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0.0 - 1.0 years
3 - 3 Lacs
Tirupati, Sivakasi, Chennai
Work from Office
Ct: HR BHAVANI:9566284629 Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis and Procedure Code using ICD-10 CM and CPT code Eligibility:Any lifescience,paramedical & medical UG/PG
Posted 4 weeks ago
0.0 - 1.0 years
3 - 3 Lacs
Salem, Chennai, Vellore
Work from Office
Ct: HR LAVANYA - 9566157632 Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis and Procedure Code using ICD-10 CM & CPT code Eligibility:Any lifescience,paramedical & medical UG/PG
Posted 4 weeks ago
0.0 - 1.0 years
3 - 3 Lacs
Chennai, Thoothukudi, Rameswaram
Work from Office
Ct: HR LAVANYA : 9566157632 Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis and Procedure Code using ICD-10 CM & CPT code Eligibility:Any lifescience,paramedical & medical UG/PG
Posted 4 weeks ago
4.0 - 8.0 years
6 - 9 Lacs
Hyderabad
Work from Office
Greetings from Sagility ! We have urgent requirement for SME Medical coding for Multispecialty coding, Preferably from IPDRG or Inpatient coding from other specialty. Looking for Immediate joiners or someone can join in at least 15 to 20 days . Strong English communication skills verbal and written is mandatory Provider RCM experience in HB/PB is mandatory. Work from office is mandatory and 2 PM to 11 pm IST shift is mandatory . Job description: Job Title: Subject Matter Expert Multispecialty Coding (Inpatient) Location: Hyderabad Shift Timing: 2:00 PM to 11:00 PM IST Job Type: Full-Time , Work from Office Experience: Minimum 4 Years Certifications Required: CPC (AAPC) or CCS (AHIMA) Mandatory Joining Requirement: Immediate Joiners Only or 15 days notice Transport: Both-Side Cab Provided Job Summary: We are looking for a Subject Matter Expert (SME) in Multispecialty Medical Coding to join our Provider Revenue Cycle Management (RCM) team. The role requires solid hands-on experience in Inpatient coding, with a deep understanding of denials management, HB & PB billing, and payer guidelines. This is a critical position for driving coding accuracy, training, and compliance to maximize reimbursement outcomes. Key Responsibilities: Looking for Inpatient and multispecialty coding (Combination of E&M IP + Other coding specialty or IPDRG with other specialty) Ensure compliance with ICD-10-CM, CPT, PCS, and HCPCS Level II coding guidelines. Analyze and resolve coding-related denials; collaborate with RCM teams to reduce denial rates. Support both Hospital Billing (HB) and Professional Billing (PB) functions within the Provider RCM domain. Conduct coding audits and quality reviews; recommend improvements and corrective actions. Train and mentor coders; deliver updates on regulatory changes and best practices. Coordinate with internal stakeholders including billing, CDI, and denial management teams. Maintain current knowledge of payer rules, medical necessity, documentation standards, and coding regulations. Required Qualifications: Certification: CPC (AAPC) or CCS (AHIMA) Mandatory Experience: Minimum 4 years in medical coding, including strong Inpatient coding experience Proven experience in Provider RCM, especially with HB & PB domains Solid understanding of denial trends, root cause analysis, and resolution strategies Strong communication skills – verbal and written. Interested folks can please share your updated resume to : sunkari.srikanth@sagilityhealth.com or whats app your resume on : 8309217838
Posted 1 month ago
3.0 - 6.0 years
4 - 5 Lacs
Bengaluru
Work from Office
Certified Sr. Denial Coder / Work FROM OFFICE 3-6 years experience 4.5-5.5 Lacs Job description Key Requirements Must have a minimum of 3+ years of experience in Denial Coding. Past experience of identifying trends and fix with insurance guideline on usage of modifiers Must have coded Orthopedic, Gastrointestinal, ENT, podiatry procedures. Must be a Certified Coder. ( CPC, CIC or CCS Certified) Should have knowledge in surgeries from 1 to 6 series. Willing to work on rotational shifts. Expertise in addressing Modifier, inconsistent or un specified diagnosis and CCI edits Roles and Responsibilities Assign accurate Modifier and Diagnosis using CPT, ICD-10, HCPCS codes for surgical procedures, anesthesia, multi-specialty Visits and ED visits. Review patient records to identify relevant diagnoses and procedures for coding purposes. Ensure compliance with industry regulations and guidelines (e.g., HIPAA) when handling sensitive patient information. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding assignments. Collaborate with internal team members in other departments and USA management team Must be able to speak and communicate in English with USA account lead Maintain confidentiality and adhere to strict data security protocols Desired Candidate profile 3-6 years of experience as a certified medical coder (CPC certified) Strong knowledge of surgery, anesthesia, emergency department (ED), and hospital settings Proficiency in CPC certification exam preparation materials Ability to work independently
Posted 1 month ago
1.0 - 4.0 years
3 - 6 Lacs
Chennai
Work from Office
Job Opening: ED Coders (15+ Years Experience) Company: Global Healthcare Billing Private Limited Location: Chennai, India Position: ED Coder Experience: 1 to 4 Years Location: Chennai (Work from Office) Responsibilities: : Review and code ED medical records accurately Apply correct ICD-10-CM, CPT, and HCPCS codes Ensure compliance with coding standards and client requirements Maintain high accuracy and productivity levels Requirements: Minimum 1 year of ED coding experience Strong knowledge of medical coding and terminology Good communication and analytical skills To Apply: Send your resume to below contact details Contact HR Bhavana: +91 89258 08595
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
Coimbatore, Tamil Nadu, India
On-site
In this Role you will be Responsible for: Should have experience in Radiology coding The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 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 weekend basis business requirements. It is Mandatory to return to office based on client or business requirement. Need CPC certification
Posted 1 month ago
0.0 years
0 Lacs
Coimbatore, Tamil Nadu, India
On-site
In this Role you will be Responsible For : The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 0 -1 Year of experience in any Healthcare BPO University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 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 weekend's basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
Coimbatore, Tamil Nadu, India
On-site
In this Role you will be Responsible for: Should have experience in surgery coding The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 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 weekend basis business requirements. It is Mandatory to return to office based on client or business requirement.
Posted 1 month ago
2.0 - 7.0 years
4 - 9 Lacs
Chennai
Work from Office
We are seeking a detail-oriented and certified Medical Coder to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Industry: Medical Coding and Billing Services Healthcare Location: Campus-10, 4th Floor Unit 401, RMZ One Paramount, Ponnamalle High Road, Porur, Chennai, Tamil N du, India 600116 Work Hours: 9am 6pm, day / 9pm 6am, Night Employment Type : Full Time Salary : Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Collaborate with physicians and healthcare providers to clarify diagnoses and procedures. Assist in resolving coding-related denials and audits. Maintain current knowledge of coding guidelines and payer requirements. Support the revenue cycle team to maximize reimbursement and reduce claim rejections. Skills: Excellent analytical, communication, and organizational skills Ability to work independently in a fast-paced environment. Qualifications: Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Strong understanding of anatomy, physiology, and medical terminology. Familiarity with EHR systems (e.g., Epic, Cerner, Meditech). Experience in HCC Coding Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Benefits: Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development and continuing education support
Posted 1 month ago
2.0 - 7.0 years
4 - 9 Lacs
Kochi
Work from Office
to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Medical Coding and Billing Services Healthcare 7th Floor, Infra Futura, Seaport Airport Rd, Thrikkakara, Kakkanad, Kochi, Kerala, India 682030 9am 6pm, day / 9pm 6am, Night Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Collaborate with physicians and healthcare providers to clarify diagnoses and procedures. Assist in resolving coding-related denials and audits. Maintain current knowledge of coding guidelines and payer requirements. Support the revenue cycle team to maximize reimbursement and reduce claim rejections. Skills: Excellent analytical, communication, and organizational skills Ability to work independently in a fast-paced environment. Qualifications: Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Strong understanding of anatomy, physiology, and medical terminology. Familiarity with EHR systems (e.g., Epic, Cerner, Meditech). Experience in HCC Coding Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development and continuing education support
Posted 1 month ago
1.0 - 4.0 years
2 - 5 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
We Are Hiring || ENM IP/OP /Ancillary Medical coders || Hyderabad|| Up to 5 LPA|| HR Ramadevi 7842224022 Min 1-2 yrs exp into ENM IP/OP coding with good communication skills Package: Up to 5 LPA Only Certified Location: - Hyderabad Work from Office Notice Period :- Immediate joiners-30days Reliving letter is Mandate Interested candidates can share your updated resume to HR Ramadevi 7842224022 (share resume via WhatsApp ) Refer your friend's / Colleague
Posted 1 month ago
1.0 - 3.0 years
2 - 6 Lacs
Gurugram
Work from Office
" We seek an experienced and highly motivated Senior Analyst to join our team. The Senior Analyst in Denials Management Team will be responsible for identifying denied claims, making outbound calls to insurance payers, and resubmitting corrected claims. The ideal candidate should possess excellent communication and problem-solving skills, have a strong understanding of medical billing and coding, and be well-versed in denial management and appeals processes. Role & responsibilities Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs). Claim Resubmission: Correct and resubmit denied claims following payer guidelines and timelines. Payer Communication: Communicate with insurance companies to resolve issues leading to denials and ensure accurate reimbursement. Preventative Action: Review denial trends and work with other RCM teams to implement processes that can prevent future denials. Experience in analyzing and resubmitting Denials in multiple specialities (Denials due to Medical Coding, Authorisation, etc). Preferred candidate profile 1-3 years of prior experience in denials management, healthcare billing, or a related role. Strong understanding of medical billing processes payer requirements and CARC/RARC codes. Excellent problem-solving and negotiation skills. Detail-oriented with strong analytical skills. Excellent communication skills, both written and verbal. Proficiency in using healthcare billing software and Microsoft Office Suite. Why you ll love working at Commure + Athelas: Highly Driven Team: We work hard and fast for exceptional results, knowing we re doing mission-driven work to transform the country s largest sector. Strong Backing : We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. Incredible Growth : Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.
Posted 1 month ago
1.0 - 6.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
WE ARE HIRING! ENM / ED / IPDrg coder & QA || Chennai || Hyderabad || Locations: Hyderabad | Chennai | Coder : *Denials coder (ENM Mutli speciality / IVR / Radiology ) *Surgery coder ( Certified / Non certified *IPDRG Coder *Anesthesia Coder *ED Profee Coder *Ed facility coder& Ed Facility / Profee coder *Obgyn coder *Ivr coder *Cardiology coder *IPDrg QA *Home Health QA / TL Experience: 2 to 10 years in above mentioned specialties Notice Period: Up to 60 days Package is negotiable as per the market standards Shift Timings: General shift Work from office Location : Chennai, Hyderabad, Noida Reliving is Mandatory Interested candidates, please share your updated resume to: HR Swathi 9951772162 (WhatsApp)
Posted 1 month ago
4.0 - 7.0 years
3 - 7 Lacs
Chennai
Work from Office
ABOUT US: Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL:IN), is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other industries. The Company's Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US including over a dozen offices, and multiple sites in the UK, India, the Philippines and Mexico, we act as a trusted growth partner for over 150 leading global brands, including several Fortune 500 and FTSE 100 companies. Roles & Responsibilities:- Creates update tracker and responsible for updating the team on trends and changes. Provides feedback & coaching on common error scenarios Performs review of claims denied/rejected for coding, documentation and clinical validation. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual coders. Creates update tracker and responsible for updating the team on trends and changes. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff. Eligibility Criteria: Designation :Team Leader with On paper Candidates should have experience in Evaluation & Management (OP/IP) Must have strong knowledge of ICD-10 CM/PCS and CPT coding Anesthesia coding & Surgery Coding is an added advantage Must have Minimum 5 years of experience in E&M Coding Looking for Certified Medical Coders - Team Leader Position Job location: Firstsource Solution Limited, RMZ Millenia Business Park, 5th Floor, Campus 4A, MGR Main Road, Perungudi, Chennai, Tamil Nadu, 600096. Note: Share your resumes to the below WhatsApp number or Email ID. Call to the below mentioned number for any clarifications. Contact: Subitsha 8248574072 subitsha.ggg@firstsource.com Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or subitsha.ggg @firstsource.com email addresses. You can refer your friends as well!!
Posted 1 month ago
8.0 - 13.0 years
6 - 15 Lacs
Chennai
Work from Office
JOB SUMMARY We are seeking a highly skilled and detail-oriented Medical Coding Specialist with expertise in Durable Medical Equipment (DME) and Cardiology coding for the US healthcare market. This is an individual contributor role that demands precision, deep domain knowledge, and a commitment to compliance and quality. The ideal candidate will play a critical role in ensuring accurate coding, minimizing denials, and supporting revenue cycle integrity. ESSENTIAL RESPONSIBILITIES: Perform accurate and timely coding of DME and Cardiology-related medical records using ICD-10-CM, CPT, and HCPCS Level II codes. Review clinical documentation to ensure coding reflects the services provided and supports medical necessity. Collaborate with physicians, billing teams, and auditors to resolve coding discrepancies and improve documentation quality. Stay updated with the latest coding guidelines, payer policies, and regulatory changes. Ensure compliance with HIPAA, CMS, and other applicable regulations. Participate in internal audits and contribute to continuous improvement initiatives. SKILLS AND COMPETENCIES Certification: CPC, CCS, or equivalent AAPC/AHIMA certification is mandatory. Experience: Minimum 3-5 years of hands-on coding experience in DME and Cardiology. Strong understanding of US healthcare reimbursement systems and payer-specific requirements. Proficiency in using EMR/EHR systems and coding software. Excellent analytical, communication, and problem-solving skills. Ability to work independently with minimal supervision. Expertise on coding guidelines and good knowledge on billing guidelines FORMAL EDUCATION AND EXPERIENCE Graduation in any stream Experience with denial management and appeals. Exposure to coding audits and compliance reviews. Familiarity with Medicare and commercial insurance guidelines. Experience in managing customer relationships Walk-in Date: 19th of June 25 Contact Person: Sobiya Interview Location: HCLTech, No. 8, M T H Road, AMB 6, Ambattur Industrial Estate, Ambattur, Chennai 600 058, Tamil Nadu, India. Work Location: Sholinganallur Shift: Night Shift(US Shift) Open Position: 2 Time: 11am-2pm Experience: 8 15 yrs. Designation: Deputy Manager Documents to be carried: 2 Copies of your updated resume 2 ID proof
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Bengaluru
Work from Office
Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 month ago
6.0 - 11.0 years
8 - 13 Lacs
Chennai
Work from Office
Skills Skill Vendor Management Project Management IT Service Management Solution Architecture CRM ITIL Outsourcing Global Delivery IT Strategy SDLC Education Qualification No data available CERTIFICATION No data available : Monitor, identify and resolve performance/behaviour/attendance issues using prescribed performance management techniques. Monitor and act on personnel and disciplinary issues. Provide subject matter expertise to Quality Control Analysts in theteam. Ensure training needs of subordinates aremet. Adjust to the needs of meeting service level agreements under supervision of Operations Manager. Successfully complete all client related training and keep record of the same. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for theassigned team membersforall theirjob-relatedneeds and create a harmonious work environment. Responsible for day-to-day functional supervision of work group, including work assignment and attendance monitoring; providing input into selecting, training, developing, and completing performance appraisal of work group(s) in accordance with the organization’s policies and applicable compliance requirements. Job Specification Minimum of 5/6 Years of Professional and Relevant Experience in Medical Coding with specialty E/M. Must have experience in Client and Stakeholder Management, Team Management. Must have CodingCertificationlike CPC/CCS/COC/AHIMA. Any graduate will do. ShiftDetails:General Shift / Day Shift WorkMode:WFO
Posted 1 month ago
13.0 - 18.0 years
15 - 20 Lacs
Bengaluru
Work from Office
Skills Skill Training Performance Management Employee Engagement Human Resources Talent Management Talent Acquisition Vendor Management Team Building Employee Relations Employee Training Business Development Education Qualification No data available CERTIFICATION No data available Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. - Education Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience 13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Vendor Management Service Delivery CRM Project Management Business Development MIS Operations Management BPO Process Improvement Telecommunications Education Qualification No data available CERTIFICATION No data available : Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. TomonitorTrainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feedback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Surgery. Extensive Coaching & Trainingas per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details:General Shift / Day Shift Work Mode:WFO
Posted 1 month ago
12.0 - 17.0 years
14 - 19 Lacs
Bengaluru
Work from Office
Skills Skill Business Development Vendor Management Project Management Business Strategy Solution Architecture Product Management Enterprise Software Outsourcing Cloud Computing CRM Education Qualification No data available CERTIFICATION No data available DEPARTMENT Pre-Sales & Solutions JOB TITLE GM/AD/D + (Any suitable profile & designation) REPORTING TO AVP - Solutions ROLE Solution Development Skill sets Required Essential Skills Strong domain expertise in one or multiple areas RCM processes – Front-end - Scheduling, Registration, EV/ BV etc.. Mid-Cycle - Medical Coding, HCC coding, Charge entry etc. and Backend - AR, Denial Management, Payment posting, Revenue integrity etc. Analytics – Analyze, Interpret and summarize data in providing insightful updates to leadership and for taking it to client for discussions, create staffing strategies. Suggest and validate Technology driven solutions based on In-house capabilities and Industry requirements. Creating transformative & compelling solutions which will drive savings to customers. Understanding of different pricing methodologies like transaction based, contingency based, FTE based. Experience in creating them will be an added advantage. Job description – As part of the Pre-Sales and Solutions team you will play a critical role in the overall growth strategy and will directly report to AVP Solutions. Responsible for acquiring new clients by selling services provided by Omega, building strong and sustainable relationships with the Management and decision-makers. Help Company meet customer acquisition and revenue growth targets by keeping our company competitive and innovative. Expected to have a thorough understanding of the business to be able to propose tailor-made products/services to the potential customers Work closely with the senior leadership to achieve organizational goals Ability to build and lead large deals single handedly and lead team members Excellent communication skills with ability to build rapport quickly over phone calls/meetings; strong negotiation skills are essential. Lead any due diligence and discovery workshops Drive complete end to end Solutions / Pricing Drive meetings, maintain minutes to ensure stakeholders are aware of the scope of the RFP and timely follow up on open items. Ensure timely completion of customer submission documents adhering to deadlines Work with Sales team/Client services and all internal support teams to respond RFP, RFIs and other pre-sales deliverables Ensure successful conversion of opportunities. Maintain a culture of high customer service both internal and external Continue to build domain capability in chosen sub-domain, including keeping updated on new technology, regulations, etc. PREREQUISITES TO HIRE Ability to lead discussions with U.S based clients and across internal team Good communication skills (verbal & written) Medium to advanced level skill in MS office tools like excel, power point, word, Visio, etc. Good Communication Skills – Both Verbal and Written. Eye for Details, Logical thinking. Good Analytical Skills and should be a quicker learner. Ability to work with limited supervision. Ability to multi-task and manage time efficiently under the pressure of deadlines. Flexibility to work in shifts. Sensitivity to the confidential nature of the data and proprietary company information EDUCATIONAL QUALIFICATION Graduate from any stream with minimum 12+ years of Exp in US Healthcare Industry (Payer or Provider or Both) Strong Analytical skills . PERFORMANCE STANDARDS MEASURABLE Meeting all SLAs defined NON MEASURABLE Self-motivation Ability to work un-supervised Team Player Reliability Professionalism Achievement orientation Relationship building ability Personal grooming and etiquette Initiatives
Posted 1 month ago
12.0 - 18.0 years
14 - 20 Lacs
Hyderabad
Work from Office
Skills Skill Vendor Management Global Delivery CRM PMP Outsourcing Project Management SDLC Solution Architecture IT Service Management ITIL Education Qualification No data available CERTIFICATION No data available Job Title Senior Manager - Operations Department Delivery Speciality Multi-speciality (E&M IP/OP, ED profee,facility, Surgery, Anesthesia) 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 12-18 years of experience in operations management in US healthcare (Medical 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.
Posted 1 month ago
3.0 - 8.0 years
5 - 10 Lacs
Chennai
Work from Office
Skills Skill Training Performance Management Employee Engagement Employee Training Human Resources Employee Relations Talent Management Talent Acquisition Vendor Management BPO Coaching Education Qualification No data available CERTIFICATION No data available : Conduct process trainings for codingspecialists. Floor support to coders during transitions to ensure quality standard maintenance during ramp-upperiod. Conduct focused trainings for quality improvement based on errorfindings. Publish monthly articles/updates on Healthcare regularly for enhancing coders knowledge andexpertise. Ensuretimelycompletion of onboarding compliance trainings for new hires as per Global and clientrequirement. Toparticipatein client calls,meeting,and KT sessions as per requirement Lead training sessions on current updates in the medical coding field for US based healthcaresystems. Training coders on US health care systems its updates as per protocol To create presentations, develops learning material, handbook, and other required training materials. Job Specification In-depth knowledge of coding process, coding system software, workflow management. Basic understanding of medical terminology, body systems/anatomy, physiology, and concepts of disease processes. Must have Coding Certification like CPC / CCS / COC / AHIMA. Any Graduate with minimum 3 years of IPDRG experience in medical coding Good to have training / coaching / mentoring experience. Good communicationand presentation skills ShiftDetails:General Shift / Day Shift WorkMode:WFO LocationChennai
Posted 1 month ago
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