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4.0 - 9.0 years

25 - 35 Lacs

Bengaluru

Remote

AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure output quality. Technical Execution: Build, fine-tune, and deploy models using PyTorch, TensorFlow, HuggingFace Transformers , and scikit-learn . Integrate LLM APIs for code summarization and document understanding. Implement vector search and orchestration platforms for real-time AI assistance. Role & responsibilities Preferred candidate profile

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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

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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 full-time on-site position based in Noida, India. Your responsibilities will include managing daily medical billing tasks, submitting claims accurately, following up with insurance companies, and upholding compliance with industry regulations. You will play a crucial role in reducing claim denials, facilitating timely reimbursements, and safeguarding data confidentiality as per HIPAA guidelines. Additionally, providing exceptional support and solutions to clients will be an integral part of your responsibilities. To excel in this role, you should have experience in medical billing, proficiency in CPT coding and claim processing, and adeptness in insurance follow-ups and reimbursement procedures. Your ability to ensure compliance with industry standards and HIPAA regulations, coupled with strong organizational skills and attention to detail, will be essential. Excellent communication, customer service, and problem-solving skills, along with a proactive approach to addressing client needs, will set you up for success. While relevant qualifications in medical billing or related fields are preferred, your willingness to work on-site in Noida, India is paramount for this position.,

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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

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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 surgery. 5. Proficiency in using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .

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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

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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 Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)

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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 received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)

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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

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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

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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

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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

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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

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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 or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Performs other duties as assigned. MINIMUM JOB REQUIREMENTS Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Possession of a current Certified Professional Coder (CPC) issued by the American Academy of Professional Coders preferred. Two (2) years of medical coding experience is required, or the; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills/Abilities: Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

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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 root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). Appeals - - Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP - Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOBs for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes

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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 knowledge of medical procedures, conditions, illnesses, and treatment practices Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. Should be good with MS-Office. Should be ready to work in shifts. Interested & eligible candidates can send their resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

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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 precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland. 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .

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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

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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: Name: Vinitha Phone: +91 91500 46898 Email: vinitha.panneer@corrohealth.com

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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. As an integrated Provider Enablement Platform, IKS Health is the go-to resource for providers and organizations looking to scale effectively, improve quality, and achieve cost savings through innovative technology and solutions. Our care delivery processes and business solutions are driven by four interrelated Feature Clusters: 1. Revenue Optimization Services: Comprehensive financial solutions maximizing revenue and minimizing collection costs. Key offerings include Revenue Cycle Management (RCM), Denial Prediction Engine, and Real-time Adjudication. 2. Clinical Support Solutions: A suite of services designed to improve clinical outcomes and patient satisfaction while lowering medical costs. Services include Synchronous & Asynchronous Scribes, IKS AssuRx, and Coding Solutions. 3. Value-Based Care: Solutions focused on achieving better outcomes and greater value, including Risk & Quality Optimization and Care Coordination. 4. Digital Health Solutions: Platforms that leverage technology for data-driven value across the care continuum, including IT asset management and bespoke solutions. IKS Health currently impacts over 35,000 physicians in leading U.S. health systems, with plans to expand further in the coming years. Profile Description The Associate Vice President of Coding will be responsible for ensuring that the operations of IKS Coding meet or exceed client requirements and operate efficiently. This role will lead the coding Line of Business, focusing on scalability and industry best practices. Key Responsibilities Operations Management: - Ensure operations deliver as per SLAs for all aligned accounts. - Manage end-to-end transitions and migrations of new accounts. - Collaborate with clients and internal teams for efficient operations execution. - Drive process improvements to bridge identified gaps. - Maintain budgeted headcount and manage invoicing accuracy. - Conduct data analysis and prepare dashboards for client calls. - Collaborate with sales to design new offerings and drive revenue. People Management: - Provide direction and support to the coding team. - Foster a meritocratic work environment and boost employee morale. - Identify training needs and ensure comprehensive employee development. - Oversee performance management, especially for bottom quartile employees. - Manage hiring decisions and attrition mitigation strategies. Client Engagement: - Prepare reports and dashboards for clients and senior management. - Partner in the implementation and transition of new accounts. - Maintain high customer satisfaction levels. Financial Accountability: - Oversee overall P&L for the coding vertical, including revenue forecasts and budgeting. Functional Competencies - Strong expertise in ICD-10 and CPT coding; familiarity with specialties preferred. - In-depth understanding of coding guidelines and RCM cycle in U.S. healthcare. - Proven ability to lead and mentor large delivery teams. - Strong client management and process improvement skills. - Knowledge of handling P&Ls and budgets at the account level. Education & Experience - Bachelor's degree in any field; AHIMA/AAPC certification required. - Preferred qualifications include BPT, MPT, nursing degrees, or relevant health sciences. - Minimum 12 years of experience in core coding operations, including coding audits and client management. - Experience managing P&L at the business or account level is essential. Join us at IKS Health and play a pivotal role in transforming healthcare delivery!,

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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 using CPT range and modifiers for precise coding and billing. 6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. 7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: - 1 Should be a complete Graduate. 2. Comfortable to Sign a Retention Period. 3. Minimum of 2 years of experience in physician revenue cycle management and AR calling. 4. Basic knowledge of claim form 1500 and other healthcare billing forms. 5. Proficiency in medical coding tools such as CCI and McKesson. 6. Familiarity with payer websites and their processes. 7. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. 8. Understanding of Clearing House systems like Waystar and e-commerce platforms. 9. Excellent communication skills. 10. Comfortable to Work in Night Shifts. 11. Ready to join immediately Timings & Transport 1. Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills. 2. Two Way Cab Facility will be provided with in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am 4. Complete Night Shifts (6:30 PM 3:30 AM) IST. 5. FIVE DAYS WORKING (MONDAY FRIDAY) & SATURDAY, SUNDAY WEEK OFF. 6. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Provides Night shift Allowance 2. Saturday and Sunday Fixed Week Offs. 3. Self-transportation bonus upto 3500. Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com " .

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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 by demonstrating the highest standards of ethical behavior. * Reporting your performance to the team head according to the requirements. * Eager to learn new things. * Passionate. * Enthusiastic. * Quick Learner. * Eager to contribute to the organization. Desired Candidate Profile and Requirements - * Dual-monitor computer with a webcam. * Good Internet/Wi-Fi connection. * Candidate should have advanced computer knowledge of MS Excel, MS Word, Google Drive, email writing, etc. * Candidates should be familiar with US medical insurance and claims processing cycles after joining. * The candidate should be flexible with the work and give the productivity per the requirements. Job Requirements: To be considered for this position, applicants need to meet the following qualification criteria: Job Benefits & Perks Health Insurance. 5 days of work. Employee Development Plans. Paid sick days. Office Perks. Salary Hikes Friendly & Healthy Environment. Cooperative Teams. Annual Leave. Increasing employee engagement. Boosting morale, positivity, and enthusiasm. Education UG: Any graduate or undergraduate. We need candidates who are comfortable on the night shift. Week off: Saturday & Sunday off. ****CANDIDATE SHOULD HAVE A FLUENT AND EXCELLENT COMMUNICATION SKILLS IN ENGLISH. **** Shift timings: 06:30 PM to 03:30 AM. WORK FROM HOME. **The candidate should be completely comfortable with the US Voice Process.** This is a B2B, USA-based healthcare process. The candidates will be responsible for contacting the insurance company on behalf of the doctor/hospital to check the status of the claim and reimbursement. Regards, HR Department MED GLOBE HEALTHCARE SERVICES

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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 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 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 Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Fresher & 7+ months of experience in Medical coding Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.

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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 resume to 8925808595 [Whatsapp] Regards Bhavana 8925808595

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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

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