370 Ed Jobs

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ #NJP #NTRQ

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview or offer process At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of Meets Expectations or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NJP

We Are Hiring: ED Facility Coders (Certified Only) Company: Med-Metrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 1+ Year Required Specialty: EM Inpatient (IP) / Outpatient (OP) Joining: Immediate Joiners Preferred We are looking for experienced and certified medical coders with a background in ED Facility to join our team. Mode of Interview: Walk-in Salary: As per market standards (Negotiable based on experience) Eligibility: Certified Coders only with a minimum of 1.5 year of experience in ED Facility Work Mode: Work from Office only Contact: Ranjitha HR 8807618852

Hello Connections, CorroHealth is Hiring for Assistant Manager - HIM (Medical Coding) Work Location - Hyderabad and Bangalore Must be CPC Certified Specialty - E/M, Surgery E/M OP and IP Current designation Team Lead or Senior Team Lead can apply Must have experience in E/M, Surgery Expertise & Qualification: - Life Science graduation or any equivalent graduation with Anatomy/Physiology as main subjects. 8 - 12 years of overall coding experience, out of which a minimum 4 years in team handling of a team size ranging between 30 55 team members. Any one of the following coding certifications CPC, from AAPC. Excellent communication skills, both verbal and written. Strong leadership skills & Outstanding organizational skills. Hands on Experience in generating reports using MS Office - Excel, word and MS power point. Interested candidates can apply and share their resume on - neha.amodiwari@corrohealth.com HR Neha - 9305042166

Hello Folks, CorroHealth is hiring for mentioned Position... Designation - Trainers Location - Noida Specialties: EnM / Surgery / ED Current Designation should be Quality analyst / Team Lead and above Experience: Min 5+ys Work from Office Must be a certified from: CPC / Ahima Must be a Graduate Roles and Responsibilities- Conduct training sessions on Enm, Process Training, Medical Coding, for healthcare professionals. Provide hands-on experience with medical coding systems such as ICD-10-CM/PCS, CPT, HCPCS Level II. Provide process training to healthcare professionals on medical coding EnM IP OP and other related topics. Interested candidates can share their CV'S on - neha.amodtiwari@corrohealth.com HR Neha - 9305042166

We are hiring for Medical coder-Lead position Manager operations Homehealth Salary:17Lacs Location:Chennai/Bangalore Senior Manager EM IP & OP,ED Pro & Fac Location:Chennai interested hsare resume-9629859733

Kamineni academy of medical sciences is looking for Assistant Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teach a range of courses in the department, at both the undergraduate and graduate levels Conduct original research in the field and publish findings in academic journals and at conferences Advise students and mentor junior faculty members Participate in department and university-wide committees, such as curriculum committees and search committees Pursue external funding opportunities to support research and teaching activities Engage in professional development activities to stay current in the field and enhance teaching skills

Kamineni academy of medical sciences is looking for Associate Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teaching and Instruction: Associate Professors are responsible for teaching undergraduate and/or graduate-level courses in their area of expertise They develop syllabi, prepare course materials, deliver lectures, facilitate discussions, and assess student performance They may also supervise student research projects, theses, and dissertations Research and Scholarship: Associate Professors engage in research activities, pursue scholarly publications, and contribute to the advancement of knowledge in their field They conduct research projects, secure research funding, collaborate with colleagues, and publish their findings in academic journals or present them at conferences They may also mentor and guide graduate students in their research pursuits Academic Advising: Associate Professors provide academic guidance and advising to students They assist students in selecting courses, developing academic plans, and pursuing research or career opportunities within their discipline They may also serve as thesis advisors or mentors to graduate students Service and Committee Work: Associate Professors contribute to the administrative functions of their department, college, or university through service and committee work They participate in faculty meetings, serve on academic committees, contribute to curriculum development, and provide input on various institutional matters

Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for ED Coders @ Velachery Location !!! JOB DETAILS : Minimum 4+ years of ED Denials or Denials Coding experience Notice : Immediate Work Mode : Office Location : Velachery COMPETENCIES / SKILL SET : *Minimum 4+ years of ED Denials or Denials Coding experience *Analytical and problem-solving skills *Team working *Organization, time management, prioritizing and the ability to handle a complex, varied workload QUALIFICATIONS & WORK EXPERIENCE : *Human science with bachelor or Master Degree / Life science graduates / Paramedical. *Knowledge in Anatomy and Physiology *Knowledge of MS Office (especially Excel and Word) Interested candidate contact to 9952075752 - POOJA HR. Regards POOJA HR Global HR Team 99520 75752

Greetings from AGS Health. Designation: Medical Coder/Senior Medical coder/ QA Speciality we are hiring: E/M OP, ED Profee, Denials, Surgery, IPDRG, Anaesthesia Job Description : Should have knowledge in Medical Coding concept. 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 Good Knowledge on Anatomy & Physiology Excellent Knowledge on ICD & CPT Good Computer Skills Above Average Communication Skills Good Reporting Skills Requirements and Skills: Experience: 1 + Years of experience in above mentioned speciality Work Location - Ambattur, Kandanchavadi (Work from office) Salary Offered: Based on your experience Minimum Qualification: Life Science/ paramedics, Graduates. License/Certification: CPC, CIC, COC,CCS (Required) Evaluation & Management - OP : Minimum 12 months experience in EM - OP/IP, ED Profee, ED facility, Denials, surgery, IPDRG, Anaesthesia Certification is Mandatory. Preferably immediate joiners. Interview Mode: Virtual Benefits: Health insurance Provident Fund Day shift One way cab facilities + breakfast If your are interested please send me your updated resume to this mail ID - tanu.natani@agshealth.com

Dear job Aspirants, Greetings from Global Healthcare Billing Partners Pvt Ltd !!!! Opening for Surgery Quality Position @ Velachery Specialization : Surgery QA Preferred candidate profile: Should be able to communicate in English fluently and do presentations affluently. CPC certification is mandatory Experience as Trainer is Must. Experience: Min 3.5Years of exp in Surgery Coder Designation: QA Notice Immediate or Max 15 Days Shift : Day Work Location : Velachery (Work from Office) Note : Candidates should be @ Chennai Location currently & willing to work from office. Interested candidates can Call HR MALINI - 9003239650 / 8925808598 Thanks & Regards, MALINI HR 90032 39650

Surgery , Radiology , EM - Coders & QA || Up to 70K Take-home || Locations : Chennai || Coder : Min 1 + yr of exp in below mentioned specialization's Radiology Denials multispecialty Surgery EM OP / IP Quality Analyst : Min 4 + yrs of exp in below mentioned specialization's with QA exp on / off paper ED Facility EM OP / IP Surgery Any Certification is fine (CPC , CCS , CIC , COC) Up to 60K Take-home Notice Period : 0 - 15 Days Relieving letter is not mandatory Interested & Eligible candidates can share your updated resume to HR Keerthi Sai Priya - 9951773491

Hiring - Medical Coders || Up To 12 LPA || Chennai, Bangalore, Hyderabad || Min 2 + yr of exp in below mentioned specializations 1. IPDRG : Bangalore / Chennai || 70 K take home 2. Surgery : Chennai / bangalore || CTC upto 7 lpa 3. Denials : Chennai || 48 K Take Home 4. Radiology : Chennai || CTC upto 7.5 lpa 5. E/M : Chennai / bangalore || 60 K Take Home 6. Surgery QA : Hyderabad || CTC upto 10 lpa 7. Home Health QA : Hyderabad || CTC upto 12 lpa 8. IPDRG QA : Hyderabad/ Chennai || CTC upto 12 lpa 9. EM / Surgery Team lead : Chennai || CTC upto 12 lpa 10 E/M QA : Chennai / bangalore || CTC upto 7.5 lpa 11. Ed Profee : Bangalore || CTC upto 7 lpa 12. Ed Facility QA : Chennai || 60 K Take Home 13. E/M with Primary care : Bangalore || CTC upto 7 lpa Only Certified Coders Up to 12 LPA Notice Period : Immediate - 15 days Relieving letter is not mandatory Interested candidates send Your Resume To: Email: geethanjali.axisservices@gmail.com WhatsApp: HR - 7093149635Role & responsibilities

We are hiring//Medical Coders// Min 1 + yr of exp in below mentioned specialisation's Ed Profee - Bangalore Surgery - Hyderabad , Chennai, Noida, Bangalore IPDRG - Hyderabad , chennai, Noida,Bangalore OBGYN - Hyderabad ENM - Chennai , Bangalore Denials multi-speciality - Chennai Position: QA Min 4 + yr of exp in below mentioned specialisation's IPDRG QA - Hyderabad, Chennai, Bangalore ED Facility QA - Chennai ENM OP QA or ENM IP QA - Chennai, Bangalore Surgery QA - Hyderabad , Chennai , Bangalore IPDRG Trainer - Hyderabad Home health QA - Hyderabad Position: Team Lead Enm Surgery lead delivery ( Quality ) - chennai Surgery Lead Delivery - chennai Enm lead delivery -chennai Only Certified Coders Up to 12 LPA Notice Period : 0-30 Days Relieving letter is mandatory Interested candidates can drop Your Resume To: HR Lalitha - 8179142981 through Whatsapp lalithahr.axis@gmail.com through Mail Referrals are appreciated

Dear Candidates, Warm Greetings from Omega Healthcare. We are Hiring 1+ Years of experienced Certified ENM Coders who have good knowledge in ENM OP and who can join us immediately. Virtual Interviews are arranged for candidates benefit. Interested candidates kindly share your resumes to the below Whatsapp number and email ID. Ganesh Kumar R (HR) - 9677167215 (Both Contact & Whatsapp) Email: Rumal.Sakthi@omegahms.com If you have any doubts Kindly reach out to me. Thanks & Regards Ganesh Kumar R | HR

Hiring for Medical Coders || Up to 10 LPA || Locations : Hyderabad ,Chennai , Bangalore , Noida || Min 1 + yr of exp in below mentioned specialization's Surgery - Hyderabad , Chennai , Noida , Bangalore ED Profee-Bangalore Radiology - Chennai EM OP , IP - Bangalore , Chennai EM with Minor / Major Surgery - Chennai , Noida Denials multispecialty - Chennai IPDRG - Hyderabad , Chennai , bangalore Home Health - Hyderabad Any Certification is fine (CPC , CCS , CIC , COC) Up to 10 LPA Notice Period : 0-60 Days Relieving letter is mandatory Interested & Eligible candidates can share your updated resume to : sriya.axis@gmail.com Sriya HR , 8019702407Role & responsibilities Preferred candidate profile

Transport is at the core of modern society Imagine using your expertise to shape sustainable transport and infrastructure solutions for the futureIf you seek to make a difference on a global scale, working with next-gen technologies and the sharpest collaborative teams, then we could be a perfect match What You Will Do We are looking for a Software Engineer in Brazil As the Software Engineer, you are responsible for the applications design, development, implementation and maintenance The Software Engineer is expected to understand and be familiar with Adobe Edge Delivery Services (EDS), development, and maintenance processes The developer is expected to have solid working knowledge and experience in Adobe EDS web development and in a relevant technology or/and in a business solution/process, combined with good knowledge about AGILE methodology Participate in maintenance activities Responsibilities Lead software engineering team that develops public websites for multiple brands Design efficient solutions leveraging the standard technologies and techniques of the platform, meeting required non-functional requirements, complying with Volvo architecture guidelines, minimizing specific in-house developments, and ensuring capacity to upgrade the solution Ensure applicable IT security directives are followed Develop and test features according to the requirements, using appointed tools and technologies, keeping in mind quality, cost, and timeline Provide expertise in one or several areas around systems integration, platform architecture, development languages and techniques, tools, including user experience tools Coordinate and cooperate with multiple stakeholders including front-end and back-end developers; quality engineers; business analysts; architects; solution engineers, consultants, and leaders; marketing teams; content editors; and delivery managers Design, develop, collaborate, implement the development tasks/activities on a daily and regular basis to create an efficient work delivery Actively participate during requirement collection and system analysis phase along with Agile team members Follow all coding/testing guidelines and best practices Build, release, and deploy on test, dev, and prod environments Branching and merging to version control systems using GIT Support implementations/Rollouts of new features/issue fixes/enhancements in non-prod/Prod environments As Software Engineer, you are a team player who is self-driven with a problem-solving mindset Since you are part of a global unit, with global responsibilities, you will need to actively cooperate and communicate with various stakeholders and navigate with ease in a multi-cultural environment Required Competencies Relevant university degree (Bachelor's and/or Master's degree) Excellent communication, teamwork, and responsibility Takes initiative in solving problems and making recommendations for efficiencies and improvements Fluent proficiency in English (fluent Spanish considered a plus) Strong development experience in Adobe EDS, familiar with Adobe Experience Manager, Adobe Assets, Dynamic Media; Microsoft Sharepoint, Google Drive/Docs, Template, JavaScript, CSS, SCSS, HTML, JQuery, nodeJS, React, etc; Solid performance working as an AEM Developer and continuous improvement is in your mindset; Collaborative work, self-driven studying, analytical and a problem-solver Solid experience in EDS technologies Location Brazil as primary, India as secondary (need to follow US time zone) As a Software Engineer, this role needs to cooperate and communicate actively with various stakeholders and team members, so English language is required This selection process will be conducted with the support of the consulting firm Ewave At Volvo do Brasil, we value the candidate experience and collaborate with approved partners to ensure a professional selection process aligned with our values We reaffirm our commitment to protecting the personal data of all participants, in full compliance with the Brazilian General Data Protection Law (LGPD) Our goal is to provide a safe and respectful experience at every stage of the process We value your data privacy and therefore do not accept applications via mail Who We Are And What We Believe In Our focus on Inclusion, Diversity, and Equity allows each of us the opportunity to bring our full authentic self to work and thrive by providing a safe and supportive environment, free of harassment and discrimination We are committed to removing the barriers to entry, which is why we ask that even if you feel you may not meet every qualification on the job description, please apply and let us decide Applying to this job offers you the opportunity to join Volvo Group Every day, across the globe, our trucks, buses, engines, construction equipment, financial services, and solutions make modern life possible We are almost 100,000 people empowered to shape the future landscape of efficient, safe and sustainable transport solutions Fulfilling our mission creates countless career opportunities for talents with sharp minds and passion across the groups leading brands and entities Group Digital & IT is the hub for digital development within Volvo Group Imagine yourself working with cutting-edge technologies in a global team, represented in more than 30 countries We are dedicated to leading the way of tomorrows transport solutions, guided by a strong customer mindset and high level of curiosity, both as individuals and as a team Here, you will thrive in your career in an environment where your voice is heard and your ideas matter

Hi All interview Started For CODERS & QA and offer Release also Started HCC Coders - 0.6 m+ yrs of exp Location - Chennai only (Any one willing to relocate to Chennai also can apply) ONLY WORK FROM OFFICE Certified only (Any Certification) Notice Period Acceptable Immediate Joiners Preferred Designation - Medical Coder Shift: Day shift Salary based on yrs of exp Hashrithaa HR Contact : 9894654083 (WhatsApp / Call) Mail : hashrithaa.b@accesshealthcare.com Kindly share this to all friends who in need of jobs in Coding

Minimum 2+ Years of Experience in ED Professional Both Certified & Non certified Can apply Mode of Interview - Virtual & Walk In Looking for Immediate joiner preferred Salary - Best in Industry Work Location - Chennai Regards, Krish Hr 9342780488

Responsibilities: * Code medical records accurately using CPC certification * Collaborate with healthcare providers on denial management * Review E/M, ED, radiology, anesthesia codes for compliance Exp.- 1year- 6year

Role & responsibilities Were Hiring | Medical Coders & QA Specialists | Immediate Joiners Preferred Open Positions Coder Roles (Min. 2 Years Experience in Speciality Required) Surgery Coder Up to 10 LPA | Chennai, Hyderabad, Bangalore IVR (Radiology) Coder Up to 7.5 LPA | Chennai EM Coder Up to 7.5 LPA | Chennai IPDRG Coder Up to 13 LPA | Chennai, Hyderabad, Bangalore QA Roles (Min. 4 Years Experience in Speciality Required) Surgery QA Up to 70K/Month | Chennai, Bangalore ENM QA Up to 60K/Month | Chennai, Bangalore ED Facility QA – Up to 60K/Month | Chennai IPDRG QA – Up to 16 LPA | Chennai, Hyderabad Key Requirements Relevant specialty experience as listed Valid certification (CPC, CCS, CIC, COC) Willingness to work from office (Chennai base preferred) Relieving letter from previous employer is a must Work from Office | Chennai, Hyderabad, Bangalore Notice Period: 0–30 Days | Immediate Joiners Highly Preferred Relieving Letter Mandatory Interested or know someone who fits? Contact Hr prathyusha - 7702498242 ( share cv via whats app ) Preferred candidate profile

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team Join Us, Refer a Friend, and Earn a Referral Bonus! Role & responsibilities The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Note: Kindly Mention Santhiya HR in corner of your resume Santhiya 9384426766 Email : Santhiya.sathiyaraj@ventrahealth.com

Designation: Assistant Operations Manager Role Objective: The role objective of a Outpatient Coding (HCC Coding) Assistant 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 Leader: Leading and managing the HCC coding team, including allocating inventory, monitoring performance, and ensuring adherence to deadlines. Quality Assurance: Performing coding audits to ensure accuracy, compliance with coding standards (e.g., ICD-10-CM and CPT), and adherence to regulatory guidelines. Training and Mentorship: Providing training, guidance, and support to team members to enhance their skills and address coding-related queries. Compliance Oversight: Ensuring coding practices meet organizational policies, payer requirements, and federal regulations. Collaboration: Working with clinical staff, billing teams, and management to resolve discrepancies, clarify documentation, and optimize reimbursement processes. Reporting: Preparing and presenting reports on team performance, productivity, and quality metrics for leadership. Process Improvement: Identifying areas for process improvement and implementing strategies to enhance efficiency and accuracy in coding workflows. Required Skills Candidate must have 1 year experience working in HCC Coding & 8+ years of Multi-Specialty Coding experience Minimum of 2-3 years of experience in People Management role and ability to handle a team of 20+ coders. Certification & Education: Any certification from AAPC or AHIMA (currently active )and Any Bachlers degree in education 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 Good analytical and process improvement skills Ability to drive action plans and strategies. Adaptive and should have learning agility Please share CV at rbhasin176@r1rcm.com

Greetings from Savista!! We are hiring Assistant Manager for Coding Quality. Roles & Responsibilities: To audit the medical coding chart on a regular basis within TAT. Should be aware of the internal and external quality percentages of their individual project, Should be aware of client updates / account manual up to date. Should be aware of different types of audit process Live & Schedule audit. Should be able to prioritize the Audit works based on the client and internal priorities. Should promptly escalate any new difficulties and process-related quality deviations to reporting managers immediately. Should be able to perform quality feedback reviews on a daily, weekly, and monthly basis with coders and operations AMs. Should be aware of HIPPA compliance. Should be aware of company quality policies and client quality policies. Should promptly maintain and share a quality report with the operations team. Should be able to give regular feedback and appropriate instruction to coders. Performance Standards: The number of audit charges to analyse will meet or exceed departmental productivity and quality standards. To meet all KPI parameters in Quality department including audit coverage for the project. Client Policy and Procedure: Maintain an up-to-date updated quality reports documentation and quality policy. Consistently apply current policy and procedure to all Quality analysis. Participate in client calls and clarification whenever is required. Maintain strict confidentiality in accordance with HIPAA regulations and Company policy. Required Skills: 6 to 8 years of work experience in Coding. Value addition if they already worked in Quality department with relevant attributes and skills. Candidates certification should be current in AAPC or AHIMA . Good Knowledge in Specialty-ED Profee and facility coding(Mandatory), E/M , Multi-speciality(Mandatory) - general coding guidelines. (CPT, ICD -10 CM guideline) , Multi-speciality(Added Advantage) Strong anatomy & physiology knowledge. Team player collaborative with other auditors and coders. Able to share Training need analysis based on the Root Cause Analysis and basic knowledge on the RCA tool. Auditor able to provide rational and fresher to the coders whenever is require. Able to document audit finding as per monitoring form in Excel or portal. Excellent Communication & task orientation to discuss about rational on the feedback. Adaptability to work in different shifts, teams, and roles Interested candidates please share your resume to ambika.mohan@savistarcm.com or reach at 7708240526 . Regards, Ambika