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3.0 years
0 Lacs
Patel Nagar, Delhi, India
Remote
The world of nursing is changing—and fast. No longer confined to hospitals and clinics, many Registered Nurses (RNs) across the U.S. are finding high-quality, well-paying opportunities to RN Work From Home Jobs . With the rise of telehealth , digital healthcare services, and remote care coordination, nurses can now build thriving careers from the comfort of their own homes. Whether you’re a seasoned nurse looking for a change, a parent balancing work and family life, or simply craving flexibility, remote RN jobs offer a growing number of options across various specialties. In this guide, we’ll break down the top RN work-from-home jobs , how to qualify, where to apply, and tips to succeed in your remote nursing journey. Why More RNs Are Choosing Remote Nursing Jobs Over the past five years, the healthcare industry has seen a significant shift toward virtual care and digital health services . This transformation has opened doors for RNs to work in roles that don’t require in-person contact—while still delivering value to patients and the healthcare system. 🩺 Key Benefits Of Work-From-Home RN Jobs: Flexibility: Set your own hours and eliminate commuting. Work-life balance: Better manage time with family or personal needs. Less physical demand: Avoid the strain of long shifts or lifting patients. Location independence: Work from anywhere in the U.S. with reliable internet. Competitive salaries: Many remote roles pay as much (or more) than bedside positions. What You Need To Qualify For RN Remote Jobs While there are plenty of opportunities for RNs to work from home, employers typically look for nurses with a solid clinical background and excellent communication skills. 📋 General Requirements: Active RN license (a multi-state license is often preferred) Minimum 2–3 years of bedside or clinical experience Comfortable with EHR systems, telehealth platforms, and digital documentation Ability to work independently and manage time effectively Knowledge of HIPAA compliance and patient privacy protocols Top RN Work From Home Jobs in the U.S. (2025) Let’s explore the best work-from-home nursing jobs available across the country. These positions span telehealth, insurance, case management, education, research, and more. Telehealth Nurse Salary Range : $70,000–$95,000/year Best For : RNs with strong communication and multitasking skills What They Do : Telehealth nurses conduct virtual consultations, assess symptoms, offer clinical advice, and direct patients to appropriate care. Responsibilities : Perform virtual patient assessments Provide triage via phone or video Update electronic health records Top Employers : Teladoc Health Amwell UnitedHealth Group Also Read: Best Data Annotation Work From Home Jobs Hiring in the U.S. Case Management Nurse Salary Range : $65,000–$85,000/year Best For : RNs with experience in discharge planning, rehab, or chronic care What They Do : Coordinate care for patients with chronic or complex health conditions, helping them navigate treatment and recovery from home. Duties Include : Creating and managing care plans Coordinating follow-ups and services Interfacing with doctors, specialists, and insurance providers Top Hiring Companies : Humana Anthem Centene Utilization Review Nurse (UR Nurse) Salary Range : $70,000–$90,000/year Best For : Detail-oriented nurses with experience in chart review and documentation Role Overview : UR nurses assess whether medical procedures and treatments are appropriate and cost-effective. Main Tasks : Review patient charts and treatment plans Ensure compliance with insurance and clinical guidelines Document and report findings to insurers Top Companies Hiring : Cigna CVS Health Molina Healthcare Nurse Educator (Online) Salary Range : $30–$60/hour Best For : RNs with a BSN or MSN who enjoy teaching and training What They Do : Teach nursing students or provide continuing education to other healthcare professionals in a remote setting. Common Duties : Develop online course materials Lead virtual lectures or workshops Grade assignments and mentor students Where To Find Jobs : Chamberlain University Rasmussen University Nurse.com (job board) Clinical Documentation Integrity (CDI) Nurse Salary Range : $75,000–$95,000/year Best For : RNs skilled in charting and medical coding Job Description : CDI nurses ensure that all medical records are accurately documented for legal, billing, and reporting purposes. Responsibilities : Audit patient charts Work with coders and doctors to clarify diagnoses Improve overall clinical documentation quality Top Employers : nThrive Change Healthcare Conifer Health Solutions Insurance Claims Nurse Salary Range : $65,000–$85,000/year Best For : RNs with claims or administrative experience Role Summary : These nurses work for health insurers to review claims, verify coverage, and determine medical necessity. Core Duties : Evaluate medical records Liaise with adjusters and providers Provide clinical insight on claims decisions Hiring Companies : Aetna Blue Cross Blue Shield Optum Also Read: Top Work From Home Jobs Hiring Now in Lakeland, Florida Health Coach / Wellness Nurse Salary Range : $55,000–$80,000/year Best For : Nurses passionate about lifestyle medicine and prevention What They Do : Guide patients in making healthy lifestyle changes related to diet, exercise, stress, and chronic disease prevention. Tasks Include : Conduct virtual coaching sessions Set and monitor wellness goals Provide educational resources and motivation Where To Apply : Omada Health Noom Virgin Pulse Triage Nurse (Remote) Salary Range : $60,000–$80,000/year Best For : RNs with great judgment and quick decision-making skills Overview : Handle non-emergency patient calls and assess the urgency of care needs. Responsibilities : Ask guided medical questions Determine next steps (ER, clinic, home care) Use clinical protocols for phone triage Top Employers : Children’s Healthcare Networks TeamHealth DispatchHealth Remote Nurse Recruiter Salary Range : $30–$50/hour Best For : RNs with HR or recruitment experience Role Description : Help healthcare companies hire nurses and staff by conducting interviews, checking licenses, and recommending hires. Tasks : Source candidates Conduct remote interviews Manage onboarding documentation Hiring Platforms : AMN Healthcare Aya Healthcare Cross Country Nurses Remote Clinical Research Nurse Salary Range : $70,000–$100,000/year Best For : RNs with research and compliance experience What They Do : Support pharmaceutical companies or hospitals in running clinical trials from a remote location. Responsibilities : Monitor participant health data Ensure protocol compliance Submit documentation for FDA or IRB review Top Employers : Syneos Health Medpace Parexel How To Land a Work From Home RN Job Getting started with remote RN jobs requires a smart approach. Follow these steps to stand out in a competitive field. 🧭 Step-by-Step Guide: Polish Your Resume: Highlight remote skills like EHR experience, communication, and time management. Tailor Your Cover Letter: Address why you’re seeking remote work and what you bring to the role. Build Remote Skills: Consider certification in telehealth, case management (CCM), or coding (CDIP). Network Online: Connect with recruiters and hiring managers on LinkedIn and CareerCartz. Use Trusted Job Boards: CareerCartz, Indeed, FlexJobs, and company career pages are great places to start. Essential Tools For Remote RN Work You’ll need more than just nursing skills to succeed remotely. 🔧 Must-Have Tools: Reliable high-speed internet HIPAA-compliant software Secure video conferencing (Zoom for Healthcare, Doxy.me) EHR platforms (Epic, Cerner, Meditech) Home office setup with webcam, mic, and headset Common Challenges And How To Overcome Them Remote nursing is rewarding but not without its hurdles. ⚠️ Challenges: Isolation from colleagues Time zone coordination Self-discipline and structure ✅ Solutions: Join virtual nurse forums and communities Use calendar tools to stay organized Set boundaries and dedicated work hours Conclusion – RN Work From Home Jobs RN work-from-home jobs offer an exciting, flexible way to grow your career while staying close to home. With roles in telehealth, insurance, education, documentation, and more, there’s never been a better time to explore remote nursing opportunities across the U.S. Whether you’re pivoting from the bedside or seeking a new challenge, these roles let you leverage your clinical skills in meaningful ways—without sacrificing comfort or quality of life. 🔍 FAQs – RN Work From Home Jobs in the U.S. Can I work from home as an RN with only a year of experience? Some roles may require more experience, but entry-level telehealth support or health coaching roles may be available. What is the highest-paying remote RN job? Clinical research and utilization review nurses can earn over $100K annually. Do I need a compact nursing license for remote jobs? Not always, but it helps if the employer serves patients across multiple states. Are remote RN jobs full-time or part-time? Both! Many employers offer flexible shifts, per diem, and full-time roles. Can I work remotely as a new nursing graduate? Most employers require clinical experience, but some health tech startups may consider newer graduates. What are the top companies hiring remote nurses? UnitedHealth Group, Teladoc Health, Humana, CVS Health, and Omada Health. Are remote nursing jobs stressful? They can be fast-paced, but many find them less physically demanding and more manageable than hospital work. Do I need additional certifications for remote RN roles? Certifications like CCM (case management) or CDIP (clinical documentation) can help but aren’t always required. How can I stand out in a remote RN job interview? Demonstrate communication skills, independence, tech comfort, and time management. Where should I start my remote RN job search? Visit CareerCartz.com, use LinkedIn, and apply directly on healthcare company websites. Related Posts: Work From Home Statutory Employee: What You Need to Know in the U.S. Legit Work From Home Jobs for Stepmoms: Real Opportunities & Flexible Roles in 2025 Step-by-Step: How to Start Your Remote Data Entry Career Today Top 10 Part-Time Remote Jobs You Can Start Today How to Balance a Part-Time Remote Job with Your Personal Life The Best Part-Time Remote Jobs for Extra Income in 2025 Top Work From Home Jobs Hiring Now in Lakeland, Florida Top RN Careers Work From Home Nursing Jobs in the U.S. Show more Show less
Posted 3 weeks ago
8.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
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. Primary Responsibilities Identify client technology and business needs and provide thought leadership to Optum sales team , to understand, define, and deliver effective and innovative solutions that address the client technical and business initiatives Act as a SME on the US Provider Health System domain Create, innovate, deploy and present data analysis on pursuits leveraging current tools and technologies including but not limited to Power BI, MS tools, AI and digital solutions Member of the technology solution team who coordinates with Optum subject matter experts, technical architects, etc., to ensure proposed Application Management Services/ITO and Infrastructure solutions meet or exceed client requirements and are cost competitive to the marketplace Demonstrates a self-starter attitude and is eager to experiment, invite and explores the potential in new ideas while understanding and mitigating the risk to the organization Client relationship building and solution presentation through the multi-phases of the sales cycle at a C-Suite level Manage client expectations in solution development, focus on outcomes and service levels Collaborate in developing the staffing approach, including a global sourcing strategy and delivery model, to mitigate risk, drive efficiency and quality Generate estimated Application Management Services /ITO solution delivery requirements including program management, new development efforts, enhancements, and ongoing operations Engage with 3rd party hardware, software and services vendors Collaborate with Optum subject matter experts, industry research and advisory firms to understand industry direction, competitive landscape, business trends, and emerging solutions Coordinate the solution, opportunity roadmap, value proposition, win plan, pricing, and executive deal reviews throughout the pursuit timeline Collaborate with Solution Sales Leads, Consulting Leads, Delivery Leads, Optum’s cross brand point solutions and offerings, and 3rd party software and hardware vendors as needed to support business opportunities and solutioning for commercial clients Build relationships and leverages a network of experts - internal and external - that enhance innovation and performance 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 Bachelor’s degree or equivalent experience (Master’s degree preferred) 8+ years of experience working with IT Outsourcing (ITO) functions leveraging a global sourcing model in either a consulting, account management, implementation or similar Client interacting role 4+ years of experience working with US Health System/Hospital IT Products & solutions Experience of creating and solutioning for application management services for healthcare clients (Provider preferred) Experience in solutioning and managing complex programs that expand over multiple years across teams Solid experience with proven work output of data analysis, data visualization and overall data management Knowledge on Healthcare standards such as HL7, FHIR, ICD-9/10, CPT, LOINC and SNOWMED, EDI and general APIs Deep knowledge and understanding of the US Healthcare Provider market and its business operations Good understanding of clinical system processes, workflows and clinical applications/modules like EHR, LIS, etc. Solid MS office (Excel, Word, PowerPoint) skill, Power BI and other data management skills Demonstrated advanced communication skills (written and verbal) to interact with clients on all aspects of their Optum relationship Demonstrated strategic vision to clearly understand and identify new opportunities to expand on existing relationships Proven to be a successful individual contributor with the ability to collaborate across multiple teams including other solution architects, COEs, delivery and operations Proven solid leadership skills with proven ability to foster and manage senior-level relationships in a highly matrixed environment Preferred Qualification Experience of working and expertise with at least one Commercial Provider EHR/EMR system (Epic, Cerner etc.) 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. #Gen Show more Show less
Posted 3 weeks ago
3.0 - 6.0 years
5 - 8 Lacs
Chennai
Work from Office
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.
Posted 3 weeks ago
2.0 years
0 Lacs
Erandwane, Pune, Maharashtra
On-site
**NOTE-This role is an office-based role in Pune** Client Profile A leading AI platform designed for law firms, combining advanced technology with deep legal expertise to deliver impactful data-driven outcomes. The platform offers human-level accuracy in analyzing complex legal data, enabling firms to quickly access critical insights when needed most. Trusted by top litigation lawyers, it has supported over $1 billion in settlements, including courtroom successes, and is reshaping the future of legal practice. About the Role We’re seeking a detail-oriented and tech-curious healthcare professional to join our growing team as a Medical Documentation Reviewer (Medical AI) . In this role, you'll play a critical part in building accurate, high-quality datasets that power next-generation AI tools in healthcare . If you have a clinical background and are excited to work at the intersection of medicine and technology, this role is for you. Key Responsibilities Clinical Data Annotation - Use your healthcare expertise to annotate and label electronic health records, clinical notes, discharge summaries, and trial documentation with precision and care. Quality Assurance - Ensure accuracy, consistency, and adherence to protocols across all annotations. Provide feedback and perform peer reviews to maintain high data standards. Process Improvement - Collaborate with team leads to refine annotation guidelines, improve workflows, and implement process enhancements for greater efficiency. AI Tools & Technology - Work with advanced annotation tools (e.g., Doccano) and EHR systems (e.g., Epic, Cerner). Basic understanding of SQL or data querying is a bonus. Qualifications & Experience 2+ year of experience in US healthcare. BDS, B.Pharm/M.Pharm, or other healthcare-related field. Proficiency in English (verbal and written). Hands-on experience with annotation tools and EHR platforms. Familiarity with Microsoft Office, Google Workspace. Why Join Us? As a Series-A startup, joining us means becoming a vital contributor to our success, where your ideas and efforts will directly shape our products, company culture, and long-term vision. We’re in an exciting phase of scaling, presenting opportunities for both company and career growth as we expand our market presence and develop new features and services. Job Type: Full-time Pay: ₹ 5.00 - ₹8.50 per year Benefits: Health insurance Provident Fund Schedule: Day shift Work Location: Erandawane, Pune Job Types: Full-time, Permanent Pay: ₹40,000.00 - ₹72,000.00 per month Benefits: Provident Fund Schedule: Day shift Monday to Friday Ability to commute/relocate: Erandwane, Pune, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Application Question(s): What is the notice period? How many years of experience in US Healthcare? Work Location: In person
Posted 3 weeks ago
4.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
About TwoSD (2SD Technologies Limited) TwoSD is the innovation engine of 2SD Technologies Limited , a global leader in product engineering, platform development, and advanced IT solutions. Backed by two decades of leadership in technology, our team brings together strategy, design, and data to craft transformative solutions for global clients. Our culture is built around cultivating talent, curiosity, and collaboration. Whether you're a career technologist, a self-taught coder, or a domain expert with a passion for real-world impact, TwoSD is where your journey accelerates. Join us and thrive. At 2SD Technologies, we push past the expected—with insight, integrity, and a passion for making things better. Role Overview We are hiring a Data Analyst – Snowflake with strong experience in US Healthcare datasets and claims analytics . This role is ideal for analysts who have 2–4 years of experience working with real-world datasets like IQVIA , Optum , or Komodo , and are passionate about generating insights that support RWE and HEOR studies . Key Responsibilities Analyze and interpret large-scale claims data (e.g., IQVIA, Komodo, Optum) using SQL and Snowflake Generate patient cohorts, treatment pathways, and longitudinal insights from RWD sources Support real-world evidence (RWE) and health economics and outcomes research (HEOR) studies with analytical outputs and presentations Create data-driven visualizations and summaries in Excel and PowerPoint Document data cleaning, transformation logic, and analysis methodology Collaborate with cross-functional stakeholders to clarify study requirements and ensure quality deliverables Required Qualifications Bachelor’s degree in Life Sciences, Data Science, Public Health, or related field 2–4 years of experience in US healthcare data analytics Strong hands-on expertise in: SQL (must-have) Snowflake (must-have) Excel and PowerPoint (must-have) Proven experience working with at least one of the following claims datasets : IQVIA, Komodo, Optum, Truven, etc. Preferred Qualifications Experience working on RWE or HEOR studies Exposure to EMR/EHR datasets (e.g., Cerner, Epic) Familiarity with Python for data wrangling or visualization Experience with non-US RWE datasets from regions like Japan , Europe , or Asia-Pacific Core Competencies Strong understanding of US healthcare data ecosystem Analytical rigor and data storytelling Claims and longitudinal data modeling Attention to detail and documentation Effective communication with cross-functional teams Tools & Platforms Data Querying: Snowflake(primary), SQL Visualization & Reporting: Excel, PowerPoint Optional Analytics: Python, Jupyter, pandas Collaboration: Jira, Slack, Confluence Why Join TwoSD? At TwoSD , innovation isn’t a department—it’s a mindset. Here, your voice matters, your expertise is valued, and your growth is supported by a collaborative culture that blends mentorship with autonomy. With access to cutting-edge tools, meaningful projects, and a global knowledge network, you’ll do work that counts—and evolve with every challenge. Data Analyst – Snowflake Position: Data Analyst – Snowflake Location: Bengaluru, India (Work From Office Only) Experience Required: 2–4 years Client Site Role: Yes Employment Type: Permanent Industry: Healthcare Analytics / Life Sciences / RWE Date Posted: 26 May 2025 How to Apply To apply, send your resume and brief description of relevant dataset experience to hr@2sdtechnologies.com or apply through our LinkedIn careers page. Show more Show less
Posted 3 weeks ago
8.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
About the Company 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. About the Role Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits. Responsibilities 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. Qualifications Bachelor’s degree in health information management, life science or a related field is preferred. AAPC/AHIMA Certification is required: CPC, 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. Required 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. 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.). 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
Posted 3 weeks ago
0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Job Description A Healthcare Training Leader plays a crucial role in overseeing the development, implementation, and optimization of training programs for employees To ensure that the workforce is well-trained to handle the specific needs of healthcare clients, including Clinical, Provider Appeals, coding, customer support, claims processing, and more. Key Responsibilities: Training Program Development & Delivery : Develop comprehensive training programs for new hires and existing employees, focusing on healthcare industry knowledge (e.g., medical terminology, HIPAA compliance, healthcare regulations). Ensure that training programs align with client expectations, as well as industry standards and legal requirements. Client-Specific Training : Collaborate with clients to understand their specific needs and design customized training programs to meet those requirements. Ensure that employees are familiar with the client’s systems, processes, and workflows. Compliance & Regulatory Adherence : Ensure that all training programs comply with healthcare regulations such as HIPAA (Health Insurance Portability and Accountability Act), GDPR (General Data Protection Regulation), and other relevant healthcare laws. Implement training around data security and privacy protocols to protect sensitive patient information. Performance Monitoring & Feedback : Evaluate the effectiveness of training programs through assessments, quizzes, and feedback from trainees. Use performance metrics to assess knowledge retention and apply improvements as needed. Team Management : Lead and mentor a team of trainers, providing support and guidance to improve training delivery across Geos. Foster a continuous learning environment within the training department, ensuring trainers are up-to-date with the latest healthcare industry trends and technologies. Cross-Department Collaboration : Work closely with quality assurance teams, operations, and other departments to ensure that training is aligned with business goals and client satisfaction targets. Collaborate with subject matter experts to update training materials and incorporate new healthcare practices or technologies. Technology Utilization : Leverage learning management systems (LMS), e-learning tools, and virtual training platforms to enhance the learning experience. Educational and Professional Requirements: Education : A bachelor’s degree in healthcare management, business, or a related field is typically required. Additional certifications in training or instructional design are a plus. Experience : Extensive experience in the healthcare BPO industry, particularly in training, quality assurance, or operations. Certifications : Certifications like Certified Professional in Healthcare Quality (CPHQ) or a similar qualification may be helpful. Healthcare Academy (e-tools currently widespread in industry ) Purpose : Healthcare Academy helps train employees efficiently by providing courses, certifications, and assessments. Examples : Moodle TalentLMS Blackboard Simulations and Virtual Labs Purpose : Healthcare-specific simulations replicate real-world scenarios such as patient interactions, medical coding, or health insurance processing to give BPO employees hands-on experience. Examples : VSim for Nursing HealthStream E-learning Modules and Webinars Purpose : These are online resources designed to teach specific topics relevant to healthcare BPO employees, such as compliance, medical terminology, billing and coding, or customer service in healthcare. Examples : MedLearn Media (for coding and billing) Coursera , Udemy (for healthcare-specific courses) Artificial Intelligence (AI) and Machine Learning (ML) Tools Purpose : These tools assist in automating routine tasks and improving the accuracy of tasks like medical coding, billing, or claims processing in healthcare BPOs. Examples : TruCode (for coding automation) Cerner (healthcare data management) Optum (AI-driven healthcare solutions) Gamification Tools Purpose : These tools engage healthcare BPO employees by turning training tasks into interactive games. This can help reinforce knowledge on medical billing, coding, HIPAA compliance, etc. Examples : Kahoot! Quizlet Show more Show less
Posted 3 weeks ago
6.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description Validated experience of 6 to 10 years in software engineering. Proficient in Java, microservices, SQL; Cloud, Experience with web development is desirable Proficient in broader software design, code quality, and architecture decisions. Proficient in leading and advising architecture discussions, design sessions, and code reviews for functional correctness, architectural maintainability, and performance. Career Level - IC4 Responsibilities Proficient in developing a long-term technical roadmap for the solution area. Proficient in investigating and driving analysis for innovations and technologies. Proficient in performing software risk analysis, and identifying and implementing mitigation. Proficient in Partnering with strategy and solution teams as a solution guide to provide recommendations. Proficient in reinforcing and promoting engineering culture and values across the organization and Cerner. An Oracle career can span industries, roles, Countries, and cultures, giving you the opportunity to flourish in new roles and innovate, while blending work life. Oracle has thrived through 40+ years of change by innovating and operating with integrity while delivering for the top companies in almost every industry. In order to nurture the talent that makes this happen, we are committed to an inclusive culture that celebrates and values diverse insights and perspectives, a workforce that inspires thought leadership and innovation. Oracle offers a highly competitive suite of Employee Benefits designed on the principles of parity, consistency, and affordability. The overall package includes certain core elements such as Medical, Life Insurance, access to Retirement Planning, and much more. We also encourage our employees to engage in the culture of giving back to the communities where we live and do business. At Oracle, we believe that innovation starts with diversity and inclusion and to create the future we need talent from various backgrounds, perspectives, and abilities. We ensure that individuals with disabilities are provided reasonable accommodation to successfully participate in the job application, interview process, and in potential roles to perform crucial job functions. That’s why we’re committed to creating a workforce where all individuals can do their best work. It’s when everyone’s voice is heard and valued that we’re inspired to go beyond what’s been done before. About Us As a world leader in cloud solutions, Oracle uses tomorrow’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling +1 888 404 2494 in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Show more Show less
Posted 3 weeks ago
6.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description Validated experience of 6 to 10 years in software engineering. Proficient in Java, microservices, SQL; Cloud, Experience with web development is desirable Proficient in broader software design, code quality, and architecture decisions. Proficient in leading and advising architecture discussions, design sessions, and code reviews for functional correctness, architectural maintainability, and performance. Career Level - IC4 Responsibilities Proficient in developing a long-term technical roadmap for the solution area. Proficient in investigating and driving analysis for innovations and technologies. Proficient in performing software risk analysis, and identifying and implementing mitigation. Proficient in Partnering with strategy and solution teams as a solution guide to provide recommendations. Proficient in reinforcing and promoting engineering culture and values across the organization and Oracle Cerner. An Oracle career can span industries, roles, Countries, and cultures, giving you the opportunity to flourish in new roles and innovate, while blending work life. Oracle has thrived through 40+ years of change by innovating and operating with integrity while delivering for the top companies in almost every industry. In order to nurture the talent that makes this happen, we are committed to an inclusive culture that celebrates and values diverse insights and perspectives, a workforce that inspires thought leadership and innovation. Oracle offers a highly competitive suite of Employee Benefits designed on the principles of parity, consistency, and affordability. The overall package includes certain core elements such as Medical, Life Insurance, access to Retirement Planning, and much more. We also encourage our employees to engage in the culture of giving back to the communities where we live and do business. At Oracle, we believe that innovation starts with diversity and inclusion and to create the future we need talent from various backgrounds, perspectives, and abilities. We ensure that individuals with disabilities are provided reasonable accommodation to successfully participate in the job application, interview process, and in potential roles to perform crucial job functions. That’s why we’re committed to creating a workforce where all individuals can do their best work. It’s when everyone’s voice is heard and valued that we’re inspired to go beyond what’s been done before. About Us As a world leader in cloud solutions, Oracle uses tomorrow’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling +1 888 404 2494 in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Show more Show less
Posted 3 weeks ago
6.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description We are excited to hire a Senior Team Lead, Client Support, at Oracle Cerner. As Senior Team Lead, Client Support, you will be responsible to plan and manage the operations of associates assigned to perform solution-related service request investigation, incident resolution, and application maintenance. You will be responsible to manage production support ticket queues. You will be responsible to manage the creation and maintenance of knowledge databases to support business processes to deliver more efficient problem identification and resolution. You are responsible to analyze incoming ticket data and seek opportunities to balance resources, improve processes and increase productivity. You will be responsible to identify trends and propose solutions to mitigate client and solution delivery satisfaction issues, manage client expectations, and develop plans to exceed client expectations. You will be responsible to plan, delegate and direct the team’s day-to-day work to achieve operational targets or objectives, contributing to the immediate results for the team or department. You will be responsible to communicate policies, practices, and procedures within the immediate area of responsibility to stakeholders within the department. You will be responsible to identify and lead team-level quality and process improvement initiatives. You will be responsible to deliver consistent and timely training, guidance, and feedback to encourage associate success. You will also be responsible to provide input on staffing and performance decisions for direct reports. You will supervise a team of associates. People Management Responsibilities (for associates with one or more direct reports): You will be responsible to seek to understand disagreements, ensure all perspectives are heard, and facilitate a plan for resolution. You will be responsible to delegate the work appropriately, provide clear expectations and follow up to ensure progress and overcome roadblocks. You will be responsible to identify associates and team priorities based on business direction and adjust when needed. You will be responsible to lead by example and share knowledge and experiences with associates and the team. You will also be responsible to create a respectful work environment where you advocate for your team, create accountability and recognize accomplishments. You will be responsible to provide timely feedback to encourage success, ensure accountability and connect opportunities for your associates' development. You will also be responsible to identify the right talent to achieve the desired results. You will be responsible to promote and build a diverse and cohesive team to accomplish objectives and align associates' skills to fill gaps. Basic Qualifications: At least 6 years total combined related work experience and completed higher education, including: At least 1 year of customer service, call center, hospitality, and/or technical support work experience. At least 1 year of People management, matrix management, project management, or other indirect leadership work experience. At least 5 years of additional work experience directly related to the duties of the job and/or completed higher education, including: Bachelor's Degree or High School Diploma Preferred Qualifications: At least 1 year of people management, matrix management, project management, or other indirect leadership work experience. Bachelor's degree or equivalent relevant work experience. Good to have team handling experience Troubleshooting, Incident Management, Change Management, Problem management with service KPIs and client support or client-facing experience will be an added advantage. Experience working on L3, L2 will be an added advantage Expectations: Perform other responsibilities as assigned. Willing to work additional or irregular hours as needed and allowed by local regulations. Shift timings – 5.30pm to 2.30am IST. Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets and take appropriate action to prevent and report any compromises of security within the scope of the position. Should have excellent Communication Skills and be able to interact with stakeholders in different regions of the world. Career Level - M1 Responsibilities As Senior Team Lead, Client Support, you will be responsible to plan and manage the operations of associates assigned to perform solution-related service request investigation, incident resolution, and application maintenance. You will be responsible to manage production support ticket queues. You will be responsible to manage the creation and maintenance of knowledge databases to support business processes to deliver more efficient problem identification and resolution. You are responsible to analyze incoming ticket data and seek opportunities to balance resources, improve processes and increase productivity. You will be responsible to identify trends and propose solutions to mitigate client and solution delivery satisfaction issues, manage client expectations, and develop plans to exceed client expectations. You will be responsible to plan, delegate and direct the team’s day-to-day work to achieve operational targets or objectives, contributing to the immediate results for the team or department. You will be responsible to communicate policies, practices, and procedures within the immediate area of responsibility to stakeholders within the department. You will be responsible to identify and lead team-level quality and process improvement initiatives. You will be responsible to deliver consistent and timely training, guidance, and feedback to encourage associate success. You will also be responsible to provide input on staffing and performance decisions for direct reports. You will supervise a team of associates. People Management Responsibilities (for associates with one or more direct reports): You will be responsible to seek to understand disagreements, ensure all perspectives are heard, and facilitate a plan for resolution. You will be responsible to delegate the work appropriately, provide clear expectations and follow up to ensure progress and overcome roadblocks. You will be responsible to identify associates and team priorities based on business direction and adjust when needed. You will be responsible to lead by example and share knowledge and experiences with associates and the team. You will also be responsible to create a respectful work environment where you advocate for your team, create accountability and recognize accomplishments. You will be responsible to provide timely feedback to encourage success, ensure accountability and connect opportunities for your associates' development. You will also be responsible to identify the right talent to achieve the desired results. You will be responsible to promote and build a diverse and cohesive team to accomplish objectives and align associates' skills to fill gaps. About Us As a world leader in cloud solutions, Oracle uses tomorrow’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling +1 888 404 2494 in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Show more Show less
Posted 3 weeks ago
3 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Inpatient DRG Coder Years of Exp: More than 3 years Location : Chennai Job Summary: We are seeking a skilled and detail-oriented Inpatient DRG Coder with a minimum of 3 years of hands-on coding experience in an inpatient hospital setting. The ideal candidate will be responsible for accurate assignment of ICD- 10-CM/PCS codes and DRGs (Diagnosis Related Groups), ensuring compliance with coding guidelines and hospital policies. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD-10- CM and ICD-10-PCS codes. Assign appropriate MS-DRGs and APR-DRGs based on clinical documentation. Ensure coding meets accuracy and productivity standards. Query physicians when documentation is incomplete or unclear. Work collaboratively with CDI teams, billing departments, and compliance to ensure proper documentation and reimbursement. Stay current with coding updates, CMS regulations, and DRG guidelines. Participate in coding audits and implement corrective actions as needed. Qualifications: Experience: Minimum 3 years of recent experience in inpatient coding with DRG assignment. Certification: One or more of the following required: o CCS (Certified Coding Specialist) o CIC (Certified Inpatient Coder) o CPC (Certified Professional Coder) Proficiency in electronic health records (EHR) and coding software (e.g., 3M, EPIC, Cerner). Show more Show less
Posted 4 weeks ago
0 - 3 years
0 - 0 Lacs
Ahmedabad, Gujarat
Remote
Job Position Overview: The Account Receivable (AR) Specialist in Medical Billing and Insurance Credentialing is responsible for managing the collection process, ensuring timely payments, and ensuring the accuracy of medical billing and insurance claims. This role also requires proficiency in eligibility benefits verification and insurance credentialing to support accurate billing processes and to ensure that claims are processed efficiently. Key Responsibilities: Medical Billing & Accounts Receivable Management: Process and review medical claims for accuracy before submission to insurance companies. Post payments and adjustments to patient accounts, ensuring all transactions are accurate and up-to-date. Follow up with insurance companies and patients on outstanding balances or denied claims. Maintain detailed records of payment statuses and track overdue accounts to facilitate timely collections. Review patient and insurance payments to ensure compliance with contracted rates. Insurance Credentialing: Manage and maintain the provider’s insurance credentialing and re-credentialing process. Submit applications for new provider enrollments and follow up on approval status. Work with insurance companies to resolve any issues with provider credentials or billing discrepancies. Eligibility and Benefits Verification: Verify patient insurance coverage and benefits prior to providing services. Confirm eligibility, co-pays, deductibles, and patient out-of-pocket responsibilities by contacting insurance carriers. Assist patients with understanding their insurance coverage and financial responsibilities. Claim Denials & Appeals: Investigate and resolve denied, rejected, or unpaid claims by working with insurance carriers and resubmitting claims or filing appeals when necessary. Ensure that proper documentation is in place to support the appeals process and communicate effectively with insurance representatives to resolve issues. Patient Communication: Communicate with patients regarding their outstanding balances, explaining billing statements and payment plans if necessary. Provide assistance in setting up payment arrangements or determining financial assistance options. Compliance & Documentation: Ensure adherence to all healthcare regulations, including HIPAA, while managing patient information. Maintain accurate, organized, and complete billing documentation in compliance with insurance requirements and healthcare regulations. Stay updated on changes in healthcare regulations, insurance policies, and billing practices. Reporting & Analysis: Generate and review accounts receivable reports to track payment trends, aging balances, and collection progress. Assist in the preparation of financial reports related to billing and collections for the management team. Required Qualifications: High school diploma or equivalent (Associate's or Bachelor's degree in Healthcare Administration or related field preferred). Minimum of 2-3 years of experience in medical billing, accounts receivable, or healthcare finance. Familiarity with medical insurance carriers, claims processing, and eligibility verification procedures. Experience with medical billing software and electronic health record (EHR) systems (e.g., Epic, AthenaHealth, Cerner). Knowledge of insurance terminology, coding (ICD-10, CPT), and regulatory guidelines such as HIPAA. Strong organizational, communication, and problem-solving skills. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Desired Skills: Previous experience in insurance credentialing and provider enrollment. Ability to handle complex billing and insurance inquiries. Proficient with Microsoft Office Suite (Excel, Word, Outlook). Work Environment: Office setting with potential for remote work depending on the organization’s policies. Compensation: Competitive salary based on Benefits Job Type: Full-time Pay: ₹25,000.00 - ₹35,000.00 per month Schedule: Monday to Friday Night shift US shift Work Location: In person
Posted 4 weeks ago
10 - 14 years
12 - 16 Lacs
Hyderabad
Work from Office
About the role As the Associate Operations Manager, your primary role will be primarily responsible for driving a high-morale team, a culture of high performance, meeting client deliverables consistently, and effectively managing stakeholders. Eligibility Criteria 10 Years of total work experience in Medical Coding, with 3-5 years of team management experience. Must have > 3 years of coding experience in the Same day Surgery, E&M, ED Facility & Observation Working knowledge of Physician coding & hospital coding is an added advantage. Successful completion of a certification program from AHIMA such as CCS, CCS-P, or AAPC such as CIC, COC, and CPC Must be active during joining and verified. Experience in any EMR systems such as Epic, Cerner & Meditech. Must be an SME with up-to-date knowledge of ICD-10CM, CPT-4, Ambulatory payment classification (APC), and NCCI edits. Effective communication skills, presentation skills, and proficiency in MS Excel & PowerPoint. Education Graduate or undergraduate with a high level of knowledge and relevant work experience. Shift timing: 8.30 AM - 5.30 PM or 1 PM - 10 PM IST, should be flexible to adapt shift timings on a need basis. Responsibilities Oversee CBOS Department Operations Capacity planning based on monthly goals, managing inventory and leaves. Responsible for managing the allocation & workflows, identifying risks, and mitigation. Reporting the weekly and monthly performance to key stakeholders, taking initiative for the identified areas of improvement. Team management of direct reports across multiple employee levels Setting KPI goals, reviewing the performance metrics, coaching, and feedback to enable the team to meet KPI goals consistently. Working with training and QA functions to identify training needs, tweaking training programs to keep the team up to date on client-specifics, industry updates such as coding clinics HCPCS, CPT assistant, and annual updates on ICD 10CM, CPT-4. Contribute and inspire team-wide development through valuable content sharing, rewards & recognition, and implementing best people management practices such as team bonding.
Posted 1 month ago
0 - 1 years
0 - 0 Lacs
Chennai, Tamil Nadu
Remote
Here's a sample job description for an IP DRG Medical Coder (Inpatient Diagnosis-Related Group Medical Coder). This role is commonly found in healthcare settings such as hospitals, health systems, and medical coding service providers. Job Title: Inpatient DRG Medical Coder (IP DRG Coder) Job Summary: We are seeking a highly accurate and detail-oriented Inpatient DRG Medical Coder to join our healthcare team. The ideal candidate will be responsible for reviewing, analyzing, and assigning diagnosis and procedure codes (ICD-10-CM/PCS) for inpatient medical records in accordance with official coding guidelines and DRG grouping rules to ensure proper reimbursement and compliance with regulatory requirements. Key Responsibilities: Review and abstract clinical information from inpatient medical records. Assign appropriate ICD-10-CM and ICD-10-PCS codes to diagnoses and procedures. Validate DRG assignment based on coding and documentation. Ensure compliance with all applicable coding guidelines, regulations, and internal policies. Work collaboratively with clinical documentation improvement (CDI) specialists and providers to clarify diagnoses and procedures when needed. Maintain accuracy standards of 95% or higher in coding and DRG assignment. Use computer-assisted coding (CAC) tools and electronic health records (EHRs) efficiently. Keep current with coding guidelines, regulations, and payer policies. Participate in coding audits and provide feedback or corrections as needed. Meet productivity standards (e.g., coding X records per day). Qualifications: High School Diploma or equivalent required; Associate's or Bachelor's degree in Health Information Management or a related field preferred. Certified Coding Specialist (CCS) or equivalent AHIMA/AAPC certification (e.g., RHIA, RHIT). Minimum 2–3 years of inpatient coding experience in an acute care hospital setting. Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG methodologies. Experience with EHR systems (e.g., Epic, Cerner) and coding tools (e.g., 3M Encoder). Excellent analytical skills and attention to detail. Ability to work independently in a remote or hybrid setting. Preferred Skills: Familiarity with federal and state reimbursement regulations. Experience with clinical documentation improvement (CDI) initiatives. Knowledge of quality measures and hospital reimbursement methodologies. Work Environment: This role may be remote, on-site, or hybrid, depending on employer needs. May require flexible hours to meet productivity and turnaround time requirements. Let me know if you'd like this tailored for a specific industry (e.g., academic hospital vs. third-party coding vendor) or formatted as a formal job posting. Job Type: Full-time Pay: ₹30,743.62 - ₹60,113.63 per month Education: Bachelor's (Required) Experience: Medical coding: 1 year (Required) Work Location: In person
Posted 1 month ago
0 years
0 Lacs
Bengaluru, Karnataka
Work from Office
Req ID: 324087 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Digital Solution Arch. Strategic Advisor to join our team in Bengaluru, India, Karnātaka (IN-KA), India (IN). Mandatory Qualifications: Deep domain expertise in Healthcare (Providers, Payers, PBMs, HealthTech). Strong exposure to HL7, FHIR, EHR/EMR platforms (Epic, Cerner, Meditech), payer platforms, CRM and engagement platforms. Application modernization experience (legacy to cloud-native, platform reengineering). Presales leadership in solutioning multi-million dollar healthcare technology deals. Excellent communication and executive presentation skills. Preferred Qualifications Certifications like AWS Certified Solutions Architect - Professional, Azure Solutions Architect, or Healthcare IT certifications. Knowledge of Value-Based Care models, Healthcare AI/ML applications, and Health Information Exchanges (HIEs). About NTT DATA NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
Posted 1 month ago
4 years
0 Lacs
Chennai, Tamil Nadu
Work from Office
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 Required Qualifications: Bachelor’s degree in health information management, life science or a related field is preferred AAPC/AHIMA Certification is required: CPC, 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.
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Chennai
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Chennai office. work from office is mandatory for all working days A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Bengaluru
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Chennai office. A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Coimbatore
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Mumbai office. A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Coimbatore
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Kolkata office. A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Coimbatore
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Chennai office. A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
5 - 10 years
7 - 12 Lacs
Chennai
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities: Epic Analyst will provide primary support for their designated application/module. Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration. Provide on-going system support and maintenance based on support roster Respond in a timely manner to system issues and requests Conduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues. Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPs Perform/support regular / periodic system patch, maintenance and verification. Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilization Perform/support the work required to comply with audit and security requirements. Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: Must To Have Skills:Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB) Experience in troubleshooting and resolving application issues. Additional Information: The candidate should have a minimum of 5 years of experience in EPIC Systems. This position is based at our Hyderabad office. A 15 years full time education is required. Qualifications 15 years full time education
Posted 1 month ago
1 - 6 years
3 - 5 Lacs
Hyderabad
Work from Office
Bulk Hiring For AR Caller ( US Healthcare Process ) Any Grad with Min 1 year AR Caller Exp Can Apply 5 Days Working || 2 Fixed Off Salary - 5.5 lpa Location - Manikonda Lanco Hills Both Side Cab Call & WhatsApp HR Shivani@9953855726 Required Candidate profile Note - Immediate Joiner Must Have Knowledge Of One of These - 1 Denials 2 Bundle Denial 3 Authorization Denial 4 Medical Necessity
Posted 1 month ago
5 - 10 years
7 - 17 Lacs
Noida
Remote
This role is only for CCL (Cerner command language) Developer Shift-US 100% remote (permanent work from home)
Posted 1 month ago
0.0 - 2.0 years
0 Lacs
Noida, Uttar Pradesh
On-site
Job Description : Responsibilities: Work through book of AR and develop plan for maintaining proper coverage on all accounts Review aged accounts, trace, and appeal unpaid and/or erroneously paid or denied accounts Work all denials and rejections received by researching steps previously taken and take additional action, as needed to resolve the claim Reviews and corrects claim rejections received from clearinghouse Verify eligibility, coverage and claim status online through insurance we portals Resubmit insurance claims that have received no response or are not on file Transferring outstanding balance to patient or next responsible party whenever required Make corrections on CMS 1500 claim form and rebill claims Work on Commercial, Medicaid, Tricare, and Worker’s Compensation denials/rejections Document insurance denials/rejections properly Communicate claim denials/rejections details related to missing information with client Works with other staff to follow-up on accounts until zero balance Maintains required billing records, reports, files Review and address correspondence daily Identify trends and inform client lead/manager, as appropriate Escalate issues to client lead/manager, as appropriate Other responsibilities as assigned. Role Information: Full-Time Eligible for Benefits Requirements Required Knowledge, Skills, Abilities & Education: Minimum of one year's experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field Experience with healthcare billing and collections Experience with various practice management systems (Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD) Experience with revenue cycle management and follow-up Experience with facility and/or professional revenue cycle experience Minimum tenure of 1-2 years in each previous position held Proficient with MS Outlook, Word, and Excel Ability to work independently and as part of a team Strong attention to detail and speed while working within tight deadlines Exceptional ability to follow oral and written instructions A high degree of flexibility and professionalism Excellent organizational skills Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients Ability to work in a fast-paced environment Outstanding communications skills; both verbal and written Positive role model for other staff and patients by working with them to promote teamwork and cooperation Ability to apply common sense understanding and logic in day-to-day activities. Preferred Knowledge, Skills, Abilities & Education: Experience working in an Ancillary/Ambulatory Surgery Center (ASC) Strong Microsoft Office skills in Teams Comfortable with electronic and manual payor follow-up Able to quickly identify trends and escalate, as appropriate Ability to read, analyse and interpret insurance plans, financial reports, and legal documents Tenure of greater than two years at all previous employers with no gaps in employment Physical Demands: Sitting and typing for an extended period Reading from a computer screen for an extended period Work environment of a traditional fast-paced and deadline-oriented office Working closely with others Frequent verbal communication, primarily over the phone, and face-to-face interaction Working independently Frequent use of a computer and other office equipment Key Competencies: Attention to detail Responsiveness Customer Service Execution Communication Department Revenue Cycle Services Open Positions 1 Skills Required Ambulatory Surgery Center , Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD) Location Noida, Uttar Pradesh, India Years Of Exp 2 to 2 years Designation Billing Executive Posted On : 07-Apr-2025
Posted 2 months ago
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