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1.0 - 5.0 years
3 - 6 Lacs
Hyderabad
Work from Office
Roles and Responsibilities Accurately code medical records using ICD-10-CM/PCS, CPT, HCPCS codes. Ensure compliance with AAPC guidelines for coding accuracy and completeness. Review and edit medical records to ensure accurate diagnosis and procedure coding. Maintain confidentiality of patient information at all times. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding. Desired Candidate Profile 1-5 years of experience in medical coding (ICD-10-CM/PCS & CPT). Strong knowledge of anatomy, physiology, pathology, pharmacology, and medical terminology. Proficiency in AAPC certification preferred; CPC certified candidates will be considered. Intereste...
Posted 4 months ago
1.0 - 4.0 years
2 - 3 Lacs
Hyderabad
Work from Office
Responsibilities: * Manage AR calls, denials & appeals * Meet revenue cycle targets * Execute RCM processes from start to finish * Authorize claims & manage exceptions * Handle medical billing tasks with accuracy Health insurance Provident fund
Posted 4 months ago
0.0 - 2.0 years
1 - 4 Lacs
Kochi, Chennai, Coimbatore
Work from Office
Job Description Job Title: Medical Coder Experience: 0 to 2 Years Location: Kochi Employment Type: Full-Time Shift: Day / Night Shift (Based on Business Requirement) Salary: Best in the Industry Job Summary: We are seeking highly motivated individuals to join our medical coding team. The ideal candidate will be responsible for reviewing and accurately coding diagnoses using ICD-10-CM for risk adjustment purposes in compliance with CMS guidelines. Key Responsibilities: Review and analyse patient medical records to assign accurate ICD-10-CM codes for HCC. Ensure compliance with federal coding regulations and company policies. Abstract relevant clinical information from medical records. Partici...
Posted 4 months ago
1.0 - 5.0 years
2 - 6 Lacs
Noida
Work from Office
Job Opening: Denial Medical Coder (CPC Certified) Location: Noida, India Experience: 1+ Years Certification Required: CPC (AAPC Certified) About the Role: We are seeking a skilled and detail-oriented Denial Medical Coder with over 1 year of experience to join our dynamic healthcare team in Noida. The ideal candidate will be CPC certified and have a strong understanding of denial management, coding guidelines, and insurance claim processes. Key Responsibilities: Analyze and resolve denied medical claims. Review and code medical records using ICD-10, CPT, and HCPCS codes. Ensure compliance with federal regulations and coding guidelines. Collaborate with billing teams to resubmit corrected clai...
Posted 4 months ago
1.0 - 6.0 years
1 - 6 Lacs
Pune, Chennai, Coimbatore
Work from Office
Dear Coder's, Greetings from Access healthcare Huge hiring for Experienced & Certified Coders/Senior Medical coders/SQ's (No freshers) CERTIFICATION IS MANDATORY Minimum 1 year experience needed Salary as per market standards Only for certified coders Relieving letter is not mandatory Preferably Immediate joiner's 10-15 days' notice period acceptable, Required Specialty : Denial - Chennai, Coimbatore, Pune WFO/WFH E/M OP Coder - Chennai WFH, Coimbatore WFO, Pune WFO E/M OP TO DENIAL- Coder - Chennai, Coimbatore, Pune WFO Surgery - Chennai, Coimbatore, Pune WFO ED Facility - Chennai WFH, Coimbatore WFO, Pune WFO Interview Mode: Virtual. Work mode : WFO/WFH both available. Contact: HR SAMEEMA-...
Posted 4 months ago
16.0 - 26.0 years
25 - 40 Lacs
Pune
Work from Office
Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you! Summary: We are currently seeking an AVP Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance ...
Posted 4 months ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst - Charge Entry & QC - Payment Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, T...
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
1.0 - 5.0 years
3 - 8 Lacs
Bengaluru
Work from Office
Role & responsibilities : Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines Preferred c...
Posted 4 months ago
4.0 - 6.0 years
6 - 16 Lacs
Noida, Gurugram
Hybrid
Job Description: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of 'As Is' and 'To Be' processes to develop solution Comply with the terms and conditions of the emplo...
Posted 4 months ago
4.0 - 9.0 years
4 - 8 Lacs
Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written a...
Posted 4 months ago
4.0 - 9.0 years
4 - 8 Lacs
Noida, Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written a...
Posted 4 months ago
0.0 - 3.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collectio...
Posted 4 months ago
0.0 - 3.0 years
2 - 5 Lacs
Pune
Work from Office
Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collectio...
Posted 4 months ago
0.0 - 3.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Review the providers claims that the insurance companies have not paid. Follow-up with Insurance companies to understand the claims status - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, prepare appeal packets for submission to payers. Based on the responses/ findings, make the necessary corrections to the claim, and re-submit/ refile as the case may be Document actions taken into the claims billing system. Meet the established performance standards daily. Improve skills in CPT codes and DX Codes. Make collectio...
Posted 4 months ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: AR Caller (Denial Management) 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 AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426
Posted 4 months ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: AR Caller (Denial Management) 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 AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426
Posted 4 months ago
3.0 - 7.0 years
2 - 5 Lacs
Noida
Work from Office
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transforming the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.:Role- Medical CoderWe are looking to hire an ex...
Posted 4 months ago
0.0 - 1.0 years
2 - 5 Lacs
Chennai
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of en...
Posted 4 months ago
0.0 - 1.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of en...
Posted 4 months ago
1.0 - 6.0 years
3 - 8 Lacs
Hyderabad, Bengaluru
Work from Office
About R1 RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM expert...
Posted 4 months ago
4.0 - 7.0 years
3 - 7 Lacs
Hyderabad
Work from Office
Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of en...
Posted 4 months ago
1.0 - 6.0 years
1 - 5 Lacs
Chennai
Work from Office
About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts t...
Posted 4 months ago
1.0 - 6.0 years
2 - 6 Lacs
Hyderabad
Work from Office
About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts t...
Posted 4 months ago
0.0 - 2.0 years
1 - 2 Lacs
Ariyalur, Kumbakonam, Tiruchirapalli
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS, BDS, BHMS, BAMS, BSMS, PHARMACY B.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020 -2024 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analys...
Posted 4 months ago
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