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4.0 - 5.0 years
0 Lacs
Thane, Maharashtra, India
On-site
JOB Description Designation/Role: Assistant Manager Coding ( Outpatient ) Department: Quality Reporting to: Director - Quality Location of work: Airoli , Navi Mumbai Knowledge Excellent domain expertise and process knowledge about RCM for Hospital Facility Outpatient Coding, Physician Profee Coding, ED Profee and Facility, E&M, Outpatient. Understanding of Physician Profee coding with in-depth knowledge of the applicable specialties and domain area(s) – ED, E&M, Anesthesia, Pain Management, HCC, Surgery (multiple specialties – Cardiovascular, Orthopedic, Dermatology, Ophthalmology, ENT, Physical and Rehab Therapy, Digestive, Urinary, OB-GYN , Neurospine), Coding Denials, Interventional Radiology, Surgical Pathology, and/or Radiology. Knowledge of Profee Coding for optimizing reimbursement and elements of ICD-10-CM guidelines; Procedure (CPT & HCPCS) coding & modifier guidelines; level of service determination with emphasis on History, Physical Examination & Medical Decision Making in 2003 Documentation guidelines, hospital E&M coding - initial/subsequent visit, Global Surgical Package, NCCI edits, MUE edits, LCD coverage policies. Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports, Visit Notes, Diagnostic Studies and other report types with documentation requirements. Understanding of CMS and commercial insurance payment methodologies and guidelines. Aware of regulatory compliance guidelines and consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Skills Strong interpersonal skills, excellent communication skills, and ability to effectively work with and train employees; both fresher and experienced. Need to communicate with operations, MIS and training for Quality Management. Possess operational skills to manage team with better resource utilization. Should have an aptitude to learn new things. Ability to read, writes, and performs basic computer operation. Must be a self -starter, highly motivated, organized and able to prioritize. Managing reports daily, weekly, monthly and monitoring and being active participant in client calls and maintaining good client relationship. Research, analyze and respond to inquiries regarding compliance, inappropriate coding, denials and billable services with excellent co-ordination with Operations Managers Ability to communicate effectively in writing, over the telephone, and in person. Proficient in MS office Behavior: Disciplined, positive attitude, & punctual. Qualifications Bachelor degree from a Life science stream (Biotech, Microbiology , Pharmacy, Physiotherapy, Zoology, Botany) or BHMS, BDS Experience Min 4-5 years’ coding experience in Physician Profee Coding in 1 or more areas of specialties with an AHIMA or AAPC certification. Preferably at least 2-3 years’ experience in a lead role with auditing, training, SME role and/or managing a team of QAs or coders. Should have hands on experience in the relevant specialty(s). Should have experience in prominent EMR(s) and Encoder(s). Should be very familiar with utilization of references from CMS sources, Coding Clinic, and CPT Assistant. Responsibilities Will be responsible for supervising and managing a team of 20-25 QAs Create an inspiring team environment with an open communication culture Design QA capacity planning Delegate tasks and set deadlines Manage Quality of ProFee & EM Coding projects Quality control as per client SLA Ensure effective implementation of organization’s Quality Assurance Management System Monitor team performance and report on metrics Performing random audit of auditor Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers Discover training needs and provide coaching to QAs Listen to team members’ feedback and resolve any issues or conflicts Recognize high performance and reward accomplishments Encourage creativity and business improvement ideas Suggest and organize team building activities Identify improvement opportunities and initiate action plans for improvement
Posted 4 days ago
0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description Medical Coding Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You’ll Make in this Role As a Medical Coding Analyst / Hospital Outpatient Coder, You Will Have The Opportunity To Tap Into Your Curiosity And Collaborate With Some Of The Most Innovative And Diverse People Around The World. This Position Is For a Highly Experienced And Motivated Facility Medical Coding Specialist. Here, You Will Make An Impact By Applying advanced knowledge of outpatient facility coding including grouping/editing guidelines and the ability to research complex issues as well as regulatory guidelines and changes. Responding to inbound customer support requests for medical/surgical coding, editing and grouping problem resolution which will require extensive research. Providing customers with professionally written responses which include rationale and education. Utilizing ability to troubleshoot customer inquiries regarding 3M Coding and Reimbursement system. Building credibility and trust with 3M HIS customers and department by providing solutions to software issues, inquiries, and problems Your Skills And Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Associates degree or higher (completed and verified prior to start) and ten (10) years' experience as a coding professional. RHIA, RHIT, or CCS certification Experience with quality audits, leading teams, and direct customer interactions Experience in Out-patient Coding Additional qualifications that could help you succeed even further in this role include: Expert knowledge of current published coding guidance such as CPT Assistant, ICD-10-CM Official Guidelines and the American Hospital Associations’ (AHA) Coding Clinic and Coding Clinic for HCPCS Expertise in working with the APC Grouper and NCCI system Expertise in navigating the CMS website to research guidelines. Experience utilizing Solventum Coding & Reimbursement System Excellent written and verbal communication skills. Understanding of health care industry. Proven analytical and problem-solving skills. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com . Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
Posted 4 days ago
0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description Medical Coding Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You’ll Make in this Role As a Medical Coding Analyst / Hospital Inpatient Coder, You Will Have The Opportunity To Tap Into Your Curiosity And Collaborate With Some Of The Most Innovative And Diverse People Around The World. This Position Is For a Highly Experienced And Motivated Facility Medical Coding Specialist. Here, You Will Make An Impact By Applying advanced knowledge of inpatient facility coding including grouping/editing guidelines and the ability to research complex issues as well as regulatory guidelines and changes. Responding to inbound customer support requests for medical/surgical coding, editing and grouping problem resolution which will require extensive research. Providing customers with professionally written responses which include rationale and education. Utilizing ability to troubleshoot customer inquiries regarding Solventum Coding and Reimbursement system. Building credibility and trust with Solventum HIS customers and department by providing solutions to software issues, inquiries, and problems Your Skills And Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Associates degree or higher (completed and verified prior to start) and ten (10) years' experience as a medical coding professional. RHIA, RHIT, or CCS certification Experience with quality audits, leading teams, and direct customer interactions Experience in In-patient Coding Additional qualifications that could help you succeed even further in this role include: Expert knowledge of current published coding guidance such as CPT Assistant, ICD-10_CM Official Guidelines and the American Hospital Association’s (AHA) Coding Clinic Expertise in working with the APC Grouper and the NCCI system. Expertise in navigating the CMS website to research guidelines. Excellent written and verbal communication skills. Understanding of health care industry. Proven analytical and problem-solving skills. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com . Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
Posted 4 days ago
0.0 - 4.0 years
2 - 8 Lacs
Hyderābād
On-site
Job Title: Bench Sales Recruiter Experience Level: 0 4 Years Location: Begumpet , Hyderabad -Onsite Employment Type: Full-Time Looking for Females only Job Summary: We are looking for a dynamic and self-driven Bench Sales Recruiter to join our team. The ideal candidate will be responsible for marketing our bench consultants to potential clients and system integrators, establishing relationships with vendors, and driving placements through effective negotiation and communication. This role suits individuals who are proactive, persuasive, and have a strong interest in the U.S. IT staffing industry. Key Responsibilities: Market and place bench consultants (H1B, GC, USC, CPT/OPT, etc.) with Tier 1 vendors and direct clients. Work closely with the internal recruiting team to identify consultants suitable for marketing. Build and maintain strong relationships with vendors, implementation partners, and clients . Negotiate rates and contract terms to ensure optimal placement and revenue. Maintain and update daily activity logs and submissions. Track consultant availability and coordinate interviews and follow-ups. Utilize job boards (Dice, Monster, Indeed), LinkedIn, and other tools to identify leads and opportunities. Requirements: Bachelor's degree in any discipline. 0 4 years of experience in Bench Sales or US IT Staffing (freshers with good communication can apply). Excellent verbal and written communication skills . Strong knowledge of visa classifications (H1B, OPT, GC, etc.) and market trends in the US staffing industry. Ability to work independently and in a fast-paced environment. Proficient in using MS Office and job portals. Preferred Skills (Good to Have): Prior experience in marketing IT consultants in US staffing. Experience working with ATS (Applicant Tracking Systems) . Existing vendor/client contacts is a strong plus. Shift: US Shift (Night Shift) Flexibility to work in ESTtime zones Apply Now: If you're enthusiastic about making a mark in the US staffing industry, we'd love to hear from you. Please send your resume to [venkatesh.kulkarni@centstone.com].
Posted 4 days ago
6.0 years
0 Lacs
Chennai
On-site
In these roles, you will be responsible for: Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: Looking for candidate who can be a trainer as well as Auditor 6+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols, and third-party requirements regarding medical billing. 3+ years of experience analyzing medical records in multi-specialty disciplines such as E/M, Inpatient Surgery. Should have sound knowledge in coding Denials and providing appropriate code to avoid further denials Should possess strong subject knowledge specific to the specialty and perform analysis on the documentation deficiency. Should be in a position of managing a team and handling client communications. Ensure there is no compromise on the deliverables. AAPC or AHIMA certification is mandatory. Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST, should be flexible in extending based on customer requirement Permanent Work from Office.
Posted 4 days ago
0 years
0 Lacs
Tamil Nadu, India
Remote
Job Description Position: Medical Coder - Work from Home Ct: HR KAMATCHI - 8925264660 Job Description:Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis (Medical Problems) and Procedure (Treatments) Codes using ICD-10 CM and CPT code books. Requirement knowledge in Anatomy and Physiology Good communication and interpersonal skills Basic Computer Skills No of vacancy: 500 Eligibility Nursing GNM/DGNM Life science graduates Pharmacy Physician assistant Bio medical Engineers Bio chemistry Bio technology Bio informatics Micro biology Zoology and Advanced zoology Biology Botany Plant biotechnology Genetics Food and Nutrition Paramedical Physiotherapy M.Sc. Clinical Nutrition M.Sc. Human Genetics M.Sc. Medical Laboratory Technology M.Sc. Medical Sociology M.Sc. Epidemiology M.Sc. Molecular Virology M.Sc. Biostatistics M.Sc. Blood Banking Technology M.Sc. Rgnerative Medicine M.Optom. M.Sc. Genetic Counseling M.Sc. Radiolog Imaging Technology M.Sc. Medical Biochemistry M.Sc, Medical Microbiology M.Sc. Clinical Care Technology M.Sc. Clinical Care Technology M.Sc. Medical Physics B.Sc. - Accident Emergency Care Technology B.Sc. - Audiology speech Language Pathology B.Sc. - Cardiac Technology B.Sc. - Cardio Pulmonary Perfusion Care Technology B.Sc. - Critical Care Technology B.Sc. - Dialysis Technology B.Sc. - Neuro Electrophysiology B.Sc. - M.L.T. B.Sc. - Medical Sociology B.Sc. - Nuclear Medicine Technology B.Sc. - Operation Theatre Anaesthesia Technology Bachelor of Science in Optometry B.Sc. - Physician Assistant B.Sc. - Radiology Imaging Technology B.Sc. - Radiotherapy Technology B.Sc. - Medical Record Science B.Sc. - Respiratory Therapy B.Sc. - Fitness and Lifestyle Modifications Accident Emergency Care Technology Critical Care Technology Nursing Aide Operation Theatre Anaesthesia Technology Ophthalmic Nursing Assistant Medical Record Science Optometry Technology Radiology Imaging Technology Medical Lab Technology Cardiac Non Invasive Technology Dialysis Technology Dentist Salary 15K to 17K (fresher) To 50K (experienced) Pm (Incentives Benefits as per Corporate Standards) 4K fixed hike after six months Other Benefit Pick Up Drop Facility Food Facility Day Shift Weekend Off Reach Us HR KAMATCHI 8925264660 Required Candidate profile Nursing Freshers Pharmacy Freshers Physiotherapy Dentist Life sciences Biotechnology Microbiology Biomedical Biochemistry Bioinformatics Botany Zoology GNM DGNM Physician assistant Anesthesia technician Perfusion Technology Medical coder Freshers Medical coding Freshers jobs in chennai Medical coding openings in chennai Wanted Medical coder Freshers jobs Medical coding Medical coder Medical coding Freshers Jobs in chennai Jobs for Passed outs Freshers jobs in chennai Jobs for freshers Nursing jobs for freshers Pharma jobs for Freshers Biotechology Jobs Microbiology jobs Biomedical jobs Bioinformatics jobs Bsc/Msc Jobs Biochemistry jobs Life science jobs in chennai Paramedical jobs in chennai Jobs in Tamilnadu Jobs in Pharmacy Jobs in Hospital Perks and Benefits Incentives Benefits as per Corporate Standards This job is provided by Shine.com
Posted 4 days ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
The Entry-Level Bench Sales Recruiter will be responsible for identifying job opportunities for consultants currently on the bench (i.e., available for deployment), building relationships with vendor partners and clients, and helping secure contract positions for these consultants. You’ll be trained and supported in learning the sales and recruitment process, technologies, and tools used in IT staffing. Key Responsibilities: Market bench consultants (US Citizens, GC, H1B, OPT, CPT, etc.) to potential clients and vendors. Develop and maintain relationships with implementation partners, vendors, and direct clients. Work closely with the recruiting team to understand consultants’ skills, preferences, and availability. Submit consultants for appropriate requirements and follow up on submissions. Negotiate contract terms and rates on behalf of the company and consultant. Maintain database of bench consultants and track the status of submissions and placements. Prepare and update marketing materials, resumes, and consultant profiles. Use job portals, social media, and email campaigns for lead generation. Qualifications: Bachelor’s degree in Business, HR, IT, or related field (or equivalent experience). Strong communication skills (verbal and written). Ability to work in a fast-paced, target-driven environment. Willingness to learn technical terminology and the US staffing process. Basic understanding of IT technologies is a plus. Experience with job boards (Dice, Monster, Indeed), CRM tools, or ATS is a bonus.
Posted 4 days ago
1.0 - 6.0 years
4 - 9 Lacs
Chennai, Bengaluru
Work from Office
Huge Opening for Certified Coders Certification: Any Cerification Speciality: EM, ED, Denial, Radiology, Anesthesia, Surgery, IPDRG Role & responsibilities Medical Terminology: Understanding medical terms, anatomy, and physiology. Coding Systems: Proficiency in ICD-10, CPT, and other relevant coding systems. Analytical Skills: Ability to analyze medical records and identify the appropriate codes. Attention to Detail: Ensuring accuracy and completeness in coding. Communication Skills: Effectively communicating with healthcare providers and other team members. Contact HR Jeno: 8778020336 / HR Swathi: 9345242086
Posted 4 days ago
15.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
🚀 Job Opportunity: Sr. Bench Sales Lead / Manager (US Staffing) 📍 Location: Begumpet, Hyderabad (Onsite, 5 Days a Week) 🔍 Position Overview: We are looking for a seasoned and driven Sr. Bench Sales Lead / Manager to join our dynamic team. This is a Hands-On / Individual Contributor role, where you will manage the full bench sales life cycle—from sourcing job requirements to placing consultants with top clients. If you're a proactive professional who thrives in a high-performance US staffing environment, we want to hear from you. 🔧 Roles & Responsibilities: Experience Level: 8–15 years in US Bench Sales & Marketing Full-Cycle Bench Sales: Source, screen, and submit bench consultants for job openings from prime vendors, system integrators (SIs), and direct clients Rate Negotiation: Secure the best possible rates while maintaining client and consultant satisfaction Visa Expertise: Handle consultants with OPT, CPT, H1B, GC, USC, and independent work authorizations Consultant Engagement: Regular follow-ups to understand consultant preferences and align them with suitable opportunities Talent Branding: Represent and promote the company effectively to attract top-tier talent Relationship Management: Maintain strong, ongoing communication with consultants, vendors, and partners Team Collaboration: Work closely with the Account Manager and Director of Recruiting to improve bench sales operations Market Mapping: Proactively market consultants for current and upcoming client needs Payroll Expansion: Drive W2 growth by consistently placing new consultants 📩 How to Apply: If you meet the criteria and are ready to make an impact, please email your updated resume to: 📧 kumar.cp@headwaytek.com 🔗 Join us and be a key driver of growth and success at Headway Tek! We look forward to connecting with you. We look forward to connecting with talented professionals like you!
Posted 4 days ago
6.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
In these roles, you will be responsible for: Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: Looking for candidate who can be a trainer as well as Auditor 6+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols, and third-party requirements regarding medical billing. 3+ years of experience analyzing medical records in multi-specialty disciplines such as E/M, Inpatient Surgery. Should have sound knowledge in coding Denials and providing appropriate code to avoid further denials Should possess strong subject knowledge specific to the specialty and perform analysis on the documentation deficiency. Should be in a position of managing a team and handling client communications. Ensure there is no compromise on the deliverables. AAPC or AHIMA certification is mandatory. Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST, should be flexible in extending based on customer requirement Permanent Work from Office.
Posted 4 days ago
1.0 - 4.0 years
3 - 5 Lacs
Hyderabad
Work from Office
Roles and Responsibilities Humac is hiring US IT Recruiters and Bench Sales Recruiters. Anyone with 1 years to 4 years working experience in the US IT staffing industry will be the right fit for this role. Role: US IT Recruiter Experience : 1 yr - 4 yrs Shift timings : 5.00 PM - 2.00 AM Location: Hyderabad (Kondapur) Interview Mode : Face to Face No of openings: 04 Company Website : www.humacinc.com Desired Candidate Profile: The ideal candidate must have experience working with US client requirements and State client experience. Updating and maintaining the ATS for future requirements, generating daily reports, and updating them. Strong knowledge and working experience on W2 , 1099, and Corp to Corp ( C2C ). Hands-on experience in contract, permanent, and contract-to-hire positions. Strong understanding of technical requirements, deep sourcing skills, and excellent candidate assessment skills. Experience using job boards such as Dice, Monster, Tech Fetch, Linked-In CareerBuilder. Experience in various search/sourcing methods, including LinkedIn, google search strings. Screening and shortlisting of resumes according to the requirements. Excellent communication skills and strong negotiation skills handling US Citizens, Green Card holders, H1B, H4EAD, OPT, OPT EAD, and TN Visa. **No cab facility will be provided** Company Benefits 1) 5 Days working (Night Shifts - 5 pm to 2 am IST) (Saturday & Sunday Fixed Off) 2) Free meal /dinner It's a phenomenal opportunity for yourself (or) for someone in your circle who might be interested in building their career. Kindly contact us (or) Share your latest updated resumes at +91- 8977032116 // mailto: nagalakshmi.t@humacinc.com // hrindia@humacinc.com If interested, please help us with the info Updated Resume Total Experience Relevant Experience Current CTC Expected CTC Notice Period Current Location
Posted 4 days ago
0.0 - 2.0 years
2 - 4 Lacs
Kolkata, Barasat
Work from Office
We are looking for a highly motivated and enthusiastic individual to join our team as a Trainee in X-Ray at Vijaya Diagnostic Centre. The ideal candidate will have a strong foundation in healthcare and be eager to learn and grow with our organization. Roles and Responsibility Assist the senior staff in performing X-ray procedures. Maintain patient records and ensure proper documentation. Provide excellent customer service to patients and their families. Participate in ongoing education and training to enhance skills and knowledge. Collaborate with other departments to achieve organizational goals. Develop and implement new ideas to improve patient care and services. Job Requirements Strong understanding of medical terminology and imaging principles. Ability to work effectively in a fast-paced environment. Excellent communication and interpersonal skills. Basic knowledge of medical equipment and instruments. Strong attention to detail and ability to maintain accurate records. Ability to work collaboratively as part of a team.
Posted 4 days ago
1.0 years
0 Lacs
Pune, Maharashtra, India
On-site
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 Credit Collection Executive for Patient Financial Services, India, this role is responsible for all aspects of billing, credit and collection activities, including customer service with an objective of maximizing cash flow and keeping DSO to a minimum 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 a Credit Collections Executive for Patient Financial Services, the role involves performing a variety of tasks using standard healthcare guidelines. Main objective is followed up collection activities including rebilling, appeals and recovery activities for denied or short paid claim Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and company-wide fiscal impact. Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors. Analyzes and problem solve account issues to full resolution. Manages internal and external customer/business inquiries regarding account status and account history. Research issues off-line as needed with payor/patient; conducts follow-up calls with payors and customers, initiating conference calls between insurance carrier and patients to resolve customer concerns. Research and initiates refund requests due to overpayments by payor and/or patient. Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Recommends actions to resolve discrepancies; investigates questionable data. Required Knowledge and Experience: Bachelor’s degree in business or accounting major is preferred. 1 to 2 years of Insurance Collections experience in a US healthcare environment. Demonstrated ability to prioritize work, managing daily and multiple tasks to completion within the time allotted. Experience in a payor or medical provider community that deals with all aspects of the revenue cycle. Experience with reviewing and analyzing insurance payments, and/or payer adjudication claims against contract terms and patient coverage and benefits. Experience with medical billing and collections terminology – CPT, HCPCS and ICD-10 coding. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities. 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
Posted 4 days ago
3.0 - 5.0 years
3 - 6 Lacs
Chennai
Work from Office
Location: Chennai Shift: Rotational Shift Experience Required: 3-5 Years Job Title: Charge Posting Specialist Job Description: We are seeking a detail-oriented and organized Charge Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting charges for services rendered, ensuring that all transactions are recorded correctly to facilitate timely billing and collections. Key Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Job Title: Payment Posting Specialist Job Description: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Key Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team.
Posted 4 days ago
0.0 - 1.0 years
4 - 7 Lacs
Hyderabad
Work from Office
We are looking for a skilled Typist with 1 to 6 years of experience to join our team at Vijaya Diagnostic Centre, responsible for accurately and efficiently typing all radiology and cardiology reports. The ideal candidate will have excellent typing skills and attention to detail. Roles and Responsibility Assist radiologists and cardiologists in preparing reports. Type all radiology and cardiology reports with high accuracy and speed. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information. Develop and implement effective filing systems for easy access to reports. Collaborate with other healthcare professionals to ensure seamless communication. Stay updated with the latest medical terminology and technologies used in radiology and cardiology. Job Requirements Proficient in Microsoft Office applications, particularly Word and Excel. Excellent typing skills with a minimum speed of 40 words per minute. Strong understanding of medical terminology, especially related to radiology and cardiology. Ability to work accurately and efficiently in a fast-paced environment. Good communication and interpersonal skills. Familiarity with electronic health records (EHR) systems is an asset.
Posted 4 days ago
0.0 - 1.0 years
5 - 8 Lacs
Hyderabad
Work from Office
We are looking for a highly skilled and experienced Typist with expertise in Radiology and Cardiology to join our team at Vijaya Diagnostic Centre. The ideal candidate will have 9-14 years of experience. Roles and Responsibility Provide high-quality typing services for various reports, including radiology and cardiology documents. Utilize expertise in radiotherapy and cardiology to ensure accurate and efficient document preparation. Collaborate with healthcare professionals to ensure seamless communication and coordination. Develop and maintain confidentiality and adhere to HIPAA guidelines. Stay updated with the latest developments in medical imaging and diagnostics. Assist in preparing presentations and other materials as needed. Job Requirements Minimum 9 years of experience in typing, preferably in a healthcare setting. Proficiency in Microsoft Office applications, particularly Word and PowerPoint. Strong knowledge of medical terminology, especially related to radiology and cardiology. Excellent communication and interpersonal skills. Ability to work accurately and efficiently under tight deadlines. Familiarity with electronic health records systems is an asset.
Posted 4 days ago
0 years
0 Lacs
Raniganj, West Bengal, India
On-site
Location: Raniganj, WB, IN Areas of Work: Sales & Marketing Job Id: 13272 The position is that of commercial personnel who would primarily be responsible for extending backend support to sales function by ensuring timely service of material to customers, effective warehouse operations and implementation of all laid down systems and procedures, thereby achieving overall business objectives. Customer Service Review of Order Cycle Time (OCT) for delivery of material to Customers (Dealers, Project Sites etc.) based on orders received at Warehouse and as per defined benchmark Review with customers and sales team on regular basis for identification and resolution on material service related issues Support to other businesses like Home Improvement in terms of material storage and delivery Warehouse Management Monitor and improve the productivity of CFA Manpower deployed at Warehouse Conduct stock verification as per defined frequency and take measures to control stock variances Maintain documents and legal agreements related to Warehouse operations Implement and ensure usage of Transport Management System to improve customer service parameters, timely Review and rationalization of route plans Warehouse and Office Infrastructure Assess infrastructure requirements at the warehouse and sales offices and accordingly propose the capex projects Execution of Capex Projects as per project implementation schedule Overheads Assist and provide inputs to Regional Commercial team on the proposals for annual overheads budget Monitor and ensure freight cost per ton (CPT) and other overheads are within the budgeted limits Vendor Payments Process the vendor payments as per the defined payment terms Monitor and ensure no pending payments, open goods receipts and open advances at each vendor level Coordinate with Vendors for outstanding closure and quarterly balance confirmation within the defined timelines Statutory Compliances and Audits Track and ensure timely renewal of statutory licenses applicable for warehouse and office operations Updation of compliances in statutory portal (GRC) as per the due dates Initiate corrective and preventive actions for identified statutory non-compliances Participate and support with relevant documents during audits like ISO, 5S, Internal Audit Safety Monitor safety parameters and conduct safety audits as per schedule to provide safe working environment at warehouses and office premises Reports Prepare and circulate monthly reports on various parameters in a timely manner .
Posted 5 days ago
0.0 - 1.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Non Certified Fresher About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Education: * B.Pharmacy/M.Pharmacy/Pharma-D * BSC/MSC in Nursing * BPT / BHMS / BAMS * Candidates should be 2024/2023/2022 passed outs *Should have 60% (CGPA 6.5) and above throughout the academics Other Skills: * Should possess good clinical knowledge and have wide awareness around anatomy, pharmacology and disease process * Good analytical and problem-solving skills * Ability to work independently and be flexible to work in shifts (WFO) * Good verbal and written communication Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
1.0 - 6.0 years
2 - 6 Lacs
Chennai
Work from Office
About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. 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. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) 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. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
3.0 - 7.0 years
2 - 5 Lacs
Noida
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transforming the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.:Role- Medical CoderWe 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.:Education Any Graduate.3 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. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
0.0 - 1.0 years
2 - 5 Lacs
Chennai
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.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.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
0.0 - 1.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.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.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
1.0 - 4.0 years
3 - 6 Lacs
Hyderabad
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.Essential Duties and ResponsibilitiesFollow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
1.0 - 6.0 years
3 - 7 Lacs
Chennai
Work from Office
Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Associate Operations Manager Role Objective The role objective of an Outpatient Coding (ED profee & Facility, Multispecialty EM, Ancillary etc.) Associate Operations Manager is to oversee and ensure accurate coding of Outpatient Facility medical records, maintain compliance with coding guidelines and regulatory requirements, and provide guidance and support to the coding team to achieve operational efficiency and quality standards. Essential Duties and Responsibilities: As a Team LeaderLeading and managing the Surgery coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality AssurancePerforming coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and adherence to regulatory guidelines. Training and MentorshipProviding training, guidance, and support to team members to enhance their skills and address coding-related queries. Compliance OversightEnsuring coding practices meet organizational policies, payer requirements, and federal regulations. CollaborationWorking with clinical staff, billing teams, and management to resolve discrepancies, clarify documentation, and optimize reimbursement processes. ReportingPreparing and presenting reports on team performance, productivity, and quality metrics for leadership. Process ImprovementIdentifying areas for process improvement and implementing strategies to enhance efficiency and accuracy in coding workflows. Certification & EducationAny certification from AAPC or AHIMA and Any bachelors degree in education Skill Set Candidate should be certified from AHIMA/AAPC (should be currently active). Candidate must have 1 year experience working in ED & Multispecialty EM 10+ years of Coding experience and 3-4 years of experience in Management role Excellent process knowledge and domain understanding relating to Outpatient Facility coding as per R1 standard. Ability to co-ordinate multiple projects and initiative simultaneously Self-driven, Excellent personal and interpersonal skills, active listener, and excellent communication skills Ability to manage day-to-day production related activities Ability to handle a team of 25+ coders. Good analytical and process improvement skills Ability to drive action plans and strategies. Adaptive and should have learning agility Flexible to work from office in Mid shift (1 PM to 10 PM) 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. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
3.0 - 6.0 years
3 - 7 Lacs
Noida
Work from Office
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook
Posted 5 days ago
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