1807 Cpt Jobs - Page 11

Job Family Coding OP (India) Travel Required None Clearance Required None What You Will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience And Skills Minimum Experience: 3-4 years' experience. AAPC/AHIMA certification Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. What Would Be Nice To Have Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, exposure to radiology , ancillary worktypes. What We Offer Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

1. Accurate review and post charges for medical services provided by healthcare providers. 2. Analyze patient encounter documentation such as super bills, operative reports and medical reports to ensure accurate charge capture and appropriate code assignment. 3. Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding related issues before charge posting. 4. Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulation (e.g., Medicare, Medicaid). 5. Maintain high accuracy in charge entry, minimizing errors and discrepancies. 6. Meet or exceed established productivity and timeliness targets for charge posting. 7. Prioritize workload effectively to ensure timely and accurate charge entry. 8. Maintain accurate records and metrics related to charge posting activities. 9. Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators. Skill Set Required: · Prior experience in charge posting or healthcare revenue cycle management. · Good understanding of medical billing, coding and reimbursement processes. · Knowledge of medical terminology, CPT, HCPCS and ICD coding system. · Familiarity with insurance payer guidelines, including Medicare and Medicaid. · Proficient in using healthcare billing systems and electronic medical record (EMR) software. · Strong attention to detail and accuracy. · Excellent analytical and problem solving skills. · Effective communication and interpersonal skills. · Familiarity with HIPAA regulations and compliance requirements. · Candidate with Bachelor’s degree or equivalent is preferred. Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Benefits: Food provided Schedule: Day shift Rotational shift US shift Supplemental Pay: Overtime pay Shift allowance Ability to commute/relocate: Saibaba Colony, Coimbatore, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. We are an Equal Opportunity Employer. No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender, marital or family status, color, race, ethnic origin, religion, disability or age; nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law. For more information, please explore Veradigm.com. What Will Your Job Look Like Responsible to know and facilitate specific accounts and their unique attributes in order to successfully provide customized Our organizations RCS for each account. This is a dual position with its own workload along with oversight to train, audit and monitor the group for accurate procedures and turnaround. Ensure workflow, including collecting payments stays current and on track with regards to insurance carriers, patients, clients and internal interactions. Supports the overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results. Main Duties Strong customer service skills for client satisfaction, health of client AR and guidance for RCS team members Answers client calls: prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally. Acts as initial point person for team regarding technical work questions/processes/procedures to provide training/guidance. Escalates issues to RCS Management related to clients and staff. Trains individuals on systems and workflow in order to ensure protocols are followed. Reviews and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date. Runs, reviews and works unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls. Prepares insurance/patient correspondence for coworkers by reviewing and batching for further attention and review. Prepares and sends uncollected patient payments to collections by writing up forms for the doctors to review. Reviews and works insurance and patient overpayments, prepare refund request and send to doctor's office. Answers phone calls from insurances and patients. Organizes, identifies and improves workflow with team members/Management through daily and weekly productivity reports and reports challenges and concerns and requests need for assistance to RCS Management. Ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, AR Specialist and RCM Specialist roles. Keeps manager informed of progress, achievements and issues; assist staff with processes, information and workload. Achieve goals set by management and compliance requirements. Follows, and models adherence to all policies, procedures and processes. Other duties as assigned. Academic Qualifications 3+ years relevant work experience (Preferred) An Ideal Candidate Will Have Compliance Job responsibilities include fostering the Company’s compliance with all applicable laws and regulations, adherence to the Code of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone’s responsibility. Knowledge, Skills And Abilities Knowledgeable of CPT and ICD coding and medical terminology Extensive knowledge with email, search engines, Internet, ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro, Epic and others Knowledge of CPT, ICD10 and modifiers. Experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery Familiar with HMO and IPAs, Medicare Fee for Service Plans and Commercial Payers Strong communication skills Work Arrangements: Work from Pune Office all 5 days. Shift Timing: 7:30 PM IST to 4:30 AM IST (US Shift) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Peer-based incentive “Cheer” awards “All in to Win” bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/ Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!

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

Job Title: Business Analyst – Healthcare Products Experience: 3–5 years Location: Trichy Employment Type: Full-time Job Summary: We are seeking a highly motivated Business Analyst with 3–5 years of experience, preferably in the healthcare products or healthtech domain . The ideal candidate will bridge the gap between business stakeholders and technical teams, focusing on requirements gathering, process improvements, and delivering product features that meet healthcare compliance and user expectations. Key Responsibilities: Work with product managers, stakeholders, and development teams to gather, analyze, and document business requirements related to healthcare products or platforms. Conduct gap analysis, feasibility studies, and workflow mapping for new and existing healthcare solutions. Translate business needs into detailed functional specifications, user stories, and process flows. Support Agile/Scrum teams through backlog grooming, sprint planning, and user acceptance testing (UAT). Collaborate with QA teams to define test cases and ensure delivery aligns with business goals and healthcare regulations. Identify opportunities for process improvements within the healthcare ecosystem. Ensure solutions comply with healthcare standards like HIPAA, HL7, FHIR, etc. (as applicable). Communicate clearly and effectively with stakeholders at all levels. Required Skills & Qualifications: 3–5 years of experience as a Business Analyst, preferably in the healthcare domain (payer, provider, EHR, medical devices, insurance, etc.) . Strong understanding of healthcare workflows , terminology, and regulatory environments. Experience with requirements gathering, BRD/FSD creation , and Agile methodology . Familiarity with FHIR/HL7 , ICD/CPT codes, or healthcare compliance frameworks is a plus. Proficiency in tools like JIRA, Confluence, Visio, MS Excel , etc. Excellent verbal and written communication skills. Bachelor's degree in Business Administration, Health Informatics, Computer Science, or a related field.

Job Title: Bench Sales Recruiter Location: onsite (Hyderabad, Andhra Pradesh) Job Description: We are looking for an experienced Bench Sales Recruiter to join our team. The ideal candidate should have a strong understanding of the US staffing market and experience in handling full-cycle recruitment. As a Bench Sales Recruiter, you will be responsible for marketing and placing IT consultants on various client requirements. Key Responsibilities: Market available bench consultants (H1B, OPT, CPT, EAD, GC, USC) for contract positions with vendors and direct clients in the US. Build relationships with Tier 1 vendors and direct clients to place consultants in IT positions. Understand client requirements and match consultant skills with job requirements. Develop and maintain a network of contacts to identify and source qualified consultants. Negotiate contracts, rates, and other terms with vendors, clients, and consultants. Post resumes on job portals such as Dice, Monster, LinkedIn, and other social media platforms. Follow up regularly with clients and consultants for feedback and interviews. Provide prompt and accurate reporting on placement and consultant marketing activities. Qualifications: 1+ years of experience in Bench Sales recruiting in the US IT staffing market. Strong knowledge of US tax terms (W2, 1099, and C2C). Familiarity with visa types and work authorization in the US (H1B, EAD, OPT, CPT, etc.). Excellent communication and negotiation skills. Proven ability to build strong professional relationships with consultants and vendors. Hands-on experience with job portals, social media recruiting, and email marketing tools. Ability to work in a fast-paced environment with minimal supervision. Preferred Skills: Experience in handling multiple consultants and placing them across various technologies such as Java, .NET, AWS, DevOps, etc. Strong understanding of vendor relationships and market strategies. Proficiency in using Applicant Tracking Systems (ATS) and maintaining accurate records. Work Schedule: Ability to work US hours (Night shifts, IST). Compensation: Competitive salary and performance-based incentives.

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

Training Design and deliver training programs on ICD-10-CM , CPT , and HCPCS coding systems Create instructional materials like handbooks, presentations, and online modules Track performance metrics and maintain detailed training records

Job Description: Outpatient Clinical Documentation Improvement (CDI) Specialist: Position Summary: The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities: · Documentation Review: Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. · Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. · Query Process: Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. · Coding Support: Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. · Compliance: Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. · Data Analysis: Monitor and analyze documentation trends to identify opportunities for improvement in clinical documentation processes and provider education. · Quality Improvement: Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications: Education: Science Graduate or Postgraduate. Experience: Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills: Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “ Outpatient CDI Specialist Application ” in the subject line.

We are seeking dynamic and motivated Bench Sales Recruiters (Freshers) to join our team. The ideal candidate should be eager to learn, have excellent communication skills, and be comfortable working in a fast-paced, target-driven environment. Job Summary : The Bench Sales Recruiter will be responsible for marketing our W2 consultants (US Citizens, Green Card holders, H1B, and EADs) to clients, implementation partners, and direct vendors. This role involves daily interaction with account managers, hiring managers, and vendors. Key Responsibilities : Market qualified bench consultants (W2) to existing and new client requirements. Maintain relationships with implementation partners and prime vendors. Submit consultants to suitable job requirements with a quick turnaround. Negotiate rates with vendors and clients. Track and maintain consultant submissions and interview status. Prepare and revise consultant resumes to align with job descriptions. Coordinate interview schedules and follow up on interview feedback. Maintain database of consultant availability, skills, and preferences. Ensure prompt onboarding of placed consultants. Required Qualifications : 2–4 years of experience in US IT Bench Sales Recruiting. Strong knowledge of various IT technologies and roles. Experience working with third-party vendors and implementation partners. Excellent communication and negotiation skills. Ability to multitask and work in a fast-paced environment. Familiarity with job portals like Dice, Monster, LinkedIn, Indeed, etc. Hands-on experience with ATS and CRM systems. Must be self-motivated and target-oriented. Preferred : Prior experience working with OPT/CPT, H1B, and EAD candidates. Understanding of US immigration and work authorization statuses. Experience with VMS/Direct Client marketing.

Designation: Vice President / Associate Vice President Department: Medical Coding Operations Job Location: Navi Mumbai Work from office JD: Specialties: Operations and Performance management Migrations / Setup start-up projects Planning & Budgeting revenues and controls Client Relationship Management Process and people related change management. Farming within existing engagements Key Responsibilities: Handling P&L Management, Service Delivery, Client Relationship, and Internal Stakeholder Management Heading the offshore Service delivery of Multi-specialty Coding Implement programs to ensure attainment of business plan for growth and profit. Provide directions and structure for operating units. will be responsible for designing, setting up and managing a process excellence/quality framework for that ensures that our coders deliver high quality of work. Work with delivery and training functions to create feedback loops from quality assessment to training and operations management. Implement improved processes and management methods to generate higher ROI and workflow optimization. Provide mentoring and guidance to subordinates and other employees. Responsible for managing multiple accounts. Looking after end to end management of program covering multiple work streams with a total span. Facilitating process re-engineering and improvements to enhance customer engagement. Generating new prospects for the organization to showcase capabilities. Ensuring attrition control & job enrichment at process levels Required Skillset: 15+ years in Medical Coding with current role as Director or Above or equivalent to managing operations team of medical coding Must have handled outpatient Coding / Inpatient Coding team Education : Any Graduate or Life Science Graduate Interested candidate can share their profile on anandi.bandekar@gebbs.com

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Essential Functions and Tasks: Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Education and Experience Requirements: High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials. Knowledge, Skills, and Abilities: Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic touch 10 key skills. Basic Math skills. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly. Essential Functions and Tasks: Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. Perform MIPS review as needed. Perform Provider QA as needed. Document coding errors. Assist coding management. Assist with client/provider audits as needed. Assist with reviewing work product of new coders in training, as needed. Provides feedback to coders on coding discrepancies/deficiencies, as needed. Provides feedback to coding manager on documentation deficiencies in a timely manner. Respond to questions from designated coders. Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy. Education and Experience Requirements: High School diploma or equivalent. RHIT and/or CPC required. At least one (1) year of medical billing preferred. 2023 MDM Guidelines required. Knowledge, Skills, and Abilities: Understand the use and function of modifiers in CPT. In-depth knowledge of CPT/ICD-10 coding system. Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures. Ability to read, understand, and apply state/federal laws, regulations, and policies. Ability to remain flexible and work within collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Knowledge of the requirements of medical record documentation. Knowledge of medical terminology and anatomy. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic knowledge of Outlook, Word, and Excel. Become proficient in the use of billing software within 4 weeks and maintain proficiency. Understand and comply with company policies and procedures. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Job Description Position: Medical Coder - Work from Home Ct: HR KAMATCHI - 8925264660 Job Description:Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis (Medical Problems) and Procedure (Treatments) Codes using ICD-10 CM and CPT code books. Requirement knowledge in Anatomy and Physiology Good communication and interpersonal skills Basic Computer Skills No of vacancy: 500 Eligibility Nursing GNM/DGNM Life science graduates Pharmacy Physician assistant Bio medical Engineers Bio chemistry Bio technology Bio informatics Micro biology Zoology and Advanced zoology Biology Botany Plant biotechnology Genetics Food and Nutrition Paramedical Physiotherapy M.Sc. Clinical Nutrition M.Sc. Human Genetics M.Sc. Medical Laboratory Technology M.Sc. Medical Sociology M.Sc. Epidemiology M.Sc. Molecular Virology M.Sc. Biostatistics M.Sc. Blood Banking Technology M.Sc. Rgnerative Medicine M.Optom. M.Sc. Genetic Counseling M.Sc. Radiolog Imaging Technology M.Sc. Medical Biochemistry M.Sc, Medical Microbiology M.Sc. Clinical Care Technology M.Sc. Clinical Care Technology M.Sc. Medical Physics B.Sc. - Accident Emergency Care Technology B.Sc. - Audiology speech Language Pathology B.Sc. - Cardiac Technology B.Sc. - Cardio Pulmonary Perfusion Care Technology B.Sc. - Critical Care Technology B.Sc. - Dialysis Technology B.Sc. - Neuro Electrophysiology B.Sc. - M.L.T. B.Sc. - Medical Sociology B.Sc. - Nuclear Medicine Technology B.Sc. - Operation Theatre Anaesthesia Technology Bachelor of Science in Optometry B.Sc. - Physician Assistant B.Sc. - Radiology Imaging Technology B.Sc. - Radiotherapy Technology B.Sc. - Medical Record Science B.Sc. - Respiratory Therapy B.Sc. - Fitness and Lifestyle Modifications Accident Emergency Care Technology Critical Care Technology Nursing Aide Operation Theatre Anaesthesia Technology Ophthalmic Nursing Assistant Medical Record Science Optometry Technology Radiology Imaging Technology Medical Lab Technology Cardiac Non Invasive Technology Dialysis Technology Dentist Salary 15K to 17K (fresher) To 50K (experienced) Pm (Incentives Benefits as per Corporate Standards) 4K fixed hike after six months Other Benefit Pick Up Drop Facility Food Facility Day Shift Weekend Off Reach Us HR KAMATCHI 8925264660 Required Candidate profile Nursing Freshers Pharmacy Freshers Physiotherapy Dentist Life sciences Biotechnology Microbiology Biomedical Biochemistry Bioinformatics Botany Zoology GNM DGNM Physician assistant Anesthesia technician Perfusion Technology Medical coder Freshers Medical coding Freshers jobs in chennai Medical coding openings in chennai Wanted Medical coder Freshers jobs Medical coding Medical coder Medical coding Freshers Jobs in chennai Jobs for Passed outs Freshers jobs in chennai Jobs for freshers Nursing jobs for freshers Pharma jobs for Freshers Biotechology Jobs Microbiology jobs Biomedical jobs Bioinformatics jobs Bsc/Msc Jobs Biochemistry jobs Life science jobs in chennai Paramedical jobs in chennai Jobs in Tamilnadu Jobs in Pharmacy Jobs in Hospital Perks and Benefits Incentives Benefits as per Corporate Standards This job is provided by Shine.com

You should have at least 3 years of hands-on experience in Interventional Radiology coding and be proficient in reviewing and interpreting complex interventional radiology reports to accurately assign codes for procedures and diagnoses. As an Interventional Radiology Medical Coder, your responsibilities will include applying appropriate CPT, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures. It is essential to stay updated with IR coding guidelines, CPT changes, and compliance regulations. You will also be required to support internal and external audits by providing detailed coding rationale and documentation. The ideal candidate for this position should hold a Certified Professional Coder (CPC) or CIRCC certification, with a strong preference for candidates with MIPS Coding experience. Additionally, familiarity with radiology workflow, RIS/PACS systems, and coding tools is beneficial. A comprehensive understanding of CPT, ICD-10-CM, and HCPCS Level II codes is essential for this role.,

Company Description Medusind is a leading company in medical and dental billing and revenue cycle management. Our team of experts provides dedicated services and transparent data tracking to help organisations maximise revenue and reduce operating costs. We utilise powerful technology solutions and client-focused services to improve the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators. With over 3,000 dedicated employees and 12 locations across the US and India, we serve more than 6,000 healthcare providers across various specialities. Medusind is ISO 27001 certified and HIPAA compliant. Role Description This is a full-time on-site role for an AR Executive in Ahmedabad, responsible for managing accounts receivable, including billing, follow-ups, and collections. The role requires coordinating with insurance companies, patients, and internal departments to resolve billing issues and ensure timely payments, while maintaining accurate transaction records and generating reports on account status. Key tasks include performing pre-call analysis, maintaining documentation on client software, assessing and resolving enquiries, and providing accurate product/service information. The AR Executive will analyse accounts receivable data to identify reasons for underpayment and denial issues. Qualifications 1- 2 years of experience in accounts receivable follow-up and denial management for US healthcare customers. Strong verbal communication skills and call centre experience preferred. Knowledge of denials management, A/R fundamentals, and healthcare terminology, including ICD/CPT codes, is a plus. Night shift availability required. Basic computer skills are necessary; prior experience in a medical billing company and familiarity with medical billing software are an advantage. Training on the client's software will be provided.

Job Category Job Type: Job Location: Jayanagar Bangalore Salary Years of Experience: Key Responsibilities Analyze and interpret concepts to ensure accurate configuration in line with medical coding, billing, and reimbursement guidelines. Analyze medical coding, reimbursement guidelines and configure logic to support accurate concept execution. Conduct in-depth reviews of contracts, policies, and federal/state regulations to formulate edit requirements. Apply industry coding guidelines to claims processes effectively. Demonstrate experience in analyzing and resolving coding issues for payment integrity purposes. Analyze, develop, and implement system configurations. Collaborate with subject matter experts (SMEs) and technical teams to translate regulatory and policy requirements into functional edit specifications. Translate editing logic into platform configurations with support from SMEs, and stakeholders to ensure clear understanding and configuration of concepts. Collaborate with cross-functional teams to assess configuration needs and implement appropriate solutions. Assist in developing and maintaining payment integrity policies and procedures. Review configurations to ensure completeness and accuracy based on the medical coding and billing guidelines. Troubleshoot and perform root-cause analysis for edit logics not functioning as intended. Effectively pinpoint configuration discrepancies and ensure concepts are deployed successfully and on schedule. Audit and validate concepts against healthcare guidelines; identify and address gaps with upstream teams. Conduct rigorous testing to verify concept accuracy and performance across outpatient, professional, and inpatient claim scenarios adhering to the coding guidelines. Perform acceptance testing to validate configuration accuracy. Stay updated with industry regulations and compliance requirements to ensure the configuration process adheres to relevant standards. Perform duties independently with a high level of accuracy and professionalism. Exhibit detail-oriented mindset with a focus on quality and accuracy in concept configuration & testing. Familiarity with AI tools and prompt engineering to support medical content development, automation of policy logic, and Concept generation: Design and optimize prompts for large language models (LLMs) to generate accurate and clinically relevant medical content. Experience in utilizing AI tools (e.g., Gemini, NotebookLLM, ChatGPT, Claude, Perplexity, Grok, Bard, or custom LLMs) to assist in ideation, content creation, review, summarization, and validation. Key Skills: 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. Qualifications: Education & Certification (one Of The Following Required) Bachelor of Science in Nursing (B.Sc. Nursing) Pharmacist Degree (B.Pharm, M.Pharm or PharmD) Life Science Degree (Microbiology, Biotechnology, Biochemistry, etc.) Medical Degree (e.g., MBBS, BDS, BPT, BAMS, etc.) Other Bachelors Degree with relevant experience. Certification Requirements Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, CCS, or any specialty certifications from AHIMA or AAPC will be given preference. Additional weightage will be given for AAPC specialty coding certifications. Experience 0-1 years of experience in Payment Integrity, Medical Coding, Denial Management. Experience in payment integrity, claims processing, or related functions within the US healthcare system. Experience in denial management, retrospective payment audits, or medical coding. Familiarity with medical coding guidelines, such as ICD, CPT, Modifiers, Medicare, Medicaid, or commercial payer guidelines. Work Mode: Work from Office.

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Thanks & Regards, HR Manasa.S Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432417 |manasa.s@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

Deliver ED CPT/ICD10CM/HCPCS/NCCI coding training, update SOPs, coach coders, track audit metrics, and support documentation improvement. Required Candidate profile 7–10 yrs in ED coding, 4+ yrs training experience. AAPC/AHIMA-certified (CPC/CCS), strong knowledge of CMS/AMA/AHA/ACEP guidelines, excellent presentation skills.

Develop and deliver training on coding, create SOPs, track assessments, provide feedback, and update content per regulatory/payer guidelines to enhance coding quality. Required Candidate profile 6+ years experience in medical coding training; strong CPT/ICD-10-CM knowledge; expertise in training delivery and curriculum design; excellent communication.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager, Coding. This role requires a deep understanding of medical coding practices, regulations, and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities, exceptional organizational skills, and a commitment to maintaining high standards of accuracy and compliance. Essential Functions And Tasks Team Leadership: Provide leadership and guidance to the medical coding team, including assigning tasks, setting goals, and conducting performance evaluations. Foster a positive work environment that encourages collaboration, innovation, and professional growth. Coding Operations: Oversee all aspects of the medical coding process, ensuring accuracy, completeness, and compliance with relevant coding guidelines and regulations (e.g., CPT, ICD-10, HCPCS). Implement best practices to optimize coding efficiency and productivity. Compliance: Stay informed about changes and updates in coding regulations, reimbursement policies, and healthcare compliance requirements. Ensure that coding practices align with applicable laws, regulations, and industry standards, including HIPAA and other privacy regulations. Training and Development: Provide ongoing training and education to coding staff to keep them updated on changes in coding guidelines, regulations, and best practices. Mentor team members and support their professional development goals. Collaboration: Work closely with other departments, such as revenue cycle management, clinical documentation improvement, and compliance, to ensure seamless integration of coding processes with overall revenue cycle operations. Collaborate with internal and external stakeholders to address coding-related issues and optimize revenue capture. Performance Analysis: Monitor coding metrics and key performance indicators to track team performance and identify opportunities for process improvement. Develop reports and presentations to communicate coding trends, challenges, and achievements to senior management. Education And Experience Requirements Bachelor's degree in any related field. Master's degree preferred. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required. Minimum of 8 years of experience in medical coding, with at least 3 years in a supervisory or managerial role. Knowledge, Skills, And Abilities In-depth knowledge of CPT, ICD-10, HCPCS coding systems, as well as coding guidelines and regulations in the US healthcare industry. Strong leadership skills, with the ability to motivate and inspire team members to achieve high performance standards. Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse stakeholders. Proficiency in coding software and electronic health record (EHR) systems. Demonstrated experience in developing and implementing coding policies, procedures, and quality assurance programs. Experience with revenue cycle management processes and healthcare reimbursement methodologies. Familiarity with coding-related software tools and technology, such as encoders, grouper software, and computer-assisted coding (CAC) systems. Knowledge of healthcare compliance regulations, including HIPAA, HITECH, and Medicare billing rules. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly. Essential Functions And Tasks Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. Perform MIPS review as needed. Perform Provider QA as needed. Document coding errors. Assist coding management. Assist with client/provider audits as needed. Assist with reviewing work product of new coders in training, as needed. Provides feedback to coders on coding discrepancies/deficiencies, as needed. Provides feedback to coding manager on documentation deficiencies in a timely manner. Respond to questions from designated coders. Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy. Education And Experience Requirements High School diploma or equivalent. RHIT and/or CPC required. At least one (1) year of medical billing preferred. 2023 MDM Guidelines required. Knowledge, Skills, And Abilities Understand the use and function of modifiers in CPT. In-depth knowledge of CPT/ICD-10 coding system. Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures. Ability to read, understand, and apply state/federal laws, regulations, and policies. Ability to remain flexible and work within collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Knowledge of the requirements of medical record documentation. Knowledge of medical terminology and anatomy. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic knowledge of Outlook, Word, and Excel. Become proficient in the use of billing software within 4 weeks and maintain proficiency. Understand and comply with company policies and procedures. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Essential Functions And Tasks Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Education And Experience Requirements High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials. Knowledge, Skills, And Abilities Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic touch 10 key skills. Basic Math skills. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

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: Chanchal - 9251688424

Description The Central Programs Team, India (CPT India) team leads cross-functional projects that requires collaboration and partnership with Amazon businesses, geographical units and technical subject matter experts (SMEs). The projects are focused on initiatives to continually reduce risks and improve network WHS standards and procedures. Individuals gather business requirements, document functional and design specifications, identify appropriate resources needed, assemble the right project team, assign individual responsibilities and develop the milestones and launch schedules to ensure timely and successful delivery of the project. The team members measure and report progress, anticipate and resolve bottlenecks, provide escalation management, anticipate and make tradeoffs, and balance the business needs with the technical constraints. This a program management role responsible for executing per direction, the management of the WW WHS programs (standards, procedures, best practices) development, training and continuous improvement projects. The role involves hands-on work in the areas of understanding stakeholder needs and expectations, WHS regulatory research, global stakeholder engagement, data analytics and document technical writing. The candidate must be a self-starter and detail-oriented. They must be an effective communicator and send clear, concise and consistent messages, both verbally and in writing. Key job responsibilities Program/Process Improvement, Project Management Clearly and timely communicate findings, determinations, and recommendations to compliance management and business partners, both at periodic intervals and as needed regarding escalated or high-risk compliance issues. Guide management in the development/review of applicable policies, procedures and business practices. Engage in frequent written and verbal communication with management and business partners to accomplish goals. Execute and drive audits to completion per SOP. This includes drafting audit reports, stakeholder reviews of audit reports, finalizing and tracking audit reports in database and tracking issues in system (and SIM/TT management). Owns weekly/monthly reports and metrics. Identifies gaps in audit programs and processes and escalates to manager. Follows confidentiality rules with the documents reviewed. Drafts documents and revisions on audit reports per manager direction. Performs deep dive analysis/research on data/information/literature and creates recommendations/corrective actions based on identified deviations and recommends appropriate solutions. Earns trust of peers by understanding audit processes and programs. Makes recommendations to managers for input into roadmap strategic discussions and continuous improvement projects to drive program efficiencies. Basic Qualifications Bachelor’s degree or higher and a minimum of 2 years relevant program management experience. Strong project management skills. Excellent computer skills for use of digital tools for project management, document control and data visualization (Advanced MS Excel, Sharepoint, Visio,Quicksight). Strong verbal and written communication skills. Strong technical aptitude in understanding data and reporting insights. Competent business and technical writing skills. Ability to navigate in ambiguous situations and work in a fast-paced, ambiguous and rapidly evolving environment. Strong attention to detail and organizational skills. Ability to prioritize in complex, fast-paced environment with multiple competing priorities. Preferred Qualifications PMP certification Experience with Lean, Six Sigma analytical techniques (green or yellow belt) Advanced Excel (Macros/VBA) Experience with Stakeholder Management across Geographies Program/Project Management Certification -Six Sigma Certification Knowledge of SQL/ Python Knowledge of visualization tools like QuickSight, Tableau etc. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Company - ADCI - Karnataka Job ID: A3001436