92 Clinical Documentation Jobs - Page 4

Skill Requirements: Clinical Documentation Medical Record review & Billing Denials, appeals & grievance HIPAA regulations in documentation Claims Settlement process Claim Price negotiation Out of network Participating providers Non-participating providers Explanation of Benefits PPO networks . Detailed JD: Investigate and settle provider and client billing inquiries, including renegotiating claims to secure savings and meet or exceed department KPI goals. Maintain comprehensive tracking and documentation of all necessary information related to the research and settlement of assigned work. Collaborate with internal teams, including Client Services, Network and Vendor Management, Out of Network Services, and Bill Review & Audit, to ensure timely resolution of issues. Recommends process improvement opportunities within team scope. Communicate directly with clients to provide status updates and resolve issue notifications, maintaining strong customer relations. Ensure adherence to HIPAA and company standards regarding privacy and confidentiality. Provide support for the Customer Care Team when required. Perform other related responsibilities as assigned. Professional Experience: 3-5 years of experience in medical claims settlement. Strong understanding of PPO networks and the ability to interpret Explanation of Benefits, Plan Documents, PPO, and Complementary Network discounts. Outstanding written and verbal communication skills. Proficiency in MS Outlook, MS Word, MS Excel, and Internet Explorer. Excellent prioritization and organizational skills. Exceptional customer service and telephone communication skills. Additional Details: Shift Timing: Night shift (5:30 PM to 2:30 AM IST) Work Environment: Clean room Work Mode: On-site, 5 days a week Open Positions: 20 Experience Required: 3 to 5 years of experience

Role & responsibilities Assessing patient conditions and providing necessary diagnosis Managing patient care and conducting follow up visits as needed Creating and updating patient medical records Conducting medical research Prescribing medication and treatment instruction

Job Description for Live Medical Scribe Job Profile Position: Live Medical Scribe Location: Remote (100%) Job Mode: Full-time, Remote Shift Timings: Night Shift ( US Time Zones) Salary: Competitive, commensurate with experience Notice Period: Immediate Joiners Preferred Job Responsibilities Accompany physicians virtually in real time during patient visits to document patient-provider interactions directly into the Electronic Health Record (EHR) Record dictated patient history, physical examination, review of systems, and other relevant medical information during live encounters Update and maintain accurate patient health records, including lab results, imaging, and follow-up documentation Prepare and assemble medical record documentation/charts for physicians prior to and during patient appointments Ensure all documentation is complete, accurate, and compliant with HIPAA and healthcare facility policies Monitor and document test results, referrals, and follow-up instructions as directed by the provider Facilitate real-time communication between provider and patient, ensuring all notes and orders are accurately captured Support providers in improving workflow efficiency and reducing administrative burden No transcription of recorded audio; all documentation is performed live during patient encounters Perform additional clerical and administrative duties as assigned to support provider productivity Eligibility Criteria Minimum 3 years of experience in live medical scribing (not transcription or recorded scribing) Excellent English communication skills; US accent preferred Fast and accurate typing skills (60+ words per minute preferred) Proficiency with EHR systems (e.g., Epic, Cerner, Allscripts) and medical documentation software Strong knowledge of medical terminology and clinical workflow Ability to multitask and work efficiently in a fast-paced, live clinical environment Understanding of HIPAA and patient confidentiality regulations Bachelors degree in health sciences, pre-med, life sciences, or related field preferred

Job Title : Talent Acquisition Associate ( Locums Recruiter) Location: Noida and Mohali Job Description: We are looking for a Medical Scriber based in Noida who is eager to transition into a career in US Healthcare Recruitment. If you're passionate about recruitment and have a keen interest in healthcare, this is the opportunity for you! What will you be doing day-to-day? Generate leads through sourcing initiatives, social media advertising, phone interviews, and a high-volume outbound call phone strategy Search Applicant Tracking System, social media and other platforms to find caregivers for our open physicians and doctors hiring . Establish relationships with Healthcare Providers and maintain a pipeline of providers to encourage a long-term working relationship Negotiate contract terms with candidates Partner with Account Managers to ensure candidate viability and arrange client interviews Benefits 5 Days Working (Fixed Shift) Recurring Incentives Free Night Meal Fast Career Growth Regards, Priyanka Verma Cynet Corp A: 21000 Atlantic Blvd, # 700, Sterling VA 20166 M: +91-9015097461 | E: priyanka.v@cynetcorp.com

• 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

About Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services We also offer automated bot-driven medical billing services Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal, Along With Being SOC-certified And HIPPA-compliant, We Have Certified experts in deep learning & machine learning to provide intelligent solutions for your business, Helped Fortune 500 companies build custom enterprise-level applications, Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services, Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc Partnered with UiPath to provide RPA solutions, We are headquartered in Dallas with multiple global Centers of Excellence around the industry, Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines, ? Life at Calpion Inc, Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence, At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients, Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals, ? Job Title: Medical Coder Report To: Team Leader Experience: 1 5 Years Qualification: Any Degree (Life Science Background) Location: Bangalore / Coimbatore Shift Time: 09:00 AM 06:00 PM Day Shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time ? Job Summary As a medical coder, You need to translate details from a patient's medical documents, such as physician's notes, lab reports, procedures, and diagnoses, into universal medical codes to maintain accurate medical records Healthcare providers and insurance companies use these standardized codes for billing and record-keeping, ? Key Responsibilities Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications, Researches and analyzes data needs for reimbursement, Analyzes medical records and identifies documentation deficiencies, Serves as a resource and subject matter expert to other coding staff, Reviews and verifies documentation supporting diagnoses, procedures, and treatment results, Identifies diagnostic and procedural information, Audits clinical documentation and coded data to validate documentation support services rendered for reimbursement and reporting purposes, Assign codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines, Mandatory Skills Follows coding conventions Serves as coding consultant to care providers, Identifies discrepancies, potential quality of care, and billing issues, Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors, Identifies reportable elements, complications, and other procedures, Serves as a resource and subject matter expert to other coding staff, Assists lead or supervisor in orienting, training, and mentoring staff, Provides ongoing training to staff as needed, Handles special projects as requested, Desired Skills Should be a certified coder Experience in Orthopedics, Surgery, EnM, and ED specialties would be an added advantage Talk about our culture and values At Calpion, we're not just a company?we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate These values drive our every move: Agile: We thrive on change, adapting swiftly to new challenges, Collaborative: Together, we achieve greatness through teamwork and diverse perspectives, Innovative: We push boundaries, constantly exploring new ideas and solutions, Fun: Laughter and camaraderie make our workplace a joyous one, Inclusive: Diversity is our strength, ensuring every voice is heard and valued, Passionate: We approach every task with dedication and enthusiasm, Join us at Calpion and be part of a culture that's not just about work?it's about innovation, growth, and making an impact,

Hiring for IP-DRG Validation & Clinical Reviewer (Medical Coding) || Location : Hyderabad || Up to 16 LPA || IPDRG Validation : Min 3+yrs of exp in IP-DRG Validation with CCS (Or) CIC Certification Package : Up to 16 LPA Notice Period : 0 to 90 Days Clinical Reviewer : Min 1yr of exp in Clinical Reviewer with CPC Certification Package : Up to 7 LPA Notice Period : 0 to 30 Days Relieving letter is mandatory If Interested & Eligible : Please send your updated resume through WhatsApp to HR Keerthi Sai Priya 9951773491 . Refer your Friends / Colleagues .

Role Objective : Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports. Essential Duties and Responsibilities Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team) Quality of Notation, Ability to read clinical documentation and data enter for payer requirements. 80%+ Calling will be involved (may vary site to site), should be open to Voice based work Would secure relevant information of Health Insurance of the patient. Work on Websites/Applications to perform the activity as per the SOP. Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone) Should be Open to Learn & adapt as per the changing needs of the process. Will have to go thru ongoing Trainings (for performance / process needs) Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements) Will have to work as per the prescribed KPI`s / Targets assigned by the Process Manager. Maintain compliance with all company policies and procedures. Ensure - Non-Disclosure of any PHI. 24*7 Environment, Open for night shifts 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) Excellent verbal and written communication skills effectively communicate with internal and external customers. Must have proven track record of performance in previous assignment. Maintaining a positive attitude and providing exemplary customer service Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP. Skill Set: Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors. Medical Coding and Medical transcription knowledge/experience are considered as relevant. Candidate should have good healthcare knowledge.

Job Description: We are looking for highly motivated Doctor of Pharmacy freshers who are passionate about starting their careers in healthcare operations. The selected candidates will play a vital role in supporting pharmacy and clinical processes for our U.S.-based healthcare clients. Roles and Responsibilities: Provide customer service support by handling clinical clarifications and assisting with outbound calls related to medication availability. Assist in processing clinical clarifications based on interventions from healthcare professionals and ensure accurate communication between departments. Handle data entry tasks, including entering and reviewing orders, ensuring accuracy in patient and medication information. Support pharmacy operations by processing prescriptions and ensuring compliance with quality standards and regulations. Assist with general clerical tasks as needed to support daily operations. Maintain awareness of compliance standards, particularly in relation to HIPAA and privacy regulations. Collaborate with internal teams to ensure the timely resolution of any operational issues. Demonstrate excellent customer service, communication, and organizational skills in all tasks. Experience/qualifications: Knowledge of Drug classification and Drug-Drug Interactions Doctor of Pharmacy graduates (2023/2024/2025 pass-outs) Knowledge of sig codes Knowledge of MS Outlook, MS Word, MS Excel & Internet Explorer Excellent communication skills both verbal and written Comfortable working in night shifts (U.S. shift timings) Excellent customer service & telephone skills Ensure compliance with HIPAA regulations and requirements. Shift Timings: Night Shift (U.S. Timings) Working Days: 5 Days a Week Job Location: Hyderabad Office-based only How to Apply: Interested candidates can apply directly through Naukri or send their updated resume to career@staffingly.com.

Madurai HCL Tech is hiring candidates for PMS Analyst role. We are looking for candidates from B.E/B.Tech. Mechanical graduates who is interested in working for Medical domain. The 1st level of interview will be a Face to Face in Madurai office premises. Looking for candidates who passed out their Mechanical graduation with Engineering in 2022/2023/2024. Interested candidates please share us your updated resume along with the below details in mail to keeshouley.m@hcltech.com. Candidate Name: Candidate DOB: Graduation: Passed out year: Current location: Native location: Total Years of Experience: Relevant Years of Experience: Current CTC: Expected CTC: Notice Period: Interested to come for walk-in interview to Madurai premises: Regards, Keeshouley M

We Are Hiring || IVR Clinical Reviewer || Hyderabad || Up to 7 LPA|| HR SWETHA 9030360584|| Exp :- Min 1+ years exp as a Clinical reviewer into IVR Only Experienced certified coders Package :-Up to 7LPA Locations :- Hyderabad Work from office Reliving is Mandatory Notice period: Prefers Immediate joiners- 30 days Interested candidates can share your updated resume to HR SWETHA 9030360584 share resume via WhatsApp ) Refer your friend's / Colleagues

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

Urgent Requirements for Medical Transcriptionist Exp : 1 to 5yrs Salary : Upto 40k max Location : Bangalore Work from office Night shift Good communication skills Interested candidates send CV to Dharshan03110@gmail.com

Role & responsibilities: Analyzing and summarizing medical records for pre and post settlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. Daily reporting to Medical team lead for productivity & quality EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRE: MBBS graduate (No experience required) BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).

Ensure production & accuracy targets are met as per client expectation Daily learning & updating of changes in client protocols Utilize the AI tools effectively & process is efficient & effective Daily annotation records Required Candidate profile Freshers Any experience in nursing/ hospital/ annotation environment is advantage Strong verbal & written communication skill in English Strong Comprehension skills Good analytical

We Are Hiring || IVR Clinical Reviewer || Hyderabad || Up to 7 LPA Exp :- Min 1+ years exp as a Clinical reviewer into IVR Only certified coders *Package :-Up to 7LPA Locations :- Hyderabad Work from office Reliving is Mandatory Notice period:Prefers Immediate joiners- 30 days Interested candidates can share your updated resume to amounikaaxiservices@gmail.com HR Mounika - 9849854938 (share resume via WhatsApp ) Refer your friend's / Colleagues

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.