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0.0 years

2 - 3 Lacs

Chennai

Work from Office

Greetings From Access Healthcare!! ! Need freshers with Life Science / Para- medical / Ancillary Medical courses Applicable only to candidates with strong knowledge in Human Anatomy and Physiology. Candidates must be prepared on 11 systems in Anatomy and physiology/Medical terminology/abbreviations/patho-physiology - Curriculum Candidates with certification will be preferred most. Work location: Chennai (Ambattur IE) Work mode: Work from office Interview Mode: Face to Face Walk-in Venue : Access Healthcare Headquarters, A9, 1st Main Road, Ambattur Industrial Estate, Chennai - 600058 Interview date and timing: 19, 20 & 21st June 2025, 10.30 AM onwards Looking for immediate Joiners. Shift: Day Shift All Must Bring Updated Resume With Aadhar Card contact praveen 9655581000 only watsapp praveen.t@accesshealthcare.com

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1.0 - 5.0 years

2 - 3 Lacs

Kamareddy

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Kamareddy

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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.

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1.0 - 5.0 years

2 - 3 Lacs

Jangaon

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Jangaon

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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.

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1.0 - 5.0 years

2 - 3 Lacs

Jagtial

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Jagtial

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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.

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1.0 - 5.0 years

2 - 3 Lacs

Kothagudem

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Kothagudem

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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.

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1.0 - 5.0 years

2 - 3 Lacs

Adilabad

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Adilabad

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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.

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1.0 - 5.0 years

2 - 3 Lacs

Hyderabad

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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.

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2.0 - 7.0 years

2 - 5 Lacs

Hyderabad

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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.

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1.0 - 4.0 years

1 - 3 Lacs

Hyderabad

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Immediate Job Openings for Certified HCC Medical Coders @ Vee Healthtek, Hyderabad Job Description: 1+ Years of Experience in HCC Medical Coding. Specialty : HCC Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CRC/CPC/COC/CCS/CIC is Must Salary: 30K CTC Max Joining: Immediate Joiners only Location : Hyderabad - WFO Interested Candidate can Call Immediately to 9443238706 (Available on Whatsapp) or forward your profile to ramesh.m@veehealthtek.com Regards, Ramesh - HRD 9443238706 ramesh.m@veehealthtek.com Vee Healthtek

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4.0 - 8.0 years

11 - 21 Lacs

Noida, Hyderabad, Bengaluru

Hybrid

The ICDICM designer will be responsible for implementing and maintaining Majesco Insurance products that uses ICDICM toolkit framework as the development framework ICDICM is a Majescos proprietary framework Majesco has built this framework in house using Java and many open source software The ICDICM is a low code development platform which provides environment for developers to create application software through graphical user interfaces and configuration instead of traditional computer programming Duties and Responsibilities Leading and guiding a small team of developers Designing of functional modules Developing YAWL flows defining and updating Object Models and Mappings Writing and defining Rules in Rules Engine UTP and UT Deployment and demo support QC support Module ownership Functional expertise on modules Database scripting and data verifications Skills Attributes Required Application programming with inclination towards domain Development experience with object oriented programming JAVA technology stack preferred though not mandatory Experience in design both high level as well as low level Exposure to any database with clear understanding of RDBMS concepts Experience in setting up business rules and workflow engines Should have conducted requirements sessions understanding customers business processes Should have good experience implementing and supporting Majesco Billing product Understand and use frameworks to design and review solutions for functional and nonfunctional requirements for the Majesco products Strong analytical and problemsolving skills to address system issues and improve processes Excellent verbal and written communication skills to interact with various stakeholders

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5.0 - 6.0 years

4 - 8 Lacs

Hyderabad

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Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 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 coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines 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.

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0.0 - 1.0 years

2 - 6 Lacs

Bengaluru

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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 awareness: strives 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 Should be a Graduate Certified Fresher/ experience in medical coding or with any other previous experience. If experience in Medical Coding G23 (0 to 1 Year) Must be a 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 / Offer process.

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0.0 - 3.0 years

4 - 7 Lacs

Coimbatore

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Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information 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 Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment 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 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.

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0.0 - 2.0 years

4 - 8 Lacs

Hyderabad

Work from Office

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 awareness: strives 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: Should be a Graduate Certified coder through AAPC or AHIMA Certified Fresher or Experience in medical coding or with any other previous experience Certifications accepted include CPC, CCS, CIC and COC Anyone G23 (0 to 2+ years), G24 ( 3 to 5 years) If experience in Medical Coding All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / 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 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.

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1.0 - 6.0 years

4 - 8 Lacs

Chennai

Work from Office

Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. 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 Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology 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.

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4.0 - 9.0 years

4 - 9 Lacs

Chennai

Work from Office

Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. 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 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 #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ 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 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.

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5.0 - 10.0 years

3 - 7 Lacs

Chennai

Work from Office

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 #NTRQ 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

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1.0 - 3.0 years

4 - 8 Lacs

Noida

Work from Office

Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 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 Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines 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.

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2.0 - 7.0 years

4 - 8 Lacs

Noida

Work from Office

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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.

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0.0 - 3.0 years

4 - 7 Lacs

Chennai

Work from Office

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: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information 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 #NTRQ Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment 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 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.

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