295 Hcpcs 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

nitro-lazy"> Qualifications : Graduate in Lifesciences with Coding certifications : CPC, CCS. Highly experienced in surgical coding with an emphasis on orthopedic surgery. Years of Experience : Minimum 6 years of experience and overall 8 years of experience Job Summary The Coding Auditor and Educator is responsible for providing coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially orthopedic surgery, along with expertise in professional inpatient E/M services. The auditor/educator assists in providing educational training and understanding to physicians, mid-levels, clinical personnel, and revenue cycle teams. The auditor/educator will have effective communication skills via verbal and written and will be able to speak with providers and clinical team members confidently. Qualifications 2+ years of relevant experience in a professional coding auditor and/or coding educator capacity required. 3+ years orthopedic surgery and Evaluation and Management (E/M) coding experience. Other surgical specialties considered. Certified coding certificate from AAPC or AHIMA, required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive Experience with multiple practice management systems Expert level knowledge of Microsoft Office (Word and Excel) An innate desire for continuous operational improvement Responsibilities Conducts regular audits of coding and billing practices to ensure that they comply with regulations, identify areas for improvement, and provide training and support to staff members as necessary. Prepares clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating providers, coders, and management throughout the organization. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Stays up-to-date with changes in coding regulations, policies, and procedures to ensure that the organization is always in compliance. Assists to designs, develops, and implements coding education programs for clients and staff members in the organization. Assists to provide education and training to coding staff, physicians, and other healthcare providers on CDI and coding best practices, including documentation requirements, coding guidelines, and compliance with regulatory requirements. Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)

We are looking for a highly skilled Medical Content Writer with 3 to 9 years of experience to join our team at Digilantern. The ideal candidate will have a strong background in medical writing and excellent communication skills. Roles and Responsibility Develop high-quality, engaging medical content for various platforms. Conduct research and interviews to gather information and insights. Collaborate with cross-functional teams to ensure consistency and accuracy. Edit and proofread content for clarity, grammar, and punctuation. Stay up-to-date with industry trends and developments. Meet deadlines and deliver content on time. Job Requirements Minimum 3 years of experience in medical writing or a related field. Strong knowledge of medical terminology and concepts. Excellent writing, editing, and communication skills. Ability to work independently and as part of a team. Strong research and analytical skills. Familiarity with content management systems and publishing software.

Company Description MedCoded is a healthcare organization focused on advancing health information management and medical coding services. The company's mission is to ensure that healthcare providers, hospitals, and other healthcare organizations have access to high-quality, accurate coding and health information management (HIM) services to enhance patient care, optimize reimbursement, and maintain compliance with industry regulations. With its blend of skilled personnel, robust compliance practices, and commitment to accuracy, MedCoded aims to be a leading player in the field of health information management, contributing to better patient care and improved healthcare operations across the board. Join Our Team as a Medical Coder! Are you passionate about healthcare and detail-oriented Do you have a knack for interpreting medical records and coding them accurately We have the perfect opportunity for you! Position: Medical Coder Location: Remote Type: Full-Time Salary: Competitive, Based on Experience About Us: Med Coded is a leading healthcare provider dedicated to delivering the highest quality of care to our patients. We believe in innovation, excellence, and compassion. Our team is composed of dedicated professionals who work together to make a difference in the lives of our patients. Job Responsibilities: Accurately assign ICD-10-CM and PCS codes to patient records Ensure compliance with coding guidelines and regulations Review and verify documentation for completeness and accuracy Collaborate with healthcare providers to clarify diagnoses and procedures Participate in continuous education and training to stay updated on coding practices Qualifications: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) Minimum of 1-2 years of coding experience preferred Proficiency in ICD-10 and PCS Strong attention to detail and analytical skills Excellent communication and interpersonal skills Ability to work independently and as part of a team Benefits: Competitive salary and benefits package Opportunities for professional growth and development Supportive and inclusive work environment Access to the latest technology and resources Join us in making a difference in healthcare. Be a part of a team that values your skills and dedication. Apply today!

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employees to minimize errors, providing inputs to enhance training curriculum based on common mistakes observed, and testing files/batches for new clients/processes are also key aspects of this role. Additionally, you will be responsible for generating QA reports on a daily basis, meeting and exceeding internal and external SLAs as per defined processes, maintaining quality status reports, and ensuring strict adherence to company policies and procedures. Your role will involve conducting quality audits, coaching, and training sessions as per the defined process, requiring a minimum of 1.5 years of professional and relevant experience in the field. To excel in this role, you must possess sound knowledge of healthcare concepts, critical problem-solving skills, good analytical abilities, and judgmental skills. It is essential to have a good understanding of product and process knowledge, and to conduct quality feedback and refresher sessions regularly. If you are looking for a challenging opportunity to enhance your quality control skills and contribute to maintaining high standards in healthcare coding, this position offers a platform to showcase your expertise and make a significant impact within the organization.,

Female Report typist OR Female Radio Technician can apply Manipal Hospitals, Kharadi, Pune, is seeking a detail-oriented and efficient Sonography Report Typist to accurately transcribe and process sonography examination reports. The ideal candidate will possess excellent typing skills, a strong understanding of medical terminology, and the ability to maintain patient confidentiality. This role is crucial in ensuring timely and accurate documentation for effective patient care. Roles and Responsibilities The Sonography Report Typist at Manipal Hospitals, Kharadi, Pune, will be responsible for the following: Transcription of Sonography Reports: Accurately and efficiently transcribe sonography findings from dictation, handwritten notes, or voice recognition software into well-formatted and professional reports within the stipulated turnaround time. Medical Terminology and Accuracy: Demonstrate a strong understanding of medical terminology, particularly related to sonography and anatomy, ensuring the correct usage of terms and maintaining the clinical accuracy of the reports. Report Formatting and Editing: Format reports according to departmental standards and ensure they are clear, concise, and free of grammatical and typographical errors. Proofread all transcribed reports for accuracy and completeness. Data Entry and Management: Enter relevant patient information and report details accurately into the hospital's electronic medical record (EMR) system or other designated databases. Maintain organized records of completed and pending reports. Communication and Clarification: Communicate effectively with sonographers and radiologists to clarify any ambiguities, discrepancies, or missing information in the examination findings to ensure report accuracy. Confidentiality and Data Security: Maintain strict confidentiality of patient information and adhere to hospital policies and legal regulations (e.g., HIPAA equivalent) regarding data privacy and security. Equipment Handling: Operate and maintain necessary office equipment, such as computers, printers, and transcription devices. Report any technical issues promptly. Workflow Management: Prioritize tasks effectively to meet deadlines and ensure a smooth flow of reports within the radiology department. Quality Assurance: Participate in quality improvement initiatives and adhere to established protocols to ensure the highest standards of report accuracy and quality. Ad Hoc Tasks: Perform other clerical and administrative duties as assigned by the Lead Sonographer or Radiology Manager. Collaboration: Work collaboratively with other members of the radiology team to ensure efficient and effective departmental operations. Continuous Learning: Stay updated with advancements in medical terminology, sonography procedures, and hospital information systems.

"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."

Summary : A leading company is hiring experienced Medical Billers (US healthcare) for Noida location. Local candidates from Delhi-NCR only need to apply. Job Description : Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes. Ability to analyse and organize work for maximum efficiency. Excellent hands-on experience on all the items below: Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Working knowledge of CPT, ICD codes, Modifiers etc. Rejection & denials management. Checking status of claims on payer portals. Payments posting: Manual & electronic (EOB/ERA). Preparing and sending Patient Statements. Excellent communication skills in English (written as well as Verbal) Ability to analyse and organize work for maximum efficiency and meet Daily targets. Ability to work in a team and communicate effectively. Candidate should be a local of Delhi-NCR. Qualification : Undergraduate or Post Graduate in any discipline Minimum 3 Years of experience as Medical biller

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

Denial Multispecialty quality auditor: Life science graduate is mandatory Auditor should have 4+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc. Able to analyze the denial trend and come up with solutions. Need to provide education to the team and support the team wherever is required Need to work independently. Should have good verbal and written communication Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MEU, medical necessity. Roles and Responsibilities: - Responsible for accurately addressing multi-specialty denials which includes, EM OP, Surgery, Modifiers, Dx related and ensuring compliance with medical coding policies and guidelines. Requires proficiency in ICD-10, CPT, and HCPCS coding systems, along with a strong understanding of medical terminology and anatomy. Plays a critical role in optimizing reimbursement for healthcare services through timely and accurate submission of coded information. Should have a good knowledge in denial codes and able to interpret the exact denial reasons from EOB and resolve it, Desired Candidate Profile: - Should be a Science Graduate. Minimum of 1+ years of experience in Denials. Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements. Timings & Transport 1. Shift timings 8.30am – 5.30Pm 2. FIVE DAYS WORKING (MONDAY – FRIDAY) 3. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Saturday and Sunday Fixed Week Offs. 2. Self-transportation bonus up to 3500per month.

We are seeking a skilled and experienced Medical Coder to join our team at Ikya global as a Medical Coding Trainer, you will be responsible for accurately assigning medical codes to diagnoses and procedures using industry-standard coding systems. Required Candidate profile Proficiency in industry-standard coding systems, including CPT, ICD, and HCPCS. Certification as a Certified Professional Coder (CPC) is highly desirable.

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, such as HIPAA guidelines, is necessary to ensure patient privacy and confidentiality. Following coding best practices and maintaining a thorough understanding of coding conventions and principles are also key aspects of the role. Collaboration with healthcare professionals, including physicians, nurses, and other staff members, is required to obtain necessary information for coding purposes. You will need to communicate with providers to address coding-related queries and clarify documentation discrepancies. Working closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement is part of the job responsibilities. Conducting regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement is also a key aspect of the role. Participation in coding compliance programs and initiatives to maintain accuracy and quality standards is expected. To be considered for this position, applicants need to meet the following qualification criteria: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficient in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes,

AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure output quality. Technical Execution: Build, fine-tune, and deploy models using PyTorch, TensorFlow, HuggingFace Transformers , and scikit-learn . Integrate LLM APIs for code summarization and document understanding. Implement vector search and orchestration platforms for real-time AI assistance. Role & responsibilities Preferred candidate profile

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting appeals with accurate documentation, and monitoring deadlines for timely submissions. The ideal candidate will possess a strong understanding of the US healthcare billing cycle, hands-on experience with EMR/EHR systems, in-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you are passionate about healthcare revenue management and proficient in resolving complex denials, we encourage you to apply and be a part of the Zapare team. #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity,

About Client Hiring for one of the most prestigious multinational corporations Job Title : Certified Multi Specialty Denial Coders Qualification : Any Graduate and Above Relevant Experience : 1 to 3 Years Must Have Skills : 1. Certification in medical coding (CPC, CCS, or equivalent). 2. Hands-on experience with denial analysis across multiple specialties like cardiology, orthopedics, neurology, etc. 3. Strong knowledge of modifiers, coding edits, and payer-specific requirements. 4. Good communication skills and detail-oriented approach. Good Have Skills : Certification in medical coding (CPC, CCS, or equivalent). Roles and Responsibilities : 1. Review and analyze denied claims across multiple specialties. 2. Identify root causes for denials and take corrective coding actions. 3. Collaborate with the denial management and billing teams to ensure timely resubmission of claims. 4. Maintain coding accuracy and adherence to payer-specific guidelines. 5. Utilize coding systems such as ICD-10-CM, CPT, and HCPCS effectively. 6. Provide feedback and input for denial prevention strategies. 7. Ensure coding compliance as per regulatory and client standards. Location : Bangalore, Chennai CTC Range : 3 5.4 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in *******DO REFER YOUR FRIENDS / FAMILY*******

Desired Candidate profile Excellent communication, problem-solving and organizational skills Mandatory: Minimum 3+ years of experience in US Healthcare Medical Billing Must have 1 year experience in Team Handling Strong understanding of CPT, ICD 10, HCPCS, payer denials and AR workflow Proficiency in practice management systems. Preferred experience in Trizetto, Waystar, Jopari NextGen. Immediate joiners will be preferred Flexible with shift timings Benefits

We are looking for a skilled Senior Coder with 2-4 years of experience to join our team in Chennai. The ideal candidate will have a strong background in coding and analytics, with excellent problem-solving skills. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and validate coding quality for accuracy and compliance. Develop and implement coding standards and guidelines. Collaborate with healthcare professionals to clarify coding discrepancies. Conduct audits to ensure coding compliance with regulations. Provide training and support to junior coders on coding best practices. Job Strong knowledge of coding principles and regulations. Excellent analytical and problem-solving skills. Ability to work accurately and efficiently in a fast-paced environment. Effective communication and collaboration skills. Strong attention to detail and organizational skills. Ability to maintain confidentiality and handle sensitive information. Experience working with CRM/IT Enabled Services/BPO industry. Company nameOmega Healthcare Management Services Pvt. Ltd. Reference number1376745.

Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424

Training Design and deliver training programs on ICD-10-CM , CPT , and HCPCS coding systems Create instructional materials like handbooks, presentations, and online modules Track performance metrics and maintain detailed training records

You should have at least 3 years of hands-on experience in Interventional Radiology coding and be proficient in reviewing and interpreting complex interventional radiology reports to accurately assign codes for procedures and diagnoses. As an Interventional Radiology Medical Coder, your responsibilities will include applying appropriate CPT, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures. It is essential to stay updated with IR coding guidelines, CPT changes, and compliance regulations. You will also be required to support internal and external audits by providing detailed coding rationale and documentation. The ideal candidate for this position should hold a Certified Professional Coder (CPC) or CIRCC certification, with a strong preference for candidates with MIPS Coding experience. Additionally, familiarity with radiology workflow, RIS/PACS systems, and coding tools is beneficial. A comprehensive understanding of CPT, ICD-10-CM, and HCPCS Level II codes is essential for this role.,

Deliver ED CPT/ICD10CM/HCPCS/NCCI coding training, update SOPs, coach coders, track audit metrics, and support documentation improvement. Required Candidate profile 7–10 yrs in ED coding, 4+ yrs training experience. AAPC/AHIMA-certified (CPC/CCS), strong knowledge of CMS/AMA/AHA/ACEP guidelines, excellent presentation skills.