1737 Cpt Jobs - Page 50

Urgent Hiring: *Bench Sales Recruiter* Role: Bench Sales Recruiter Experience: Minimum 2-3 years Job Location: Madhapur, Hyderabad (Onsite) Employment type: Full time (Monday to Friday) Shift Timings: 7PM - 4AM IST Key Skills: ✅ Proven expertise in IT staffing and recruiting. ✅ Strong experience marketing bench candidates (H1B, OPT, CPT, GC, and US citizens). ✅ Solid understanding of job portals, networking sites, and recruitment platforms. ✅ Excellent negotiation, communication, and relationship management skills. We’re seeking someone passionate about building connections and delivering exceptional talent solutions. Share the resume with hr@sierraconsult.com or DM Apply now or share your referrals! Let’s build something great together. Job Type: Full-time Benefits: Food provided Provident Fund Schedule: Night shift Ability to commute/relocate: Madhapur, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required) Experience: Bench Sales Recruiter: 2 years (Required) Language: English (Required) Location: Madhapur, Hyderabad, Telangana (Preferred) Shift availability: Night Shift (Required) Work Location: In person

Role Description Role Proficiency: Perform end-to-end management of a single project up to TCV of 500K with time and effort based or deliverable based model; by delivering the agreed scope within the agreed timeline and cost. Ensure the success and acceptance criteria of the project are met enhancing customer satisfaction. Outcomes Identify key stakeholders ensuring establishment and maintaining positive business relationships among stakeholders (internal or external) Maintain regular communication with customer; addressing needs through empathy with their environment Define activities responsibilities critical milestones resources skills needs interfaces and budget. Optimize costs and time utilisation minimize waste and deliver projects on time on budget as per the contract and agreed scope with a high quality result. Anticipate all possible risk manage them by applying the suitable risk management strategy; while developing contingency plans. Implement the governance model defined for similar projects Track and reports project KPIs and analyze project health Effective implementation of software delivery methodologies to improve project KPIs Provide individual and team mentoring; ensuring high levels of team engagement and developing capabilities within team Adopt and build software engineering best practices which can be leveraged by other teams Measures Of Outcomes Sprint velocity/team productivity Planned schedule vs actual Planned effort vs actual Planned cost vs actual Retention Requirement stability and effectiveness of scope change management Product quality (rework effort defect density defect leakage in various phases and number of rejected defects) Risk management index Adoption of reusable components and artefacts Customer satisfaction Team satisfaction Outputs Expected Scope Management : Conduct requirements analysis requirements elicitation scope control and prioritization based on customer needs and scope change management Drive the creation of common standards such as design documents traceability matrix bridge documents analysis methodologies and solution artefacts Partner with the customer to define their requirements; elicit requirements from solution envisioning workshop Conduct impact analysis of any scope changes across phases and negotiate with the customer for scope prioritization Estimation And Resource Planning Consolidate estimates at a solution level evaluate risks and validate estimates from a technical standpoint with assumptions scope and boundaries defined Review and validate estimates across service lines Conduct resource planning (pyramid people development) at a project level based on project requirements Conduct impact analysis for changes and analyze corresponding impact to overall estimates and resource loading Identify the different roles and skills for each role considering the constraints pre-requisites and other project specific KPIs Project/ Schedule Management Plan and manage multiple small projects/ modules as defined within UST Identify risks and mitigation strategies and implement the same to manage simple small projects/ modules Anticipate items that cause schedule delays schedule dependencies and manage them following the proper risk management plan Identify options to fast track the schedule and plans to implement the same Estimate the work plan and track the activities closely and report the progress on a regular basis Risk/Issue Management Proactively identify any dependencies that might impact the project KPIs. Obtain agreement with dependency owners and closely track them on the plan Identify and closely track the risks in the project and follow escalation path Document the risks and issues in the project communicate them to all relevant stakeholders and closely track the impact Stakeholder Management Identify the internal and external stakeholders on the project Define the RACIA chart and communicate the roles/responsibilities to the stakeholders Define the communication plan and implement the same Test And Defect Management Support system integration testing (functional / technical) Review/mentor team during test execution Support defining the test strategy and scenarios Understand the business impact of defects Prioritize the defects based on their criticality and severity Participate in defect triage meetings Identify and analyse root cause of defects Interpret the results Software Development Process Tools & Techniques Define/adopt the right tooling strategy for the project Independently guide the team to develop efficient and high-quality work products Meet project goals ensure process compliance and mentor the team Governance Tailor organization's quality guidelines and benchmarks to meet specific project quality requirements and processes Domain / Industry Knowledge Understand how the proposed solution meets client requirements Technology Concepts Understand customer's technology landscape Map business requirements to technology requirements Set expectations with the customer Leverage that knowledge in day-to-day work or in upgrading skills of the team Profitability Management Analyze profitability for project Create profitability sheet based on resource plan Modify parameters within profitability sheet and identify impact on margins Pricing Models Define the pricing models for medium complex projects Conduct estimation for medium complex projects. Knowledge Management (KM) Establish a KM plan and platform that can be leveraged by new joiners to the project Ensure the learning's from the project are contributed to the KM repository Account Management Processes And Tools Work under the guidance of the account manager to drive the account management KPIs relevant for the project Collaborate with other projects and enabling functions to deliver value to UST and to the customer in terms of ideas automation etc Solution Structuring Present the proposed solution to customer highlighting the solution benefits Understand the end in mind and the relevance of win themes Carve out simple solution / POC to build confident in the solution Self-Development And Organizational Initiatives Review other project artefacts and assess the health of the same Actively participate in forums like PM forums and share best practices and learnings from own projects Adopt learnings and reusable methodologies/tools from other projects to improve productivity and quality Team Development Implement a framework to assess the skill level of the team and work with the team to define a skill enhancement plan Nurture the innovation potential within the team Provide feedback and enable the team to perform independently and grow Skill Examples Impact and Influence Identify project risks and define action plans to manage Define a project plan by breaking it down into individual project tasks Communicate project progress to all relevant parties reporting on topics such as cost control schedule achievements quality control risk avoidance and changes to project specifications Delegate tasks and manage team member contributions appropriately Assess the project heath using quantitative measures and change the course of action as needed Knowledge Examples Technologies to be implemented within the project Structured project management methodologies (e.g. agile techniques) Estimation techniques Metrics analysis and quantitative management Root cause analysis People management including goal setting growth aspects and coaching Understanding of the quality and governance models of UST and the customer; aligning the deliverables to meet those standards Additional Comments Job Summary: Seeking a highly organized and motivated Project Manager with proven experience in the U.S. healthcare domain. This role requires strong project management skills combined with a solid understanding of healthcare systems, and payer workflows. The Project Manager will be responsible for the planning, execution, and delivery of healthcare IT and operational projects, ensuring alignment with organizational goals, compliance requirements, and stakeholder expectations. ________________________________________ Key Responsibilities: Work timings: Must be available to work full-time during U.S. Eastern Standard Time (EST) hours, collaborating directly with clients on project management activities. Project Planning & Execution: Define project scope, goals, deliverables, and timelines in collaboration with stakeholders. Develop detailed project plans, schedules, budgets, and resource allocation. Lead project execution while ensuring quality and timely delivery of milestones. Monitor and control project progress using industry-standard tools (e.g., MS Project, Jira, Smartsheet). Knowhow/Handson in Waterfall, Agile and hybrid methodologies Knowledge in Change/Scope Management Stakeholder & Team Management: Act as the primary point of contact between clients, internal teams, and third-party vendors. Facilitate regular meetings, status updates, and communication to ensure stakeholder alignment. Lead cross-functional project teams including clinicians, IT professionals, and business analysts. Manage client relationships and ensure satisfaction throughout the project lifecycle. Identify project risks and develop mitigation strategies. Maintain documentation for audits, security assessments, and quality assurance. Track and report on project KPIs, milestones, and risks to leadership. Document all phases of the project lifecycle (initiation to closure). Prepare post-project evaluations and lessons learned reports. Knowledge in conflict resolution / team motivation ________________________________________ Required Qualifications: Bachelor’s degree in IT, or related field. 5+ years of project management experience in the U.S. healthcare domain. Proven experience managing healthcare IT, EHR/EMR, payer/provider integration, or regulatory compliance projects. Knowledge of healthcare terminologies (e.g., ICD-10, HL7, FHIR, CPT). Experience with HIPAA compliance and data privacy standards. Strong communication and leadership skills ________________________________________ Preferred Qualifications: PMP, CSM, or other relevant project management certification. Experience working with payers, providers, and third-party administrators (TPAs). Familiarity with tools such as Jira, Confluence, MS Project, or ServiceNow. Skills Project Management,Us Healthcare,Hipaa,Communication Show more Show less

In a hospital setting, billing roles are crucial for managing the financial transactions related to patient care. These roles ensure accurate billing, timely reimbursements, and compliance with healthcare regulations. Here's an overview of key billing positions in a hospital:expertia.ai Insurance Billing Specialist Responsible for processing and managing insurance claims, ensuring that all services provided are accurately billed to insurance companies.futuredecider.com Key Responsibilities: Prepare and submit medical claims to insurance providers. Verify patient insurance information and eligibility. Follow up on unpaid or denied claims to resolve issues and secure payment. Maintain accurate records of all billing transactions. Ensure compliance with healthcare regulations and insurance policies. Assist patients in understanding their insurance coverage and billing statements.hrblade.com+1betterteam.com+1en.wikipedia.org+7futuredecider.com+7expertia.ai+7 Qualifications: Bachelor’s degree in Healthcare Administration, Finance, or related field. Experience with medical billing software and electronic health records (EHR). Knowledge of medical coding systems (ICD-10, CPT, HCPCS). Strong attention to detail and analytical skills.expertia.ai+1expertia.ai+1glider.ai+2betterteam.com+2interviewguy.com+2glider.ai+1futuredecider.com+1 2. Cash Billing Executive Handles the billing for patients who pay out-of-pocket or have self-pay accounts.en.wikipedia.org Key Responsibilities: Prepare and issue patient invoices accurately and in a timely manner. Collect payments from patients and process transactions. Maintain up-to-date records of patient billing transactions. Assist patients with billing inquiries and resolve discrepancies. Coordinate with insurance companies to process claims and facilitate reimbursements. Ensure compliance with hospital policies and healthcare regulations.interviewguy.com+7expertia.ai+7futuredecider.com+7 Qualifications: Bachelor’s degree in Finance, Accounting, Business Administration, or related field. Experience in cash handling and billing procedures. Strong communication and interpersonal skills. Proficiency in MS Office and billing software.expertia.ai+1hrblade.com+1 3. Credit Billing Executive Manages billing for patients who have credit arrangements or deferred payment plans.coverlettersandresume.com+7betterteam.com+7mightyrecruiter.com+7 Key Responsibilities: Carry out rounds and collect information of all services rendered to patients. Capture all entries of inpatients in the system manually on a daily basis. Prepare manual bills for discharges as per hospital policy. Verify case sheets as per billing requirements and prepare bills. Collect reports of investigations and tests, and check for correct entries. Coordinate with surgeons regarding fees and update patient records accordingly. Prepare and submit monthly reports on pending and concession bills. Maintain final bill registers and ensure all documents are in required order. Coordinate with other departments and report relevant issues.en.wikipedia.org+2yashodahospitals.com+2coverlettersandresume.com+2 Qualifications: Graduation in any field; preferably with a Postgraduate degree. Prior experience in hospital billing is preferred. Good knowledge of medical and surgical procedures and their costs. Attention to detail and strong numerical ability. Proficiency in MS Office (Excel and PowerPoint). Job Types: Full-time, Permanent Pay: From ₹20,000.00 per month Benefits: Health insurance Life insurance Paid sick time Provident Fund Schedule: Day shift Fixed shift Morning shift Night shift Work Location: In person

Req ID: 323726 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a HC & Insurance Operations Analyst to join our team in Chennai, Tamil Nādu (IN-TN), India (IN). Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement. About NTT DATA NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

Position : Medical Coding Executive (Pure Life Sciences) Location : Chennai Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Eligibility: UG / PG in Life Science, Medical, Paramedical, Dental, Pharmacy, physiotherapy, Nursing Job Types: Full-time, Fresher Pay: ₹175,000.00 - ₹250,000.00 per year Benefits: Cell phone reimbursement Schedule: Day shift Monday to Friday Supplemental Pay: Commission pay Performance bonus Work Location: In person

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital 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 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology 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, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Identify client technology and business needs and provide thought leadership to Optum sales team , to understand, define, and deliver effective and innovative solutions that address the client technical and business initiatives Act as a SME on the US Provider Health System domain Create, innovate, deploy and present data analysis on pursuits leveraging current tools and technologies including but not limited to Power BI, MS tools, AI and digital solutions Member of the technology solution team who coordinates with Optum subject matter experts, technical architects, etc., to ensure proposed Application Management Services/ITO and Infrastructure solutions meet or exceed client requirements and are cost competitive to the marketplace Demonstrates a self-starter attitude and is eager to experiment, invite and explores the potential in new ideas while understanding and mitigating the risk to the organization Client relationship building and solution presentation through the multi-phases of the sales cycle at a C-Suite level Manage client expectations in solution development, focus on outcomes and service levels Collaborate in developing the staffing approach, including a global sourcing strategy and delivery model, to mitigate risk, drive efficiency and quality Generate estimated Application Management Services /ITO solution delivery requirements including program management, new development efforts, enhancements, and ongoing operations Engage with 3rd party hardware, software and services vendors Collaborate with Optum subject matter experts, industry research and advisory firms to understand industry direction, competitive landscape, business trends, and emerging solutions Coordinate the solution, opportunity roadmap, value proposition, win plan, pricing, and executive deal reviews throughout the pursuit timeline Collaborate with Solution Sales Leads, Consulting Leads, Delivery Leads, Optum’s cross brand point solutions and offerings, and 3rd party software and hardware vendors as needed to support business opportunities and solutioning for commercial clients Build relationships and leverages a network of experts - internal and external - that enhance innovation and performance 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 or equivalent experience (Master’s degree preferred) 8+ years of experience working with IT Outsourcing (ITO) functions leveraging a global sourcing model in either a consulting, account management, implementation or similar Client interacting role 4+ years of experience working with US Health System/Hospital IT Products & solutions Experience of creating and solutioning for application management services for healthcare clients (Provider preferred) Experience in solutioning and managing complex programs that expand over multiple years across teams Solid experience with proven work output of data analysis, data visualization and overall data management Knowledge on Healthcare standards such as HL7, FHIR, ICD-9/10, CPT, LOINC and SNOWMED, EDI and general APIs Deep knowledge and understanding of the US Healthcare Provider market and its business operations Good understanding of clinical system processes, workflows and clinical applications/modules like EHR, LIS, etc. Solid MS office (Excel, Word, PowerPoint) skill, Power BI and other data management skills Demonstrated advanced communication skills (written and verbal) to interact with clients on all aspects of their Optum relationship Demonstrated strategic vision to clearly understand and identify new opportunities to expand on existing relationships Proven to be a successful individual contributor with the ability to collaborate across multiple teams including other solution architects, COEs, delivery and operations Proven solid leadership skills with proven ability to foster and manage senior-level relationships in a highly matrixed environment Preferred Qualification: Experience of working and expertise with at least one Commercial Provider EHR/EMR system (Epic, Cerner etc.) 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. #Gen

Job description The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. This role ensures that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. This position plays a critical role in the revenue cycle management for healthcare providers. Responsibilities & duties: Verify patient insurance eligibility and benefits through online portals or direct communication with insurance carriers. Accurately document insurance coverage details, including co-pays, deductibles, and out-of-pocket maximums. Collaborate with healthcare providers to obtain prior authorizations for medical procedures and treatments. Resolve discrepancies in insurance information and address coverage issues promptly. Communicate effectively with patients regarding their insurance coverage and financial responsibilities. Preferred Skills: Strong understanding of insurance terminology, medical coding (CPT, ICD-10, HCPCS), and insurance plans. Proficiency with medical billing software, Electronic Health Records (EHR) systems, and online insurance portals. Excellent written and verbal communication skills, with the ability to interact professionally with patients, insurance companies, and healthcare providers. Detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment. Knowledge of HIPAA and other healthcare privacy and compliance standards. Experience with Medicare, Medicaid, PPO, HMO, and commercial insurance plans. Note : Share your resume on this number +91 6355320395 Job Types: Full-time, Permanent Pay: ₹14,636.26 - ₹34,231.80 per month Schedule: Night shift US shift Work Location: In person

Review and analyze medical records and documentation for accuracy and completeness. Assign appropriate ICD-10, CPT, and HCPCS codes based on provider documentation. Ensure coding aligns with federal regulations and payer-specific guidelines. Query healthcare providers when documentation is unclear or incomplete. Assist in claim denial management by correcting and resubmitting rejected claims. Maintain up-to-date knowledge of coding guidelines and insurance requirements. Collaborate with billing staff to ensure clean claim submissions. Participate in internal audits and quality improvement initiatives. Maintain patient confidentiality in compliance with HIPAA regulations. Job Types: Permanent, Fresher Pay: ₹20,058.08 - ₹44,674.97 per month Benefits: Health insurance Provident Fund Schedule: Day shift Work Location: In person

Overview POSITION DESCRIPTION JOB TITLE: Operations Manager REPORTS TO: AVP/VP We are currently seeking an Ops Manager to support a growing client base and manage the dayto-day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams Job Responsibilities Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables Identifying the areas of improvement for training for a team/individual based on error trend analysis Effective planning in place to manage OJT period within the specified period Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric Ensures proactive identification of any negative deviations in the process Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency Willing to work in a 24*7 work environment post training Training would be conducted during US business hours and may last up to 6 months Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as company’s ability to resume operations from an office setting Works effectively in co-ordination with the India team ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others Shares ideas and information and has ability to collaborate efficiently Assists colleagues and the team unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated – driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity Relevant Experience & Educational Requirements Medical degree with CIC/CCS certification or in-patient DRG experience with CIC/CCS certification Minimum of two years’ experience working as Asst. Mgr./Mgr. or equivalent Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, AAOS, ICD-10-CM, ICD-10-PCS, CPT & HCPCS, etc. Practical clinical experience working in a hospital/office or nursing home preferred Has general knowledge of medical procedures, conditions, illnesses, and treatment practices Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. Skills & Competencies Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills Quick learner and proficient in application of learnings Excel proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Able to get periodic analysis as per business needs, to improve productivity and quality Ability to work well independently and maintain focus on a topic for prolonged periods of time Show more Show less

Exciting Opportunity: Medical Billing Specialist We're seeking a detail-oriented and experienced Medical Billing Specialist to join our team! As a key member of our operations, you'll be responsible for: - Processing medical claims and ensuring timely reimbursement - Reviewing and preparing claims for submission - Conducting insurance eligibility verification - Resolving billing discrepancies and issues - Staying up-to-date with regulatory changes and industry developments Requirements: - Experience in medical billing (preferred) - Knowledge of medical coding (CPT, ICD-10, HCPCS) - Strong analytical and problem-solving skills - Excellent communication and organizational skills - Ability to work in a fast-paced environment What We Offer: - Competitive salary and benefits package - Opportunity for professional growth and development - Collaborative and dynamic work environment Show more Show less

Business Development Manager – Supply, Delhi Job Description Publisher Development and Relationship Management Lead Generation Affiliate/Performance Marketing Business Development with both Domestic and International Affiliates Understanding of performance business – CPI/ CPA/ CPS/ CPL/CPT Campaign Management Analyzing Campaign and Affiliate Performance Skills:- Communication Skills, Business Development, Lead Generation and Team Management Requirements At least 3-5 years’ experience in Mobile AdTech industry Ability to board new partners and get them started from the first month itself Having good industry knowledge about publisher development, media buying and able to train and execute it along with the team. Well connected with partners with direct traffic/ apps/ developers Team player, friendly and getting stuff done attitude Apply Online Name Email Resume Fields with (*) are compulsory. Show more Show less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital 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 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology 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, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines 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. Show more Show less

Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 06 Jun 2025 End Date 30 Jun 2025 Required Experience 14 - 18 Years Basic Section No. Of Openings 1 Grade 4B Designation General Manager - Delivery Closing Date 30 Jun 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill VENDOR MANAGEMENT PROJECT MANAGEMENT SDLC SOLUTION ARCHITECTURE IT SERVICE MANAGEMENT ITIL GLOBAL DELIVERY CRM PMP OUTSOURCING Education Qualification No data available CERTIFICATION No data available Job Description Job Title: General Manager – Delivery Service Line: Medical coding Speciality : HCC coding Job Summary: The DGM of Medical Coding is responsible for overseeing the medical coding operations, ensuring compliance with industry regulations, maintaining high accuracy and productivity standards, and managing a team of coders. The DGM will play a key role in driving efficiency, quality, and continuous improvement in the medical coding department, while collaborating with other departments to achieve organizational goals. Key Responsibilities: Team Leadership & Management : Lead and manage the medical coding team, ensuring high performance, engagement, and professional growth. Conduct regular training sessions to ensure staff is up to date with the latest coding practices and industry standards. Provide coaching and feedback to improve productivity and accuracy. Operational Oversight : Oversee daily medical coding operations and ensure timely and accurate coding of healthcare services. Monitor workflow to ensure departmental goals are met, including productivity targets and quality assurance standards. Ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other regulatory requirements. Quality Control & Compliance : Review coding work for accuracy, completeness, and adherence to current coding guidelines (ICD-10, CPT, HCPCS). Implement corrective actions and develop strategies to improve coding accuracy and minimize denials. Conduct audits and internal reviews to identify issues and implement solutions. Collaboration & Reporting : Collaborate with clinical, billing, and other administrative teams to resolve coding-related queries. Analyze coding trends and provide reports to senior management for decision-making. Coordinate with insurance companies and healthcare providers to resolve coding discrepancies. Process Improvement : Identify opportunities for process improvement within the coding department to enhance efficiency and reduce errors. Develop and implement best practices, standard operating procedures (SOPs), and training materials for the coding team. Technology Integration : Stay up-to-date with coding software, electronic health record (EHR) systems, and new industry trends. Lead the integration of new tools and technologies to improve coding processes. Key Requirements: Education : Bachelor’s degree or a Master’s degree in any field. Certification in Medical Coding (e.g., CPC, CCS, CCS-P) is required. Experience : At least 15 to 18 years of experience in medical coding, with a minimum of 8 to 10 years in a managerial role Experience in managing large coding teams and driving operational efficiency. Familiarity with ICD-10, CPT, HCPCS coding systems and compliance regulations. Skills : Strong leadership, communication, and interpersonal skills. In-depth knowledge of medical coding practices, healthcare reimbursement, and regulatory requirements. Ability to manage and analyze large sets of data and make data-driven decisions. Proficient in using coding software, EHR systems, and MS Office Suite (Excel, Word, PowerPoint). Personal Attributes : Attention to detail with a focus on accuracy and compliance. Ability to work under pressure and manage multiple priorities. Strong problem-solving and decision-making skills.

Omega Healthcare Management Services Private Limited KARNATAKA Posted On 06 Jun 2025 End Date 20 Jun 2025 Required Experience 8 - 14 Years Basic Section No. Of Openings 1 Grade 3C Designation Senior Manager - Training Closing Date 20 Jun 2025 Organisational Country IN State KARNATAKA City BENGALURU Location Bengaluru-I Skills Skill TRAINING PERFORMANCE MANAGEMENT EMPLOYEE ENGAGEMENT HUMAN RESOURCES TALENT MANAGEMENT TALENT ACQUISITION VENDOR MANAGEMENT TEAM BUILDING EMPLOYEE RELATIONS EMPLOYEE TRAINING BUSINESS DEVELOPMENT Education Qualification No data available CERTIFICATION No data available Job Description Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. Requirements- Education : Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience : 13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset

About The Role Job TitleProcess Coach Service LineCoding ? About The Role :?? Understand the quality requirements both from process perspective and for?targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To?monitor?Trainees productivity?and quality output?per OJT glide path/ramp up targets. Providing continuous?feeadback?in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. ? Job Specification:? Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty IVR. Extensive Coaching & Training?as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding?Certification?like CPC, CCS, COC, AHIMA. Any graduate will do. ? Shift?Details?General Shift / Day Shift? ? Work?Mode?WFO? LocationChennai Skills Skill Vendor Management Service Delivery CRM Project Management Business Development MIS Operations Management BPO Process Improvement Telecommunications Education Qualification No data available CERTIFICATION No data available

Immediate Job Openings for ED Pro/Fac Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in ED Pro/Fac Medical Coding. Specialty : ED Pro/Fac Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Joining: Immediate Joiners only Location : Chennai/Trichy/Salem- WFO Interested Candidate can Call Immediately to 9443238706(Available on Whatsapp) or forward your profile to ramesh.m@veehealthtek.com Regards, Ramesh- HRD 9443238706 ramesh.m@veehealthtek.com Vee Healthtek

# 02 to 04 yrs Exp. in handling US Healthcare Medical Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *Qualification : HSC / 12th / Under Graduates / Any Graduates. *Good exposure to the US Healthcare Industry & Knowledge of various reports on Denial management, Global action etc.

# 02 to 04 yrs Exp. in handling US Healthcare of Hospital Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *02 to 04 Years experience in US Health care Hospital billing *Good exposure to US Healthcare Industry & various reports on Denial management, Global action etc. *Handling billing related queries

* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift

Job Title: Bench Sales Recruiter Location: Onsite – Kondapur AMB Mall Job Type: Full-Time Experience Level: 1–3 Years (Bench Sales/US Staffing) Company Overview: Coginer is a fast-growing IT staffing firm committed to connecting top-tier IT consultants with the best opportunities across the U.S. We are looking for a motivated and experienced Bench Sales Recruiter to join our team and drive candidate marketing efforts. Responsibilities: Market IT consultants (H1B, GC, USC, OPT, CPT, etc.) to implementation partners, direct clients, and vendors. Develop and maintain strong relationships with bench consultants by understanding their skill sets and preferences. Identify potential job opportunities via job boards, portals (Dice, Monster, Indeed, CareerBuilder), LinkedIn, and vendor networks. Submit consultants to suitable positions and negotiate terms with vendors/clients. Coordinate interviews and follow up for feedback. Maintain and update submission records and performance trackers. Build long-term relationships with vendors, clients, and consultants. Qualifications: 1–3 years of experience in US IT Bench Sales. Strong knowledge of visa classifications and IT technologies. Excellent communication and negotiation skills. Experience with job boards and social media for recruiting. Ability to work independently and meet targets. Familiarity with CRM or ATS tools is a plus. Show more Show less

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, 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 16,000+ 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. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. 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

Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports