184 Certified Jobs - Page 8

WE'RE HIRING FOR MEDICAL CODER Certified Surgery Coders & QCA Chennai & Bangalore Surgery Coder (Any Certified) Exp: 1-5 yrs • Same Day/Ambulatory/General Surgery • Chennai and Bangalore IF INTERESTED CALL/WATSAPP: 8610746422 REGARDS; Vijayalakshmi

Minimum 1 year experience required as a Radiology Quality QA Certified can only apply Preferred Certifications: CPC, CPC-A, CCS, COC, CIC WFO Contact 8977711182

Role: Emergency Department CDI (ED CDI) Specialist Department: CDI Qualification : life science stream At least 2 yrs in clinical documentation improvement • Certifications: CPC Location: Chennai/ Hyderabad Contact : 6379093874 Sangeetha(Whats App)

Urgent Hiring for Pega Decisioning Engineer (C2H ) Contract to Hire for Pune and Hyderabad Location Notice Period require Immediate to 15 Days only Minimum 3 years of implementation experience in Pega CDH 8.x and Pega Infinity. Pega Certified Decisioning Consultant (CPDC) on the latest version is a must. Pega Senior System Architect (CSSA) certification is a must. Understand Pega Platform and its role in integrating with systems along with the capabilities of Business Process Automation. In-depth knowledge of Pega CDH and its significance in the banking industry. Thorough understanding of Next Best Action Designer and ability to define strategies for efficient model performances. Ability to create, run, and analyse Adaptive models for efficient campaign management and delivery. Design strategies that will be in integrated in the Pega campaign journey. Proficient in using all areas of Dev Studio, App Studio and CDH portal. Implemented Multi Level Decisioning and Multi App in at least one of the projects. Working experience with 1:1 Operations Manager, Application Overlays and able to troubleshoot. Participate in Data Migration and deployment Pipelines for Business Operations Environment Strategy Designing and Building Campaigns with multiple channels like Email, SMS, Push, Web, Mobile etc. Able to modify Request and Response APIs such and GetOffers and ResponseCapture. Able to work on API Container and OOTB dataflow for inbound and outbound. Able to troubleshoot technical errors in versions 8.x+ e.g., Trace, Clipboard, backend analysis etc. Able to suggest strategic customisations where OOTB solutions does not work for HSBC. Proficient in Agile ways of working and implementation. Interested Candidate can share your updated profile on Alka.r@intuition-it.com.

Experience : 1 - 6 Years in IP DRG Certification Required: CCS/CIC Work Mode: Work From Office (5 days) Shift: General Shift Work Location: Hyderabad/Chennai Role Summary: This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing. JOB SUMMARY This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills ESSENTIAL RESPONSIBILITIES Review Hospital Inpatient medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements. Review all file documentation for compliance with quality standards and relevant policies. Prepare and provide information to client based on their expectation. Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency. Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data. Adhere to all company and department policies regarding security and confidentiality. EDUCATION Required Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc. Certification AAPC or AHIMA coding certifications required for all candidates EXPERIENCE Required 0.6 months - 6 years of experience in Inpatient Hospital Billing (IP DRG). Should have handled Hospital & Provider Coding Preferred Preferred working knowledge in Epic and 3M 360. Having exposure to multiple specialty IP coding. Good communication skills. Must be extremely detail oriented and able to multitask. Possess a high level of Self-motivation and energy with minimal supervision. Highly developed oral and written communication skills. Ability to work both independently and in a team-oriented environment. Possess good organizational skills and strong attention to detail. Work in a standard protocols/documents to accurately complete the work assigned. Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames. Should develop knowledge about payor policies. Develop the team's talent, drive employee retention and engagement.

Greetings from Access Healthcare! Open Positions: 1. Lead Trainer 2. Operation Group Lead & Quality Group Lead 3. Assistant Delivery Manager 4. Associate Director 5. Training Director 6. SQ - AVP 7. Vice President - Coding Operations ----------------------------------------------------------------- Lead Trainer: Must have a minimum 3+ years of experience in medical coding. Should have a minimum experience of 6 Months in domain training. Experience with frontend coding processes is a must. Group Leader: Must have minimum 7+ Years of experience. Current designation of the candidates should be equivalent to team lead. Assistant Delivery Manager: Must have minimum 8+ years of experience in medical coding. Should have a minimum experience of 3 years in quality. Experience in team handling. Experience with frontend coding processes is a must. Associate Director: Must have minimum 17 + Years experience in HCC, multi-specialty. Certified coder from AAPC or AHIMA. Experience in team management. Candidate should have good communication skills. Training Director: Must have a minimum 15+ years of coding experience in HCC, multi specialty, with at least 2 to 3 years in training roles. Experience in leading training and development functions for large teams and achieving positive results. Lead and manage training operations for a team of 1,000+ professionals. Develop and lead a comprehensive training strategy for coding teams, ensuring consistent skill enhancement and certification readiness. Service Quality - Assistant Vice President: Must have minimum 15+ Years of experience in Healthcare RCM, Risk Adjustment (HCC) Coding, and Quality Assurance. Deep knowledge of ICD-10-CM, CMS-HCC Model, Medicare Advantage, and Risk Adjustment Guidelines. Strong experience in HCC audit frameworks, accuracy improvement, and compliance enforcement. Vice President - Coding Operations: Must have minimum 20+ years of coding experience. Lead and manage coding operations for a team of around 3,000 professionals. Oversee P&L management, ensuring financial and operational efficiency for the entire business unit. Build and maintain strong relationships with US-based clients, ensuring high-quality service delivery. Collaborate with cross-functional teams, including technology, quality assurance, and compliance, to drive consistent operational excellence. Note: Certification Mandatory If interested to apply, email your resume to shamshath.k@accesshealthcare.com Contact: 892 576 6183

Note: ONLY Certified medical coders can apply. (AAPC- CRC, CPC, CIC, COC OR AHIMA-CCS certified ) Location: Chennai Mode: Work from office only Essential Duties and Responsibilities : The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Education and/or Work experience : Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified. Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.

Role & responsibilities Should be a certified medical coder. Transcribing patient information into appropriate medical codes Examining medical documents and records for missing information Conducting chart audits Collecting, researching, and filing patient medical information Ensuring all documents are grammatically correct Complying with medical coding guidelines and policies Preferred candidate profile Required only E&M OP specialty Minimum 1 Year of experience needed. Willing to relocate to Chennai. Candidates should be an immediate joiner. CONTACT MARIA HR 9443541131

Greetings from HCL!! We are hiring for PEGA Developer role at HCL Technologies at Hyderabad location. Please find details: Experience 5-9 years Job location Bangalore Mode of Interview Virtual (If your CV gets shortlisted) Note: Required Pega Developer Primary & Mandatory Skill: Primary & Mandatory Skills: - Pega - Required to have PEGA PRPC - BPM - Layered Architecture - Data Model - Inheritance Patterns Apply with updated CV (Word Format) and Revert with below mentioned details on Radhika.pradeepzade@hcltech.com Total Experience Contact No Relevant Experience in PEGA Developer Current Location Preferred Location Current Organization Current CTC Expected CTC Notice Period /Joining Time Are you comfortable to work from Office ? Are you holding any offer? If yes what is the offer package? Disclaimer – Please ignore if the above doesn’t matches your profile . Regards, Radhika Zade TAG HCLTechRole & responsibilities Preferred candidate profile