Job Title: Hiring Certified Medical Coders Surgery & Orthopedic CodingJob Location: Bangalore(Work from office)Experience: Minimum 1+ yearsEmployment Type: Full-timeJob Description:Calpion Software is looking for experienced and certified Medical Coders specializing in Surgery and Orthopedic Coding. If you have a strong background in medical coding and compliance, this is an excellent opportunity to advance your career with us.Key Responsibilities: Review and assign accurate ICD-10, CPT, and HCPCS codes for Surgery and Orthopedic procedures. Ensure coding compliance with AAPC, AHIMA, and payer guidelines. Analyze medical records and provider documentation to verify the accuracy of coding. Work with healthcare providers and auditors to resolve coding discrepancies. Stay updated on changes in coding regulations and industry standards.Required Qualifications:Experience: Minimum 1+ years in Surgery and Orthopedic codingCertifications: CPC, CCS, or equivalent (Mandatory)Strong understanding of ICD-10, CPT, HCPCS, and medical terminologyFamiliarity with coding guidelines, reimbursement policies, and compliance regulationsWhy Join Us?Competitive salary & incentivesGrowth & learning opportunitiesSupportive work cultureInterested can share a CV to mohammed.nasruddin@calpion.comCall - 8867786141Thanks and Regards,Talent AcquisitionCalpion Software

Hiring Alert! Weekend Drive for Certified Medical Coders Surgery, Orthopedics & E&M (IP/OP) Join Us for an Exclusive Hiring Drive!Are you an experienced Medical Coder looking for an exciting opportunity? Calpion Software is conducting a Weekend Hiring Drive for certified professionals in Surgery, Orthopedics, and E&M (IP/OP) coding.Date: 15th March 2025Its a virtual driveTime: 12:00 PM to 6:00PMOpen Positions: 30Mode of working - Work from officeHiring for :-Surgery CodingOrthopedic CodingEvaluation & Management (E&M) Inpatient & OutpatientEligibility Criteria:Mandatory Certification: CPC, CCS, or equivalentExperience Required: Minimum 1+ years in relevant medical coding specialtyStrong knowledge of ICD-10, CPT, HCPCS, and medical terminologyFamiliarity with coding compliance and documentation guidelinesWhy Join Calpion Software?Competitive salary & incentivesCareer growth & training opportunitiesSupportive and dynamic work environment How to Apply:Interested candidates can register for the drive by sending their updated resume details to mohammed.nasruddin@calpion.com or call to 8867786141For any queries, feel free to contact us at 8867786141.Thanks,Talent AcquisitionCalpion

Job Title: Senior AR Caller / AR CallerReport To: Team LeaderExperience: 1 - 5 YearsQualification: PUC / 12th/ Any degreeLocation: Bangalore / CoimbatoreShift Time: 6:30PM - 3:30 AM - Night shiftMode: Work from officeTerms-Fulltime/Part time/Contractual: Full-timeJob SummaryAs an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers.Key ResponsibilitiesMeet Quality and productivity standards.Contact insurance companies for further explanation of denials & underpayments.Experience working with multiple denials is required.Take appropriate action on claims to guarantee resolution.Ensure accurate & timely follow-up where required.Should be thorough with all AR Cycles and AR Scenarios.Should have worked on appeals, refiling, and denial management.Mandatory SkillsExcellent written and oral communication skills.Minimum 1-year experience in AR callingUnderstand the Revenue Cycle Management (RCM) of US Healthcare providers.Basic knowledge of Denials and immediate action to resolve them.Follow up on the claims for collection of payment.Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables.Should be able to resolve billing issues that have resulted in payment delays.Must be spontaneous and enthusiasticDesired skillsExperience Hospital billing is an added advantageExperience in EPIC, ATHENA and NextGen

Hiring for Clinical Documentation SpecialistShift : Day ShiftLocation : Bangalore (BTM 1st Stage)Looking for only immediate joinersCandidates must know ED/E&M coding & Clinical Documentation will be eligible to apply for this roleRole & responsibilities We are seeking a knowledgeable clinical documentation specialist to oversee our facility's medical recordkeeping practices. In this role, you will be responsible for ensuring that clinical documentation complies with federal laws, training staff in medical recordkeeping practices, and analyzing medical information.To ensure success, clinical documentation specialists should exhibit extensive experience in a similar role and sound knowledge of clinical documentation regulations. A first-class clinical documentation specialist should be a medical professional whose expertise translates into sound medical recordkeeping practices.Clinical Documentation Specialist Responsibilities:Applying knowledge of medical terminology and procedures to evaluate clinical documents.Collecting medical information from healthcare providers and updating medical records.Verifying the accuracy of patient medical information and obtaining missing information.Monitoring diagnoses, treatments, and follow-up entries in medical records.Interpreting and preparing clinical reports for healthcare professionals and public health officials.Meeting with healthcare stakeholders to explain findings and facilitate actions.Ensuring that the content and storage of medical documents comply with federal laws.Training medical and administrative staff in standard medical recordkeeping procedures.Keeping abreast of advancements in the field of clinical documentation and changes in regulations.Clinical Documentation Specialist Requirements:Associate's or bachelor's degree in health information technology.Registered Health Information Technician (RHIT) preferred.Registered Nurse (RN) will be advantageous.Proficiency in Electronic Medical Record (EMR) software, such as eClinicalWorks and Praxis.A minimum of 3 years experience in a similar role.Advanced knowledge of best practices in medical recordkeeping.In-depth knowledge of medical terminology, coding, and procedures.Extensive experience in collecting and interpreting medical information, as well as training staff.Ability to keep informed of advancements and regulations in clinical documentation.Excellent organizational and communication skills. For additional information you can reach out to Susmita.majumder@calpion.com/7638802666Thanks & RegardsSusmita MajumderSenior Executive Talent AcquisitionHuman Resource CALPION | Experience ExcellenceConnect me Susmita.majumder@calpion.com91-(7638802666)

Role & responsibilities Review and Analyze: Thoroughly review and analyze coded medical records for accuracy and compliance with coding guidelines and regulations. Identify Errors: Identify coding errors, discrepancies, and potential quality of care issues. Provide Feedback: Provide constructive feedback to coders to improve coding accuracy and efficiency. Maintain Standards: Ensure coding practices adhere to industry standards and regulatory requirements. Compliance: Ensure compliance with coding guidelines and regulations. Training and Mentoring: May be involved in training and mentoring other coding staff. Documentation: Review and verify documentation supports diagnoses, procedures, and treatment results. Data Analysis: Research and analyze data needs for reimbursement. Productivity: Maintain daily production and quality as per client requirements. Communication: Good communication and teamwork skills are essential. Preferred candidate profile Graduates with 3 - 8 years of experience in Medical Coding for Surgery specialtyExperience in Surgery coding is requiredExposure to CPT-4, ICD-9 and ICD-10.Certification is mandatory (CPC /CCS).Good knowledge of medical coding systems and regulatory requirements.Perks and benefits Attarctive Salary and joining bonus

Calpion Is HiringAR Quality Analyst / Patient Caller Quality AnalystWork From office opportunity Role & responsibilities Review the work performed by AR callers or Patient Caller and document any quality issues.Review call quality issues on various parameters such as conversational skills, claims resolution, and voice quality.Participate in developing process documentation.Provide feedback and work with the training team to provide remedial training.Check the reports developed by AR callers - aging analysis, understand days in A/R, top reasons for denials, etcBe in the center of ethical behavior and never on the sidelines Quality.Required Experience, Skills, and QualificationsShould have worked as a Quality Controller for AR for at least 1 year with medical billing service providers.Should have very good knowledge of medical billing and confident in process knowledge.Experience in the end-to-end Healthcare process/ AR calling the audit Adapting to new situation challenges whenever required.Good communication typing skills.Adhere to all company policies and procedures.

Job SummaryAs an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers.Key ResponsibilitiesMeet Quality and productivity standards.Contact insurance companies for further explanation of denials & underpayments.Experience working with multiple denials is required.Take appropriate action on claims to guarantee resolution.Ensure accurate & timely follow-up where required.Should be thorough with all AR Cycles and AR Scenarios.Should have worked on appeals, refiling, and denial management.Mandatory SkillsExcellent written and oral communication skills.Minimum 1-year experience in AR callingUnderstand the Revenue Cycle Management (RCM) of US Healthcare providers.Basic knowledge of Denials and immediate action to resolve them.Follow up on the claims for collection of payment.Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables.Should be able to resolve billing issues that have resulted in payment delays.Must be spontaneous and enthusiasticDesired skillsExperience Physician billing is an added advantageExperience in EPIC, ATHENA and NextGen