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1.0 - 5.0 years
0 Lacs
karnataka
On-site
As a healthcare professional at the company, your role will involve diagnosing and treating patients using modern technology. You will be responsible for executing clinical care programs and managing both new and existing customers/members who visit the company. Your duties will include carrying out rounds on patients, updating consultants, and following up as per the procare membership program, packages, etc. Additionally, you will be expected to document clinical information of patients during their transition between services. Key Responsibilities: - Conducting clinical rounds and updating consultants - Managing and providing general care to patients on premises and through digital mediums - Examining and diagnosing medical conditions of patients - Designing a filter and escalation mechanism for clinical queries - Collaborating with other doctors and medical staff to ensure quality services - Overseeing clinical service offerings in outpatient clinics - Training the care circle team on handling clinical queries Qualification Required: - Relevant experience in hospitals, medical centers, or diagnostic centers - Exposure to preventive care processes and health service research - Ability to manage a variety of clinical cases and chronic conditions - Familiarity with digitally driven healthcare processes - MBBS or Any Graduate in Any Specialization The company, Bridge Health Clinic in Whitefield, focuses on providing quality healthcare services and emphasizes preventive care processes. As a member of the team, you will have the opportunity to collaborate with relevant team members on research and prevention/risk reduction processes. Your expertise in handling clinical cases, along with your ability to understand and present clinical data, will be crucial in ensuring the delivery of excellent healthcare services. Additionally, your excellent communication, networking, and interpersonal skills will be essential in liaising with both medical and non-medical staff to maintain the standard of care within the clinic.,
Posted 18 hours ago
3.0 - 4.0 years
4 - 6 Lacs
thane
Work from Office
Medical Risk Assessment & Underwriting Specialist Role Overview: This position is responsible for evaluating health insurance proposals and medical claims, assessing risk, and ensuring decisions are made in accordance with policy guidelines and regulatory compliance. The candidate should combine sound clinical judgment with strong underwriting acumen and innovative approaches to case evaluation. Key Responsibilities Review and process medical documentation and insurance claims to ensure accuracy, completeness, and compliance. Analyze patient information, laboratory findings, and treatment histories for risk assessment and decision-making. Determine coverage eligibility, exclusions, and appropriate premium modifications based on health risk profiles. Collaborate with healthcare providers, policyholders, and team members to resolve discrepancies and communicate outcomes. Guide acceptance or rejection of health proposals, applying robust risk evaluation techniques and recommending appropriate risk loading when necessary. Extract insights from Claims MIS and use data analytics to enhance underwriting decisions. Monitor regulatory changes and industry trends to continuously improve risk evaluation processes. Contribute innovative ideas for process optimization and risk mitigation. Required Skills & Competencies Strong foundation in medical science and clinical documentation. Expertise in health risk underwriting and claims assessment. Analytical mindset, detail orientation, and critical thinking skills. Ability to communicate clearly and collaborate with diverse stakeholders. Experience extracting and interpreting insights from claims data systems. Creative problem-solver, open to process innovation and improvement. Qualifications Bachelors or Master’s degree in life sciences, healthcare, insurance, or related field. Prior experience in health underwriting, medical risk assessment, or claims processing. Familiarity with healthcare regulations and compliance standards. This role requires individuals who can combine deep clinical insights and insurance expertise with creative, data-driven problem-solving to deliver fair, innovative risk assessments for health insurance proposals.
Posted 1 day ago
1.0 - 6.0 years
1 - 6 Lacs
coimbatore, tamil nadu, india
On-site
Role Responsibilities Review and code patient medical records for diagnoses, procedures, and treatments Ensure compliance with coding standards, documentation, and reimbursement guidelines Conduct audits and identify discrepancies or deficiencies in medical documentation Collaborate with care teams and support staff for accurate and timely claim submissions Key Deliverables Accurate and complete coded medical records for billing and reporting Timely identification and resolution of documentation and billing discrepancies Knowledge sharing and training support for junior coding staff Continuous compliance with regulatory and insurance standards
Posted 5 days ago
0.0 - 5.0 years
1 - 6 Lacs
bengaluru, karnataka, india
On-site
Role Responsibilities: Diagnose and treat medical conditions and monitor patient recovery Prescribe medications and explain test results to patients and families Coordinate with healthcare teams for comprehensive patient care Advise on preventive healthcare practices and lifestyle Job Requirements: Graduate or postgraduate degree in medicine 24 years of clinical experience Strong diagnostic and communication skills Updated with latest medical trends and practices
Posted 5 days ago
1.0 - 4.0 years
3 - 6 Lacs
chennai
Work from Office
Home Health Clinical Reviewer ICD-10, OASIS-E, POC (Level 2 & 3) Job Summary: We are seeking an experienced and detail-oriented Home Health Clinical Reviewer with expertise in ICD-10 coding, OASIS-E assessments, and Plan of Care (POC) reviews at Levels 2 and 3. The ideal candidate will ensure clinical documentation accuracy, regulatory compliance, and optimal reimbursement through precise coding and thorough review of patient records. This role plays a critical part in maintaining quality care standards while supporting operational efficiency in our home health program. Key Responsibilities: 1. ICD-10 Coding Assign accurate ICD-10-CM diagnosis codes for home health episodes in accordance with CMS and agency guidelines. Ensure coding supports medical necessity and aligns with the Plan of Care. Validate primary and secondary diagnoses for accuracy and compliance. 2. OASIS-E Review Review OASIS-E assessments for completeness, accuracy, and compliance with CMS guidelines. Identify and correct inconsistencies in assessment data and documentation. Provide feedback to clinicians to improve accuracy and quality of OASIS submissions. 3. Plan of Care (POC) Review Level 2 & 3 Review POCs for regulatory compliance, patient-centered goals, and accurate service frequency. Ensure care plans reflect patient needs, functional status, and physician orders. Collaborate with field clinicians to resolve discrepancies and clarify orders. 4. Quality & Compliance Maintain up-to-date knowledge of CMS regulations and PDGM requirements. Perform internal audits of documentation to ensure compliance and accuracy. Support clinical staff education on documentation and coding best practices. Qualifications & Requirements: Minimum 23 years in home health coding, OASIS review, and POC preparation. Strong understanding of PDGM and CMS compliance requirements. Proficient in ICD-10-CM coding guidelines and sequencing rules. Expertise in OASIS-E data sets and scoring. Detail-oriented with strong analytical and problem-solving skills. Excellent communication and collaboration skills. Proficiency with EMR/EHR systems (e.g., Kinnser). Relevant Profile kindly share your resume to sofia@zealousservices.com
Posted 6 days ago
1.0 - 6.0 years
4 - 8 Lacs
noida, uttar pradesh, india
On-site
To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities of daily living. To perform services within the limits of preparation and experience. Accepts responsibilities of assignments to perform specialized procedures, such as chemo port needle insertion, PICC Line dressing, catheterization, Ryle's tube insertion etc. only when qualified with specialty training, proven competency, and as per authorized privileging. Preferred candidate profile : GNM/BSc Nursing 1-6 Years of Experience Any state registration applicable
Posted 6 days ago
1.0 - 6.0 years
4 - 8 Lacs
delhi ncr, india
On-site
To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities of daily living. To perform services within the limits of preparation and experience. Accepts responsibilities of assignments to perform specialized procedures, such as chemo port needle insertion, PICC Line dressing, catheterization, Ryle's tube insertion etc. only when qualified with specialty training, proven competency, and as per authorized privileging. Preferred candidate profile : GNM/BSc Nursing 1-6 Years of Experience Any state registration applicable
Posted 6 days ago
1.0 - 6.0 years
4 - 8 Lacs
delhi, india
On-site
To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities of daily living. To perform services within the limits of preparation and experience. Accepts responsibilities of assignments to perform specialized procedures, such as chemo port needle insertion, PICC Line dressing, catheterization, Ryle's tube insertion etc. only when qualified with specialty training, proven competency, and as per authorized privileging. Preferred candidate profile : GNM/BSc Nursing 1-6 Years of Experience Any state registration applicable
Posted 6 days ago
1.0 - 4.0 years
1 - 4 Lacs
chennai, tamil nadu, india
On-site
Accurately assign ICD-10 codes and DRG classifications for inpatient records. Ensure compliance with national and international coding standards. Collaborate with clinical and non-clinical teams to clarify documentation. Conduct quality checks and audits to maintain coding accuracy. Stay updated with the latest coding guidelines and healthcare regulations. Requirements: Bachelors degree in Life Sciences, Nursing, or a related field. 0.6 Months 4 years of hands-on experience in IPDRG coding. Strong knowledge of ICD-10, DRG systems, and clinical documentation. Excellent attention to detail and analytical skills.
Posted 1 week ago
4.0 - 8.0 years
0 Lacs
chennai, tamil nadu
On-site
The IPDRG QA role involves conducting quality assurance reviews of inpatient medical records to ensure accurate assignment of DRGs, ICD-10-CM/PCS codes, and adherence to coding and clinical documentation standards. This position plays a crucial role in upholding compliance with federal coding guidelines, regulatory mandates, and maintaining revenue cycle integrity. Key responsibilities of the role include conducting retrospective and concurrent quality reviews of inpatient coding and DRG assignments, validating the accuracy and completeness of coding based on clinical documentation, auditing DRG assignments to ensure appropriate severity of illness (SOI), risk of mortality (ROM), and reimbursement, collaborating with coding teams and clinical documentation specialists to address discrepancies, providing feedback and training to coders on errors, trends, and best practices, ensuring compliance with CMS guidelines, AHA Coding Clinic guidance, and facility policies, staying updated on coding changes, DRG grouping logic, and regulatory requirements, utilizing computer-assisted coding (CAC) tools, encoder systems, and EHRs for audits, assisting in developing quality improvement plans based on audit findings, and generating reports and dashboards for leadership on coding accuracy and DRG performance metrics. The qualifications required for this role include holding RHIA, RHIT, CCS, or equivalent AHIMA certification, having a minimum of 3-5 years of inpatient coding and/or DRG auditing experience, possessing in-depth knowledge of ICD-10-CM/PCS, DRG reimbursement methodologies, and CMS regulations, demonstrating strong analytical, problem-solving, and communication skills, and having experience with hospital information systems, EHRs, and CAC tools such as 3M and Optum. This is a full-time position that necessitates a Bachelor's degree. Applicants must have at least 3 years of experience as an IPDRG QA and hold CPC, CCS, or CIC certification. The work location for this role is in Bangalore, Karnataka, and it requires in-person presence. For further details or to discuss the job opportunity, please contact the employer at +91 9570805386.,
Posted 1 week ago
5.0 - 7.0 years
3 - 8 Lacs
hyderabad, telangana, india
On-site
Drives implementation of CDGM initiatives, projects and process improvement activities to enhance the planning and execution of migrations to and from enterprise clinical eDMS at Novartis. Act as CDGM point of contact for partnering with CDGM, IT (internal and external) and business stakeholders to plan and execute migrations to and from eDMS, in line with Novartis business, compliance and operational requirements. Partner with CDGM and business stakeholders, especially those planning in-licensing and out-licensing activities to identify and agree migration business requirements, understand source and target system capabilities and develop/maintain a future migration roadmap. Contribute to activities to ensure efficient processes & integrations of systems with eDMS based on strong understanding of Novartis enterprise systems landscape and in line with compliance and business priorities. Serves as Subject Matter Expert for training materials, formal and informal processes and tracking tools for eDMS migration activities, in collaboration with CDM Process team and other key stakeholders Plan and contribute to agile working methodologies being applied during development cycles to prepare for migration and during post migration hyper care period. Owner or Contributor of activities related to migration related Incident Management, Change Management and ongoing operations of the eDMS. Support forecasting of internal resource allocations and vendor provided activities as part of eDMS migration roadmap management. Executes vendor oversight plan, monitors service metrics and identifies opportunities for improvement to the operating model in relation to migration. Acts as point of escalation for issues. Provides support for inspections/audits, contributes to root cause analysis identification and creation/delivery of CAPAs. Minimum Requirements: Advanced degree or combination of Bachelor s degree in information orlife-sciences/healthcareand relevant industry experience. Minimum of 6 years working in Pharmaceuticals, Lifesciences and Clinical Research with specific experience in contributing and leading of clinical document management, TMF and/or records & information management. Minimum of 5 years of full-scale migrations Minimum 2 medium to major Veeva related hands-on and provable experience in leading and planning of migrations. Prior experience in Electronic Document Management systems, specifically in Clinical and Regulatory highly desired. Business relevant technical and working experience of eDMS systems like Veeva Clinical vault, RIM, Documentum D2LS or similar Knowledge of industrywide Electronic and Clinical Document Management systems and features Deep knowledge of Agile way of working with cross functional teams for releases Strong influencing and presentation skills. Ability to communicate effectively at all levels Skills Desired Budget Management, Clinical Research, Clinical Trial Protocol, Clinical Trials, Coaching, Data Analysis, Data Integrity, Learning Design, Lifesciences, Risk Monitoring, Trends Analysis
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
chandigarh
On-site
As a Patient Care Assistant, you will play a crucial role in providing comprehensive care and support to patients across various medical settings. Your responsibilities will encompass a wide range of tasks aimed at ensuring the well-being and comfort of patients under your care. Your primary duties will involve conducting patient assessments, including collecting medical histories, vital signs monitoring, and overall condition evaluation. Triage may be necessary to prioritize patient care based on the urgency of their conditions. During procedures, treatments, and recovery phases, you will be responsible for closely monitoring patients, especially those receiving injections, IV fluids, or post-operative care. Medication administration is a key aspect of your role, where you will be required to administer prescribed medications and observe patients for any adverse reactions or side effects. Additionally, you will be involved in wound care, dressing wounds, changing bandages, and ensuring proper infection control measures are followed at all times. Patient education is another essential component of your job, where you will educate patients about their conditions, prescribed treatments, lifestyle changes, and preventive measures to empower them in managing their health effectively. In the realm of clinical support, you will assist physicians and healthcare providers during exams, procedures, and diagnostic tests. This may include preparing equipment, providing tools, and assisting with patient positioning. You will also be responsible for collecting specimens for laboratory tests, conducting health screenings, and administering vaccines while maintaining accurate records of vaccinations. Administratively, you will maintain patient documentation, update medical records, and assist in managing the clinic's appointment schedule. Inventory management of medical supplies, medications, and equipment upkeep will be part of your routine. Basic billing tasks, ensuring proper documentation for insurance claims, and patient billing support will also fall under your purview. Patient safety and infection control are paramount aspects of your role. You will be expected to ensure proper sterilization and disinfection of instruments and equipment, follow infection control guidelines, and maintain patient comfort and safety throughout their visit. Your communication and collaboration skills will be vital in working closely with other healthcare professionals, ensuring cohesive patient care, and maintaining open communication with patients and their families. Referral coordination with other healthcare providers and specialists and health education for patients on wellness and preventive health practices will be integral parts of your responsibilities. Emergency preparedness, continuous learning, and professional development are also crucial aspects of your role. You should be prepared to perform basic life support and provide first aid during medical emergencies. Continuous education and training, maintaining licensure and certifications, and participating in quality improvement efforts will be ongoing requirements. Your qualifications should include a diploma in nursing, preferably with at least 1 year of nursing experience. Proficiency in Hindi language, a nursing license, and an ability to work full-time in an in-person setting are also preferred qualifications. Your commitment to patient care, strong clinical knowledge, communication skills, attention to detail, organizational abilities, and compassion towards patients and families will be key to excelling in this role. If you are looking for a dynamic and fulfilling career as a Patient Care Assistant with opportunities for growth and development, this position could be the perfect fit for you.,
Posted 1 week ago
4.0 - 8.0 years
0 Lacs
karnataka
On-site
As a Clinical Operations team member at Suki, you will collaborate with our clinical and product teams to refine the existing product and design new features tailored to clinicians" needs. Your primary responsibilities will include translating clinical language into AI logic, working closely with AI Engineers to convert clinical insights into actionable algorithms for the digital assistant. You will also be involved in creating and editing gold standard medical documentation for model training purposes, as well as continuously refining and optimizing AI output to ensure quality and accuracy from a clinical standpoint. To excel in this role, you should hold a Doctor of Medicine or Osteopathy degree (MBBS, MD, or DO) and possess a valid medical license in your region. Additionally, having completed at least one year of post-graduate training and accumulated 4+ years of practice experience as a doctor is essential. While not mandatory, familiarity with the US healthcare systems would be advantageous. Your passion for patient care and belief in technology's potential to enhance healthcare quality and experience are crucial. Strong analytical and problem-solving skills, coupled with the ability to identify clinical challenges and propose AI solutions, are highly valued. Excellent writing skills, adaptability, and comfort in a fast-paced, dynamic environment with evolving technologies are also key attributes. Candidates with experience in digital health tools or AI solutions in healthcare, as well as those with robust research and analytical skills, will earn bonus points. At Suki, we offer a hybrid work model that combines in-office collaboration with remote flexibility. The role, based in Bangalore, mandates working from the office three days a week and remotely for two days. Suki, a leading technology company in the healthcare sector, is committed to reimagining the healthcare technology stack by developing AI voice solutions that alleviate the administrative burden on clinicians. Our flagship product, Suki Assistant, leverages generative AI to automate clinical documentation creation by listening to patient-clinician conversations. Join us in our mission to empower doctors and enhance healthcare experiences with innovative solutions.,
Posted 2 weeks ago
3.0 - 7.0 years
0 Lacs
delhi
On-site
You will be joining our team as a skilled Prosthetist and Orthotist. Your primary responsibilities will include conducting patient assessments, customizing and fitting prosthetic and orthotic devices, and collaborating with design and engineering teams to enhance device functionality. The ideal candidate should possess hands-on experience in prosthetics and orthotics and a strong commitment to delivering top-notch patient care. Your key responsibilities will involve: - Engaging directly with potential clients to comprehend their mobility challenges and relevant medical history through inbound leads, referrals, and website inquiries. - Evaluating patient medical records and clinical documentation, and performing remote or in-person assessments to determine eligibility for assistive devices. - Fitting, customizing, and adjusting prosthetic and orthotic devices to ensure maximum comfort, function, and performance. - Collaborating with engineering and design teams to offer clinical insights and feedback for the continuous development and enhancement of assistive devices. - Participating in clinical trials and pilot programs, documenting outcomes, and providing feedback to enhance device usability and patient experience. - Performing on-site assessments, installations, and traveling for training sessions at client locations, clinics, or rehabilitation centers. - Maintaining detailed and accurate records of patient assessments, device fittings, follow-ups, and any device-related issues. Coordinating with the engineering team for issue resolution and improvements. This is a full-time position that requires work to be conducted in person.,
Posted 2 weeks ago
1.0 - 4.0 years
1 - 5 Lacs
pune, chennai, thiruvananthapuram
Work from Office
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG Hands-on experience in any of the Encoder tools specific to Hospital coding such as 3M, Trucode, etc. is preferred The coders assigned on the project would be reviewing Inpatient and observation medical records, determine and assign accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and/or CPT) codes with appropriate modifiers in addition to reporting any deviations in a timely manner Maintains high level of productivity and quality Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time keeping an elevated level of accuracy The coders would as well be screened for reasonable comprehension and analytical skills that are considered a prerequisite for reviewing the medical documentation and deliver accurate coding The coders are expected to deliver an internal accuracy of 95%, meet turnaround time requirements in addition to meeting productivity standards set internally per the specialty Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards. Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences. This includes refresher and ongoing training programs conducted periodically within the organization Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years experience in Medical Coding Candidates holding CCS/CIC with hospital coding experience are preferable The coders will focus on undergo certifications sponsored by AAPC and AHIMA as they mature with the process. Access health care has now partnered with AAPC to hand hold in-house certification training for its coders and sponsor for the examinations. Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles Location : Chennai,Mumbai,Pune,Coimbatore,TRV,Noida
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
gautam buddha nagar, uttar pradesh
On-site
Job Description: Svarrnim Valves, a branch of Svarrnim Infrastructures Pvt. Ltd., a prominent company with 38 years of experience in India, is seeking a dedicated Documentation Specialist for a full-time on-site role in Gautam Buddha Nagar. As a Documentation Specialist, you will play a crucial role in creating, updating, and maintaining comprehensive documentation pertaining to the company's products and processes. Your responsibilities will include preparing clinical, technical, and general documentation, collaborating closely with the production team to gather essential information, and ensuring that all documents adhere to regulatory standards and company guidelines. The ideal candidate for this role will possess expertise in clinical documentation, general documentation, technical documentation, and technical writing. Strong analytical skills, excellent attention to detail, and organizational abilities are essential for success in this position. The ability to work independently as well as collaboratively within a team environment is key. Familiarity with industry standards and regulatory compliance is highly valued, and previous experience in a similar role would be advantageous. A Bachelor's degree in a related field is preferred for this position. If you are passionate about creating high-quality documentation, have a keen eye for detail, and possess the necessary qualifications and skills, we invite you to apply for this exciting opportunity at Svarrnim Valves. Join our team and contribute to our mission of delivering superior products that cater to the diverse needs of our clients.,
Posted 2 weeks ago
5.0 - 10.0 years
10 - 17 Lacs
hyderabad
Work from Office
We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potential coding discrepancies. Query physicians and other healthcare providers for clarification of documentation as required. Collaborate with CDI (Clinical Documentation Improvement) specialists, billing teams, and other internal stakeholders to ensure accurate coding and proper reimbursement. Stay updated with changes in coding standards, regulations, and payer-specific guidelines. Contribute to audits, quality checks, and process improvements in coding practices. Maintain strict confidentiality of patient records in compliance with HIPAA and organizational policies. Required Qualifications & Skills: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or equivalent certification required. Minimum 5 years of experience in inpatient coding with a focus on DRG assignment. In-depth knowledge of ICD-10-CM/PCS coding systems, MS-DRG, APR-DRG, and applicable federal/state regulations. Strong analytical, problem-solving, and attention-to-detail skills. Excellent written and verbal communication skills. Ability to work independently as well as collaboratively in a team environment. Proficiency in EMR/EHR systems and coding software. Preferred Qualifications: Experience in clinical documentation improvement (CDI) or coding audits. Familiarity with hospital revenue cycle processes.
Posted 2 weeks ago
0.0 - 3.0 years
0 Lacs
maharashtra
On-site
As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, and reviewing clinical data against specified medical criteria. You will also monitor client schedules, follow up on pending requests, and communicate with insurance providers on a daily basis. Additionally, you will be expected to meet departmental production standards, identify and escalate issues when necessary, and support colleagues by sharing best practices and assisting in training new staff members. To qualify for this position, you should hold a Bachelor's degree in any stream and have at least 6 months to 1 year of relevant experience in Pre-authorization, Verification, or Accounts Receivable (AR). Strong attention to detail, proficiency in multitasking, and effective communication skills are essential. Knowledge of CPT Codes, ICD-10, clinical documentation requirements, and awareness of retro-authorization timelines are also required. Preferred skills that would make you stand out include prior authorization experience in Drugs and Radiology, familiarity with revenue cycle processes, and prior experience in Accounts Receivable. The ability to work independently while collaborating effectively in a team setting is highly valued. As a problem-solver, you will be adept at identifying and resolving healthcare billing discrepancies. Your organizational skills will help you manage high volumes of medical remittances efficiently, while your analytical abilities will enable you to understand healthcare financial data and denial patterns. In addition to a competitive salary, joining Resolv offers you a range of benefits including annual public holidays, 30 days of leave per calendar year, a Mediclaim policy, a Lifestyle Rewards Program, Group Term Life Insurance, Gratuity, and more.,
Posted 3 weeks ago
1.0 - 5.0 years
25 - 40 Lacs
bengaluru
Work from Office
Job Overview Spandana Hospital is seeking a Junior Neurologist to join our team in Bangalore. This is an excellent opportunity for a medical professional with 1 to 3 years of experience to work in a dynamic environment focused on patient-centered care. The position offers flexible employment types including Full-Time or Part-Time. As a Neurologist, you'll play a crucial role in examining, diagnosing, and treating patients with neurological disorders. Qualifications and Skills Minimum 1-3 years of relevant work experience in a clinical setting, specifically within the neurology department. Strong expertise in neurological examination to accurately diagnose a wide array of neurological conditions. (Mandatory skill) Proficient in EEG interpretation, enabling the identification and analysis of electrical activity in the brain. (Mandatory skill) Experience with stroke management to provide rapid and effective treatment to patients experiencing strokes. (Mandatory skill) Competence in MRI interpretation to assist in the evaluation and treatment of patients Excellent skills in clinical documentation to ensure comprehensive, detailed, and accurate patient records. Strong patient assessment skills to effectively evaluate patient status and develop treatment plans. Ability to work collaboratively within a multidisciplinary team to deliver high-quality patient care. Roles and Responsibilities Conduct comprehensive neurological examinations to diagnose and treat a range of disorders in patients. Interpret EEG and MRI results to devise accurate and effective treatment plans for patients. Manage acute and chronic neurological conditions, ensuring high standards of medical care. Provide patient-centered care with emphasis on understanding and addressing individual patient needs. Collaborate with a team of medical professionals to deliver multidisciplinary care to patients. Document patient information, treatment plans, and progress meticulously in clinical records. Stay updated with the latest advancements in neurology to provide cutting-edge treatments. Participate in continuous professional development activities to enhance clinical expertise.
Posted 3 weeks ago
1.0 - 4.0 years
3 - 7 Lacs
chennai
Work from Office
Job Summary The IPDRG Medical Coder is responsible for assigning accurate codes to inpatient medical records, ensuring compliance with coding standards and contributing to the efficiency of healthcare processes. Key Responsibilities Assign IPDRG codes to inpatient medical records based on established guidelines and regulations. Review and interpret clinical documentation to ensure accurate coding. Collaborate with healthcare professionals to resolve documentation discrepancies. Meet coding accuracy and productivity targets. Stay informed about updates to coding standards and practices. Required Qualifications Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder) certification required. Experience: Minimum of 1 year of experience in IPDRG coding. Education: Background in healthcare, medical coding, or a related field preferred. Skills: Proficiency in IPDRG coding systems and guidelines. High attention to detail and accuracy. Analytical and problem-solving skills. Strong communication and teamwork abilities. Mandatory Key Skills clinical documentation,healthcare coding,coding compliance,medical coding,IPDRG Medical Coder,IPDRG coding.
Posted 3 weeks ago
1.0 - 5.0 years
0 - 0 Lacs
chennai
On-site
Job Description: We are looking for skilled Home Health Coders to join our healthcare RCM team. The role involves reviewing patient documentation for home health services and assigning accurate ICD-10-CM codes to ensure compliance with payer and regulatory requirements. Key Responsibilities: Assign appropriate ICD-10-CM diagnosis codes for home health episodes of care . Review OASIS and physician documentation to ensure accurate coding. Ensure compliance with CMS guidelines and payer-specific requirements. Collaborate with clinicians and billing teams to resolve documentation gaps. Support denial management teams by correcting coding-related rejections. Maintain productivity and quality benchmarks as per RCM standards. Stay updated on coding changes, payer policies, and home health regulations . Requirements: Graduate in Nursing, Life Sciences, Pharmacy, or related field (preferred). 14 years of experience in Home Health Coding / RCM . Strong knowledge of ICD-10-CM and home health coding guidelines. Certification (CPC, HCS-D, CCS, or equivalent) preferred. Excellent attention to detail and good communication skills. Employment Details: Location: Chennai (Work from Office / Hybrid as per client) Experience: 14 Years Salary Range: 45,000 50,000 per month Type: Full-Time, Permanent Call - 9739998585, 8722244472, 9739002621, 9986660200 Please Walkin Directly Mon - Sat 9am to 6pm Free Jobs White Horse Manpower, get placed in Fortune 500 companies. #12 Office156, 3rd Floor, Jumma Masjid Golden Complex Jumma Masjid Road, Bangalore 560051. whitehorsemanpower/ limited-21505b14/ Instagram: whitehorsemanpower YouTube: v=96RpomJhYqQ
Posted 3 weeks ago
4.0 - 6.0 years
8 - 10 Lacs
bengaluru
Hybrid
• Develop and review content for various regulatory documents; ensure quality as per setegulatory standards and compliance requirement. • Good understanding of global regulatory dossier formats and ACTD/CTD/NeeS/paper dossier format. • Candidate will need to author and/or review clinical and non-clinical documents under Module 2, 4 and 5 of eCTD, and Part III and Part IV of ACTD for submission to the Health Authorities in EU and APAC markets, respectively. Key requirement: • Good medical/pharma/scientific knowledge that can be applied in developing content for regulatory documents • Experienced in the development and review of clinical and non-clinical documents under Module 2, 4 and 5 of eCTD, and Part III and Part IV of ACTD, for submission to the regulatory authority in EU and APAC regions, respectively • Good understanding of clinical trial and product life cycle EDUCATION: MBBS/PhD/MDS/BDS/MPharm/PharmD/BPharm/MSc EXPERIENCE: 4 to 6 years of Regulatory Writing/Reviewing experience LOCATION: Bangalore (Office-based/Hybrid) SKILLS: • Good communication skills (Written and Oral) • MS Office (Excel and Power point) PRINCIPAL RESPONSIBILITIES & ACCOUNTABILITIES: • Broad Area-1: Develop Content to Meet High CSAT Independently (Simple and Complex Projects) o Responsible for developing new drafts/updating existing content/review with quality, accuracy, timelines, and efforts, independently (Protocol, Informed Consent Form [ICF], Investigators Brochure [IB], clinical and non-clinical documents under Modules 2, 4 and 5 of eCTD and, Part III and IV of ACTD) o Responsible to run and review literature searches in various databases and screening articles to obtain required information for content development o Good knowledge of various regulatory guidelines and regulatory dossiers related to regulatory content development o Conduct quality checks to ensure the accuracy and consistency of data included in documents o Build expertise in extracting information from textbooks, authentic websites and articles for different deliverables and therapeutic areas o Demonstrate good technical competence on how to search the internet and books for referencing, copyrights, and plagiarism o Follow the best practices while executing projects in the team with regard to processes, communication (internal and external), documentation and technical requirements like language, grammar, style, content search, summarizing, data conflicts and referencing o Analyze challenges/limitations in content development and provide logical, unbiased, and rational recommendations for modifying quality standards or introducing newer ones o Work with internal stakeholders for project execution and actively participate in team meetings and client meetings from a content perspective • Broad Area-2: Review Content of Team Members o Review the content prepared by junior team members. Validate the authenticity of the content by performing data fact check o Guide team members on content client requirements and quality aspects of content development for different deliverables development (including but not limited to Protocols, IBs, ICF, clinical and non-clinical documents under Modules 2, 4 and 5 of eCTD and, Part III and IV of ACTD), o Guide team members to develop content outlines for different target groups that are accurate, clinically relevant, reflecting the most recent medical advances and in accordance with established content development practices, in collaboration with clients and team leads • Broad area-3: Process Adherence and Compliance o Be aware of all organizational, divisional, and client-related policies and procedures related to quality, information security and data privacy o Responsible to strictly adhere to quality standards for various deliverables as decided by the business unit or client o Responsible to maintain confidentiality and copyright rules for various deliverables/clients and company norms o Follow all the security rules with regard to various standards like ISMS, ISO, CMMI and client guidelines • Broad Area-4: Self-Development o Support in developing technical training programs for other team members relevant to the job o Responsible to complete client-specific training, if applicable o Responsible to build expertise in assigned deliverables through self-learning and formal trainings and stay abreast with current trends in the respective areas o Learn the basic skills to manage teams o Participate in and contribute to various continuous improvement initiatives or company driven initiatives Interested Candidate Please Apply - India.hr@infinitysts.com
Posted 3 weeks ago
0.0 - 1.0 years
3 - 12 Lacs
coimbatore, tamil nadu, india
On-site
We are seeking qualified healthcare professionals in the roles of ANM, Anesthesiologist, and Genetic Technician to support our medical and clinical operations. The selected candidates will be responsible for providing patient care, assisting in medical procedures, and supporting laboratory and clinical diagnostics as per their specialization. Key Responsibilities: Provide pre- and post-operative care for patients (Anesthesiologist/ANM). Administer anesthesia under supervision and monitor patient vitals during procedures (Anesthesiologist). Assist doctors and nurses in surgical and clinical procedures (ANM). Conduct genetic testing, analysis, and reporting under standard laboratory protocols (Genetic Technician). Maintain accurate and up-to-date patient and laboratory records. Ensure compliance with hospital and clinical safety regulations. Operate, maintain, and calibrate clinical and laboratory equipment. Support quality assurance and participate in process improvement initiatives. Educate patients and families regarding care, procedures, and health protocols. Qualification Requirements: ANM: Diploma in Auxiliary Nurse Midwifery; registered with the Nursing Council. Anesthesiologist: MBBS with specialization in Anesthesia; required licensing to practice. Genetic Technician: B.Sc/M.Sc in Genetics, Biotechnology, or related field. Proven clinical or laboratory experience relevant to the role. Strong understanding of medical procedures, patient safety, and clinical protocols.
Posted 3 weeks ago
0.0 - 1.0 years
3 - 12 Lacs
cuddalore, tamil nadu, india
On-site
We are seeking a motivated Physiotherapist to join our healthcare team in India. The ideal candidate will work with patients to help them recover from injuries and improve their physical functionality. This is a great opportunity for recent graduates looking to start their career in physiotherapy. Responsibilities Conduct thorough assessments of patients physical conditions. Develop and implement personalized treatment plans. Assist patients in performing exercises and rehabilitation activities. Educate patients and their families about recovery processes and injury prevention. Maintain accurate and up-to-date patient records. Collaborate with healthcare professionals to provide comprehensive care. Monitor patients progress and adjust treatment plans as necessary. Skills and Qualifications Bachelor's degree in Physiotherapy or equivalent qualification. Knowledge of anatomy, physiology, and physical rehabilitation techniques. Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Ability to work effectively in a team environment. Familiarity with physiotherapy equipment and modalities. Compassionate and patient-centered approach to care.
Posted 3 weeks ago
0.0 - 1.0 years
3 - 12 Lacs
chennai, tamil nadu, india
On-site
We are seeking a motivated Physiotherapist to join our healthcare team in India. The ideal candidate will work with patients to help them recover from injuries and improve their physical functionality. This is a great opportunity for recent graduates looking to start their career in physiotherapy. Responsibilities Conduct thorough assessments of patients physical conditions. Develop and implement personalized treatment plans. Assist patients in performing exercises and rehabilitation activities. Educate patients and their families about recovery processes and injury prevention. Maintain accurate and up-to-date patient records. Collaborate with healthcare professionals to provide comprehensive care. Monitor patients progress and adjust treatment plans as necessary. Skills and Qualifications Bachelor's degree in Physiotherapy or equivalent qualification. Knowledge of anatomy, physiology, and physical rehabilitation techniques. Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Ability to work effectively in a team environment. Familiarity with physiotherapy equipment and modalities. Compassionate and patient-centered approach to care.
Posted 3 weeks ago
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