1607 Medical Coding Jobs - Page 25

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time 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: Graduate Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview or offer process At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp

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

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

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) At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp

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

Looking for any Certified/Non-Certified Medical coder IPDRG/ Coder/QA Ancillary Coder/QA/SME Surgery Coder/QA/SME Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like IPDRG CODER/SR.CODER/QA Ancillary Coder/QA Surgery Coder/QA

Greeting From Corrohealth!!! Immediate Openings for Freshers Only Nursing, BPT and B.Sc Physician Assistant are Eligible Shift : Day Location : Chennai, Porur Should have 60% in Academic Interested Candidate share your resume or Call to sandhiya HR : 9176301122

Hi All interview Started For CODERS & QA and offer Relese also Started ED Facility 1 year Above , Denial coders , surgery coder, EM OP coder Location - Chennai, comibatore, pune ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA Shift: Day shift Available Timing from 10.30 am to 6.30 pm Monday to Saturday kowsalya 8122343331 WatsApp and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - Kinldy share this to all friends who in need of jobs in Coding

Were Hiring – Certified Medical Coders! Looking for your next career move? Join our growing team! We’re hiring Certified Coders with minimum 1 year experience in the following specialties: E/M OP – WFO – Chennai Surgery – WFO – Chennai ED Facility – • WFH – Chennai, Pune, Coimbatore • WFO – Chennai Denials – • WFH – Chennai, Pune, Coimbatore • WFO – Chennai, Coimbatore E/M to Denial – WFO – Chennai, Pune Surgery – WFH – Chennai, Pune, Coimbatore Special Note: Openings available for Denial & Surgery QA profiles too! Contact: Deepika – HR Call/WhatsApp: 7708274118 Join a supportive team and grow your career with us! Multiple Locations | Flexible & On-site Roles #HiringNow #MedicalCodingJobs #WFHJobs #WFOJobs #ChennaiJobs #PuneJobs #CBEJobs #CertifiedCoders #HRConnect

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. Self Supportive Training ll be provided for Fresher Required Candidate profile UG / PG in Life Science, Medical, Paramedical Dental, Pharmacy, Physio, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Zoology, Bioinformatics, Botony, Nutrition & Dietetics Perks and benefits 12700/- to 14600/- PM Excluding Special Allowances

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. Self Supportive Training ll be provided for Fresher Required Candidate profile UG / PG in Life Science, Medical, Paramedical Dental, Pharmacy, Physio, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Zoology, Bioinformatics, Botony, Nutrition & Dietetics Perks and benefits 12700/- to 14600/- PM Excluding Special Allowances

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 -2024 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 Kowshika 7200652461

Looking for a certified Medical Coding Trainer to deliver ICD-10, CPT, and HCPCS training. Must have coding experience, strong teaching skills, and knowledge of AAPC/AHIMA certifications. Ability to prepare students for CPC, COC, CCS, or CRC exams

We are currently seeking an Team Lead/Team Coach for IP DRG Medical Coding at Vee Healthtek. Job Description: - Must have over 7 years of experience in IP DRG Medical Coding - Specialization in IP DRG Medical Coding - Experience of 7+ years on IP DRG - Designation: Team Lead/Team Coach - Location: Chennai/ Bangalore (Work from office) - Salary: 75K CTC Maximum based on the experience and interview outcome and looking for immediate joiners. Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

Immediate Job Openings for EM Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in EM Medical Coding. Specialty : EM Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 32K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Pune - 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

We are currently seeking an Team Coach/Group Coach for ED Facility Medical Coding at Vee Healthtek, Trichy. Job Description: - Must have over 6 years of experience in ED Facility Medical Coding - Specialization in ED Facility Medical Coding - Experience of 6+ years on ED Facility - Designation: Team Coach/Group Coach - Location: Trichy (Work from office) - Salary: 65K CTC Maximum based on the experience and interview outcome Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

Immediate Job Openings for Radiology Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Radiology Medical Coding. Specialty : Radiology Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 32K CTC Max (Not beyond that) Joining: Immediate Joiners only Location : Chennai/Trichy/Salem - 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

Immediate Job Openings for IVR Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IVR Medical Coding. Specialty : IVR Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 35K CTC Max Joining: Immediate Joiners only Location : Chennai/Trichy/Salem - 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

Immediate Job Openings for IP DRG Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IP DRG Medical Coding. Specialty : IP DRG Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem - 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

We are currently seeking an Team Coach/Group Coach for Surgery Medical Coding at Vee Healthtek. Job Description: - Must have over 6 years of experience in Medical Coding - Specialization in Surgery Medical Coding - Experience of 6+ years on Surgery - Designation: Team Coach/Group Coach - Location: Hyderabad/Bangalore/Trichy (Work from office) - Salary: 65K CTC Maximum based on the experience and interview outcome Candidates must have experience in team handling, with a minimum of 2 years in team management, excellent communication skills, and client management abilities. Interested candidates are encouraged to contact us immediately at 9443238706 (also available on Whatsapp) or send your profile to ramesh.m@veehealthtek.com. Best Regards, Ramesh HRD Vee Healthtek

Immediate Job Openings for Surgery Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Surgery Medical Coding. Specialty : Surgery Medical Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Hyderabad/Trichy/Salem/Pune - 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

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. Self Supportive Training ll be provided for Fresher Required Candidate profile UG / PG in Life Science, Medical, Paramedical Dental, Pharmacy, Physiotherapy, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Zoology, Bioinformatics, Nutrition & Dietetics Perks and benefits 12700/- to 14600/- PM excluding Allowances

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced IPDRG Certified & Non Certified medical coders to join us. Interested candidates please call us @ 91+ 6385272597 or mail to manojprassana.dillibabu@coronishealth.com to book interview slot. IPDRG Certified & Non Certified Coder (1 to 7 yrs ) * Experience : 1 to 7 years * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Interested Candidates send you resume to the below WhatsApp Number or Reach me out on 6385272597 Regards, Manoj - 6385272597 Human Resources Coronis Ajuba

Job Title: Manager Operations Specialty : IPDRG Location: Chennai Job Summary: We are seeking a highly motivated and experienced Manager - Operations to oversee the day-to-day operations of the company. The ideal candidate will be responsible for streamlining processes, managing a team, optimizing productivity, and ensuring smooth operational execution. This position demands strong leadership skills, operational expertise, and the ability to drive efficiency improvements across all operational areas. Key Responsibilities: Operations Management: Oversee daily operational activities to ensure efficient and effective operations. Monitor and improve performance metrics such as cost control, productivity, quality, and on-time delivery. Identify operational issues and proactively implement solutions. Develop and implement operational strategies to achieve short-term and long-term business goals. Team Leadership: Lead, mentor, and motivate a team of operational staff to achieve goals and objectives. Conduct regular team meetings, performance reviews, and training programs. Foster a positive work environment and ensure adherence to company policies and procedures. Process Optimization: Analyze workflows and operational processes, identifying areas for improvement. Implement process improvements to increase efficiency, reduce costs, and enhance customer satisfaction. Utilize technology and systems to automate and streamline operations. Quality Assurance: Establish and monitor key performance indicators (KPIs) to track quality and operational standards. Ensure adherence to company quality policies and regulatory requirements. Resolve customer issues and complaints promptly, ensuring customer satisfaction. Cross-Department Collaboration: Work closely with other departments (Sales, HR, Finance, etc.) to ensure smooth collaboration and alignment of business objectives. Assist in forecasting and planning to meet operational demands and business needs. Reporting & Analysis: Prepare regular reports on operational performance, including productivity, costs, and quality. Present analysis and recommendations to senior management for strategic decision-making. Qualifications & Skills: Education: Bachelor's degree or a master's degree or relevant certifications is a plus. Experience: 10-12 years of experience in operations management in US healthcare (IPDRG Coding). Proven track record of managing teams, driving process improvements, and achieving operational goals. Skills: Strong leadership and team management skills. Excellent problem-solving and decision-making abilities. Proficiency in using operational management tools and software. Strong organizational and multitasking skills. Excellent communication skills, both written and verbal. Knowledge of budgeting and financial management. Ability to adapt to changing business needs and priorities. Personal Attributes: Detail-oriented with a focus on efficiency and quality. Strategic thinker with a hands-on approach to execution. Proactive, self-motivated, and results driven.

About Access Healthcare: Access Healthcare is a leading provider of healthcare business process outsourcing solutions, specializing in revenue cycle management, medical coding, billing, and other support services for healthcare providers worldwide. Headquartered in Dallas, Texas, with significant operations in Chennai, India, the company combines technology and expert resources to streamline administrative processes, improve financial outcomes, and enhance patient care. Access Healthcare aims to support healthcare organizations in delivering better care by taking care of their operational needs efficiently and effectively. Eligibility Criteria: 13+ years of experience in Healthcare RCM, Risk Adjustment Coding, and Quality Assurance. Minimum 5-6 years of Core Coding experience Six sigma Black Belt/Master Black Belt certified from reputed institutions like ISI, ASQ, Benchmark, KPMG etc., along with project experience. Deep knowledge of ICD-10-CM, CMS Model, Medicare Advantage, and Risk Adjustment Guidelines. Strong experience in coding audit frameworks, accuracy improvement, and compliance enforcement. Certified in AAPC or AHIMA certifications (CRC, CPC, CCS, RHIT, or RHIA preferred). Expertise in AI-powered coding audit tools, automation, and process digitization is a plus. Strong leadership and stakeholder management experience, with the ability to influence change and drive quality initiatives. Data-driven mindset with experience in Quality Metrics, Root Cause Analysis (RCA), and Lean Six Sigma methodologies. Competency Requirement (Technical & Behavioral): Quality Assurance & Compliance Oversee end-to-end quality audits for coding across multiple vendors and in-house teams. Ensure 100% compliance with CMS Risk Adjustment guidelines, ICD-10 coding standards, and HIPAA regulations. Implement and enforce coding best practices to minimize missed diagnoses, over-coding, and under-coding. Lead external and internal audit programs to improve accuracy and compliance. Process Optimization & Error Reduction Establish and enhance quality control frameworks to improve coding accuracy and efficiency. Drive initiatives to reduce error rates, improve coding precision, and enhance productivity. Implement AI-driven audit solutions (e.g., automated coding reviews, real-time QA tools) to optimize efficiency. Monitor Accuracy KPIs (Missed Error Rate, Extra Error Rate, Inter-Rater Reliability). Data-Driven Insights & Performance Improvement Utilize data analytics to identify trends in coding accuracy, compliance risks, and vendor performance. Develop dashboards and reporting mechanisms for leadership visibility on quality performance metrics. Collaborate with Operations & Training teams to address coding discrepancies and drive corrective action plans. Team Leadership & Training Lead and mentor a team of QA Managers, Auditors, and Trainers across multiple locations. Develop quality training programs for coders to enhance their proficiency and ensure coding consistency. Foster a culture of continuous improvement, compliance, and performance excellence. Interested candidates with the above mentioned experience, please share your updated resume to nandhinik.outsource@accesshealthcare.com