Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves designing and analyzing the healthcare reimbursement model . Be able take up new initiatives, maintain synchrony in the team. Collaborate with external & internal stakeholders, work effectively in a growing team, be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What you will do: To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts. To perform various analytical reviews and deep-dives (root cause analysis) on client-specific healthcare reimbursement methodology to ensure accuracy of revenue projections and actual collections. Ability to comprehend managed care contracts and payment methodologies such as APC, Surgical Tiering, Stop Loss, Outliers, and DRG reimbursements. General understanding of CMS Payment logic, including but not limited to, Medicare IPPS, OPPS, as well as various State reimbursement methods for Medicaid like programs including APR DRG and EAPG Methodologies Experience analyzing data in Excel, importing, and exporting data, creating Pivot tables, inserting graphs to trend data. To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges. Model Validation to ensure overall accuracy of Calculation engine for sites To effectively communicate the findings/ observations with recommended action to US team/clients. Maintain MIS related to analysis, Accuracy and coverage report for maintenance databases Handling client calls and communicating effectively for task deliverables and site maintenance What will you need: Graduate degree Preferably in Statistics\ Mathematics\ Economics\ Commerce\Finance from a reputed educational institute Strong computer skills with emphasis on Microsoft Excel, Access Database, and/or SQL

Summary : The Product Design Manager leads a multiple product design teams aligned with business value streams and oversees the resource management, design performance, analytics, planning and reports on impact. You will ensure the design team function aligns with business objectives and goals through strategic alliances with cross-functional partners. The ideal candidate will have the full range of people management skills, product design strategy, strong leadership and communication skills to develop and maintain fruitful relationships with associates, clients and customers. Youll have a bias toward action and ask, what needs to be done? Responsibilities: Collaborate and contribute to the formation of value stream strategy and priorities and build cross-functional consensus around vision at the product level. Tirelessly challenge the status quo with > Highlight and communicate stories of design partnership at the product level through case studies. Tell the powerful narrative of the customer and/or client to build empathy Collaborate, shape and influence design philosophy, best practices and principals that unifies the design approach across teams Introduce new technologies to augment product design solutions for competitive business advantage Develop and implement effective retention and engagement strategies to ensure teams are healthy, highly motivated and enjoy peak morale Develop, analyze, track and report the design workflow metrics and seek new ways of working to improve team performance, design cycles, and outcomes Advocate a strong point of view to continually raise the bar on quality across the product overall, influencing how other functions apply rigor to deployed experiences. Confidently and rapidly respond to change with a tangible action plan Navigate and clear any roadblocks that hinders team progress Drive design-led projects, in alignment with business strategy and product lifecycle stage. Pitch relevant opportunities for the business, which are grounded in business strategy and market dynamics. Identify and facilitate opportunities for Product Design Leads and Senior Product Designers to influence business and executive leaders. Shift hiring practices to ensure you level up the team and expectations. Demonstrate active listening, effectively give and receive constructive feedback to nurture individual talent through coaching and performance management Drive a design perspective in business development activities, including proposals, presentations, demos and pitches Continuously evaluate and make recommendations to improve the product design process and systems Create program level training for onboarding, workshop facilitation, design thinking, communication skills, storytelling and articulating design in presentations. Required Qualifications: The ideal candidate will have a background in design and project management, as well as excellent communication, organizational, and people management skills. Ability to travel up to 20% 8+ years of experience and a Bachelors degree, or higher in Design, Design Management, Product Management or a related field. Proven experience in design operations, project management, or a related role within a product design environment. Energetic self-starter that does the very best to make things right, contributes consistently and takes accountability when things go wrong even in the most challenging circumstances Excellent communication and high emotional intelligence, with the ability to build positive relationships with team members and stakeholders. Possess a growth mindset and demonstrate active listening during feedback, problem-solving and difficult discussions Analytical mindset with a focus on data-driven decision-making Leadership qualities, including the ability lean into challenges to make things better, mentor and inspire team members, fostering a collaborative and innovative work culture. Problem-solving skills to address challenges in cross-functional collaboration and optimize processes for better outcomes.

Design, implement, and maintain databases to support business operations, ensuring high performance and security. Monitor database performance and make recommendations for optimization and scalability. Perform regular backups, restores, and disaster recovery operations to safeguard data integrity. Troubleshoot and resolve database-related issues, ensuring minimal downtime and data loss. Ensure data security and implement best practices for database access control. Manage database upgrades, patches, and migrations with minimal disruption to business operations. Collaborate with developers to design and optimize database structures and queries. Automate database tasks and processes to improve efficiency and reduce human error. Provide on-call support for database issues and incidents. Conduct database health checks and implement measures to ensure the integrity and availability of data.

Bachelor's degree and a minimum of 2 years of professional experience in an IT-related field (Information Security, Network Security, IT Infrastructure).Experience on Network Security, Firewall Security, and Web Security (including web application firewalls and proxies)Directory services (Microsoft Active Directory), SCCM, Vulnerability Assessment (infrastructure, server, workstation, and *application). Experience on SIEM, PIM, Content Filtering, and Cisco Firewalls.CompTIA Security+ certification, CEH, CHFI, or equivalent, preferred.Experience on Change Management Review and Security Audits/Reviews. Experience on Linux and hacking tools (Kali Linux, Backtrack.Excellent interpersonal and communication skills, Self-driven, quick learner with attention to details and quality. Knowledge of ISO 27001, HIPAA, SOX will be an advantage.Good knowledge of security programs, process, and metric.Good knowledge of IT Security Infrastructure and related applications and toolsets. Examples include firewalls & Network.

Position summary As an engineer you will work as part of the development team and participate in the design and development of healthcare software reporting systems. You will employ cutting edge web-based and database technologies. Being an experienced person in team, expectation will be to mentor engineers and trainees. You will work closely with other team members for the delivery of projects. Responsibilities Estimates and develops scalable solutions using .Net technologies in a highly collaborative agile environment with strong experience in C#, ASP.net Core, Web API Develops relevant documentation around the solutions Develops SP , query ,table schema in Sql-server Conducts/participates in Code Reviews with Peers/Technical Lead. Performs unit, integration and system testing to ensure quality release of the product. Contributes to system architectural design and planning discussions Identifies issues, conducts root cause analysis , recommends and implements solutions. Takes initiative and ownership to drive development projects and invests in self-development Experience, Skills and Knowledge 3 - 6 years of experience designing and developing n-tier Web applications using .Net Framework, .Net Core, ASP.Net, WCF and C#, MVC 4/5 Web Development, RESTful API Services, Web API and JSON Exposure to Agile Scrum and associated framework, User Stories /product backlog and TFS / JIRA Usage. Should have knowledge of scripting framework like: Angular Js and React Js Experience with source control like Git or Bitbucket is preferred. Proven experience with AJAX, jQuery, Angular 2/4, JavaScript, CSS Knowledge of SOLID principles Working experience with design principles including design patterns. Good to have exposure in one or more Implementation of CI & CD using Jenkins, Dockers containerization Excellent verbal and written communication and organizational skills, keen attention to details and multi-tasking abilities. Knowledge of API development with understanding of HTTP and REST architecture Expertise in unit testing frameworks (XUnit/NUnit/MSTest) and integration testing Key competency profile Spot new opportunities by anticipating change and planning accordingly Find ways to better serve customers and patients. Be accountable for customer service of highest quality Create connections across teams by valuing differences and including others Own your development by implementing and sharing your learnings Motivate each other to perform at our highest level Help people improve by learning from successes and failures Work the right way by acting with integrity and living our values every day Succeed by proactively identifying problems and solutions for yourself and others. Qualifications B.E/B. Tech/MCA or equivalent professional degree

Assist in the management of Identity and Access Management (IDM) systems to ensure secure and efficient user authentication and authorization. Monitor and support user access controls and security permissions across systems and applications. Implement and troubleshoot IDM solutions, including user provisioning, role-based access control, and lifecycle management. Collaborate with IT and security teams to ensure compliance with organizational security policies and regulatory requirements. Participate in incident response and investigate potential security breaches related to identity management. Assist in the development and maintenance of IDM documentation, including processes and procedures. Provide user support for IDM-related issues, including account lockouts and permission discrepancies. Contribute to ongoing improvements in IDM systems, ensuring that they remain up-to-date with the latest security features and industry standards. Conduct routine audits and access reviews to ensure proper user access rights are maintained. Ensure alignment of IDM strategies with business needs and IT security goals

Role Objective : Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports. Essential Duties and Responsibilities Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team) Quality of Notation, Ability to read clinical documentation and data enter for payer requirements. 80%+ Calling will be involved (may vary site to site), should be open to Voice based work Would secure relevant information of Health Insurance of the patient. Work on Websites/Applications to perform the activity as per the SOP. Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone) Should be Open to Learn & adapt as per the changing needs of the process. Will have to go thru ongoing Trainings (for performance / process needs) Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements) Will have to work as per the prescribed KPI`s / Targets assigned by the Process Manager. Maintain compliance with all company policies and procedures. Ensure - Non-Disclosure of any PHI. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel and PowerPoint. Good communication Skills (both written & verbal) Excellent verbal and written communication skills effectively communicate with internal and external customers. Must have proven track record of performance in previous assignment. Maintaining a positive attitude and providing exemplary customer service Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP. Skill Set: Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Medical Coding and Medical transcription knowledge/experience are considered as relevant. Candidate should have good healthcare knowledge.

The Senior (L2-L3) Active Directory Administrator would need to have at least 5 to 8 years of directly related experience supporting Active Directory operations and engineering. Resolves and appropriately completes assigned cases and change requests and acts as an escalation for support issues. Applies new solutions through research and collaboration with team and determines course of action for new application initiatives. Implements new software solutions as required by the business. The core infrastructure technology duties include enterprise Microsoft Active Directory and Windows file services architecture creation and management, global system security and policy configuration, and top-level support for enterprise-wide initiatives. Technical Skill : Active Directory Domain Services (AD DS) Active Directory Certificate Services Azure AD Microsoft CA, PKI Group Policy Objects Windows Severs 2012, 2016, 2019 Active Directory Federation Services Virtualizations DNS, DHCP, DFS PowerShell, Scripting Technical Experience : Experience on Microsoft Windows Server Administration, Active Directory administration and Azure AD administration. Capable to handle All Major Incidents related to Active Directory and Domain environment. Strong understanding of architecting and configuring Microsoft Windows OS technology including Active Directory Forests, Domains, Trusts, DNS, DHCP, Group Policy and Organizational Units. Implementation, management and troubleshooting of the Active Directory Domain Forest. Creation and removal of domains. Multi-forest management within the Active Directory as well as dealing with one-way and two-way trust relationships. Hands-on experience & Strong knowledge in AD Migrations, Transitions, Active directory Forest Implementation. Experience in AD Inter-Forest Migration using AD Manager, Quest/ADMT tools, AD connect deployments, AD Upgradation projects. Deployment/Administration of Azure AD Connect Tool, Configuring Synchronization Rules, Troubleshoot Synchronization Issues. Add, remove, and configure Active Directory sites, sitelinks, and subnets. Diagnose and resolve problems associated with the Directory Replication service. Hands-on experience & Strong knowledge in Shell Scripting and automation - Power Shell. Hands-on experience & Strong knowledge ADFS, DFS, Windows PKI. Working within the Active Directory database for maintenance, recovery, and troubleshooting. Monitoring connectivity, synchronization, replication, netlogon, time services, FSMO roles, schema, NTDS database partitions, DNS settings, SRV records, and trust relationships. Monitor and resolve security/ Vulnerability situations at all levels of the domain to ensure a stable and secure domain server environment. Advanced level of Administration of Windows server with active directory, DNS, DHCP and High Availability. Implement, monitor, and maintain Active Directory DC design, Schema, OU design, Active Directory replication topology, and DC backup/restore procedures. Utilize logical problem solving to find creative solutions to problems in the environment on a broad scale. Assist in management and support of internal and external DNS systems. Assist in management and support of internal DHCP architecture and scoping. Create and update technical documentation of operating procedures as needed. Able to work in 24x7 Shift environments, mostly on USA shifts.

Were looking for a self-motivated Sr. DBA to join our Global DBA team. We have a relentless focus on driving results for our customers and enabling them to invest more into patient care; in turn, this allows us to continue to grow our company and your career. By reporting to the Manager, DBA/Middleware Operations, the candidate will be responsible for managing the SQL Server, MySQL and Postgres database instances hosted on prem and in cloud from all the aspects. This role will require troubleshooting and a high sense of responsibility for the problems as requests. Communication and timeliness are a must in problem solving, initiating change, and escalation. Your day-to-day role will include: Manage multiple RDBMS platforms (MSSQL, MySQL and Postgres etc.) through multiple product lifecycle environments, from development to mission-critical production systems. Configure and maintain database servers and processes, including monitoring of system health and performance, to ensure high levels of performance, availability, and security. Apply data modeling techniques to ensure development and implementation support efforts meet integration and performance expectations. Independently analyze, solve, and correct issues in real time, providing problem resolution end-to-end. Refine and automate regular processes, track issues, and document changes. Assist developers with complex query tuning and schema refinement. Share domain and technical expertise, providing technical mentorship and cross-training to other peers and team members. Provide rotation-based 24/7 on call support for unplanned outages and planned maintenance/release events. Collect and report database performance KPIs on regular basis. You Have: Bachelors degree in information technology or related discipline. 8+ years of database administration experience preferably in MSSQL, MySQL and Postgres. At least 2 years of cloud based database administration experience. Experience in troubleshooting and resolving database problems Experience in implementing operational automation using scripts. Hands on experience with SSIS,SSRS,SSAS and PowerShell. Extensive experience with Windows/SQL*Server Clustering (On Physical & Cloud based VMs), Always ON, Replication, Mirroring. Experience with Performance Tuning and Optimization (PaaS & IaaS). Experience with backups, restores and recovery models Knowledge of High Availability (HA) and Disaster Recovery (DR) options for SQL Server. Experience working with Windows server, including Active Directory Excellent written and verbal communication Flexible, team player, get-it-done personality Ability to organize and plan work independently Ability to work in a rapidly changing environment Ability to multi-task and context-switch effectively between different activities and teams It would be great if you also have: Healthcare experience DBA certifications

Lead and mentor a team of IT engineers in the design, implementation, and support of IT infrastructure and systems. Oversee the development of system architectures, ensuring alignment with business objectives and scalability requirements. Develop, test, and deploy complex IT solutions, ensuring high availability, reliability, and performance. Collaborate with other departments to identify technical requirements and implement solutions. Manage the day-to-day operations of IT systems, ensuring minimal downtime and optimal performance. Provide leadership in troubleshooting, resolving complex technical issues, and implementing improvements. Oversee the implementation of security best practices and disaster recovery strategies. Stay up-to-date with emerging technologies and industry trends, recommending new tools and practices as needed. Lead efforts to automate processes, improve system performance, and reduce operational costs. Develop documentation and training materials to facilitate knowledge sharing and system usage across the organization.

Job Responsibilities Responsible for building and maintaining automated testing environment and infrastructure for a multi-platform product that will be used to validate all aspects of product development.? Develop, document and maintain test artifacts like the test data, data validation, harness scripts and automated scripts. Estimate and develop scalable test cases using .Net technologies in a highly collaborative agile environment with strong experience in C#, Selenium. Open to run the manual test regression or build verification suite if needed. Identifies issues, conducts root cause analysis, recommends and implements solutions. Takes initiative and ownership to drive Automated tests projects and invests in self-development Execute Benchmark, load, stress, endurance and other non-functional tests. Monitor application logs to determine system behavior. Address all technical issues; facilitate the resolution and follow up with development and other cross-functional departments. Publish results and receive appropriate signoff. Prepare detail status reports and monitoring of all defects and issues. Identifying memory leakage, connection issues & Bottleneck problem in the application. Actively participates in Sprint demos and present their stories worked " . Job Specification B.E/B. Tech/MCA or equivalent professional degree 4-6 years of experience designing and developing automated testcases in C#, Selenium WebDriver, Selenium Grid, Rest API, OOPS concept, basic programming Mandatory experience on automation framework development and maintenance Experience developing automated test suites for SOA, server API/web services testing. Exposure to Agile Scrum and associated framework, User Storiesproduct backlog and TFS JIRA Usage. Should have knowledge of API Automation, Postman and JMeter Experience with source control like Git or Bitbucket is preferred. Experience in Test Driven Development (TDD), unit testing, regression testing, integration testing 2-3 years of experience in Performance Testing tools using?Jmeter or any other standard tool. Experience in analysis of the CPU Utilization, Memory usage, Network usage, Garbage Collection and DB Parameters to verify the performance of the applications. Knowledge of Performance bottleneck analysis and fixes Good to have exposure in one or more Implementation of CI & CD using Jenkins, Dockers containerization. Basic knowledge of serenity framework Exposure to Java is add-on. Excellent verbal and written communication and organizational skills, keen attention to details and multi-tasking abilities Key competency Spot new opportunities by anticipating change and planning accordingly. Find ways to better serve customers and patients. Be accountable for customer service of highest quality. Create connections across teams by valuing differences and including others. Own your development by implementing and sharing your learnings. Motivate each other to perform at our highest level. Help people improve by learning from successes and failures. Work the right way by acting with integrity and living our values every day. Succeed by proactively identifying problems and solutions for yourself and others.

Reports to : Program Manager- Analytics BI Position summary: A Specialist shall work with the development team and responsible for development task as individual contribution. He/she should be able to mentor team and able to help in resolving issues. He/she should be technical sound and able to communicate with client perfectly. Key duties & responsibilities Work as Lead Developer Data engineering project for E2E Analytics. Ensure Project delivery on time. Mentor other team mates and guide them. Will take the requirement from client and communicate as well. Ensure Timely documents creation for knowledge base, user guides, and other various communications systems. Ensures delivery against Business needs, team goals and objectives, i.e., meeting commitments and coordinating overall schedule. Works with large datasets in various formats, integrity/QA checks, and reconciliation for accounting systems. Leads efforts to troubleshoot and solve process or system related issues. Understand, support, enforce and comply with company policies, procedures and Standards of Business Ethics and Conduct. Experience working with Agile methodology Experience, Skills and Knowledge: Bachelors degree in Computer Science or equivalent experience is required. B.Tech/MCA preferable. Minimum 5 -7 years experience. Excellent communications and strong commitment for delivering the highest level of service Technical Skills Expert knowledge and experience working with Spark, Scala Experience in Azure data Factory ,Azure Data bricks, data Lake Experience working with SQL and Snowflake Experience with data integration tools such as SSIS, ADF Experience with programming languages such as Python Expert in Astronomer Airflow. Experience with programming languages such as Python, Spark, Scala Experience or exposure on Microsoft Azure Data Fundamentals Key competency profile: Own youre a development by implementing and sharing your learnings Motivate each other to perform at our highest level Work the right way by acting with integrity and living our values every day Succeed by proactively identifying problems and solutions for yourself and others. Communicate effectively if there any challenge. Accountability and Responsibility should be there.

Education: * B.Pharmacy/M.Pharmacy/Pharma-D * BSC/MSC in Nursing * BPT / BHMS / BAMS * Candidates should be 2024/2023/2022 passed outs *Should have 60% (CGPA 6.5) and above throughout the academics Other Skills: * Should possess good clinical knowledge and have wide awareness around anatomy, pharmacology and disease process * Good analytical and problem-solving skills * Ability to work independently and be flexible to work in shifts (WFO) * Good verbal and written communication

About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

Essential Duties and Responsibilities: Must be on current role of team handling for minimum 1.5 years Great knowledge AR/Credit up or end-to-end knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have great verbal and written communication skills, probing skills and denials understanding Open for night shift and WFO No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) . Skill Set: Candidate should be good Healthcare knowledge. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group, seniors and onshore counterpart.

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.

Position Summary Job Summary : We are seeking a passionate Trainer to join our team with good exposure and experience in the project. The Trainer will be responsible for designing, developing, and delivering training programs to enhance the skills and knowledge of our employees. The ideal candidate will have a strong background in training and development, excellent communication skills, and the ability to engage and motivate learners. Key Responsibilities: Develop and implement training programs that meet the needs of the organization and its employees. Conduct training sessions using various methods, including in-person, virtual, and blended learning approaches. Assess training needs through surveys, interviews with employees, or consultations with managers. Create training materials, such as manuals, handouts, and visual aids, to support training sessions. Evaluate the effectiveness of training programs and make necessary adjustments to improve outcomes. Provide ongoing support and coaching to employees to ensure they can apply what they have learned. Stay updated with the latest trends and best practices in training and development. Collaborate with other departments to ensure training programs align with organizational goals. Experience : Minimum of 4 years of experience in the healthcare industry, with a focus on payment posting, claims management, or related roles. Proven experience in handling denials and performing quality assurance tasks. Familiarity with healthcare billing systems and software (e.g., EPIC, Cerner, or other EMR systems). Preferred Skills : Knowledge of healthcare insurance types (Commercial, Medicaid, Medicare) and payment processes. Strong understanding of claim denial reasons, appeals processes, and payer requirements. Excellent verbal and written communication skills. Familiarity with healthcare regulations, including HIPAA, and other compliance standards. Ability to work independently and as part of a collaborative team. Excellent communication and presentation skills. Strong organizational and time management skills. Proficiency in using training software and tools. Knowledge of adult learning principles and instructional design. Qualifications : Bachelors degree in education, Human Resources, or a related field. Proven experience as a Trainer or similar role.

About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

Responsibilities: Seeking an individual with ServiceNow Development, Integration and Maintenance skills as well as experience with HAM, SAM, ITSM and Integration Hub. A thorough understanding of the Common Service Data Model (CSDM) will be critical for this position. The selected candidate will bring ServiceNow System Development and Systems Architect skills, including experience with integrations and software lifecycle management. Advance the SN platform through Integration Hub and automation Design/Architect solutions across the SN platform Consult with the development team, business process owners, customers, users and constituents to develop and analyze customer requirements Collaborate with members of project teams to ensure successful, technically sound projects which are completed on time and on budget Design and implement client scripts, UI policies, UI actions, business rules, workflows, and otherwise configure or modify ServiceNow applications to meet business requirements Design and implement integration via REST and SOAP API, as well as JDBC and PowerShell scripting Collaborate with internal and external teams to design, build, implement and maintain HAM, SAM and ITSM Collaborate with internal and external teams to design, build, implement and maintain multiple Service Portals Serve as administrator and developer for the whole ServiceNow platform Performing day-to-day support and maintenance of ServiceNow across Production and Non-Production environments Track, prioritize, and implement enhancement requests and defect corrections, while leveraging formal Change Management processes. Advise on and maintain the use of ITIL and ServiceNow best practices Collaborate with internal colleagues to design and implement data feeds/interfaces with other systems, including databases, other applications, monitoring tools, LDAP, etc. Coordinate and perform application upgrades in partnership with vendors and internal colleagues Perform application testing Create and maintain system design and documentation Develop and maintain procedural documents relating to the management of the platform Provide advanced application support to internal team members Provide training and knowledge transfer to other employees as necessary Assist in IT process implementation and support as necessary Participate in occasional after-hours releases for major implementations Provide "on call support on a periodic basis as required Identify opportunities and implement service improvements across all functional areas within ServiceNow Required Qualifications: A Bachelors degree in Computer Science or equivalent 6+ years of proven experience in designing and implementing solutions on the ServiceNow platform 3-5+ years of experience with writing and reading scripts in ServiceNow using Javascript: both server and client-side Rules including AJAX, Angular JS, HTML, CSS 2-4+ years of experience with HAM, SAM and ITSM processes, maintenance, and development 3-5+ years of fundamental understanding of the key technologies relevant to the ServiceNow integration solutions including: SSO, SAML, SSL, Web Services, LDAP, JDBC, ODBC, REST 5+ years experience with web-based development languages (JavaScript, Angular JS, HTML, CSS, AJAX, HTTP, XML) 5+ years experience Developing in the Service Portal 3+ years experience Developing in Integration Hub and Flow Designer Solid exemplary verbal and written communication skills, with the ability to adapt messaging to varying stakeholder levels SaaS Experience / Cloud Development Experience Strong analytical, estimating and problem-solving skills Excellent communication, interpersonal and collaboration skills Ability to be flexible, adaptable and learn new concepts quickly Analytical and problem-solving skills are needed for systems guidance Ability to manage multiple and often conflicting tasks; effectively prioritize Desired Qualifications: Experience Administering/Developing within HAM/SAM Experience Administering/Developing within SPM Experience Administering/Developing in the Employe Service Center ServiceNow Certifications (Integration Hub, HAM, SAM, ITSM, CSDM) Other ServiceNow Certifications ITIL Certification

Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.