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2.0 years

0 Lacs

Noida, Uttar Pradesh, India

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines 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 Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates 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, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves 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. Show more Show less

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0.0 - 10.0 years

0 Lacs

Chennai, Tamil Nadu

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Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 06 Jun 2025 End Date 30 Jun 2025 Required Experience 14 - 18 Years Basic Section No. Of Openings 1 Grade 4B Designation General Manager - Delivery Closing Date 30 Jun 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill VENDOR MANAGEMENT PROJECT MANAGEMENT SDLC SOLUTION ARCHITECTURE IT SERVICE MANAGEMENT ITIL GLOBAL DELIVERY CRM PMP OUTSOURCING Education Qualification No data available CERTIFICATION No data available Job Description Job Title: General Manager – Delivery Service Line: Medical coding Speciality : HCC coding Job Summary: The DGM of Medical Coding is responsible for overseeing the medical coding operations, ensuring compliance with industry regulations, maintaining high accuracy and productivity standards, and managing a team of coders. The DGM will play a key role in driving efficiency, quality, and continuous improvement in the medical coding department, while collaborating with other departments to achieve organizational goals. Key Responsibilities: Team Leadership & Management : Lead and manage the medical coding team, ensuring high performance, engagement, and professional growth. Conduct regular training sessions to ensure staff is up to date with the latest coding practices and industry standards. Provide coaching and feedback to improve productivity and accuracy. Operational Oversight : Oversee daily medical coding operations and ensure timely and accurate coding of healthcare services. Monitor workflow to ensure departmental goals are met, including productivity targets and quality assurance standards. Ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other regulatory requirements. Quality Control & Compliance : Review coding work for accuracy, completeness, and adherence to current coding guidelines (ICD-10, CPT, HCPCS). Implement corrective actions and develop strategies to improve coding accuracy and minimize denials. Conduct audits and internal reviews to identify issues and implement solutions. Collaboration & Reporting : Collaborate with clinical, billing, and other administrative teams to resolve coding-related queries. Analyze coding trends and provide reports to senior management for decision-making. Coordinate with insurance companies and healthcare providers to resolve coding discrepancies. Process Improvement : Identify opportunities for process improvement within the coding department to enhance efficiency and reduce errors. Develop and implement best practices, standard operating procedures (SOPs), and training materials for the coding team. Technology Integration : Stay up-to-date with coding software, electronic health record (EHR) systems, and new industry trends. Lead the integration of new tools and technologies to improve coding processes. Key Requirements: Education : Bachelor’s degree or a Master’s degree in any field. Certification in Medical Coding (e.g., CPC, CCS, CCS-P) is required. Experience : At least 15 to 18 years of experience in medical coding, with a minimum of 8 to 10 years in a managerial role Experience in managing large coding teams and driving operational efficiency. Familiarity with ICD-10, CPT, HCPCS coding systems and compliance regulations. Skills : Strong leadership, communication, and interpersonal skills. In-depth knowledge of medical coding practices, healthcare reimbursement, and regulatory requirements. Ability to manage and analyze large sets of data and make data-driven decisions. Proficient in using coding software, EHR systems, and MS Office Suite (Excel, Word, PowerPoint). Personal Attributes : Attention to detail with a focus on accuracy and compliance. Ability to work under pressure and manage multiple priorities. Strong problem-solving and decision-making skills.

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8.0 - 14.0 years

0 Lacs

Bengaluru, Karnataka

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Omega Healthcare Management Services Private Limited KARNATAKA Posted On 06 Jun 2025 End Date 20 Jun 2025 Required Experience 8 - 14 Years Basic Section No. Of Openings 1 Grade 3C Designation Senior Manager - Training Closing Date 20 Jun 2025 Organisational Country IN State KARNATAKA City BENGALURU Location Bengaluru-I Skills Skill TRAINING PERFORMANCE MANAGEMENT EMPLOYEE ENGAGEMENT HUMAN RESOURCES TALENT MANAGEMENT TALENT ACQUISITION VENDOR MANAGEMENT TEAM BUILDING EMPLOYEE RELATIONS EMPLOYEE TRAINING BUSINESS DEVELOPMENT Education Qualification No data available CERTIFICATION No data available Job Description Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. Requirements- Education : Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience : 13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset

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3.0 - 5.0 years

1 - 5 Lacs

Tamil Nadu

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About The Role Job TitleProcess Coach Service LineCoding ? About The Role :?? Understand the quality requirements both from process perspective and for?targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To?monitor?Trainees productivity?and quality output?per OJT glide path/ramp up targets. Providing continuous?feeadback?in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. ? Job Specification:? Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty IVR. Extensive Coaching & Training?as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding?Certification?like CPC, CCS, COC, AHIMA. Any graduate will do. ? Shift?Details?General Shift / Day Shift? ? Work?Mode?WFO? LocationChennai Skills Skill Vendor Management Service Delivery CRM Project Management Business Development MIS Operations Management BPO Process Improvement Telecommunications Education Qualification No data available CERTIFICATION No data available

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1.0 - 4.0 years

1 - 3 Lacs

Salem, Chennai, Tiruchirapalli

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Immediate Job Openings for ED Pro/Fac Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in ED Pro/Fac Medical Coding. Specialty : ED Pro/Fac Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Joining: Immediate Joiners only Location : Chennai/Trichy/Salem- WFO Interested Candidate can Call Immediately to 9443238706(Available on Whatsapp) or forward your profile to ramesh.m@veehealthtek.com Regards, Ramesh- HRD 9443238706 ramesh.m@veehealthtek.com Vee Healthtek

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2.0 - 6.0 years

2 - 5 Lacs

Bangalore Rural, Chennai, Bengaluru

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# 02 to 04 yrs Exp. in handling US Healthcare Medical Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *Qualification : HSC / 12th / Under Graduates / Any Graduates. *Good exposure to the US Healthcare Industry & Knowledge of various reports on Denial management, Global action etc.

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2.0 - 7.0 years

2 - 5 Lacs

Bangalore Rural, Chennai, Bengaluru

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# 02 to 04 yrs Exp. in handling US Healthcare of Hospital Billing # Responsible for authorization, verification rejections & making required corrections to claims. # Calling the insurance carrier # Documenting the actions taken in claims billing Required Candidate profile *02 to 04 Years experience in US Health care Hospital billing *Good exposure to US Healthcare Industry & various reports on Denial management, Global action etc. *Handling billing related queries

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2.0 - 7.0 years

3 - 6 Lacs

Bangalore Rural, Chennai, Bengaluru

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* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift

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3.0 years

0 Lacs

Hyderabad, Telangana, India

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Job Title: Bench Sales Recruiter Location: Onsite – Kondapur AMB Mall Job Type: Full-Time Experience Level: 1–3 Years (Bench Sales/US Staffing) Company Overview: Coginer is a fast-growing IT staffing firm committed to connecting top-tier IT consultants with the best opportunities across the U.S. We are looking for a motivated and experienced Bench Sales Recruiter to join our team and drive candidate marketing efforts. Responsibilities: Market IT consultants (H1B, GC, USC, OPT, CPT, etc.) to implementation partners, direct clients, and vendors. Develop and maintain strong relationships with bench consultants by understanding their skill sets and preferences. Identify potential job opportunities via job boards, portals (Dice, Monster, Indeed, CareerBuilder), LinkedIn, and vendor networks. Submit consultants to suitable positions and negotiate terms with vendors/clients. Coordinate interviews and follow up for feedback. Maintain and update submission records and performance trackers. Build long-term relationships with vendors, clients, and consultants. Qualifications: 1–3 years of experience in US IT Bench Sales. Strong knowledge of visa classifications and IT technologies. Excellent communication and negotiation skills. Experience with job boards and social media for recruiting. Ability to work independently and meet targets. Familiarity with CRM or ATS tools is a plus. Show more Show less

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3.0 - 6.0 years

2 - 6 Lacs

Noida

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R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence 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. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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3.0 - 8.0 years

1 - 4 Lacs

Tiruchirapalli

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Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

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3.0 - 8.0 years

2 - 5 Lacs

Chennai

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Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

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3.0 - 8.0 years

2 - 5 Lacs

Bengaluru

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Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

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8.0 - 13.0 years

8 - 12 Lacs

Bengaluru

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Meet all Client Service Level Agreements (deliverables) Ensure the team understands client specific training requirements / needs etc. Analyse performance results of the team and implement process improvements. Determine appropriate staff levels and implement strategies to ensure efficient operations. Work with support departments to ensure staffing strategies are effectively executed. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for the Team Leaders for all their client and team members related needs and create a harmonious work environment. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team manager s to complete performance appraisal of work group(s) in accordance with the organization s policies and applicable legal requirements. Job Specification Minimum of 8 Years of Professional and Relevant Experience in Medical Coding with specialty Surgery and EM. Must have experience in Client and Stakeholder and Quality Management. Excellent experience in Team and People Management as well. Must have Coding Certification like CPC/ CCS/ COC/ AHIMA + Quality Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO

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0.0 - 1.0 years

1 - 4 Lacs

Coimbatore

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Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

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3.0 - 8.0 years

1 - 5 Lacs

Hyderabad

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Job Title Process Coach Service Line Coding Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To monitor Trainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feeadback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Pathology. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Hyderabad

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3.0 - 8.0 years

1 - 5 Lacs

Chennai

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Job Title Process Coach Service Line Coding Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To monitor Trainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feeadback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Radiology. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Chennai

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3.0 - 8.0 years

2 - 6 Lacs

Chennai

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Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports

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3.0 - 8.0 years

2 - 5 Lacs

Bengaluru

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Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

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8.0 - 13.0 years

7 - 11 Lacs

Chennai

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TitleAssistant Manager - Delivery Meet all Client Service Level Agreements (deliverables) Ensure the team understands client specific training requirements / needs etc. Analyse performance results of the team and implement process improvements. Determine appropriate staff levels and implement strategies to ensure efficient operations. Work with support departments to ensure staffing strategies are effectively executed. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for the Team Leaders for all their client and team members related needs and create a harmonious work environment. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team managers to complete performance appraisal of work group(s) in accordance with the organization s policies and applicable legal requirements. Job Specification Minimum of 8 Years of Professional and Relevant Experience in Medical Coding with specialty Radiology. Must have experience in Client and Stakeholder Management. Excellent experience in Team and People Management as well. Must have Coding Certification like CPC/ CCS/ COC/ AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Chennai

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3.0 - 8.0 years

2 - 4 Lacs

Chennai

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Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

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3.0 - 8.0 years

2 - 4 Lacs

Bengaluru

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Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

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0.0 - 2.0 years

0 Lacs

Madhapur, Hyderabad, Telangana

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Urgent Hiring: *Bench Sales Recruiter* Role: Bench Sales Recruiter Experience: Minimum 2-3 years Job Location: Madhapur, Hyderabad (Onsite) Employment type: Full time (Monday to Friday) Shift Timings: 7PM - 4AM IST Key Skills: ✅ Proven expertise in IT staffing and recruiting. ✅ Strong experience marketing bench candidates (H1B, OPT, CPT, GC, and US citizens). ✅ Solid understanding of job portals, networking sites, and recruitment platforms. ✅ Excellent negotiation, communication, and relationship management skills. We’re seeking someone passionate about building connections and delivering exceptional talent solutions. Share the resume with hr@sierraconsult.com or DM Apply now or share your referrals! Let’s build something great together. Job Type: Full-time Benefits: Food provided Provident Fund Schedule: Night shift Ability to commute/relocate: Madhapur, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required) Experience: Bench Sales Recruiter: 2 years (Required) Language: English (Required) Location: Madhapur, Hyderabad, Telangana (Preferred) Shift availability: Night Shift (Required) Work Location: In person

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3.0 - 7.0 years

4 - 8 Lacs

Hyderabad

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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 and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer

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2.0 years

0 Lacs

Hyderabad, Telangana, India

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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 and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task Additional Skills Required/Preferred Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time Physical Requirements Requires ability to use a telephone Requires ability to use a computer Show more Show less

Posted 1 week ago

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Exploring CPT Jobs in India

In recent years, the demand for professionals with skills in CPT (Computer Proficiency Test) has been steadily increasing in India. CPT jobs are diverse and can range from entry-level positions to more advanced roles in various industries. If you are considering a career in CPT, this article will provide you with valuable insights into the job market in India.

Top Hiring Locations in India

Here are 5 major cities in India actively hiring for CPT roles: 1. Bangalore 2. Hyderabad 3. Pune 4. Chennai 5. Mumbai

Average Salary Range

The average salary range for CPT professionals in India varies based on experience level: - Entry-level: INR 2-4 lakhs per annum - Mid-level: INR 6-10 lakhs per annum - Experienced: INR 12-20 lakhs per annum

Career Path

A typical career path in the CPT field may progress as follows: - Junior Developer - Senior Developer - Tech Lead

Related Skills

In addition to CPT proficiency, other skills that are often expected or helpful in this field include: - Programming languages such as Python, Java, or C++ - Data analysis and interpretation - Problem-solving skills - Project management

Interview Questions

Here are 25 interview questions for CPT roles: - What is CPT and why is it important? (basic) - Can you explain the difference between structured and unstructured data? (medium) - How would you handle missing data in a dataset? (medium) - What is the difference between supervised and unsupervised learning? (medium) - Explain the concept of overfitting in machine learning. (medium) - What is the purpose of normalization in data preprocessing? (medium) - How do you handle outliers in a dataset? (medium) - Can you explain the process of feature selection in machine learning? (medium) - What is the role of cross-validation in model training? (medium) - How would you evaluate the performance of a machine learning model? (medium) - Explain the bias-variance tradeoff. (medium) - What is the curse of dimensionality? (medium) - What is the difference between classification and regression in machine learning? (medium) - How do decision trees work in machine learning? (medium) - What is the purpose of regularization in model training? (medium) - Can you explain the K-nearest neighbors algorithm? (medium) - How do you handle imbalanced classes in a classification problem? (advanced) - Explain the concept of ensemble learning. (advanced) - What is the difference between bagging and boosting in ensemble methods? (advanced) - How would you optimize hyperparameters in a machine learning model? (advanced) - Explain the concept of deep learning and its applications. (advanced) - How do neural networks learn from data? (advanced) - Can you explain the working of a convolutional neural network (CNN)? (advanced) - What is the purpose of dropout in neural network training? (advanced) - How do you assess the performance of a deep learning model? (advanced)

Closing Remark

As you explore CPT jobs in India, remember to continuously enhance your skills and knowledge in the field. By preparing thoroughly and applying confidently, you can pave the way for a successful career in CPT. Good luck!

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