT, H-1B, GC, USC etc. · Strong conversion ratio of placing consultants in positions. · Should be comfortable being empowered and should be a tenacious go-getter with excellent communication and writing skills. · Should be able to work with min direction. · Experience nurturing existing relationships with recruiting partners (vendors/clients) that the candidate can bring to the table. Benefits · High potential to grow with the company · Great company culture · Not a traditional command & control Managerial environment but more matrixed · Excellent work-life balance (Sat/Sun absolutely off) · Sick days and Vacation days · Regular Holidays Job Type: Full-time Pay: ₹30,000.00 - ₹40,000.00 per month Benefits: Commuter assistance Leave encashment Paid sick time Schedule: Monday to Friday Night shift Supplemental Pay: Commission pay Performance bonus Yearly bonus Experience: Recruiting: 3 years (Required) ATS: 3 years (Required) Location: Noida, Uttar Pradesh (Required) Work Location: In person Expected Start Date: 26/05/2025
Posted 1 month ago
1 - 6 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - AR Caller (Credentialing only) - 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 Walk-ins Only) Monday to Friday ( 10 am to 6 Pm ) Everyday contact person VIBHA HR ( 9043585877 ) Interview time (10 Am to 6 Pm) Bring 2 updated resumes Refer( HR Name VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp ( 9043585877 ) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR VIBHA vibha@novigoservices.com Call / Whatsapp ( 9043585877 )
Posted 1 month ago
4 - 6 years
8 - 12 Lacs
Pune
Work from Office
Position Summary This role will be responsible for developing commercial forecasts for pipeline and launching products as well as completing opportunity assessments for life cycle management. This role brings specific therapeutic area in-depth expertise, analytical instinct, strategic thinking, and project management skills to communicate the value assessment of new assets and flag appropriate risks and opportunities Job Responsibilities Build realistic, transparent, and assumption-driven demand forecasts. Challenge assumptions and apply forecasting methodologies to support the brand strategy Prepare robust forecast assumptions leveraging expertise and analogs from the in-line Forecasting team and research from the Insights and Analytics team Ensure objectivity of brand/therapeutic area forecasts by establishing objectives aligned around forecast accuracy Developing brand volume forecasts, both short-term and long-term, to feed into strategic and operational planning processes Ensure that value assessment addresses the impact of key market dynamics and internal events, is logically designed and well-documented Support launch preparations and guide the teams to set up clear post-launch performance tracking by creating and monitoring the short-term revenue forecasts, comparable to actuals in the future, and recommending adjustments when applicable Consistent delivery of analytics that drive informed decision-making, including the definition and development of models to be used in answering business and operational questions Adopting and executing new and innovative analytics offerings for untapped opportunities; Enabling automation of routine measurements Perform ad-hoc queries for leadership across all functions; be an internal expert and resource Maintaining accountability for high quality, timely service delivery of forecasting analytic service requests, including requests for solutions requiring sophisticated statistical and machine learning approaches Education Bachelor of Engineering in Statistics Work Experience 4-6 years of experience in Experience working with Life Sciences companies in pharmaceutical forecasting (in branded business)/ data analytics; experience supporting both pipeline and marketed product(s) preferred; experience in Specialty or Rare Disease, preferred Expertise with a variety of modeling techniques including statistical, patient-flow, simulations, agent-based, and other systems dynamics-based techniques Manage & develop patient/epidemiology-based forecasting models for pharma clients Project Manager who can lead enablement of global life sciences companies to manage forecasting and/or data & analytics function through Axtria solutions and innovative methodologies EPI-based Forecasting for Inline, Pipeline, and BD&L Products/ Brands. Trend-Based Forecasting Experience Experience supporting multiple markets globally, Region, and countries. A deeper understanding of disease and Therapy Areas and their application to forecast Expertise in handling datasets - IQVIA, Evaluate, IPD, Kantar, DRG etc. Proven experience working with pharmaceutical datasets (Rx, APLD, etc) Effective forecast storyboarding, capturing key insights backed by relevant data and Quantitative Analytics, Business Analysis and Analog Analysis Behavioural Competencies Teamwork & Leadership Motivation to Learn and Grow Ownership Cultural Fit Project Management Communication Technical Competencies Python R SQL EXCEL MMx Forecasting Machine Learning Pharma Commercial Know How HEOR EPI and Economic Analysis HEOR Simulation Analysis Patient Data Analytics Know How Dataiku KNIME Others
Posted 1 month ago
3 - 8 years
6 - 10 Lacs
Noida, New Delhi, Greater Noida
Work from Office
Hello Folks, Corrohealth is Hiring for Executive / Senior Executive - HIM Roles and Responsibilities: - Extracting relevant information from patient records. Examining documents for missing information. Assigning CPT, HCPCS, ICD 9/ICD-10-CM, APC, DRG and ASA codes. Ensuring documents are grammatically correct and free from typing errors. Performing chart audits. Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors’ diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification:- Life Science graduation or any equivalent graduation with Anatomy/Physiology as main subjects 2.6 – 4 years of work experience as a medical coder. Any one of the following coding certifications CPC, COC, CRC, CPC-P from AAPC CCS, CCS-P, CCA from AHIMA Proficient computer skills. Excellent communication skills, both verbal and written. Strong people skills & Outstanding organizational skills. Ability to maintain the confidentiality of information Interested candidates can connect with me on - 9305042166 or Drop your CV - neha.amodtiwari@corrohealth.com
Posted 1 month ago
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