1230 Hipaa Jobs - Page 21

Qualification: Bachelors degree in computer Science or IT higher-level qualification Perform 3rd-party audits and trainings according to ISO/IEC 27001, ISO 9001 & other IT specific standards/ frameworks Provide timely and accurate reviews of client’s corrective action and closure. Minimum 5+ years’ Experience in IT /Management system Implementation / certification and Minimum 2 years of profound experience in the field of information security. Great attitude, Analytical skills and communication skills. Preferred: IRCA Certified, ITIL Certified, CISA, CISM, CISSP, MCSE, MCSA and/or MBA Good understanding of relevant regulations and industry standards (e.g. ITIL Framework, FFIEC, SOX, COSO, COBIT, ITIL, ISO27001, PCI, HIPAA, HiTrust and GLBA), best practices and methodologies and the ability to apply these requirements to organizational internal control frameworks. Able to travel for business purpose(70-80%).

Requirements: • 3+ Years of experience in Health and Welfare benefit administration. • Experience in delivering results across Medicare, COBRA, Workday, FSA, HSA, DVS, DBP Medicare, should be specialize in resolving complex insurance and payroll issues, managing client escalations and improving operational accuracy. • Should have experience in Annual enrollment, Life Events, Vendors Files, Payroll and Premium, Life Insurance, Medicare Benefits, Claim, Billing, etc., • Must be proficient in using Microsoft Office applications (Microsoft Word, Excel, and PowerPoint). • Ability to work towards deadlines. • Positive attitude and solution-oriented thinking. Requirement Excellent communication skills and Interpersonal skill. Candidates willing to work in US Shift (night shift) may apply. . Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Analyst and your name in subject line

We are seeking an experienced and highly motivated Cybersecurity GRC Manager to lead and manage the organizations governance, risk, and compliance (GRC) initiatives The ideal candidate will be responsible for designing, implementing, and maintaining robust cybersecurity frameworks to ensure compliance with regulatory requirements, industry standards, and organizational policies This role is critical in driving our security strategy, managing risks, and fostering a culture of security awareness across the organization Key Responsibilities: GovernanceDevelop and implement the organizations cybersecurity governance framework, policies, and procedures Align cybersecurity initiatives with business objectives, regulatory requirements, and industry best practices (eg, ISO 27001, NIST, GDPR, etc) Collaborate with cross-functional teams to ensure security requirements are integrated into business processes and IT systems Risk ManagementIdentify, assess, and prioritize cybersecurity risks across the organization Develop and maintain a risk management program, including risk registers, mitigation plans, and periodic assessments Monitor emerging threats and vulnerabilities, and provide guidance on appropriate risk responses ComplianceEnsure compliance with applicable laws, regulations, and standards (eg, SOX, HIPAA, PCI DSS) Conduct internal audits and readiness assessments for external audits and certifications Manage third-party vendor risk assessments and ensure security compliance across the supply chain Incident Management and ReportingOversee security incident response plans and testing Report on cybersecurity risks, incidents, and compliance metrics to executive leadership and stakeholders Coordinate with legal and regulatory bodies during audits or in response to security incidents Training and AwarenessDevelop and deliver cybersecurity training and awareness programs for employees at all levels Foster a culture of security awareness and accountability within the organization Education and Certifications bachelors degree in Cybersecurity, Information Technology, Business, or a related field Relevant certifications such as CISSP, CISM, CRISC, or ISO 27001 Lead Implementer/Auditor preferred Experience 7+ years of experience in cybersecurity, governance, risk, or compliance roles Proven experience with GRC tools, frameworks, and standards (eg, NIST CSF, COBIT, ISO 27001) Demonstrated success in managing complex risk and compliance projects SkillsStrong understanding of regulatory requirements and risk management methodologies Excellent communication and stakeholder management skills Analytical and detail-oriented with the ability to make data-driven decisions Experience in third-party vendor risk management and security audits What We Offer: Competitive salary and benefits package Opportunity to work with cutting-edge technologies in a dynamic and collaborative environment Professional development and certification opportunities

Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, Newswire for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to PRNs products. Key Result Areas: 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to Newswire for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto Newswire for Journalists, and the Newswire websites 2. Editorial: Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all Newswire products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients

About Zscaler Serving thousands of enterprise customers around the world including 45% of Fortune 500 companies, Zscaler (NASDAQ: ZS) was founded in 2007 with a mission to make the cloud a safe place to do business and a more enjoyable experience for enterprise users. As the operator of the world’s largest security cloud, Zscaler accelerates digital transformation so enterprises can be more agile, efficient, resilient, and secure. The pioneering, AI-powered Zscaler Zero Trust Exchange™ platform, which is found in our SASE and SSE offerings, protects thousands of enterprise customers from cyberattacks and data loss by securely connecting users, devices, and applications in any location. Named a Best Workplace in Technology by Fortune and others, Zscaler fosters an inclusive and supportive culture that is home to some of the brightest minds in the industry. If you thrive in an environment that is fast-paced and collaborative, and you are passionate about building and innovating for the greater good, come make your next move with Zscaler. At Zscaler, our Customer Success Organization is a global, customer-focused team dedicated to delivering high-impact experiences and identifying innovative solutions. We leverage valuable data and research to provide expert, hands-on support starting from the implementation phase and beyond, ensuring customers achieve their goals and leverage our technology to its fullest potential. Together, we create a customer-centric culture that fosters success, adoption, and continuous growth. We're looking for an experienced Product Support Engineer III - DLP to join our Global Customer Support team. Reporting to the Manager, Product Support you'll be responsible for: Serving as the primary point of contact for escalated DLP issues, providing advanced troubleshooting and resolution for the escalated DLP cases Taking ownership of complex and critical cases, ensuring they are resolved effectively and efficiently Performing detailed root cause analysis to identify underlying issues and implement long-term solutions for the customers Working closely with product development, engineering, and other cross-functional teams to resolve issues and improve Zscaler DLP products and services Maintaining clear and proactive communication with customers throughout the escalation process, providing regular updates and managing expectations What We're Looking for (Minimum Qualifications) Minimum of 7+ years of experience in technical support, with at least 3 years focused on DLP/CASB solutions and escalations Expert knowledge of DLP technologies and tools (e.g., Symantec DLP, McAfee DLP, Forcepoint DLP, etc.) Experience with data loss prevention, securing SaaS and Cloud Access Security Brokers (CASB) Good understanding of Unix/Linux and Windows operating systems Strong understanding of data protection principles and practices What Will Make You Stand Out (Preferred Qualifications) Experience with scripting and automation e.g., Python, PowerShell Knowledge of regulatory requirements and compliance standards (e.g., GDPR, HIPAA, PCI-DSS) Familiarity with ticketing systems and support tools (e.g., ServiceNow, Salesforce, JIRA etc) #LI-Hybrid #LI-RR1 At Zscaler, we are committed to building a team that reflects the communities we serve and the customers we work with. We foster an inclusive environment that values all backgrounds and perspectives, emphasizing collaboration and belonging. Join us in our mission to make doing business seamless and secure. Our Benefits program is one of the most important ways we support our employees. Zscaler proudly offers comprehensive and inclusive benefits to meet the diverse needs of our employees and their families throughout their life stages, including: Various health plans Time off plans for vacation and sick time Parental leave options Retirement options Education reimbursement In-office perks, and more! By applying for this role, you adhere to applicable laws, regulations, and Zscaler policies, including those related to security and privacy standards and guidelines. Zscaler is committed to providing equal employment opportunities to all individuals. We strive to create a workplace where employees are treated with respect and have the chance to succeed. All qualified applicants will be considered for employment without regard to race, color, religion, sex (including pregnancy or related medical conditions), age, national origin, sexual orientation, gender identity or expression, genetic information, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws. See more information by clicking on the Know Your Rights: Workplace Discrimination is Illegal link. Pay Transparency Zscaler complies with all applicable federal, state, and local pay transparency rules. Zscaler is committed to providing reasonable support (called accommodations or adjustments) in our recruiting processes for candidates who are differently abled, have long term conditions, mental health conditions or sincerely held religious beliefs, or who are neurodivergent or require pregnancy-related support.

Join Our Team at Intellisight India Pvt. Ltd (US Healthcare)! Position Available: AR Executive / Sr. AR Executive and SME (US Healthcare) About Us: Intellisight India Pvt. Ltd specializes in US Healthcare operations, offering a dynamic work environment with opportunities for growth and professional development. Role & Responsibilities: Manage accounts receivable for US healthcare providers and physicians. Handle denials, rejections, and appeals with precision and efficiency. Ensure timely follow-up on pending claims to maximize revenue. Document actions taken during claims billing for accurate record-keeping. Preferred Candidate Profile: 2 to 5years of experience in US healthcare AR operations. Strong understanding of healthcare concepts and denial management. Comfortable with fixed night shifts (6PM to 3AM) with transportation provided one way. Immediate to 1-month notice period preferred. How to Apply: If you're ready to take on this exciting challenge, apply now with your updated resume and cover letter to sangeetha@intellisightindia.com . Join us in making a meaningful impact in US Healthcare! Location: 304, Meridian Plaza Ameerpet, Hyderabad-500 016, Contact Information: 9346493744

Job Title: Executive Human Resource Business Partner (HRBP) Location: Gurgaon Company: IGT Solutions Pvt. Ltd. Industry: IT & BPM Travel, Transportation, and Hospitality Domain Company Overview: IGT Solutions Pvt. Ltd. is a global leader in IT and Business Process Management (BPM) services, dedicated to delivering innovation and operational excellence across the Travel, Transportation, and Hospitality sectors. With over 10,000+ travel industry experts and 15 state-of-the-art delivery centers worldwide, IGT offers comprehensive solutions in Application Development, Mobility, Testing, Analytics, Contact Center Services, Back Office Operations, and Consulting. IGT is committed to a diverse and inclusive workplace and provides equal employment opportunities without regard to age, gender, race, religion, disability, or other protected statuses. Job Summary: We are seeking a dynamic and experienced Executive – HR Business Partner (HRBP) to join our team in Gurgaon . This role will lead HR operations for the assigned vertical/process, support business functions, drive employee engagement and retention initiatives, and ensure policy compliance. Key Responsibilities: Employee Relations: Address and resolve employee queries and concerns efficiently; track and report resolution Turnaround Time (TAT). Compliance & Policy Adherence: Enforce labor laws, company discipline, and the Code of Conduct. Attrition Management: Maintain attrition at or below 5%. Employee Engagement: Lead engagement activities, facilitate action planning, record meeting outcomes, and ensure timely follow-ups. Performance Management: Ensure timely KRA sign-offs for new joiners and during internal movements; monitor half-yearly and annual appraisals. Training Compliance: Track training plan adherence for the assigned vertical/process. Exit Management: Conduct exit interviews, analyze survey data, and present actionable insights and trends. Retention Strategies: Implement effective strategies to enhance employee retention and workplace satisfaction. Branding & Market Intelligence: Support employer branding and monitor industry HR best practices. Policy Compliance: Ensure adherence to internal policies including Security, Privacy, Zero Tolerance, Disciplinary, and Learning Agreements. Qualifications: Education: Graduate in any field (preferably with a degree in Psychology, Industrial Relations, or Human Resource Management). Experience: Proven experience in HR Generalist or Specialist roles, especially in labor relations and employee engagement in a BPO/Call Center environment. Skills & Competencies: Proficiency in MS Office tools (Excel, PowerPoint, Word) Strong analytical and problem-solving skills Basic understanding of labor laws and HR practices Ability to multitask and manage deadlines Excellent verbal and written communication skills Strong interpersonal and conflict-resolution abilities Additional Information: Work Environment: Onsite role (Gurgaon office) Work Schedule: Flexibility to work in rotational shifts or 24/7 schedules is mandatory Why Join IGT Solutions? Become part of a global leader that drives meaningful transformation in the travel and hospitality domain. At IGT, you’ll have the opportunity to shape HR practices, contribute to a culture of excellence, and grow your career in a dynamic, people-first environment. Interested candidate can share their cv at sonam.singh1@igtsolutions.com

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transforming the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.:Role- Medical CoderWe are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.3 to 7 Years experience in Medical Coding.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Skilled in assigning ICD-10 & CPT codes.Solid oral and written communication skills.Able to work independently.Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

About R1 RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role- Medical Coder We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. 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

DesignationAssistant Operations ManagerReports to (level of category)Manager - Operations Role ObjectiveFollow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics.Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

:Bachelor's degree and a minimum of 2 years of professional experience in an IT-related field (Information Security, Network Security, IT Infrastructure).Experience on Network Security, Firewall Security, and Web Security (including web application firewalls and proxies)Directory services (Microsoft Active Directory), SCCM, Vulnerability Assessment (infrastructure, server, workstation, and *application).Experience on SIEM, PIM, Content Filtering, and Cisco Firewalls.CompTIA Security+ certification, CEH, CHFI, or equivalent, preferred.Experience on Change Management Review and Security Audits/Reviews.Experience on Linux and hacking tools (Kali Linux, Backtrack.Excellent interpersonal and communication skills, Self-driven, quick learner with attention to details and quality.Knowledge of ISO 27001, HIPAA, SOX will be an advantage.Good knowledge of security programs, process, and metric.Good knowledge of IT Security Infrastructure and related applications and toolsets. Examples include firewalls & Network. 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 Location - Chennai,Noida,Hyderabad,Gurugram

Position Summary As a staff engineer you will be part of development team and apply your expert technical knowledge, broad knowledge of software engineering best practices, problem solving, critical thinking and creativity to build and maintain software products that achieve technical, business and customer experience goals and inspire other engineers to do the same. You will be responsible towards working with different stakeholders to accomplish business and software engineering goals.Key duties & responsibilitiesEstimates and develops scalable solutions using .Net technologies in a highly collaborative agile environment with strong experience in C#, ASP.net Core, Web API.Maintain relevant documentation around the solutions. Conducts Code Reviews and ensures SOLID principles and standard design patterns are applied to system architectures and implementations.Evaluates, understands and recommends new technology, languages or development practices that have benefits for implementing.Collaborate with the Agile practitioners to help avoid distractions for the team, so that the team is focused on delivering their sprint commitments.Drive adoption of modern engineering practices such as Continuous Integration, Continuous Deployment, Code Reviews, TDD, Functional\Non-Functional testing, Test Automation, Performance Engineering etc. to deliver high-quality, high-value softwareFoster a culture and mindset of continuous learning to develop agility using the three pillars transparency, inspection and adaptation across levels and geographies.Mentors other members of the development team.Leads sessions with scrum team members to structure solution source code and designs implementation approaches optimizing for code that follows engineering best practices, and maximizes maintainability, testability and performance.Relevant exposure to agile ways of working preferably Scrum and KanbanSkills and KnowledgeB.E/B. Tech/MCA or equivalent professional degree5-8 years of experience designing and developing n-tier Web applications using .Net Framework, .Net Core, ASP.Net, WCF and C#, MVC 4/5 Web Development, RESTful API Services, Web API and JSONWell versed with C#, modern UI technologies and database\ORM technologies.Must have solid understanding of modern architectural and design patterns.Comprehensive knowledge of automation testing and modern testing practices e.g., TDD, BDD etc.Strong exposure in one or more Implementation of CI & CD using Jenkins, Dockers containerization.Strong exposure to Agile software development methodologies and enabling tools such as Jira, ConfluenceExcellent communicator with demonstrable ability of influencing decisionsKnowledge of healthcare revenue cycle management, HL7, EMR systems, HIPAA, FHIR would be preferred.Good to have knowledge on Azure Cloud.Good working understanding of application architecture concepts like microservices, Domain-Driven Design, broker pattern/message bus, event-driven, CQRS, ports & adapters/hexagonal/onion, SOA would be preferredKey competency profileSpot new opportunities by anticipating change and planning accordingly.Find ways to better serve customers and patients.Be accountable for customer service of highest quality.Create connections across teams by valuing differences and including others.Own your development by implementing and sharing your learnings.Motivate each other to perform at our highest level.Help people improve by learning from successes and failures.Work the right way by acting with integrity and living our values every day.Succeed by proactively identifying problems and solutions for yourself and others. 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

About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, 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. About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation Specialist Training (4I) Role Objective Key Performance Indicators (KPI) What are the measurable indicators for the role Measurable Deliverables Training Throughput - Weightage (30%) First Pass Attempt - Weightage (25%) Production & Quality - Weightage (10%) Accurate & Time Data/MIS Reporting (15%) Basic Hygiene (Schedule Adherence, Responsiveness, Self-Conduct) - Weightage (10%) Trainee feedback - Weightage (5%) Projects (content development, any cost/ time/ FTE saving projects) - Weightage (5%) TNI / BQM management Essential Duties and Responsibilities Role typeIndividual Contributor Conduct new hire, refresher training on aligned process, domain, and tools Conduct process knowledge tests, analyse results and publish findings Work closely with quality and business to identify performance gaps for new hire trainees, create and execute remediation plans to improve trainee performance Achieve set targets on various training effectiveness parameters (level I, level II) Be responsible for training batch management: o Adherence to learning plan o Maintain all batch data and reporting as per the pre-set process o Manage batch logistics training invites, ID Request & Management o Take care of people issues in the batch (performance, disciplinary, schedule adherence, EWS etc.) o On time referred to HR cases alignment (absconding, NCNS, training rejects) Be an active and effective contributor in assigned projects (e.g., new work transition, any process content creation and dissemination, etc.) Continue with hands-on work processing for aligned processes for minimum 12 hours a month Participate in client calls, understand process/tools changes or upgrades, prepare required documentation for roll-out to the aligned process teams Be accountable for self-development/learning, create & complete individual development plan for self, continuously stay invested to be a subject matter expert Stay compliant with the HIPAA and other company policies/compliance : Effective giving and taking feedback, coaching, and mentoring skills Strong interpersonal skills and ability to manage varied trainee personality types Excellent verbal and written communication skills (esp. email communication) Self-motivated and self-driven with a knack for continuously upskilling self Team-player Certification NA Skill Set Qualification and technical skills required to execute the role. Candidate should be graduated and 3 years of exp in AR follow up role Technical Skills : Experience in Revenue Cycle Management for U.S. Healthcare & Expertise in AR Follow up end to end processes Understanding of Online Payer Portals Hands on in MS Office likePowerPoint, Excel, and Word Ability to use virtual communication platforms effectively likeTeams, Zoom, WebEx Experience levels required to execute this role Minimum of 3 years experience in RCM of U.S. healthcare industry (frontend, middle, backend as per role alignment) Overall experience Maximum 5 years Behavioral skills / competencies required for this role. E.g. Attention to detail Functional & Behavioral Skills Strong facilitation & presentation skills for both in-person & virtual environments Understanding of basics of content creation Pre-requisite Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills 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

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. : Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. 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

Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This experience includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relations. What are we looking for Healthcare Utilization ManagementAbility to work well in a teamAdaptable and flexibleProcess-orientationWritten and verbal communicationCommitment to qualityHealth Insurance Portability & Accountability Act (HIPAA) Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

R1 RCM is a leading provider of revenue cycle services and physician advisory services to healthcare providers. We help transform and manage the commercial infrastructure of care organizations. About the role Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves designing and analyzing the healthcare reimbursement model . Be able take up new initiatives, maintain synchrony in the team. Collaborate with external & internal stakeholders, work effectively in a growing team, be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What you will do To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts. To perform various analytical reviews and deep-dives (root cause analysis) on clie nt-specific healthcare reimbursement methodology to ensure accuracy of revenue projections and actual collections. To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges To effectively communicate the findings/ observations with recommended action to US team/clients. Maintain MIS related to analysis , Accuracy and coverage report for maintenance databases Handling client calls and communicating effectively for task deliverables and site maintenance What will you need Graduate degree Preferabl y in Statistics\ Mathematics \ Economics\ Commerce\Finance from a reputed educational institute Good analytical and algorithm building skills , having experience to build contract models for hospital charges to calculate expected reimbursement Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers. Experience/knowledge of various US healthcare reimbursement methods like MS DRG weightage, Multipliers, % of charges, outliers, Grouper fee schedule etc. Good Communication Skills (both written & verbal) Preferable - 1-3 years of experience in US healthcare Having good knowledge about RCM cycle and denial management 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

Job ResponsibilitiesEstimates and develops scalable solutions using .Net technologies in a highly collaborative agile environment with strong experience in C#, ASP.net Core, Web API.Maintains relevant documentation around the solutions.Conducts Code Reviews and ensures SOLID principles and standard design patterns are applied to system architectures and implementations.Evaluates, understands and recommends new technology, languages or development practices that have benefits for implementing.Collaborate with the Agile practitioners to help avoid distractions for the team, so that the team is focused on delivering their sprint commitments.Drive adoption of modern engineering practices such as Continuous Integration, Continuous Deployment, Code Reviews, TDD, Functional\Non-Functional testing, Test Automation, Performance Engineering etc. to deliver high-quality, high-value softwareIdentify and deliver re-useable components or de-couple components from existing code base to build a framework.Lead code reviews with other team members.Foster a culture and mindset of continuous learning to develop agility using the three pillars transparency, inspection and adaptation across levels and geographies.Mentors other members of the development team.Leads sessions with scrum team members to structure solution source code and designs implementation approaches optimizing for code that follows engineering best practices, and maximizes maintainability, testability and performance.Relevant exposure to agile ways of working preferably Scrum and Kanban"Job SpecificationB.E/B. Tech/MCA or equivalent professional degree3-6 years of experience designing and developing n-tier Web applications using .Net Framework, .Net Core, ASP.Net, WCF and C#, MVC 4/5 Web Development, RESTful API Services, Web API and JSONWell versed with C#, modern UI technologies and database\ORM technologies.Must have solid understanding of modern architectural and design patterns.Comprehensive knowledge of automation testing and modern testing practices e.g. TDD, BDD etc.Strong exposure in one or more Implementation of CI & CD using Jenkins, Dockers containerization.Strong exposure to Agile software development methodologies and enabling tools such as Jira, ConfluenceExcellent communicator with demonstrable ability of influencing decisions.Knowledge of healthcare revenue cycle management, HL7, EMR systems, HIPAA, FHIR would be preferred.Good working understanding of application architecture concepts like microservices, Domain-Driven Design, broker pattern/message bus, event-driven, CQRS, ports & adapters/hexagonal/onion, SOA would be preferred. 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

About R1 R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services that transform and solve challenges across health systems, hospitals, and physician practices. Headquartered in Chicago, R1 is a publicly traded organization with employees throughout the US and other international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients, our employees, and the communities we operate in. With our proven and scalable operating model, we complement a healthcare organizations infrastructure. quickly driving sustainable improvements to net patient revenue and cash flows. while reducing operating costs and enhancing the patient experience. Our approach to building software is disciplined and quality-focused with an emphasis on creativity, craftsmanship and commitment. We are looking for smart, quality-minded individuals who want to be a part of a high functioning, dynamic global team. Position summary You will manage and oversee the development & deployment of high-quality software products. You will ensure that the development teams adopt and follow modern engineering practices to deliver a high-quality, high-value product. You will be responsible towards working with different stakeholders to accomplish business and software engineering goals. You will improve the teams capabilities, improve engagement and minimize business risks. Key duties & responsibilities Develop high performing teams that are equipped with right capabilities in terms of skills, tools, technology, and resources to continuously deliver high-quality and high-value software. Collaborate with the -Agile practitioners to help avoid distractions for the team, so that the team is focused on delivering their sprint commitments. Drive adoption of modern engineering practices such as Continuous Integration, Continuous Deployment, Code Reviews, TDD, Functional\Non-Functional testing, Test Automation, Performance Engineering etc. to deliver high-quality, high-value software for 1-2 scrum teams. Craft individual development plans for team members and provide growth opportunities. Act as a key communication channel between team and senior leadership. Assess and provide team members timely feedback and conduct 360 feedback for self and teams assessment. Foster a mindset to keep customers needs at top and learn continuously. Qualification B.E/B. Tech/MCA or equivalent professional degree Experience, Skills and Knowledge 8+ years of experience in building web-based enterprise software using Microsoft .NET technology stack. Demonstrable experience of leading teams of highly skilled software engineers (8-12 team members) and working successfully across cultures. Must have solid understanding of modern architectural and design patterns. Comprehensive knowledge of automation testing and modern testing practices e.g. TDD, BDD etc. Well versed with C#, modern UI technologies and database\ORM technologies. Strong exposure to Agile software development methodologies and enabling tools such as Jira, Confluence Excellent communicator with ability demonstrable ability of influencing decisions Knowledge of healthcare revenue cycle management, HL7, EMR systems, HIPAA, FHIR would be preferred. Key competency profile Spot new opportunities by anticipating change and planning accordingly Find ways to better serve customers and patients. Be accountable for customer service of highest quality Create connections across teams by valuing differences and including others Own your development by implementing and sharing your learnings Motivate each other to perform at our highest level Help people improve by learning from successes and failures Work the right way by acting with integrity and living our values every day Succeed by proactively identifying problems and solutions for yourself and others. 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

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work ForTM 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Job Responsibilities Estimates and develops scalable solutions using .Net technologies in a highly collaborative agile environment with strong experience in C#, ASP.net Core, Web API. Maintains relevant documentation around the solutions. Conducts Code Reviews and ensures SOLID principles and standard design patterns are applied to system architectures and implementations. Evaluates, understands and recommends new technology, languages or development practices that have benefits for implementing. Collaborate with the Agile practitioners to help avoid distractions for the team, so that the team is focused on delivering their sprint commitments. Drive adoption of modern engineering practices such as Continuous Integration, Continuous Deployment, Code Reviews, TDD, Functional\Non-Functional testing, Test Automation, Performance Engineering etc. to deliver high-quality, high-value software Identify and deliver re-useable components or de-couple components from existing code base to build a framework. Lead code reviews with other team members. Foster a culture and mindset of continuous learning to develop agility using the three pillars transparency, inspection and adaptation across levels and geographies. Mentors other members of the development team. Leads sessions with scrum team members to structure solution source code and designs implementation approaches optimizing for code that follows engineering best practices, and maximizes maintainability, testability and performance. Relevant exposure to agile ways of working preferably Scrum and Kanban" Job Specification B.E/B. Tech/MCAor equivalent professionaldegree 3-6 years of experience designing and developing n-tier Web applications using .Net Framework, .Net Core, ASP.Net, WCF and C#, MVC 4/5 Web Development, RESTful API Services, Web API and JSON Well versed with C#, modern UI technologies and database\ORM technologies. Must have solid understanding of modern architectural and design patterns. Comprehensive knowledge of automation testing and modern testing practices e.g. TDD, BDD etc. Strong exposure in one or more Implementation of CI & CD using Jenkins, Dockers containerization. Strong exposure to Agile software development methodologies and enabling tools such as Jira, Confluence. Excellent communicator with demonstrable ability of influencing decisions. Knowledge of healthcare revenue cycle management, HL7, EMR systems, HIPAA, FHIR would be preferred. Good working understanding of application architecture concepts like microservices, Domain-Driven Design, broker pattern/message bus, event-driven, CQRS, ports & adapters/hexagonal/onion, SOA would be preferred. 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