83 Modifiers Jobs - Page 2

Key Responsibilities Conduct detailed market research to uncover new business opportunities, track emerging trends, and monitor competitor activities. Analyze customer needs and market dynamics to design targeted business development strategies. Identify and connect with potential clients in the chemical and lubricants sectors through networking, cold calling, emails, social media, and industry events. Build and maintain a healthy pipeline of qualified leads and prospects. Develop and execute strategic sales plans to grow market presence and revenue. Collaborate with the marketing team on tailored campaigns that align with business objectives. Establish and nurture strong relationships with clients, suppliers, and key stakeholders. Engage with clients to understand their requirements and recommend suitable solutions. Explore upselling and cross-selling opportunities to maximize client value. Maintain high levels of client satisfaction to ensure retention and repeat business. About Company: KK India Petroleum Specialities Pvt Ltd is an Authorized distributor and Indenting agent. We are working as Authorized Distributors for the products like Microcrystalline Waxes, Petrolatums, White Mineral Oils, Sensory Enhanced Alkanes, Active Base Emollient, Natural Emollient, Excipients for Pharma, Veterinary, Petroleum Sulfonates and Distillates, Compressor Lubricants, Paraffin Wax, Lubricant Additives Packages, Aminic & Phenolic Antioxidants and Intermediates, Corrosion Inhibitors & Demulsifiers, Anti-Wear and Extreme Pressure Additives, Fuel Additives, Detergents, Emulsifiers, Sulfur based EP additives, Viscosity Modifiers for Lubricants and Greases, Speciality Silicones Fluids, Emulsions and Surfactants. Show more Show less

Overview Build The Future At McGraw Hill, the Customer Service - US Backend Operations drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Customer Service - US Backend Operations for our back-office customer support team. How can you make an impact? As our new Customer Service - US Backend Operations , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviors, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What you will be doing: Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviors, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM - 3:00 AM IST, with flexibility to adjust to 5:30 PM - 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re looking for someone with: 1+ years of proven experience in Customer Service Backend Operations with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 49168 Show more Show less

Back Customer Service - US Backend Operations JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Noida, India Operations Corporate On-Site 49168 McGraw Hill LLC. mail_outline Get future jobs matching this search or Transcript I believe what makes the company culture unique at McGraw Hill is that McGraw Hill truly cares about its employees. McGraw Hill provides its employees an opportunity and the tools to both grow, learn, and advance both professionally and personally. I love the family and team culture that is provided at McGraw Hill. I've been an employee at McGraw Hill for over 22 years, and I have worked and met with some amazing people from all walks of life and all around the country. McGraw Hill is truly a place that I would recommend as a place for employment. % buffered00:00 00:00 What makes the company culture unique at McGraw Hill? D Deshawn Data Quality Analyst 1 Overview Job Description Build The Future At McGraw Hill, the Customer Service - US Backend Operations drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Customer Service - US Backend Operations for our back-office customer support team. How can you make an impact? As our new Customer Service - US Backend Operations , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviors, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What You Will Be Doing Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviors, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM – 3:00 AM IST, with flexibility to adjust to 5:30 PM – 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re Looking For Someone With 1+ years of proven experience in Customer Service Backend Operations with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 49168 McGraw Hill uses an automated employment decision tool (AEDT) to assist in the screening process by recommending candidates with “like skills” based on resume and job data. To request an alternative screening process, please select “Opt-Out” when asked to “Consent to use of Automated Employment Decision Tools” during the application. Apply JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Show more Show less

Hiring For Health Care (AR Caller) Only Graduates Minimum 1 year Experience into AR Caller (voice) into physician billing Working Days Monday to Friday Saturday and Sunday Holiday 2Way Transportation upto 25km Package:-30% hike upto Maximum 5 LPA Timings:- 6:30PM to 3:30AM ROI:- HR, Manager NOTE:- Candidates should have Experience into physician billing,provider, Denial Management, Modifiers and CPT Codes. Job Type: Full-time Pay: ₹500,000.00 - ₹520,000.00 per year Benefits: Health insurance Provident Fund Schedule: Night shift Education: Bachelor's (Preferred) Work Location: In person

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ A Job Type: Full-time Pay: ₹28,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Performance bonus Shift allowance Experience: Accounts receivable Analyst: 1 year (Preferred) Work Location: In person

Job Title: Photographer (Studio & Fashion Shoots) Location: [Noida sec 47] Type: Full-Time Job Overview: We are a fast-growing commercial photography company specializing in Maternity , babyshoot, fashion, model, and brand campaign shoots. We're looking for a talented and reliable Photographer with their own professional gear and a strong understanding of studio setups to join our creative team. Key Responsibilities: Capture high-quality images for fashion, model portfolios, and branding campaigns Collaborate closely with creative directors, stylists, and models to execute concepts Operate in a studio environment with knowledge of artificial lighting, modifiers, and backdrops Maintain consistency in quality and visual style across projects Handle post-shoot image backup and basic file organization Requirements: Must own a professional DSLR or mirrorless camera with appropriate lenses Proven experience with studio lighting, setups, and modifiers Solid portfolio showcasing fashion, editorial, or campaign work Ability to direct models and manage shoots confidently Punctual, professional, and a team player Basic knowledge of Lightroom/Photoshop is a plus Bonus if you have: Experience shooting Maternity , babyshoot, e-commerce, lookbooks, or ad campaigns Creative input and styling experience Video shooting/editing skills (optional) To Apply: Send us your portfolio , equipment list , and a brief intro to: [pwn0788@gmai.com/ +917976256472] Job Types: Full-time, Fresher, Internship Pay: ₹15000-25000 per month Schedule: Day shift Work Location: In person Job Types: Full-time, Fresher, Internship Pay: ₹15,000.00 - ₹25,000.00 per month Schedule: Day shift Work Location: In person

Selected Intern's Day-to-day Responsibilities Include Assist in creating, scheduling, and publishing content for Instagram, Facebook, LinkedIn, Twitter, etc. Research current social media trends and suggest improvements Engage with followers by responding to comments, DMs, and messages Help monitor and analyze performance using insights and analytics tools Support in running paid promotions or campaigns Assist with influencer outreach and collaborations Contribute ideas for improving brand presence and campaign effectiveness About Company: We are one of the most trusted wholesalers, traders, and suppliers in the market, supplying the best array of thermoplastic elastomers, TPO compounds, silicone masterbatches, thermoplastic vulcanizate, impact modifiers, mold release additives, and many more. Show more Show less

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.25 LPA TO 5.50 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-ins directly.

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Role: AR Calling – Physician RCM Location: Hyderabad Experience: 1 - 4 Years Job Description: We are looking for candidates with 1–4 years of experience in Physician RCM (Revenue Cycle Management) for a voice-based AR Calling role. Key Requirements: Experience with claim form 1500 and provider-side RCM Knowledge of CPT codes, modifiers, and coding tools (CCI, McKesson) Familiar with specialties like Cardiology, Radiology, Ortho, etc. Understanding of clearinghouses (e.g., Waystar, eCommerce) Strong analytical and communication skills Willingness to work from office and learn new areas Job Type: Full-time Pay: ₹300,000.00 - ₹450,000.00 per year Schedule: Night shift Language: Hindi (Preferred) English (Preferred) Work Location: In person

💼 Job Opportunity: AR Calling / Physician RCM Specialist (Voice Process Only) 📍 Location: Manikonda| 💬 Process: Voice 🕒 Experience Required: 1–4 Years in Physician RCM / AR Calling / Denial Management ✨ Overall Summary we’re on the lookout for skilled AR Calling professionals with expertise in Physician Revenue Cycle Management (RCM) – NOT hospital billing. If you thrive on resolving denials, speaking with payers, and working on claim follow-ups, this is the perfect role for you! 🚫 Do NOT Apply If You Belong To: 🔴 HGS (not handling RCM AR services) 🔴 Overpayments-only background 🔴 Hospital AR / DME / Claims Adjudication experience ✅ We’re Looking for Candidates With: ✔️ Experience: 1–4 years in Physician RCM / AR Calling (Voice-based only) ✔️ Skills: – Strong verbal communication 🗣️ – Analytical thinking 🧠 – Adaptable to office setup 🏢 – Eagerness to learn & grow 🚀 📚 Knowledge You Must Have: 📄 Claim Form: CMS-1500 🔧 Coding Tools: CCI edits, McKesson 🧑‍⚕️ Specialties: Cardiology, Radiology, Ortho, Peds, Surgery 💻 Clearinghouse Platforms: Waystar, eCommerce 📌 CPT Codes & Modifiers (Voice AR Calling experience is a must!) 🎯 Your Responsibilities (L2 - AR Calling): 📞 Follow up on Accounts Receivable (AR) ❗ Denial management and resolution 📈 Achieve daily production & quality goals 🕘 Adhere to shift schedules and maintain productive hours

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, DIRECT WALKin ( Reference Name : NAUSHEEN HR / 9043004655) Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Saturday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Begum H Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen Begum H nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

JOB DESCRIPTION: OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. Essential Criteria Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification. Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years’ experience as certified/credentialed coder coding/auditing Desirable Criteria Auditing experience on complex surgery coding. Knowledge in Microsoft outlook/excel/word. Additional And Essential Responsibilities Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends. Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Show more Show less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Show more Show less

Job Title: Interventional Radiology Medical Coder Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Show more Show less

TCS is Hiring SAP CPI For Pune location Experience : 6 - 10 years Mode of interview : Virtual Location : Pune JOB DESCRIPTION: Must have: Understanding of SAP CPI Architecture: This includes knowledge of the platform's components, such as the integration runtime, design time, and monitoring tools. Integration Flows (iFlows): Proficiency in designing, developing, and deploying iFlows. Understanding of message processing steps, adapters, and routing. Message Mapping and Transformation: Expertise in different mapping techniques. Ability to handle various data formats (XML, JSON, IDoc). Knowledge of Content modifiers. Adapters: Knowledge of standard adapters (SOAP, REST, SFTP, IDoc, etc.). Understanding of adapter configuration and usage. Show more Show less

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

Roles Responsibilities Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding and APC payments systems knowledge with minimum 3 years of experience in surgery. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. Must be spontaneous and have high energy level. Minimum work experience in voice process will be an added advantage Manage claims with timely follow up. Must be good with MS Office, especially Excel and PPT. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client and adhere to the quality standards. Mandatory CPC or CCS certification. "Should not have Apprentice in credential Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment. Skill Requirements Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Understanding of US Healthcare industry. Must Have Skills Communication Calling Providers Good Communication Client Contact Client Issue Resolution Show more Show less

Roles Responsibilities Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. Willing to work in Eastern shift. Must be spontaneous and have high energy level. Minimum work experience in voice process will be an added advantage Manage claims with timely follow up. Must be good with MS Office, especially Excel and PPT. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client and adhere to the quality standards. Mandatory CPC or CCS certification. "Should not have Apprentice in credential Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment. Skill Requirements Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Show more Show less

JOB DESCRIPTION: OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. Essential Criteria Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification (Musculo, cardio, IVR) Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years’ experience as certified/credentialed coder coding/auditing Desirable Criteria Auditing experience on complex surgery coding. Knowledge in Microsoft outlook/excel/word. Additional And Essential Responsibilities Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends. Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Show more Show less

Overview Build The Future At McGraw Hill, the Data Analyst teams drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Data Analyst - US Backend Process for our back-office customer support team. How can you make an impact? As our new Data Analyst , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviours, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What you will be doing: Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviours, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM - 3:00 AM IST, with flexibility to adjust to 5:30 PM - 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re looking for someone with: 1+ years of proven experience in Data Analysis with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 48709 Show more Show less

Back Data Analyst - US Backend Process JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Noida, India Operations Corporate On-Site 48709 McGraw Hill LLC. mail_outline Get future jobs matching this search or Transcript A typical day in my position as a pricing and territory representative is coming in in the morning, viewing any reports that were submitted overnight. These reports usually consist of previous day work that we just need to scan and make sure everything was submitted correctly and processed as we intended it to do. Once these reports are completed, they will get filed away. Then we will proceed to our daily queue of cases. Once in our queue, we will scan the queue for any priority requests that need immediate assistance. Once those cases have been completed, then we'll proceed to work the cases from the older to the newer ones. Cases usually come in throughout the day, so this will usually consists of our workday handling cases and requests throughout the day. At the end of our business day, we have end-of-day reports that we work and get those completed and submitted to get ran through the system overnight and process. % buffered00:00 00:00 What is a day in the life of your position? D Deshawn Data Quality Analyst 1 Overview Job Description Build The Future At McGraw Hill, the Data Analyst teams drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Data Analyst – US Backend Process for our back-office customer support team. How can you make an impact? As our new Data Analyst , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviours, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What You Will Be Doing Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviours, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM – 3:00 AM IST, with flexibility to adjust to 5:30 PM – 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re Looking For Someone With 1+ years of proven experience in Data Analysis with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 48709 McGraw Hill uses an automated employment decision tool (AEDT) to assist in the screening process by recommending candidates with “like skills” based on resume and job data. To request an alternative screening process, please select “Opt-Out” when asked to “Consent to use of Automated Employment Decision Tools” during the application. Apply JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Show more Show less