Team Lead Profee Multispecialty E/m (IP/OP) Guidehouse

6.0 - 10.0 years

0 Lacs

chennai, tamil nadu

On-site

As a Coding OP in India at Guidehouse, your role involves monitoring, directing, and evaluating coding production on a daily basis. You will ensure that daily schedules are met, communicate effectively with the US Operational Manager and Coding Operations, and implement measures to return to established coding schedules in case of delays due to system issues or emergencies. It is essential to identify operational priorities, adjust coders and staff as necessary, and maintain a constant flow of work to meet delivery schedules while considering quality and compliance. Key Responsibilities: - Monitor, direct, and evaluate coding production daily - Communicate effectively with US Operational Man...

Posted 6 days ago

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Senior Manager - Quality Coding (IP DRG) GeBBS Healthcare Solutions

1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

You should have excellent domain expertise and process knowledge in Revenue Cycle Management (RCM) for Facility/Hospital settings. Your knowledge should include proficiency in ICD-10-CM, ICD-10-PCS coding guidelines, UHDDS guidelines, Principal Diagnosis, CCs and MCCs, DRG selection and validation, POS indicators, Query Process, MS DRG, APR DRG, SOI, ROM. Understanding of medical record documentation guidelines and federal compliance guidelines in Inpatient Hospital settings is crucial. Familiarity with quality processes in Coding is also required. Your skills should encompass strong interpersonal abilities, effective communication, impactful presentation skills, analytical mindset, quality ...

Posted 1 month ago

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Certified Medical Coders CorroHealth

1.0 - 10.0 years

0 Lacs

karnataka

On-site

Dear potential candidates, CorroHealth is currently seeking Certified Radiology/Ancillary Coders to join our team. As an Executive/Senior Executive in the Radiology/Ancillary department, you will be responsible for accurately assigning codes to medical procedures and diagnoses. This role requires a certification from AAPC/AHIMA and a minimum of 1 to 10 years of relevant experience. The position is based in Bangalore, and the successful candidate can expect a competitive salary package that is among the best in the industry. If you meet the requirements and are interested in this opportunity, please send your resume to prakash.degulwadi@corrohealth.com or contact HR - Prakash at 7702625068. W...

Posted 1 month ago

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Hiring | Quality Analyst Optum

3.0 - 6.0 years

7 - 10 Lacs

navi mumbai, pune, chennai

Work from Office

Role & responsibilities Possess knowledge on risk adjustment models Medicare & Commercial. Should be well-versed in coding standards and guidelines, including ICD-10-CM guidelines, AHA coding clinic updates, and client-specific guideline requirements. Should be able to perform QA audits for multiple projects. Derive effective QA sampling & audit methodology for the projects assigned. Possess analytical skills to monitor & measure the quality trend in the coding projects. Perform root cause analysis, identify knowledge gaps, and conduct training to project team. Review scope document & guidelines for new clients before the start of the project and own pilot project delivery to meet client SLA...

Posted 1 month ago

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Medical Coding Auditor Pacific Global Inc.

2.0 - 6.0 years

0 Lacs

gautam buddha nagar, uttar pradesh

On-site

As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participa...

Posted 1 month ago

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Medical Recs Coding & Transc Sr. Analyst NTT Data

6.0 - 8.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

In these roles, you will be responsible for: Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for provid...

Posted 3 months ago

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