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0.0 - 1.0 years
32 - 35 Lacs
Jaipur
Work from Office
Perform various cardiac procedures, such as angioplasty, stent placement, and pacemaker implantation, depending on the level of specialization
Posted 1 month ago
0.0 - 1.0 years
3 - 5 Lacs
Chennai
Work from Office
Job Opening: Medical Coder (Fresher Opportunity) Eligibility: We are hiring freshers for the role of Medical Coder . Nursing candidates are eligible to apply . Educational Qualifications: B.Sc Nursing Minimum 60% in 10th, 12th, and UG Age limit: Below 28 years Perks & Benefits: Attractive Salary Best in the industry Sponsorship for Certification Career growth opportunities in the healthcare domain How to Apply : Interested candidates can contact: Nikita (HR) Phone: +91 7548867557 Email: Hannah.Nikita@corrohealth.com
Posted 1 month ago
5.0 - 8.0 years
2 - 6 Lacs
Hyderabad
Work from Office
SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.
Posted 1 month ago
4.0 - 9.0 years
2 - 7 Lacs
Hyderabad, Chennai, Mumbai (All Areas)
Work from Office
Hiring For Analyst / Sr.Analyst / SME & TL Roles with a leading International BPO Location- Mumbai, Chennai and Hyderabad Mumbai- F2F interview IF INTERESTED CALL on 9740521948 OR Share CV Mohini.sharma@adecco.com ESSENTIAL QUALIFICATION: Graduate with 1 year - 5 years of overall processing experience Flexible to work in night shift timings Communication skills in English, both verbal and written Knowledge P&C Commercial Insurance ESSENTIAL SKILLS/PERSONALITY TRAITS: Resources executing day to day activities of the engagement Strong analytical, logical and data management skills preferred Service Excellence orientation MS Office Skills Basic keyboarding skills and computer skills of data entry Personal effectiveness skills Prioritizes and tracks own activities Follows documented processes Documentation of own work on a daily basis Interpersonal skills Strive to understand and resolve issues/queries at the first instant Keeps own work aligned with teams requirements
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Pune, Chennai, Coimbatore
Work from Office
(NOTE: HCC CODERS NOT ELIGIBLE FRESHERS NO OPENINGS) OPENING > Denial Certified ( CHN / CBE & PUNE) Temporary work from home available > Surgery Certified ( CHN / CBE & PUNE) Temporary work from home available > EM Certified ( CHN / CBE ) Temporary work from home available only for Chennai > ED Facility Certified ( CHN / CBE & PUNE) Temporary work from home available Roles and Responsibilities: * Candidates should have minimum 1+ year of experience into medical coding * Any certification is mandatory * If candidate is having any training exposure its added advantage * Looking strong domain knowledge in Medical coding * Salary is not a constraint * Good communication * Location : Chennai / Coimbatore /Pune *Day Shift Interested Candidate Can Send Resume # HR Lavanya HR - 9344964267
Posted 1 month ago
2.0 - 5.0 years
1 - 5 Lacs
Chennai
Work from Office
Greetings from Medical Billing Wholesalers!! Desination : Medical Coder Specialty : HCC Experence : 2-5 Years Location: Chennai (WFO) Prefer Immediate Joining Certified or Non-certified Candidates are eligible to apply. Share this opportunity with your colleagues Mode of interview - Direct Walk In (only Thursday & Friday) Address: WorkEZ, Block B, 4th Floor RK Swamy Centre, 3/147, Pathari Rd, Thousand Lights, Chennai, Tamil Nadu 600006 Interested candidates share updated resume with below details through WhatsApp Lavanya - 7871090718 / Gowri - 77084 62567
Posted 1 month ago
1.0 - 5.0 years
1 - 2 Lacs
Lucknow
Remote
Shift Timings: 10:00 PM to 7:00 AM Night Shift experience mandatory We are seeking a Medical Data Entry professional with a minimum of 1 year of experience in medical data annotation and document review. The ideal candidate will have a background in medical or pharmaceutical sciences and possess key skills related to medical data management, regulatory guidelines (FDA, EMA, ICH, GCP), and patient report handling. This role requires mandatory night shift experience and is a permanent work-from-home position. Key Responsibilities: Review and annotate medical documents and patient records accurately. Apply knowledge of FDA, EMA, ICH, and GCP guidelines to data management tasks. Perform clinical data management activities. Handle and process patient reports efficiently. Ensure data quality and integrity during the entry and annotation process. Requirements: Qualification: B.Sc, M.Sc, B.Pharma, or M.Pharma. Minimum 1 year of experience in medical data annotation and medical document review. Mandatory experience working night shifts (US shift: 10:00 pm to 7:00 am). Experience with FDA, EMA, ICH, and GCP guidelines. Proficiency in Clinical Data Management and handling Patient Reports. Only candidates with a medical background and medical data annotation experience will be considered. Immediate joiner preferred. Technical Requirements: Laptop or Desktop: Windows (i5 or higher, 8GB RAM minimum) Screen: 14 inches, Full HD (19201080) Internet Speed: 100 Mbps or higher About ARDEM ARDEM is a leading Business Process Outsourcing and Business Process Automation service provider. For over twenty years, ARDEM has successfully delivered business process outsourcing and business process automation services to our clients in the USA and Canada. We are growing rapidly. We are constantly innovating to become a better service provider for our customers. We continuously strive for excellence to become the Best Business Process Outsourcing and Business Process Automation company. NOTE! ARDEM will never ask for any personal information or banking information during the hiring process for any data entry/processing type of work. If you are contacted by any party claiming to represent ARDEM Incorporated offering work from home jobs this is fraud. Please disregard and refer to ARDEMs Careers page for all open job positions. We apologize for any inconvenience caused by such acts.
Posted 1 month ago
4.0 - 9.0 years
2 - 7 Lacs
Hyderabad, Chennai, Mumbai (All Areas)
Work from Office
Urgently Hiring For Analyst / Sr.Analyst / SME & TL Roles with a leading International BPO @ Mumbai / Chennai & Hyderabad Location. Mumbai Only f2f Interviews. Apply - rohita.robert@adecco.com ESSENTIAL QUALIFICATION: Graduate with 1 year - 5 years of overall processing experience Flexible to work in night shift timings Communication skills in English, both verbal and written Knowledge P&C Commercial Insurance ESSENTIAL SKILLS/PERSONALITY TRAITS: Resources executing day to day activities of the engagement Strong analytical, logical and data management skills preferred Service Excellence orientation MS Office Skills Basic keyboarding skills and computer skills of data entry Personal effectiveness skills Prioritizes and tracks own activities Follows documented processes Documentation of own work on a daily basis Interpersonal skills Strive to understand and resolve issues/queries at the first instant Keeps own work aligned with teams requirements
Posted 1 month ago
0.0 - 2.0 years
2 - 3 Lacs
Coimbatore
Work from Office
Dear Aspirants, Greetings from eNoah iSolution India Private Limited @ Coimbatore !!! Mega Walk-in Interview for Medical Underwriters - Day Shift @ Coimbatore Position : Associate Job Location: Coimbatore Job Type : Permanent Role Duration : Full - Time Work Timings : Work From Office - Day Shift Working Days: Monday - Friday Job Specifications:- Need to review medical records. Eliminate non medical documents as per process guideline. Prepare document as per client specification. Desired Skills:- Should have good knowledge in Anatomy and Physiology. Should have good knowledge of medical terminology, diseases, and treatment. Strong Analytical skill required. Ability to identify and solve problems. Should be a Logical thinker & Good decision maker. Eligibility:- Fresh graduates are only eligible. Candidates should have provisional Certificate. Only Life Science Graduates UG/PG both can apply ( Bio-Technology, Microbiology, Bio-Chemistry, Bio-Medical Engineering & Food Nutrition and Dietetics). 0-1 Years of Experience in Medical field can apply. Interested Candidates can attend Direct Walk on 14-06-2025 (Saturday) (10 AM - 3 PM) Venue : #101, 9th Floor, Classic Towers, 1547, Trichy Road, Coimbatore-641 018. While coming for the interview bring, 2 Copies of Resume. UG/PG Provisional Certificate - (Xerox copy) or 6th Sem Result published - (Xerox Copy) Thanks and Regards, Pravin R - eTAG
Posted 1 month ago
2.0 - 7.0 years
5 - 10 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. 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 in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)
Posted 1 month ago
2.0 - 5.0 years
3 - 8 Lacs
Chennai
Work from Office
Greetings from Shearwater Health !!!! Job Title: Quality and Training Lead (CPC/CCS Certified) Department: Medical Coding Industry: Healthcare Experience Level: 3-5 Years Job Type : On-site Shift : Mid Shift Location: Shearwater Health - 3rd Floor, We works, Olympia cyberspace, Arulayiammanpet, SIDCO Industrial Estate, Guindy, Chennai, Tamil Nadu 600032. CONTACT HR : Deepthi Sai - 9944611634 / dsai@swhealth.com Preferably looking for Immediate joiners !!! ** Interested candidates can share your updated resume and CPC/CCS license (Active license is mandatory) on email to dsai@swhealth.com to proceed further with your application. Subject on Email: Application for QAT Lead Full Name: Phone Number: Email ID: Highest Educational Qualification: Active License: (CPC/CCS) Address: Total year of experience: current Organisation: Key skills: (Eg: ED/ EM /SDS) Current CTC: Expected CTC: Notice period: Last working day (If applicable): Role Summary: The Quality and Training Lead is a hands-on expert responsible for executing and overseeing quality assurance and training functions within the medical coding team. This dual-role professional ensures high coding accuracy, delivers impactful training, and drives process improvements in alignment with client standards and operational goals. Key Responsibilities: Quality Assurance: Perform regular coding audits, identify trends and error patterns Document findings and provide direct feedback to coders Collaborate with operations to implement corrective actions Participate in calibration meetings and client quality discussions Training: Design and deliver New Hire Training and ongoing learning sessions Develop engaging training materials for both in-person and virtual formats Conduct learning assessments and provide follow-up coaching Participate in client trainings and ensure alignment with standards Operational Support: Generate and share quality/training reports and updates Support cross-functional projects and ensure adherence to SLAs Act as a subject matter expert for coding quality and education. Key Competencies: Strong communication, client focus, and collaborative mindset Skilled in quality tools, process improvement, and training delivery Analytical with attention to detail and a commitment to excellence Ethical decision-making and compliance-driven Qualifications: Required: Certified Coder (CPC, CIC, COC, CCS, CRC, etc.) AAPC or AHIMA Minimum 3+ years of medical coding experience Minimum 2+ years in a QA or Training capacity Preferred: Advanced knowledge of client-specific coding processes Strong organizational, analytical, and interpersonal skills Proficiency in MS Office (Excel, Word, PowerPoint) Excellent English communication and facilitation skills
Posted 1 month ago
2.0 - 6.0 years
5 - 9 Lacs
Hyderabad
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: Gather and analyze requirements for clinical data conversion projects Collaborate with clients and vendors to define project scope, timelines, and deliverables Prepare and transform clinical data for conversion activities Address and resolve data-related issues reported by clients Develop and maintain documentation and specifications for data conversion processes Monitor project progress and ensure timely completion of milestones Troubleshoot common database issues and provide technical support Ensure compliance with US healthcare regulations and standards 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: Familiarity with US healthcare systems and regulations Knowledge of standard EHR/EMR clinical data workflows Understanding of healthcare clinical dictionaries Proficiency in EHR database architecture and data extraction/transformation using MS SQL Server Solid knowledge of stored procedures, triggers, and functions Proven excellent problem-solving and troubleshooting skills Solid communication and collaboration abilities
Posted 1 month ago
2.0 - 7.0 years
4 - 8 Lacs
Bengaluru
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. Primary Responsibilities Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies 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 in any discipline Experience of handling HCC team (QRAO) for 2+ years as assistant manager or working as deputy manager Experience in Performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, Foster Teamwork, Handles Pressure, Giving Feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc) Proven ability to operate basic office equipment (copier and facsimile machine)
Posted 1 month ago
0.0 - 3.0 years
4 - 7 Lacs
Mumbai
Work from Office
Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of "Meets Expectations" or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine
Posted 1 month ago
8.0 - 10.0 years
13 - 18 Lacs
Hyderabad
Work from Office
Job TitleSenior RWE Manager Job Location-Hyderabad/Gurugram Job Responsibilities- Develop and execute comprehensive RWE strategies by leading the end-to-end process of study conceptualization, including protocol development, statistical analysis planning, and implementation of complex observational studies utilizing advanced epidemiological methods. Lead teams in designing and implementing sophisticated cohort identification algorithms using structured and unstructured data, and direct large-scale data projects using multiple real-world data sources by overseeing data extraction, cleaning, and standardization while ensuring compliance and data reproducibility. Guide the implementation of advanced statistical methods for confounding control and bias mitigation and oversee the development and validation of models for patient stratification, treatment response prediction, and adverse event detection. Develop and maintain strategic partnerships with external stakeholders (key opinion leaders, data vendors, technology partners) while leading the evaluation and selection of fit-for-purpose data sources, analytical tools, and platforms. Establish and implement standard operating procedures for the RWE practice, including documentation standards, quality control processes, and validation requirements. Manage direct reports; Coach & Mentor junior team members in advanced analytical methods and oversee the development of reusable analytical frameworks and code libraries. Monitor and optimize project performance metrics (financial, operational, compliance), implement corrective actions, and maintain comprehensive documentation for audits. Qualification- Advanced degree (PhD, MD, PharmD) with focus in biostatistics, epidemiology, or related quantitative field 8-10+ years of hands-on experience in health data science and real-world evidence generation with strong understanding of statistical concepts and methodologies Demonstrated expertise in observational research methodology and causal inference Strong track record of leading complex analytical projects using healthcare databases Experience with regulatory-grade real-world evidence studies Must have Skills: - Advanced programming skills in Python (pandas, numpy, scikit-learn) and R (tidyverse, survival) Expertise in SQL for complex data manipulation in healthcare databases Proficiency in handling claims data (medical, pharmacy), understanding of coding systems (ICD-10, CPT, HCPCS, NDC) and experience with standardized vocabularies (SNOMED, RxNorm, LOINC) Experience with different RWD data sources (Optum, Marketscan, Healtverity, etc) and common data models (OMOP, PCORnet) Demonstrated ability to develop and validate various statistical algorithms Strong knowledge of statistical methods for confounding control and bias mitigation Experience with electronic health record data extraction and processing Expertise in implementing causal inference methods (PS matching, IPTW, g-methods) Behavioural Attributes (1) ability to execute assigned tasks both independently and collaboratively with minimal supervision (2) Proactiveness in identifying solutions to challenges (3) Growth mindset demonstrated through intellectual curiosity, critical thinking, and a drive for collective business success. Skills that give you an edge- Knowledge of distributed computing platforms (Spark, Hadoop) Expertise in natural language processing for unstructured EHR data Proficiency in version control systems (Git) and collaborative development Knowledge of FDA & EMA guidelines for RWE and regulatory submissions Knowledge of privacy frameworks (HIPAA, GDPR) and clinical data security Strong analytical skills to solve and model complex business requirements are a plus. We will provide– (Employee Value Proposition) Offer an inclusive environment that encourages diverse perspectives and ideas Deliver challenging and unique opportunities to contribute to the success of a transforming organization Opportunity to work on technical challenges that may impact across geographies Vast opportunities for self-developmentonline Axtria Institute, knowledge sharing opportunities globally, learning opportunities through external certifications Sponsored Tech Talks & Hackathons Possibility to relocate to any Axtria office for short and long-term projects Benefit package -Health benefits -Retirement benefits -Paid time off -Flexible Benefits -Hybrid /FT Office/Remote
Posted 1 month ago
2.0 - 6.0 years
6 - 10 Lacs
Noida
Work from Office
Job Track Description Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Receives instruction, guidance, and direction from others. Functional Knowledge Requires a conceptual understanding of theories, practices, and procedures. Business Expertise Applies general knowledge of business developed through education or experience. Impact Works self-guided with no supervisory responsibilities. Follows standardized procedures and practices to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Responsible for developing technical contributions. Problem Solving Uses existing procedures to solve standard problems. Examines information and standard practices to make judgments. Interpersonal Skills Exchanges information and ideas effectively. Asks questions and checks for understanding. Responsibility Statements Serves as liaison between end-users and product development teams. Partners with senior BA's to examine, define, and document project requirements. Communicates project requirements to development teams. Supports analyzing requirements and defines tech solutions. Defines a go-to approach for system construction. Performs other duties as assigned. Complies with all policies and standards.
Posted 1 month ago
1.0 - 4.0 years
2 - 6 Lacs
Chennai
Work from Office
Roles and Responsibilities Assign accurate medical codes using ICD-10, CPT, HCPCS Level II codes for patient diagnoses and procedures. Maintain confidentiality and adhere to HIPAA regulations at all times. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding. Apply coding guidelines and regulations to ensure compliance with industry standards. Conduct thorough evaluations of patient records to identify relevant code options.
Posted 1 month ago
0.0 - 4.0 years
0 - 3 Lacs
Chennai
Work from Office
Job title: Associate Med Coder (Business title: Medical Coder MCC). Job Code: MCO410 Division/Department: MCC Reports to: Team leader Prior Experience: Minimum work experience of 1 year is required. Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Essential Duties and 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. Education and/or Work experience : Medical coding fresher and up to 5 years of work experience. HCC coding work experience is highly preferred. Candidates with 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. AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified. Good knowledge in Anatomy, Physiology & Medical terminology. 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.
Posted 1 month ago
0.0 - 2.0 years
1 - 2 Lacs
Madurai, Dindigul, Theni
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Pujitha 8148552460
Posted 1 month ago
0.0 - 2.0 years
1 - 2 Lacs
Pollachi, Tiruppur, Coimbatore
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020-2025 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Vinodhini 7540052460 https://medi-code.in/
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Chennai
Work from Office
Hi All Access Health Care Hiring HCC Coders Experience - 6 Month - 10 years Location - Chennai Specialty - HCC Certified and Non Certified Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Praveen ( HR ) Contact Number : 9655581000 watsapp alone praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000 watsapp alone Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled Rec Id - Needed to be done in Access Health Care Job App ( Find In Play store ) Name - Contact Number - Current Company - Experience - Location - Work Location - Applying For WFH/ WFO - Certification - Take home salary - Expected salary - Certification Number - Certification Number - NOTICE PERIOD - Active Bond - Email ID - kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06
Posted 1 month ago
2.0 - 6.0 years
1 - 2 Lacs
Jaipur
Work from Office
Responsibilities: Maintain accurate medical records using ICD codes and terminology. Ensure compliance with privacy laws during data collection and management.
Posted 1 month ago
1.0 - 5.0 years
1 - 6 Lacs
Salem, Chennai, Tiruchirapalli
Work from Office
Immediate Job Openings for ED Medical Coders @ Vee Healthtek Job Description: 6Months to 3 Years of Experience in ED Facility Medical Coding. Specialty : ED Medical Coding Experience : 6 months - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 35K CTC Max Joining: Immediate Joiners only Location : Trichy/Salem/Chennai - WFO Interested Candidate can Call Immediately to 9566406546 (Available on Whatsapp) or forward your profile to kalaiyarasi.r@veehealthtek.com Regards, KALAIYARASI RAJA 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Hiring for Medical Coders Speciality:EM-IP OP, ED Facility, Radiology, IPDRG, Denials, Anesthesia Location-Chennai/Bangalore/Hyderabad Exp:1+Yrs. Immediate Joiner/15Days Work Mode:WFO Interview Mode:Virtual Salary:Best in Market Contact HR-8939542187
Posted 1 month ago
1.0 - 4.0 years
1 - 3 Lacs
Chennai, Coimbatore
Work from Office
Role & responsibilities In these roles, you will be responsible for: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Preferred candidate profile 2+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. Coding certification is Mandatory, should have exposure in Radiology Denials. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekends basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client Interested candidate can share to pushpa.shanmugam@nttdata.com contact : 9500802772
Posted 1 month ago
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