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10.0 - 15.0 years
14 Lacs
Bengaluru
Remote
Role & responsibilities Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness, and alignment with payer guidelines. Provide subject matter expertise to the ML development team, helping explain documentation requirements, billing logic, and workflow detailsparticularly within the Athena EHR platform. Identify edge cases and guide the creation of test cases and labeled datasets for model improvement. Perform quality assurance reviews and root-cause analysis of audit errors, offering structured feedback for continuous learning. Lead knowledge-sharing efforts across teams and support documentation of best practices. Preferred candidate profile
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
You will be joining Sinex Management Pvt Ltd, a company specializing in providing comprehensive medical billing and revenue cycle management services to healthcare providers. Your primary goal will be to optimize revenue, minimize claim denials, and streamline billing processes to allow medical professionals to focus on patient care. By leveraging the expertise of our billing specialists, you will ensure accurate claim submissions, timely reimbursements, and adherence to industry standards. Our tailored solutions cater to various healthcare settings, such as small clinics, group practices, and independent physicians, to enhance cash flow and reduce administrative burdens. Your role will be a...
Posted 3 months ago
2.0 - 7.0 years
3 - 8 Lacs
Chennai
Work from Office
Minimum 2+ Years of Experience in ED Professional Both Certified & Non certified Can apply Mode of Interview - Virtual & Walk In Looking for Immediate joiner preferred Salary - Best in Industry Work Location - Chennai Regards, Krish Hr 9342780488
Posted 3 months ago
2.0 - 4.0 years
3 - 5 Lacs
Chennai
Work from Office
Hiring for AR Calling - Chennai Walk-in Location: A1 Block, Ground floor, Gateway Office Parks, 16, GST Road, Perungalathur, Chennai - 600 063, Tamil Nadu. Contact us: Manikandan - 9551070726 -manikandan.ravi1@sutherlandglobal.com Sandhiya - 7550106180 - sandhiya.haridass@Sutherlandglobal.com Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and sur...
Posted 3 months ago
1.0 - 6.0 years
4 - 5 Lacs
Pune
Work from Office
Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424
Posted 3 months ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joi...
Posted 4 months ago
1.0 - 4.0 years
1 - 3 Lacs
Noida
Work from Office
Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits rec...
Posted 4 months ago
3.0 - 6.0 years
6 - 9 Lacs
Noida
Work from Office
Role & responsibilities Check the result of the automated coding solution and provide feedback regarding error in the AI engine. Submit the generated report through post-auditing within the 24-hr TAT. Improve the automated coding engine Knowledge of E&M and Surgery Coding
Posted 4 months ago
1.0 - 4.0 years
1 - 3 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Immediate Job Openings for EM Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in EM Medical Coding. Specialty : EM Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 32K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Pune - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek
Posted 4 months ago
1.0 - 5.0 years
1 - 5 Lacs
Chennai, Tiruchirapalli, Bengaluru
Work from Office
Immediate Job Openings for IP DRG Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IP DRG Medical Coding. Specialty : IP DRG Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek
Posted 4 months ago
1.0 - 5.0 years
1 - 5 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Immediate Job Openings for Surgery Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Surgery Medical Coding. Specialty : Surgery Medical Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Hyderabad/Trichy/Salem/Pune - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek
Posted 4 months ago
1.0 - 3.0 years
1 - 3 Lacs
Salem, Chennai, Tiruchirapalli
Work from Office
Immediate Job Openings for IVR Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IVR Medical Coding. Specialty : IVR Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 35K CTC Max Joining: Immediate Joiners only Location : Chennai/Trichy/Salem - WFO Interested candidates are encouraged to contact us immediately at 9566406546(also available on Whatsapp) or send your profile to kalaiyarasi.r@veehealthtek.com. Best Regards, Kalaiyarasi HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek
Posted 4 months ago
1.0 - 6.0 years
4 - 6 Lacs
Bangalore/Bengaluru
Work from Office
ESSENTIAL DUTIES AND RESPONSIBILITIES Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims ...
Posted 4 months ago
2.0 - 3.0 years
4 - 5 Lacs
Kochi, Ernakulam, Thrissur
Work from Office
Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...
Posted 4 months ago
6.0 - 10.0 years
9 - 14 Lacs
Mohali
Work from Office
Operations Team Lead Medical Coding | Cotiviti, Mohali Eligibility Criteria: Qualification : BHMS, BAMS, BUMS, MBBS, BPT, MPT with CPC/CIC/CCS certification (If not certified should be ready to complete within given timeline) Excellent communication. Should be TL on Papers for atleast 2 Years with Medical coding experience(Preferred IPDRG OR Multi specialty) Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, ICD-10-PCS etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general k...
Posted 4 months ago
1.0 - 3.0 years
2 - 5 Lacs
Chennai
Work from Office
Hiring for AR Calling - Chennai Walk-in Location: A1 Block, Ground floor, Gateway Office Parks, 16, GST Road, Perungalathur, Chennai - 600 063, Tamil Nadu. Contact us: Sandhiya - 7550106180 - sandhiya.haridass@Sutherlandglobal.com Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in using CPT range and modifiers for preci...
Posted 4 months ago
1.0 - 6.0 years
4 - 7 Lacs
Gurugram, Delhi / NCR
Work from Office
Hiring for SR AR Analyst for one of the Leading US Healthcare Company Location: Gurugram | Salary: Up to 7 LPA Req: Graduate with min 1 yr exp in AR Follow-ups Perks: Both side cabs Sat-Sun fixed off Apply at 9354076916 / 6291864166 Required Candidate profile Expertise in RCM (Revenue Cycle Management) AR calling and insurance follow-ups (Denials, Rejections, Appeals) Familiarity with CPT, ICD-10, and HCPCS codes Knowledge of HIPAA guidelines
Posted 4 months ago
1.0 - 6.0 years
4 - 9 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Exciting Career Opportunity at CorroHealth! We are currently hiring experienced and certified IVR Medical Coders to join our dynamic team across multiple locations. Position IVR Medical Coder Work Location NCR, Bangalore, Chennai, Hyderabad Mode: Work from Office Notice Period Immediate Joiners Preferred Notice Period Accepted: Up to 1 Month Eligibility Criteria Certification: Only CIRC Certification is mandatory Other Certification not eligible Experience: Prior experience in IVR medical coding is highly desirable Why Join Us? Competitive salary Best in the industry Opportunity to work with a leading healthcare solutions provider Collaborative and growth-oriented work environment Contact HR...
Posted 4 months ago
12.0 - 16.0 years
0 Lacs
hyderabad, telangana
On-site
Position Details Designation: Associate Vice President Reporting To: Vice President Department: Clinical Support Solutions - Coding Location: Hyderabad IKS Overview IKS Health is a leading Provider Enablement Platform that empowers healthcare providers to deliver better, safer, and more efficient care through a strategic blend of technology and expertise. Our solutions support provider groups in creating a physician-led, patient-centric care delivery model, allowing providers to be co-navigators of the patient's care journey. We aim to restore joy and viability to the practice of medicine by equipping providers with the necessary tools and resources to focus on what truly matterspatient care...
Posted 4 months ago
1.0 - 3.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Hiring for AR Calling - Manikonda, Hyderabad Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. Job Role 1. Reviewing and analyzing claim form 1500 to ensure accurate billing information. 2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. 3. Familiarity with payer websites to verify claim status, eligibility, and coverage details. 4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. 5. Proficiency in...
Posted 4 months ago
0.0 - 4.0 years
1 - 2 Lacs
Kolkata
Remote
Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty Denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead ...
Posted 4 months ago
1.0 - 3.0 years
4 - 8 Lacs
Chennai
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be 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 prioritiz...
Posted 4 months ago
0.0 years
1 - 2 Lacs
Chennai
Work from Office
Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are hiring Medical Coding Freshers with a Life Science background . Both CPC Certified and Non-Certified candidates are encouraged to apply. Eligibility: Educational Background: Life Sciences (e.g., B.Sc, M.Sc, B.Pharm, M.Pharm, Nursing, etc.) Certification: CPC certification is a plus, but not mandatory Freshers are welcome! Job Role: Review and analyze medical records Assign appropriate medical codes using ICD-10-CM, CPT, and HCPCS Ensure accuracy and compliance with coding standards If you are planning to come directly, please call and confirm your schedule in advance . Interested candidate contact or share your updated resum...
Posted 4 months ago
2.0 - 5.0 years
2 - 4 Lacs
Hassan
Work from Office
Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund
Posted 4 months ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426
Posted 4 months ago
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