Jobs
Interviews

1065 Claims Adjudication Jobs - Page 2

Setup a job Alert
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

1.0 - 4.0 years

3 - 4 Lacs

chennai

Work from Office

Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain.

Posted 2 days ago

Apply

2.0 - 3.0 years

3 - 4 Lacs

chennai

Work from Office

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management. Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations. Assist in the development of Claims Department Policies and Procedures. Attend organizational meetings as required Adhere to organizational Policies and Procedures. Requirements: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills Work Timings: Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement

Posted 2 days ago

Apply

2.0 - 5.0 years

0 - 2 Lacs

prayagraj

Work from Office

Process & Manage Insurance Claims. Provide support to Policy Holder, to manage & maintain the accurate data. To insure timely settlements of the claims. Co-ordinate with Companies of Insurance & Healthcare providers.

Posted 2 days ago

Apply

5.0 - 10.0 years

7 - 12 Lacs

noida

Work from Office

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the employees respect this strategy. Work regularly in improving the companys operations performance. Also, the deputy operations manager works in certain cases in touch with the clients to make sure that they receive the required service with the highest quality. In Customer service company, the deputy operations manager works with his team to make the clients satisfied by offering to his team the required training and courses to be able to communicate correctly with the customers. Follow up with the running project daily in order to make sure that they follow the right operation process. Check the logistics operations. Monitor t Show to the employees the company strategies and regulations in order to maintain the operation process. Solve all the different problems that could face the operations, to ensure the operational strategy. Issue a weekly, and monthly report for the operations manager to see all the updates realized on Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

Posted 2 days ago

Apply

3.0 - 9.0 years

5 - 11 Lacs

hyderabad

Work from Office

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

Posted 2 days ago

Apply

1.0 - 4.0 years

3 - 6 Lacs

hyderabad

Work from Office

Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Qualifications 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance.

Posted 2 days ago

Apply

1.0 - 6.0 years

1 - 4 Lacs

hyderabad, bengaluru

Work from Office

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.

Posted 2 days ago

Apply

1.0 - 4.0 years

13 - 18 Lacs

bengaluru

Work from Office

Medcare Hospitals Medical Centres is looking for Senior Executive.Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Leading the full audit cycle by checking tax compliance, verifying financial records, and inspecting accounts. Analyzing the results of the audit and presenting possible solutions for ineffective financial practices to management. Evaluating company accounting procedures, payroll, inventory, and tax statements to guide financial policymaking. Conducting risk assessments to recommend aversion measures and cost savings. Following up with management to ensure remediations are implemented into the company's financial practices. Supervising junior auditing personnel and implementing their research work into the auditing process. Preparing and reviewing annual audit memorandums. Researching applicable federal and state laws and regulations to ensure the company's books are compliant. Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before

Posted 3 days ago

Apply

0.0 - 3.0 years

2 - 3 Lacs

bengaluru

Work from Office

Medcare Hospitals Medical Centres is looking for Associate to join our dynamic team and embark on a rewarding career journey 1 Customer service: Associates in Insurance serve as the primary point of contact for customers, providing them with information about policies, handling claims and addressing any concerns or issues they may have 2 Risk assessment and analysis: They help assess risks associated with insuring different clients, analyze data and make recommendations to senior-level professionals 3 Claims processing: Associates in Insurance handle claims processing, by gathering information, reviewing policies, assessing damage and negotiating settlements 4 Compliance: They help ensure that the company is in compliance with regulatory requirements by reviewing policies, monitoring claims and conducting audits Requirements: Strong analytical skills, attention to detail, and good communication skills are also essential for this role Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before

Posted 3 days ago

Apply

1.0 - 4.0 years

1 - 5 Lacs

chennai

Work from Office

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process. Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned Qualifications Associate's degree (2 years), required and Bachelor's degree in any related field, preferred. At least one (1) year of provider enrollment experience preferred.

Posted 3 days ago

Apply

0.0 - 1.0 years

1 - 4 Lacs

coimbatore

Work from Office

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements for this role include: University degree or equivalent that required formal studies of the English language and basic Math 0-1 Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions 0-1 Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product. 0-1 Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 0-1 Year of experience that required prioritizing your workload to meet deadlines **Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

Posted 3 days ago

Apply

1.0 - 5.0 years

1 - 4 Lacs

coimbatore

Work from Office

1. Handle Provider Chat queries and meet client SLA 2. 5-10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words

Posted 3 days ago

Apply

0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to abhilasha.dutta@mediassist.in Whatsapp : 8050700698.

Posted 3 days ago

Apply

3.0 - 8.0 years

3 - 4 Lacs

chennai

Work from Office

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. Tobe in a position to handle training for new hires Work together withthe team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case ofany defaulters. Encourage the team to exceed their assigned targets.**Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

Posted 3 days ago

Apply

1.0 - 6.0 years

3 - 4 Lacs

chennai

Work from Office

Position's General Duties and Tasks In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Ability to work regularly scheduled shifts from Monday-Friday 8:30PM to 5:30AM or 10:30PM to 7:30AM. High school diploma 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 0-6 months of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English. 0-6 months of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions *** The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. *** All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.

Posted 3 days ago

Apply

1.0 - 5.0 years

1 - 4 Lacs

coimbatore

Work from Office

"1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words"

Posted 3 days ago

Apply

2.0 - 3.0 years

3 - 4 Lacs

chennai

Work from Office

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management. Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations. Assist in the development of Claims Department Policies and Procedures. Attend organizational meetings as required Adhere to organizational Policies and Procedures. Requirements: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills

Posted 3 days ago

Apply

0.0 - 1.0 years

3 - 5 Lacs

new delhi, hyderabad, delhi / ncr

Work from Office

Medical Officer (MBBS/BAMS/BHMS) at Good Health Insurance TPA. Responsible for cashless request processing, claim review, ICD coding, and policy adherence. Freshers can apply. Strong medical knowledge and computer skills required.

Posted 3 days ago

Apply

4.0 - 8.0 years

5 - 9 Lacs

gurugram

Work from Office

Role Objective Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims Essential Duties and Responsibilities Denied Claim Reviews/Account level reviews Identifying themes/trends through data reviews Coordinating with requirement stakeholders on the issues/themes/trends identifies Publishing assigned reports/tasks Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Identifying automation/process efficiencies Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials. Able to interact independently with counterparts if required Must operate utilizing aggressive operating metrics. Quality Maintenance as per the required standards Understanding client requests requirement and develop a solution Creating adhoc reports utilizing SQL/snowflake, Excel, PowerBI or R1 inhouse applications/tool Required Skill Set Candidate should be good in Denial Management/AR Follow up (4-8 years exp required) Ability to interact positively with team members, peer group and seniors. Good analytical skills and proficiency with MS Word, Excel and Powerpoint Good communication Skills (both written & verbal) Qualifications Graduate in any discipline from a recognized educational Certifications in Power BI, Excel, SQL/Snowflake would add advantage

Posted 3 days ago

Apply

2.0 - 4.0 years

1 - 5 Lacs

hyderabad

Work from Office

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Familiarity with ICD-10 & CPT codes and procedures. Solid oral and written communication skills. Able to work independently.

Posted 3 days ago

Apply

1.0 - 4.0 years

2 - 5 Lacs

noida, gurugram

Work from Office

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 3 days ago

Apply

1.0 - 6.0 years

1 - 5 Lacs

chennai

Work from Office

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.

Posted 3 days ago

Apply

0.0 - 1.0 years

2 - 5 Lacs

chennai

Work from Office

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Familiarity with ICD-10 & CPT codes and procedures. Solid oral and written communication skills. Able to work independently.

Posted 3 days ago

Apply

0.0 - 1.0 years

1 - 4 Lacs

hyderabad

Work from Office

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Familiarity with ICD-10 & CPT codes and procedures. Solid oral and written communication skills. Able to work independently.

Posted 3 days ago

Apply

1.0 - 6.0 years

2 - 6 Lacs

hyderabad

Work from Office

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business.

Posted 3 days ago

Apply
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies