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1 - 6 years

2 - 7 Lacs

Bengaluru, Coimbatore

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Job Title: Hiring Certified Medical Coders Surgery & Orthopedic Coding Job Location: Bangalore(Work from office) Experience: Minimum 1+ years Employment Type: Full-time Job Description: Calpion Software is looking for experienced and certified Medical Coders specializing in Surgery and Orthopedic Coding. If you have a strong background in medical coding and compliance, this is an excellent opportunity to advance your career with us. Key Responsibilities: Review and assign accurate ICD-10, CPT, and HCPCS codes for Surgery and Orthopedic procedures. Ensure coding compliance with AAPC, AHIMA, and payer guidelines. Analyze medical records and provider documentation to verify the accuracy of coding. Work with healthcare providers and auditors to resolve coding discrepancies. Stay updated on changes in coding regulations and industry standards. Required Qualifications: Experience: Minimum 1+ years in Surgery and Orthopedic coding Certifications: CPC, CCS, or equivalent (Mandatory) Strong understanding of ICD-10, CPT, HCPCS, and medical terminology Familiarity with coding guidelines, reimbursement policies, and compliance regulations Why Join Us? Competitive salary & incentives Growth & learning opportunities Supportive work culture Interested can share a CV to mohammed.nasruddin@calpion.com Call - 8867786141 Thanks and Regards, Talent Acquisition Calpion Software

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0 - 4 years

3 - 6 Lacs

Hyderabad

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Overview: Medical Coder role primarily involves assigning ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to medical diagnoses and procedures. The coder will be responsible for accurately reviewing outpatient/inpatient medical charts and ensuring compliance with coding and customer guidelines while maintaining a high accuracy rate of 97% or above within set turnaround times. Key Responsibilities: Medical Chart Review & Coding : Assigning appropriate ICD-10 and CPT codes based on patient diagnoses and procedures. Compliance & Accuracy : Ensuring codes adhere to regulatory policies, guidelines, and customer-specific requirements. Claim & Documentation Review : Verifying medical documentation, identifying insufficient or unclear information, and following up with payers if needed. Quality Assurance : Maintaining high levels of coding accuracy (97%+) and keeping up with industry updates through coding meetings and training sessions. Research & Problem-Solving : Handling complex or unusual coding cases by searching for relevant information. Desired Skills & Qualifications: Experience in HCC Coding : Prior expertise in Hierarchical Condition Category (HCC) coding is a plus. Coding Experience: Required 1-3 years of experience in the field US Healthcare Knowledge : Understanding of US healthcare regulations, client-specific process rules, and compliance requirements . Technical Proficiency : Strong knowledge of ICD-10, CPT coding procedures, anatomy, physiology, and medical terminology . Communication Skills : Ability to communicate effectively both orally and in writing .

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5 - 10 years

10 - 15 Lacs

Chennai, Bengaluru, Coimbatore

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Looking for any Certified Medical coder with EM TL/Surgery TL/Surgery TL/Process Coach EM/Surgery - Sr.Auditor Immediate to 2 months Notice Flexible in Relieving letters & Gaps. Should have Team Handling Experience. Designated TL is mandatory Required Candidate profile Looking for any Certified Medical coder with EM TL/Surgery TL/ Sr.Auditor /Process Coach Immediate to 2 months Notice Should have Team Handling Experience. Designated TL is not Mandatory

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2 - 7 years

3 - 8 Lacs

Trivandrum, Bengaluru, Coimbatore

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Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225

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0 years

0 - 2 Lacs

Coimbatore

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Dear Candidates, Greeting from NTT DATA, We are happy to take your profile for a wonderful career with NTT DATA. The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Regards, Vishnu Kirupa J

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5 - 8 years

6 - 6 Lacs

Chennai

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Job Posting: Radiology Medical Coding Trainer Position: Radiology Medical Coding Trainer Location: CHENNAI - Velachery Experience Level: 5-8years of hands-on experience in medical coding(Atleast 1Year as Trainer) About Us: Based in India as Global Healthcare Billing Partners and in the U.S. as Global Healthcare Resource , our organization is a leading provider of business operations and outsourcing solutions to the U.S. Healthcare Industry. With state-of-the-art operations across our centres in Chennai, Atlanta, and Chicago , we offer innovative solutions for medical billing companies, healthcare providers, hospital systems, and payers. Our unique onsite-offshore model allows our clients to significantly reduce operational costs while enhancing quality and efficiency. We are currently seeking a Radiology Medical Coding Trainer to join our growing team. In this role, you will design and deliver training programs to ensure our coding team is up-to-date with the latest coding guidelines and compliance standards. Key Responsibilities: Training & Development: Design, develop, and deliver training programs for new hires, refresher courses, and advanced coding sessions. Assessments: Create assessments to measure coder proficiency in accuracy and speed, and provide actionable feedback. Collaboration: Partner with coding quality, operations, and compliance teams to align training with business objectives. Documentation: Maintain records of all training activities, assessments, and feedback provided to coders. Compliance: Ensure all training materials align with the latest CMS, AMA, and payer-specific guidelines. Qualifications: Education: Bachelors degree in healthcare, health information management, or a related field. Certification: Certified Professional Coder (CPC, CEMC) or equivalent certification. Experience: 5-8 years of experience in medical coding, with a specific focus on Radiology. Skills: Strong understanding of CPT, ICD-10-CM, HCPCS Level II codes, and payer policies (e.g., Medicare, Medicaid). Proficiency in Microsoft Office Suite and video editing tools. Excellent communication and presentation skills. Strong analytical, organizational, and problem-solving abilities. Ability to adapt training materials based on evolving regulatory standards. Why Join Us? Competitive salary and benefits Opportunity to influence and shape the training process for our coding team Collaborative and supportive work environment Global exposure with opportunities to work across international teams How to Apply: Please send your resume on the below details with given format BHAVANA HR - 89258 08595 "Radiology Medical Coding Trainer Application - [Your Name]" . We look forward to your application and the possibility of you joining our growing team!

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5 - 9 years

7 - 9 Lacs

Chennai

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Title: Subject Matter Expert Specialty: IP - DRG JOB DESCRIPTION : Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. EXPERIENCE : Minimum 3 to 5 years in multispecialty IP DRG coding. EDUCATIONAL QUALIFICATION : Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA. CIC certification preferred. PROFESSIONAL QUALIFICATION : 3+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD - 10 (CM & PCS) and DRG coding experience Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AHA guidelines. Provide documentation feedback to providers and query physicians when appropriate Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records. Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. Contact Details:- Saravanan R - 7010441909 Saravanan.r237@optum.com

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1 - 3 years

0 - 2 Lacs

Chennai

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In this Role you will be Responsible For : The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 2+ Year of experience in any Healthcare BPO _ ED PROFEE & FACILITY Good knowledge in ED coding + Procedure codes Should potent ability to role up into QC role. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekends basis business requirement.

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2 - 7 years

6 - 11 Lacs

Noida

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Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. 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 Required Qualifications: Graduate in any discipline Certified coder from AAPC/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine) Contact Details:- Shiva Dosapati 9640156092 dosapati_shiva@optum.com

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3 - 6 years

3 - 6 Lacs

Hyderabad

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Hi All, We infinx healthcare hiring EM medical coders for our medical coding department, interested candidates can apply via jeeviya.s@infinx.com.Please find the JD below. JD: Minimum 2yrs and maximum 5 yrs experience in EM coding is needed. CPC certification is mandate EM IP and OP coders can apply. Work from office - Madhapur,Hyderabad. Regards, HR Team.

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2 - 7 years

4 - 9 Lacs

Chennai, Hyderabad, Mumbai (All Areas)

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Role & responsibilities Hiring Alert! Medical Coders, QA & Trainers Required Coder Level ED Facility / Profee : Up to 48k TH (Hyderabad) Home Health Coding : Up to 60k TH (Work from Home) Surgery Coder : Up to 9 LPA (Chennai, Mumbai) IPDRG Coder : Up to 90k (Hyderabad, Chennai, Noida, Mumbai) Experience: Minimum 1 year in the respective specialties QA Level: • ED Facility QA Up to 65k (Chennai) • Surgery QA Up to 65k (Hyderabad) Experience: Minimum 3.6 years in the respective specialties Trainer Level: • ENM Trainer Up to 12 LPA (Hyderabad / Noida) • Surgery Trainer Up to 12 LPA (Hyderabad / Chennai) Experience: Minimum 1 year on/off paper trainer experience is mandatory Additional Details: Immediate joiners preferred Certification mandatory (CPC, CCS, COC, CIC, BCHH-C, etc.) Relieving not mandatory for coder & QA roles Interested candidates can contact: HR Sujitha - 8297250813 Preferred candidate profile Perks and benefits

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1 - 4 years

0 - 1 Lacs

Coimbatore

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In this Role you will be Responsible for: Should have experience in Radiology coding Should have CPC certificate. The coder reads the documentation to understand the patient's diagnoses assigned.Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codesCreating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities.The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 1+ Year of experience in Healthcare BPO in radiology medical coding - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend basis business requirements.It is Mandatory to return to office based on client or business requirement Interested candidate please share resume to pushpa.shanmugam@nttdata.com Contact : 9500802772

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1 - 3 years

2 - 7 Lacs

Bengaluru, Gurgaon

Hybrid

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Role & responsibilities Qualification Requirements Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). Additional experience in facility (OPPS/IPPS) coding experience is preferred Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred Experience and Skills Ability to work independently in a fast-paced remote environment with minimal supervision and guidance Ability to interact with management personnel Possess strong organizational skills and attention to detail Ability to adapt to changing priorities while managing a wide range of projects Adaptive and flexible to new ideas and change Advanced knowledge of medical terminology, anatomy, and pharmacology Advanced skills utilizing official coding resources for research and problem solving Advanced skills and knowledge of computers, use of required software to perform job functions Excellent written and communication skills and the ability to explain complex information

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0 - 5 years

1 - 6 Lacs

Bengaluru, Gurgaon

Hybrid

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Role & responsibilities BCBS MI Medical Coding JOB Description Qualification Requirements Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). Additional experience in facility (OPPS/IPPS) coding experience is preferred Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred Experience and Skills Ability to work independently in a fast-paced remote environment with minimal supervision and guidance Ability to interact with management personnel Possess strong organizational skills and attention to detail Ability to adapt to changing priorities while managing a wide range of projects Adaptive and flexible to new ideas and change Advanced knowledge of medical terminology, anatomy, and pharmacology Advanced skills utilizing official coding resources for research and problem solving Advanced skills and knowledge of computers, use of required software to perform job functions Excellent written and communication skills and the ability to explain complex information

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1 - 6 years

2 - 7 Lacs

Bengaluru, Gurgaon

Hybrid

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BCBS MI Medical Coding JOB Description Qualification Requirements Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). Additional experience in facility (OPPS/IPPS) coding experience is preferred Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred Experience and Skills Ability to work independently in a fast-paced remote environment with minimal supervision and guidance Ability to interact with management personnel Possess strong organizational skills and attention to detail Ability to adapt to changing priorities while managing a wide range of projects Adaptive and flexible to new ideas and change Advanced knowledge of medical terminology, anatomy, and pharmacology Advanced skills utilizing official coding resources for research and problem solving Advanced skills and knowledge of computers, use of required software to perform job functions Excellent written and communication skills and the ability to explain complex information IF ANYONE INTERESTED SHARE YOUR RESUME TO THE BELOW E-MAIL. vkc.bhimana@spsoftglobal.com

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1 - 6 years

4 - 7 Lacs

Bengaluru, Gurgaon

Hybrid

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Greetings for the day..!!!! We have an opportunity for Medical Coding Employment : SP Software Pvt. Ltd Client : CARELON GLOBAL SOLUTIONS Location : BANGALORE , GURUGRAM Below is the JD attached for your reference JOB Description Qualification Requirements Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA Minimum of 1-2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). Additional experience in facility (OPPS/IPPS) coding experience is preferred Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred Experience and Skills Ability to work independently in a fast-paced remote environment with minimal supervision and guidance Ability to interact with management personnel Possess strong organizational skills and attention to detail Ability to adapt to changing priorities while managing a wide range of projects Adaptive and flexible to new ideas and change Advanced knowledge of medical terminology, anatomy, and pharmacology Advanced skills utilizing official coding resources for research and problem solving Advanced skills and knowledge of computers, use of required software to perform job functions Excellent written and communication skills and the ability to explain complex information Thanks & Regards, SwathiRecruiter(TAG) Email ID-swathi.t@spsoftglobal.com

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5 - 9 years

4 - 8 Lacs

Pune

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Role & responsibilities Team Leadership & Management: Supervise, mentor, and manage a team of medical coders, ensuring high-quality performance and productivity. • Coding Compliance & Accuracy: Monitor and maintain coding accuracy, compliance with regulatory standards, and adherence to coding guidelines such as ICD-10, CPT, HCPCS, and CMS regulations. • Quality Assurance: Review regular audits of coded records to ensure accuracy and compliance, providing feedback and training as necessary. Process Optimization: Identify areas for improvement in coding workflows and implement process enhancements to improve efficiency. • Training & Development: Provide ongoing education and training to team members on coding updates, industry changes, and best practices. • Collaboration: Work closely with US Clients other stakeholders to resolve coding discrepancies and ensure seamless production. • Reporting & Analysis: Generate reports on coding productivity, accuracy rates, and trends, presenting findings to senior management. Regulatory Compliance: Stay updated with changes in federal, state, and payer-specific coding regulations and implement necessary updates. • Issue Resolution: Address and resolve escalated coding issues and denials efficiently • Serve as the primary point of contact for clients, ensuring professional and courteous communication. • Issue Resolution: Address and resolve escalated coding issues and denials efficiently.information. Required Skills and Qualifications: • Education: o Bachelors degree medical related field is preferred. Required Skills and Qualifications: • Education: o Bachelors degree medical related field is preferred. Certifications (Preferred): Must hold one or more relevant certifications such as CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician), CPMA. Experience: Minimum 5+ years of hands-on medical coding experience, with at least 2 years in a leadership or supervisory role. o Experience with various coding systems (ICD-10, CPT, HCPCS, etc.) and knowledge of medical terminology, anatomy, and physiology. o Oncology experience is a must. Perks and benefits Competitive salary and benefits, including health insurance and paid time off.

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2 - 4 years

3 - 6 Lacs

Bengaluru

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Role & responsibilities escription: BCBS MI Medical Coding JOB Description Essential Duties and Responsibilities • Reviews medical records to determine if specific disease conditions were correctly reported based on documentation. Reports findings of the data validation review in the data entry feature within the Reveleer Platform. • Follow the official coding guidelines including AHA Coding Clinic and other similar authoritative resources. • Ensures project activities are in compliance with applicable coding guidelines, government and federal regulations. • Regularly and consistently meet quality and productivity standards established by management • Maintain ongoing communication with management regarding coding workload, turnaround time expectations and deliverables. • Additional duties as necessary to meet the obligations to our clients. • Maintains at least 95% accuracy in all coding projects by researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s). Qualification Requirements • Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA • Minimum of 1+ years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). • Additional experience in facility (OPPS/IPPS) coding experience is preferred • Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred Experience and Skills • Ability to work independently in a fast-paced remote environment with minimal supervision and guidance • Ability to interact with management personnel • Possess strong organizational skills and attention to detail • Ability to adapt to changing priorities while managing a wide range of projects • Adaptive and flexible to new ideas and change • Advanced knowledge of medical terminology, anatomy, and pharmacology • Advanced skills utilizing official coding resources for research and problem solving • Advanced skills and knowledge of computers, use of required software to perform job functions Excellent written and communication skills and the ability to explain complex information

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1 - 6 years

2 - 6 Lacs

Dhule

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JOB DESCRIPTION Role: Medical Coder/QA Industry Type: Medical Services / Hospital Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Education : Any Graduate in life science background Job Role: The HCC Coder is responsible for accurately coding and validating diagnoses and procedures for Hierarchical Condition Categories (HCC) coding. This role plays a vital role in ensuring proper documentation and coding, which directly impacts reimbursement and compliance. The HCC Coder ensures compliance with coding guidelines, conducts audits, and provides education and support to the healthcare team. Responsibilities: • Analyse medical records to identify and assign appropriate ICD-10 codes for HCC coding • Review documentation to ensure accurate capture of all relevant diagnoses and procedures • Conduct comprehensive assessments of medical record documentation to ensure compliant coding • Collaborate with healthcare providers and medical coders to clarify documentation or obtain additional information as needed • Verify the accuracy and completeness of coded data, ensuring adherence to coding guidelines and conventions • Perform regular audits of coding quality, identifying trends, and recommending process improvements • Stay updated on coding guidelines, HCC coding updates, and reimbursement policies to ensure compliance. • Provide feedback and education to healthcare providers and staff on coding best practices and documentation requirements. • Maintain a high level of accuracy while meeting productivity targets and deadlines. • Collaborate with revenue cycle management and billing teams to resolve coding- related billing denials and ensure timely reimbursement • Maintain confidentiality and adhere to all HIPAA regulations and privacy guidelines. • Proficiency with coding software, electronic health records (EHR), and other relevant software applications Qualifications: Education: Bachelor's Degree in any life science Licences/Certifications: CPC/COC/CRC/CCS/CIC • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information. • 1+ years experience in HCC coding • Proficiency in ICD-10 coding, including HCC coding methodologies and Risk adjustment coding guidelines. • Knowledge of Medicare Risk Adjustment (MRA) and Hierarchical Condition Categories (HCC) coding concepts • Excellent written and verbal communication skills to interact with healthcare providers and staff

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5 - 9 years

7 - 9 Lacs

Chennai

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Title: Subject Matter Expert Specialty: E/M - OP Education Background: Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing Certification: Certified Coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P Primary Responsibilities: Review, analyze and interpret the entire electronic medical record for the current admission to identify all diagnoses and procedures documented during the admission Determine and assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows Analyze code assignment and sequence to assure proper assignment; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign Analyze medical record documentation for optimum severity of illness and risk of mortality scores Confirm Admission-Discharge-Transfer (ADT) information and correct when necessary Suggest and assist with workflow process improvements as appropriate. Participate in coding quality and productivity processes Identify topics of high priority for training and clarification and refer to the Supervisor/Manager Keep abreast of annual and periodic updates to the ICD-10 coding system and regulations to provide expert coding advice to colleagues 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 Secondary Responsibilities: Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results In-depth knowledge of complex medical and coding concepts encountered in an Academic Medical Canter Knowledge of, but not limited to, current Official Coding Guidelines and methodologies , the ICD-10-CM/PCS coding systems and conventions Knowledge of external auditing programs; ex.: Recovery Audit Contractor (RAC), Office of the Inspector General (OIG), third-party payors Understanding of interpreting the medications and dosages Good in English communication Proficient with Microsoft Office applications (Outlook, Word, Excel) Familiarity with the external reporting aspects of healthcare Demonstrates critical thinking skills, and ability to interpret, assess, and evaluate provider documentation Proven solid analytical thinking skills Proven to be self-motivated and demonstrated capacity to work independently without close supervision Proven ability to quickly analyze a situation, problem solve and prioritize Proven ability to provide proper and detailed feedback on errors and conduct/provide training based on error trends Proven ability to work flexible hours which may include weekends as required to meet business needs

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5 - 10 years

10 - 15 Lacs

Chennai, Bengaluru, Coimbatore

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Looking for any Certified Medical coder with EM TL/Surgery TL/ED TL/Process Coach Immediate to 2 months Notice Flexible in Relieving letters & Gaps. Should have Team Handling Experience. Designated TL is mandatory Required Candidate profile Looking for any Certified Medical coder with EM TL/Surgery TL/ED TL/Process Coach Immediate to 2 months Notice Should have Team Handling Experience. Designated TL is not Mandatory

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3 - 5 years

4 - 4 Lacs

Chennai

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Extracting key info Reviewing documents Assigning CPT, ICD-9/ICD-10 CM, APC, DRG, & ASA CODERS Ensuring adherence to medical coding policies Verifying code accuracy Staying updated on coding regulations Managing coding-related data

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2 - 4 years

4 - 4 Lacs

Chennai

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- Assigning CPT, ICD-9/ICD-10 CM, APC, DRG, & ASA CODERS - Ensuring adherence to medical coding policie - Managing coding-related data and billing - Must have one of the following certifications: CPC COC, CPC-P from AAPC, or CCS CCA from AHIMA

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