92 Clinical Documentation Jobs - Page 2

Minimum 1year experience in CDI(Clinical documentation improvement). Should have experience in Medical coding. Certification is mandatory(CPC/CIC/COC). Ready to work in Hyderabad location. Immediate Joiners or upto 15days notice period is accepted.

Job Description: EHR Integration Specialist Location: Chennai Shift : Day Shift Education Bachelor's degree in computer science, Information Technology, Health Informatics, or a related field Advanced certifications in healthcare IT (e.g., HL7 Certification, FHIR Certification, EPIC/Cerner/Athena certifications) are highly desirable Experience 3 to 5+ years of hands-on experience in integrating Electronic Health Record (EHR) systems with a strong focus on EPIC, Cerner, and Athena platform Proven experience with HL7 (v2.x/v3), FHIR, and DICOM standards in real-world healthcare environments Practical exposure to healthcare integration engines like Mirth Connect, Cloverleaf, Rhapsody, or Intersystem Ensembles Familiarity with core EHR workflows such as clinical documentation, scheduling, orders/results processing, patient administration, and demographic data exchange Experience working in cross-functional teams including IT, clinical, and vendor stakeholders Skills & Knowledge Strong understanding of EPIC Bridges, Cerner Millennium/OpenEngine, and EPIC/Cerner/Athena API/Webhook frameworks for data exchange and third-party system integrations Solid grasp of HL7 v2.x messaging types (ADT, ORU, ORM, etc.), as well as FHIR resource mapping and implementation for patient-centric data workflow Proficiency in developing, debugging, and supporting FHIR-based RESTful APIs and integration adapted Ability to handle data transformation and mapping between heterogeneous healthcare system Knowledge of security and compliance standards in healthcare such as HIPAA, HITECH, and data masking/encryption best practice Technical Skills Hands-on experience with relational databases (SQL Server, MySQL, PostgreSQL) and NoSQL systems Familiarity with web services (REST, SOAP), OAuth2, and other authentication mechanisms for secure API integration. Experience working in cloud-hosted healthcare environments (Azure, AWS Health Lake, Google Cloud for Healthcare. Scripting and automation skills (e.g., Python, JavaScript, Shell scripting) for integration workflows and monitoring Personal Skills Strong analytical and troubleshooting skills with a proactive approach to solving integration is Effective communication skills to interact with both technical teams and clinical/business stokehold Self-starter with the ability to work independently and collaboratively in a dynamic healthcare set High attention to detail, especially regarding data accuracy, system validation, and regulatory compliance Agile and adaptable to rapidly evolving health IT landscapes and client require

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities. Provides recommendations regarding claimants current/potential functional abilities and develops goal-focused return-to-work plans. To apply, Call HR Nikita Grover at 8800307658 Job Responsibilities Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. Conducts complex research, review and analysis of medical records, treatment plans and claim information. Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans. Assess training needs and creates, authors, and presents medical training to claim and business partner associates. Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining functional abilities. Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return-to-work potential. Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality. Performs other related duties as assigned or required Education, Technical Skills & Other Critical Requirement Bachelors degree (Medical) or diploma with a minimum of 15 years of education. Experience Current RN licensure 4+ years of experience as an RN with Clinical/Ops Experience Preferred 7+ years Disability claims and/or clinical experience. Disability claims experience Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

Hiring For Medical Coders || Surgery, ENM with Denials, ENM with Surgery, Denials Multispeciality , ENM OP/IP Coders || Work From Office Role & responsibilities Location :- Chennai , Hyderabad Work From Office Specialties :- Surgery || Notice period:- 0 - 60 days || Hyderabad, Chennai, Noida || Upto 10 lpa ENM with Surgery || Notice period:- 0 - 60 days || Chennai || Upto 10 lpa ENM with Denials || Notice period:- 0 - 60 days || Chennai , Noida || Upto 10 lpa Denials Multispeciality || Notice period:- 0 - 60 days || Chennai || Upto 10 lpa ENM IP or OP || Notice period:- 0 - 15 days || Chennai, Bangalore || Upto 50 k takehome || Releiving letter not mandate Clinical Documentation || Hyderabad location || Notice period:- 0 - 15 days || Upto 7.5lpa Only Certified Min 1+ year of experience into the above Specialties is mandate Last Company Relieving letter mandate Interested candidates can share your updated resume to HR Shruthi - 7680001201 (share resume via WhatsApp ) saishruthi.axisservices@gmail.com Refer ur friends/collegues Perks and benefits Day Shift 5 days working 2 way cab facility

You will be joining AIM BRITZ, a study abroad consultancy known for its dedicated team of experts who have firsthand experience in universities in the UK and Canada. Our team has expanded to include 25 core members and 20 online staff, all committed to preparing students for success through mock interview sessions. Since 2018, we have successfully facilitated over 3,000 visas and have been recognized in the "Asia Book of Records" and "India Book of Records" for hosting the largest overseas education seminar. As a Documentation Specialist based in Trivandrum, you will play a crucial role in creating and managing various types of documentation, including clinical, technical, and general documents. Your daily responsibilities will involve drafting technical materials, ensuring content clarity and accuracy, and updating existing documents. Attention to detail and strong organizational skills are essential to maintain the high standards of our documentation. To excel in this role, you should possess proficiency in Clinical Documentation and Documentation, along with experience in Technical Documentation and Technical Writing. Strong analytical skills are necessary for reviewing and enhancing documentation quality. Effective written and verbal communication skills are a must, as well as the ability to work independently and deliver tasks within deadlines. Previous experience in the education consultancy sector would be advantageous. A Bachelor's degree in English, Communications, Technical Writing, or a related field is preferred for this position.,

Responsibilities: Review client case information and determine required medical records and facilities involved. • Initiate medical record requests via fax, email, portals, or telephonic communication in compliance with HIPAA and client-specific protocols. • Regularly follow up with hospitals, clinics, and third-party record retrieval services (e.g., MRO, CIOX) to track the status of requests. • Escalate delays, incomplete records, or denials to appropriate stakeholders and take corrective action. • Update internal tracking systems, logs, and client databases (e.g., Clio, Filevine, Needles) with current status and notes. • Communicate professionally and clearly with providers, clients, and internal teams via email and calls. • Perform quality checks to ensure completeness and accuracy of received records before submission to legal teams. • Maintain turnaround time (TAT) and service level agreements (SLAs) for all assigned cases. • Review and analyze scanned medical records and bills and summarize them as per the guidelines. • Create concise and accurate summaries of patient medical histories, procedures, diagnoses, and treatment plans for internal use and billing purposes. • Maintain organized records of summarized information, ensuring compliance with legal and regulatory standards. Preferred Tools & Platforms Experience (Mandatory): • Clio, Filevine, Litify, or Needles • Record retrieval platforms (CIOX, MRO, ChartSwap, Sharecare) • SharePoint, Dropbox, Google Drive • Nitro, Microsoft word, excel, outlook. Key Skills: Strong understanding of medical terminology. Excellent written communication skills with attention to detail. Proficiency in Microsoft Office Suite and electronic health record (EHR) systems. Preferred Candidate Profile Bachelor's degree in life sciences is mandatory (BPT, MPT, BAMS, BHMS, BUMS, and BDS) Should have proficiency in Typing (30 WPM with 97% of accuracy) Should be flexible with 24*7 shift. Freshers & experienced both can apply. Package: ~ 3.16 LPA for Freshers ~ up to 4.2 LPA for experienced Preferred Candidate Profile: Graduation is mandatory Should be flexible with 24*7 shift. Learning Opportunities Freshers can also apply, must have knowledge about medical terminologies Great work culture Positive Work Environment Immediate Joiners only *** Walk In Details Venue - Provana, A-5 Sector 6 Noida. Time - 11 AM IST

TM - Health Informatics - Health Insurance Company - Thane Job Role: To support the ongoing transformation of digital health data management and EHR system capability. The role will support implementation of clinical data analytics frameworks, lead the EHR (coaching tool in phase 1), and manage integration across multiple digital health partners. The role will also involve mentoring a analytics team and ensuring the success of health informatics initiatives that enable longitudinal data storage, hyper-personalized customer journeys, and value-based health interventions. Key Result Areas: 1. EHR (Coaching Tool) Development & Deployment - Deliver functional MVP by Q3 FY25 - Complete 2 use-case journeys (e.g., Diabetes, Hypertension) - On-board 500+ customers onto EHR-linked coaching tool 2. Longitudinal Data Integration & Health Record Digitization - Integrate 5+ partner data sources (labs, wearables, health coaches) - Achieve >90% data match accuracy across platforms - Automate monthly ingestion for 100K+ records 3. Clinical Insights & Risk Stratification Dashboards - Launch 3 core dashboards (Risk movement, Chronic cohort trends, Lab value shift) - Refresh dashboard data monthly - Enable >5 business teams with customized insights 4. Hyper-Personalized Journey Activation - Operationalize journeys for 2 chronic cohorts - >60% of enrolled users complete assigned actions monthly - Generate at least 2 behavioural micro-segments per condition 5. Team Management & Stakeholder Collaboration - Conduct 1 knowledge-sharing session/month with internal teams - Close 90% of integration/analysis requests within TAT.

MRM Executive will be responsible for analyzing medical information of US patients on various Electronic Health Record (EHR) platforms. Using predefined rules, they will perform various roles including creating & updating patient charts and orders. Required Candidate profile The role includes data entry tasks, extracting patient medical information from Zoho CRM, and uploads to various EHRs. Assist with billing, accounting, report generation, and maintaining trackers.

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

URGENT HIRING for more Information Call & WhatsApp - 8920208592 Responsibilities Provide direct patient care and support to patients in a clinical setting. Administer medications and treatments as prescribed by physicians. Monitor patient vital signs and report any significant changes to the healthcare team. Assist with diagnostic tests and procedures as required. Educate patients and their families on health management and disease prevention. Maintain accurate and detailed patient records and documentation. Skills Strong clinical skills and knowledge of patient care practices. Ability to work effectively in a multicultural environment. Excellent communication and interpersonal skills. Critical thinking and problem-solving abilities. Benefits Food and Accommodation. Air Tickets. Medical Note- This Job is only for Abroad Location.(Not for India.)

CorroHealth is hiring!!! Huge openings for HCC Location -Chennai, Bangalore Eligibility: Must have more than 2+Yrs Exp Certification is Mandatory Position for - QA, Senior QA, AM Interview Type - Virtual Immediate Joiners Preferred For any Clarification or if interested please feel free to Contact: Reshma HR / 9361279443

Job Title: Virtual Medical Assistant (Offshore) Position Type: Full-Time Reports To: Practice Manager or Clinical Operations Lead Position Summary: We are seeking a detail-oriented and dependable Virtual Medical Assistant to support clinical operations by handling essential administrative and coordination tasks. This role is critical in maintaining accurate medical records, ensuring effective communication with primary care providers, and coordinating patient care through timely appointment scheduling. Key Responsibilities: Lab Entry: Accurately input laboratory results and related information into the Electronic Medical Record (EMR) system in a timely and organized manner. Fax Coordination: Send patient progress notes and relevant documentation to primary care physicians and specialists, ensuring compliance with privacy standards (e.g., HIPAA-equivalent). Patient Outreach: Call patients to schedule, reschedule, or confirm appointments while maintaining professionalism and excellent customer service. Documentation: Ensure all interactions and actions are properly documented in the EMR. Other Duties as Assigned: Perform additional administrative or clinical coordination tasks as requested by the clinical team or supervisor. Qualifications: Prior experience as a Virtual Medical Assistant, Medical Receptionist, or similar healthcare support role preferred Familiarity with EMR systems (Athena, Epic, or similar) Strong written and verbal communication skills in English Ability to work independently and manage time effectively in a remote setting High level of attention to detail and accuracy Reliable internet connection and private, professional work environment Preferred Skills: Previous experience supporting U.S.-based medical practices Understanding of medical terminology and clinical documentation Customer service experience, particularly in healthcare

Responsibilities: Review client case information and determine required medical records and facilities involved. • Initiate medical record requests via fax, email, portals, or telephonic communication in compliance with HIPAA and client-specific protocols. • Regularly follow up with hospitals, clinics, and third-party record retrieval services (e.g., MRO, CIOX) to track the status of requests. • Escalate delays, incomplete records, or denials to appropriate stakeholders and take corrective action. • Update internal tracking systems, logs, and client databases (e.g., Clio, Filevine, Needles) with current status and notes. • Communicate professionally and clearly with providers, clients, and internal teams via email and calls. • Perform quality checks to ensure completeness and accuracy of received records before submission to legal teams. • Maintain turnaround time (TAT) and service level agreements (SLAs) for all assigned cases. • Review and analyze scanned medical records and bills and summarize them as per the guidelines. • Create concise and accurate summaries of patient medical histories, procedures, diagnoses, and treatment plans for internal use and billing purposes. • Maintain organized records of summarized information, ensuring compliance with legal and regulatory standards. Preferred Tools & Platforms Experience (Mandatory): • Clio, Filevine, Litify, or Needles • Record retrieval platforms (CIOX, MRO, ChartSwap, Sharecare) • SharePoint, Dropbox, Google Drive • Nitro, Microsoft word, excel, outlook. Key Skills: Strong understanding of medical terminology. Excellent written communication skills with attention to detail. Proficiency in Microsoft Office Suite and electronic health record (EHR) systems. Preferred Candidate Profile Bachelor's degree in life sciences is mandatory (BPT, MPT, BAMS, BHMS, BUMS, and BDS) Should have proficiency in Typing (30 WPM with 97% of accuracy) Should be flexible with 24*7 shift. Freshers & experienced both can apply. Package: ~ 3.16 LPA for Freshers ~ up to 4.2 LPA for experienced Preferred Candidate Profile: Graduation is mandatory Should be flexible with 24*7 shift. Learning Opportunities Freshers can also apply, must have knowledge about medical terminologies Great work culture Positive Work Environment Immediate Joiners only *** Walk In Details Venue - Provana, A-5 Sector 6 Noida. Time - 11 AM IST

Job Title: Virtual Medical Assistant (Offshore) Position Type: Full-Time | Remote (Offshore) Reports To: Practice Manager or Clinical Operations Lead Position Summary: We are seeking a detail-oriented and dependable Virtual Medical Assistant to support clinical operations by handling essential administrative and coordination tasks. This role is critical in maintaining accurate medical records, ensuring effective communication with primary care providers, and coordinating patient care through timely appointment scheduling. Key Responsibilities: Lab Entry: Accurately input laboratory results and related information into the Electronic Medical Record (EMR) system in a timely and organized manner. Fax Coordination: Send patient progress notes and relevant documentation to primary care physicians and specialists, ensuring compliance with privacy standards (e.g., HIPAA-equivalent). Patient Outreach: Call patients to schedule, reschedule, or confirm appointments while maintaining professionalism and excellent customer service. Documentation: Ensure all interactions and actions are properly documented in the EMR. Other Duties as Assigned: Perform additional administrative or clinical coordination tasks as requested by the clinical team or supervisor. Qualifications: Prior experience as a Virtual Medical Assistant, Medical Receptionist, or similar healthcare support role preferred Familiarity with EMR systems (Athena, Epic, or similar) Strong written and verbal communication skills in English Ability to work independently and manage time effectively in a remote setting High level of attention to detail and accuracy Reliable internet connection and private, professional work environment Preferred Skills: Previous experience supporting U.S.-based medical practices Understanding of medical terminology and clinical documentation Customer service experience, particularly in healthcare

Diagnose and surgically treat benign and malignant breast conditions Collaborate with medical oncologists, radiologists, and pathologists for multidisciplinary care Perform surgical procedures including lumpectomy, mastectomy, and reconstructive techniques Provide pre-operative and post-operative patient management Participate in tumor boards and patient education initiatives Maintain accurate clinical documentation and comply with hospital protocols

Description We are seeking a qualified Ophthalmologist to join our team in India. The ideal candidate will be responsible for providing high-quality eye care, diagnosing eye conditions, and performing surgeries as needed. This role is suitable for candidates with 0-5 years of experience in the field. Responsibilities Conduct comprehensive eye examinations and assessments. Diagnose and treat a variety of eye diseases and disorders. Perform surgical procedures as necessary. Prescribe corrective lenses and medications. Collaborate with a multidisciplinary team to provide optimal patient care. Educate patients on eye health and preventive care. Skills and Qualifications MBBS degree with a specialization in Ophthalmology. Valid medical license to practice in India. Strong diagnostic skills and attention to detail. Proficiency in performing eye surgeries and procedures. Excellent communication and interpersonal skills. Ability to work in a team-oriented environment.

1. Radiology, USG, Cardiology reports and discharge typing. 2. Coordination with doctors and medical officers for reports 3. Assisting doctors in investigation. 4. Maintaining clinical documentation ensure timely delivery of reports . Required Candidate profile Must be proficient in English. Must have good knowledge in computer operating. Must have good typing skills and speed. Smart and eager to learn and develop. Perks and benefits Annual increment and bonus

Job Description As a Clinical annotator at Verantos, you will be instrumental in annotating medical documents including details on medical conditions, medications, laboratory tests or questionnaires for real-world evidence projects. You will focus on reviewing the medical notes for its accuracy and completeness. Responsibilities Annotate medical documents using annotation tools. Review medical documents for their completeness. Identify and report any protected health information in the annotated medical documents to maintain patient privacy. Manage specialized annotation requests and tasks with changing guidelines and tight deadlines. Assess your metrics to boost and improve productivity. Report and document any issues with annotation tools and annotated documents to the development team when necessary. Provide feedback for improvements to the existing annotation tool to increase annotation throughput and quality. Contribute to the enhancement of workflow processes. Qualifications Bachelor's or above in pharmacy, nursing, medicine, or social work and at least a year of clinical experience in the field. At least 3 years of work experience as a medical annotator. Ability to work on multiple projects in a fast-paced environment Demonstrate flexibility, initiative, professionalism, and the ability to work under pressure with minimal supervision.

Note: This role would involve Rotational Shifts (Morning and Nights) Basic roles: Patient care Maintain compliance Clinically sound Assist the surgeon/Consultant Roles and Responsibilities Basic roles: Patient care Maintain compliance Clinically sound Assist the surgeons

General Responsibility Adhere and comply with Organization Regulations and Administrative Policies. Adhere and comply with policies and procedure related to patient care infection control patient safety and accreditation standard. Care Delivery Demonstrate clinical competence in all aspects of patient care. Evaluate the quality and appropriateness of care and assess the impact of nursing intervention as appropriate. Assessment and reassessment of pain and management of pain Ensure compliance with all policy and procedure for medication management. Ensure plan of care is implemented. Document and handover all patients records as per policies and standards. Educate patient and family as required Ensure the involvement of the patient family and significant others in the patients care. Demonstrates correct use and assembly of required equipments instruments and appropriate cleaning of the same. Quality Management Understanding of clinical and other established performance indicators to ensure ongoing quality Improvement. Follow international patient safety goals. Report all near miss sentinel events and any other incidents. Identify and escalate any life threatening issues associated procedures protocols and policy guidelines. Always maintain privacy and confidentiality of patient information and records. Comply with all quality standards as decided by organization for patient safety and quality of care Training and Development Participate and contribute in scheduled in service training programs like ACLSBLS,PALS,NALS(If applicable)CNE sconferences etc, Functional Area Responsibility Maintain the sterile zones. Ability to do the gowning procedure and scrubbing. Understand and demonstrate infection control guide lines practices and bio medical waste management. Demonstrate knowledge on consent protocol. Ability to position patients appropriately. Knowledge about the different types of sterilisation and aseptic techniques followed in NH . Take the appropriate barcode for biopsy. Knowledge on methods of cleaning of OT and equipments. Awareness of radiation safety. Knowledge of the system of receiving the implant from the store. Familiarity in operating surgical equipments. Candidate Requirements Education: Diploma / bachelors degree in nursing Registration: Valid registration in the state Nursing Council from where B.Sc. Nursing / GNM was completed. Experience: Freshers / candidates with 1 or 2 years of experience Knowledge & Skills Required: Knowledge of nursing principles techniques and procedures for the delivery of effective patient care. Good communication & interpersonal skills. Be proactive punctual and empathetic. N.B - The above also includes any other job assigned from time to time.

Job Summary Individualized assessment is made by the SICU nurse to determine the immediate needs of the critical care patient. Ongoing assessment is then established to keep tabs on the patients condition and make any changes in treatment based on hospital policy procedure and protocol. Assessment helps the nurse and other hospital staff determines what plan of action to take in care of the patient. Assessment also allows the SICU nurse to educate the patient and her family on what to expect in the days weeks and months following SICU treatment. Following doctor or head nurse instructions the SICU nurse performs treatments and therapies for the patient. She gives the patient all necessary medication. If the patient lapses into cardiac arrest or another condition that requires resuscitation the nurse follow hospital protocols and administers life-saving techniques. When a patients condition changes rapidly the nurse makes quick decisions to treat the patient effectively. As shift changes occur it is the nurses duty to inform the relief nurse of all patient care information. If the patient requires special procedures the SICU nurse acts as an assistant to the doctor or head nurse. Documentation of assessments and drug therapy is recorded by the SICU nurse. She also makes documentation of physical therapy and other treatments given. The nurse must also keep all patient clinical records with doctor orders confidentially secure. The SICU nurse must be no discriminative and nonjudgmental when dealing with patients. In some cases the SICU nurse is the team leader on the nursing staff and reports directly to the head or charge nurse. In this position she has the duty of directing and developing the skills and abilities of the staff under her. She is also responsible for giving the team assignments as directed by the head nurse. The nurse plays an active role in team conferences participating in in-service trainings and initiating CPR and codes classes when needed.

General Responsibility Adhere and comply with Organization Regulations and Administrative Policies. Adhere and comply with policies and procedure related to patient careinfection controlpatient safety and accreditation standard. Care Delivery Demonstrate clinical competence in all aspects of patient care. Evaluate the quality and appropriateness of care and assess the impact of nursing intervention as appropriate. Assessment and reassessment of pain and management of pain Ensure compliance with all policy and procedure for medication management. Explain plan of care to patient and family. Document all patients records as per policies and standards. Educate patient and family as required Ensure the involvement of the patientfamily and significant others in the patients care. Quality Management Monitor clinical and other established performance indicators to ensure ongoing quality Improvement. Follow international patient safety goals. Report all near misssentinel events and any other incidents. Always maintain privacy and confidentiality of patient information and records. Comply with all quality standards as decided by organization for patient safety and quality of care Training and Development Participate and contribute in scheduled in service training programs like ACLSBLSPALSNALS (If applicable)CNEsconferences etc, Functional Area Responsibility Demonstrate knowledge on Hypothermia protocolEndotracheal suctioning and oral suctioning. Perform DrainageROMOVAC drain monitoring and documentation. ABG collection and analysis. Evaluate Thrombophlebitis and nursing management. Evaluate Intra Cranial Pressure and Glasgow Coma Scale. Handle Epidural Catheter. Knowledge on Personal Protective Equipment & Post Exposure Prophylaxis. Demonstrate a knowledge on activating code blue / code stroke. Identify BedsoreBraden scale and Hyperglycemia. Care for patients on ECMO. Emergency drug management.

Job Description We're looking for compassionate and dynamic Clinicians to join our mission of delivering high-quality, affordable services to the broader population in India. We invite applications for the following position: Position : Associate Consultant (Radiation Oncology/Radiotherapy) Qualification : MD/DNB Experience : 3+ years (Post MD/DNB)

Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary 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. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Required Qualifications: Any graduate experience 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 AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. 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 Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.