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15.0 - 18.0 years

17 - 20 Lacs

Chennai

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Skills Skill Vendor Management Project Management SDLC Solution Architecture IT Service Management ITIL Global Delivery CRM PMP Outsourcing Education Qualification No data available CERTIFICATION No data available Job Title General Manager – Delivery Service Line Medical coding Speciality HCC coding Job Summary The DGM of Medical Coding is responsible for overseeing the medical coding operations, ensuring compliance with industry regulations, maintaining high accuracy and productivity standards, and managing a team of coders. The DGM will play a key role in driving efficiency, quality, and continuous improvement in the medical coding department, while collaborating with other departments to achieve organizational goals. Key Responsibilities Team Leadership & Management Lead and manage the medical coding team, ensuring high performance, engagement, and professional growth. Conduct regular training sessions to ensure staff is up to date with the latest coding practices and industry standards. Provide coaching and feedback to improve productivity and accuracy. Operational Oversight Oversee daily medical coding operations and ensure timely and accurate coding of healthcare services. Monitor workflow to ensure departmental goals are met, including productivity targets and quality assurance standards. Ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other regulatory requirements. Quality Control & Compliance Review coding work for accuracy, completeness, and adherence to current coding guidelines (ICD-10, CPT, HCPCS). Implement corrective actions and develop strategies to improve coding accuracy and minimize denials. Conduct audits and internal reviews to identify issues and implement solutions. Collaboration & Reporting Collaborate with clinical, billing, and other administrative teams to resolve coding-related queries. Analyze coding trends and provide reports to senior management for decision-making. Coordinate with insurance companies and healthcare providers to resolve coding discrepancies. Process Improvement Identify opportunities for process improvement within the coding department to enhance efficiency and reduce errors. Develop and implement best practices, standard operating procedures (SOPs), and training materials for the coding team. Technology Integration Stay up-to-date with coding software, electronic health record (EHR) systems, and new industry trends. Lead the integration of new tools and technologies to improve coding processes. Key Education Bachelor’s degree or a Master’s degree in any field. Certification in Medical Coding (e.g., CPC, CCS, CCS-P) is required. Experience At least 15 to 18 years of experience in medical coding, with a minimum of 8 to 10 years in a managerial role Experience in managing large coding teams and driving operational efficiency. Familiarity with ICD-10, CPT, HCPCS coding systems and compliance regulations. Skills Strong leadership, communication, and interpersonal skills. In-depth knowledge of medical coding practices, healthcare reimbursement, and regulatory requirements. Ability to manage and analyze large sets of data and make data-driven decisions. Proficient in using coding software, EHR systems, and MS Office Suite (Excel, Word, PowerPoint). Personal Attributes Attention to detail with a focus on accuracy and compliance. Ability to work under pressure and manage multiple priorities. Strong problem-solving and decision-making skills.

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12.0 - 15.0 years

55 - 60 Lacs

Ahmedabad, Chennai, Bengaluru

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Dear Candidate, We are hiring a Software Engineer to design and develop high-quality software solutions across diverse applications. Perfect for engineers with strong problem-solving and coding skills. Key Responsibilities: Design, develop, and maintain scalable software systems Write clean, testable code and follow best practices Participate in code reviews, testing, and documentation Collaborate with cross-functional teams on features and architecture Required Skills & Qualifications: Proficiency in one or more languages (Java, Python, C#, Go, etc.) Understanding of data structures, algorithms, and software design patterns Familiarity with version control, CI/CD, and agile workflows Bonus: Experience with cloud platforms, microservices, or APIs Soft Skills: Strong troubleshooting and problem-solving skills. Ability to work independently and in a team. Excellent communication and documentation skills. Note: If interested, please share your updated resume and preferred time for a discussion. If shortlisted, our HR team will contact you. Srinivasa Reddy Kandi Delivery Manager Integra Technologies

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3.0 - 6.0 years

5 - 8 Lacs

Chennai

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication Prepare training documentation, SOPs, reference guides, and maintain accurate training record Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance Participate in coding calibration meetings and contribute to coding related discussions Support coders with complex case resolution, documentation improvement education, and coding clarification Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications Bachelor’s degree in health information management, life science or a related field is preferred AAPC/AHIMA Certification is requiredCPC, CIC, CCS, COC 8+ years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role In-depth understanding of 2021 E&M guideline changes and CMS documentation Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies Solid Knowledge of US healthcare RCM system Familiarity with EMR/EHR, compliance standards, auditing platforms Excellent attention to detail and accuracy in coding and documentation Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.) Skills: Solid understanding of medical terminology, anatomy, and physiology Excellent communication and presentation skills Proficiency in using training software and tools Solid organizational and time management skills Analytical thinking 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.

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2.0 - 4.0 years

3 - 5 Lacs

Hyderabad

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Job Summary The SPE-Medical Coding HC role involves ensuring accurate coding of healthcare products and services contributing to efficient billing and reimbursement processes. The candidate will work from the office during night shifts utilizing their expertise in medical coding to support healthcare operations. This position requires a minimum of 2 years and a maximum of 4 years of experience in Clinical Coding Revenue Cycle Management and Medical Coding. Responsibilities 1. Should be able to reach the 100% daily productivity target based on team/client requirement 2. Responsible for maintaining accuracy 98% in internal & client audit report 3. Should be able to score 95% in monthly assessment on coding protocols 4. Provide inputs on potential process improvements and automation opportunities 5. Should mentor any new/less tenured colleagues on any clarifications in coding domain 6. Should assist in resolving any escalations or technical challenges 7. Should be flexible in supporting client requirements and any crisis situations. Qualifications Possess a strong understanding of ICD-10 CPT and HCPCS coding systems. Demonstrate expertise in medical coding with a focus on accuracy and compliance. Have experience in using coding software and tools for efficient coding operations. Exhibit excellent analytical skills to interpret medical records and documentation. Show proficiency in communication to collaborate effectively with healthcare professionals. Display knowledge of coding guidelines and regulations to ensure industry compliance. Have a commitment to maintaining confidentiality and security of patient information. Certifications Required Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is required.

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2 - 5 years

7 - 11 Lacs

Kochi

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Basic Section No. Of Position 1 Grade 10 Level Senior Software Engineer Organisational Industry -- Function -- Skills Skill Software Coding software Administration Infra & Dev Ops Lead Infra Monitoring and Basic Administration Compliance Monitoring System ISO 27001 PLSQL SQL Oracle Forms & Reports Dashboard Creation Minimum Qualification Master In Computer Application Computer Science Engineering CERTIFICATION No data available About The Role Job Purpose Job Purpose Description Job Context & Major Challenges Job ContextProduction System is Online and System Driven. Material flow from one Production Centre to another is online. Any disturbance in Servers or Network will directly affect production. So 100% Server and Network uptime is essential for un-interrupted production. Same in the case of Despatch of materials. If the leased line link between Alupuram and Renukoot is down, despatch will not take place. Major Challenges : Upkeep and maintain the critical on-line systems in the plant and branches. Fulfill the new requirements of the plant and branches. Ensure Database Server availability 100% without any breakdown to the plant and sales offices. Ensure continued support and availability to EIS system 100% for smooth production. Ensure round the clock uninterrupted network connectivity within the plant. Develop and implement new software within the time frame agreed upon with the users. Fallback arrangement in case of breakdown of the high-end network components like Cisco switches. Adhere to the Information Security policy and implement the same in the plant Ensure user request for modification and changes are addressed in a shortest possible time Ensure any new software requirement are quickly studied and implemented within the target set by the unit or the corporate Ensure validation of different critical computer generated MIS reports including balance sheet which are sent to corporate and other statutory agencies Ensure validation of salary, leave and other critical data before it is released. Key Result Areas KRA (Accountabilities) (Max 1325 Characters)Supporting Actions (Max 1325 Characters)KRA1SoftwareNew developments and Change requests related to Production Planning & Control, Extrusion Information System, Costing, General Ledger Factory Invoice and Expenditure Distribution System of Alupuram ERP. Production Planning & Control module includes Cast house log and ingot receipt, inventory control, production and billet despatch to extrusion, Extrusion Order processing, Lot generation, production, inspection, stretcher, ageing, SHT, rework upto QA clearance for packing, online FG and Test Certificate uploading to Renukoot, Packing list, Invoice and Order Transfer downloading to Alupuram. Extrusion Info System includes Extrusion planning, SCADA software integration with Press PLC and Alupuram ERP, EIS SCADA software interface packages, EIS SCADA software maintenance, billet wise extrusion and delays capturing in production. Costing module includes Billet Inventory processing, Lot wise Machine center wise Time and Cost processing, Metal Card processing, Plan Vs Actual Cost processing. General Ledger Factory Invoice module includes Factory Invoice, Journal Voucher and Trial Balance processing. Expenditure Distribution System includes Daily Cash book, Bank Transactions and Monthwise Shoporder Cost processing. Resolve software breakdowns. Additional Data requirements in Excel for audit/data analysis.KRA2System FacilitationTo ensure proper updating and maintenance of IT system in the plant. Organize AMC for hardware and software and oversee the activities of AMC Service Providers for hardware and software in the plant. Selection of right vendors for supply and maintenance of hardware and software. Control the cost to keep the expenditure within the budgeted figures. Regular interaction with user departments regarding the performance of the systems. Provide systems related training to users in the shop floor and offices. Organize system related accessories, consumables and stationery items for the systems users and systems dept. Provide quick solutions in critical areas during sudden system failures. Quarterly audit to ensure adherence of Information Security PolicyKRA3WCM ActivityTo be an active member of Information Systems and Technology subcommittee. To flow the culture of WCM in the departmentKRA4ISO and OHSAS System UpkeepTo maintain all the ISO and OHSAS documents Toamend necessary changes in documents, procedure andothers related to Systems Department Close and takecorrective action for all the NCR s during external orinternal audits. Ensure 100% Integrated ManagementSystem availability for all usersKRA5ProjectsWork in hand with the other members of SystemsDepartment for preparing and execution of Capex Plan,development activities and modifications. Identify andimplement new projects related to systems for improvingreliability and quality of service.Identify latesttechnologies and implement the same replacing theoutdated and de-supported onesKRA6SupportProvide 24 Hr. System support for uninterrupted plantfunctioning. Provide System support to all Extrusionbranch offices.KRA7HardwareMaintenance of old Hardwares and renewal of AMC sEnsure that the AMC providers are keeping the requiredspares. Ensure that periodical maintenance of H/W isdone Ensure the backups for critical spares and PCs.Ensure un-interrupted network availability. Ensure un-interrupted Application and Database Server availability

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