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5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Outpatient Clinical Documentation Improvement (CDI) Specialist Location: Hyderabad, India Employment Type: Full-Time 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, identifying 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 : Life 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. Show more Show less
Posted 2 weeks ago
0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
CT HR Lakshmi priya- 9894914894 (Whats App) Position: Medical Coder 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 Micro biology Zoology and Advanced zoology Biology Plant biotechnology Paramedical Physiotherapy M.Sc. Clinical Nutrition M.Sc. Medical Laboratory Technology M.Sc. Medical Sociology M.Sc. Epidemiology M.Sc. Molecular Virology M.Sc. Radiology & Imaging Technology M.Sc. Medical Biochemistry M.Sc. Medical Microbiology M.Sc. Clinical Care Technology 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. - M.L.T. B.Sc. - Medical Sociology B.Sc. - Nuclear Medicine Technology B.Sc. - Operation Theatre &Anesthesia Technology Bachelor of Science in Optometry B.Sc. - Physician Assistant B.Sc. - Radiology Imaging Technology B.Sc. - Radiotherapy Technology B.Sc. - Respiratory Therapy Accident & Emergency Care Technology Critical Care Technology Operation Theatre & Anesthesia Technology Ophthalmic Nursing Assistant Medical Record Science Optometry Technology Radiology & Imaging Technology Medical Lab Technology Dialysis Technology Dentist Salary 14K to 18K (fresher) To 50K (experienced) Pm (Incentives & Benefits as per Corporate Standards) 5k Incentives Based on performance Other Benefit: 1. Pick Up & Drop Facility 2. Food Facility 3. Day Shift 4. Weekend Off Reach us : Lakshmi Priya - 9894914894 placements@iskillssolutions.com Show more Show less
Posted 2 weeks ago
0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
CT HR Padma - 8608995522 (Whats App) Position: Medical Coder 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 Micro biology Zoology and Advanced zoology Biology Plant biotechnology Paramedical Physiotherapy M.Sc. Clinical Nutrition M.Sc. Medical Laboratory Technology M.Sc. Medical Sociology M.Sc. Epidemiology M.Sc. Molecular Virology M.Sc. Radiology & Imaging Technology M.Sc. Medical Microbiology M.Sc. Clinical Care Technology 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. - M.L.T. B.Sc. - Medical Sociology B.Sc. - Nuclear Medicine Technology B.Sc. - Operation Theatre &Anesthesia Technology Bachelor of Science in Optometry B.Sc. - Physician Assistant B.Sc. - Radiology Imaging Technology B.Sc. - Radiotherapy Technology B.Sc. - Respiratory Therapy Accident & Emergency Care Technology Critical Care Technology Operation Theatre & Anesthesia Technology Ophthalmic Nursing Assistant Medical Record Science Optometry Technology Radiology & Imaging Technology Medical Lab Technology Dialysis Technology Dentist Salary 14K to 18K (fresher) To 50K (experienced) Pm (Incentives & Benefits as per Corporate Standards) 5k Incentives Based on performance Other Benefit: 1. Pick Up & Drop Facility 2. Food Facility 3. Day Shift 4. Weekend Off Reach us : HR Padma - 8608995522 jobs@iskillssolutions.com Show more Show less
Posted 2 weeks ago
5.0 years
0 Lacs
India
Remote
Job Title: Business Development Manager Location: Remote (Preferred: United States Healthcare Market Experience) Company: FriskaAi, a division of HFWL Company Industry: AI in Healthcare / Digital Health / Chronic Care Management Reports to: Head of Growth & Partnerships About FriskaAi FriskaAi is an AI-powered wellness platform that delivers personalized nutrition, chronic disease management, lifestyle tracking, and predictive health insights. Integrated with leading health tech ecosystems like Google Health, Apple Health, and Dexcom, FriskaAi empowers clinics, physicians, and consumers with real-time, actionable health intelligence. Role Overview We are seeking a high-performing Business Development Manager to lead strategic growth and clinic adoption of FriskaAi across healthcare practices, physician networks, and wellness partners. This role is responsible for identifying and securing partnerships, onboarding clinical practices, and driving revenue from our SaaS and patient engagement models. Key Responsibilities Identify, qualify, and close new clinical partners, physician practices, and wellness programs to adopt FriskaAi solutions. Present and demonstrate the value of FriskaAi’s products to medical practices, especially in endocrinology, primary care, and chronic disease specialties. Drive the acquisition of clinics with a minimum target of 500 enrolled patients per practice. Collaborate with product and operations teams to ensure seamless partner onboarding and sustained satisfaction. Negotiate partnership terms and support revenue-generating contracts in line with strategic business goals. Track KPIs related to patient enrollment, revenue per clinic, and partner success. Represent FriskaAi at health tech events, trade shows, and digital innovation forums. Provide market intelligence and feedback to refine go-to-market strategy and pricing models. Qualifications 5+ years in business development, sales, or strategic partnerships in healthcare, digital health, or health SaaS. Proven success in B2B sales or clinic onboarding, ideally with EMR/EHR platforms, remote patient monitoring, or chronic care programs. Strong understanding of U.S. healthcare economics, patient engagement solutions, or population health platforms. Excellent communication, negotiation, and relationship-building skills. Experience with CRM platforms (e.g., HubSpot, Salesforce). Bachelor's degree in Business, Healthcare Management, or related field; MBA preferred. Preferred Experience Familiarity with CPT codes (e.g., 99490, 99487, 99457) and chronic care workflows. Experience working with EHR integrations and physician onboarding. Background in AI healthtech, nutrition platforms, or RPM/CCM programs. Compensation Base Salary: Competitive Performance-Based Commission: Significant upside potential based on enrolled practices and patient counts Equity: Stock option plan in HFWL Company Show more Show less
Posted 2 weeks ago
3.0 - 5.0 years
0 Lacs
Chennai, Tamil Nadu
On-site
Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 02 Jun 2025 End Date 16 Jun 2025 Required Experience 3 - 5 Years Basic Section No. Of Openings 4 Grade 1D Designation Quality Control Analyst - Coding Closing Date 16 Jun 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill QUALITY CONTROL ICD-9 HIPAA EMR HEALTHCARE MEDICAL BILLING RADIOLOGY HCPCS MEDICINE REVENUE CYCLE CPT Education Qualification No data available CERTIFICATION No data available Job Description Participate in client calls and understand the quality requirements both from process perspective and for targets Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager Identify errors with high Inspection efficiency Provide face to face feedback and also send emails with the type of errors etc. on daily basis as per protocol Ensure correction of the error by the respective Operations associate Coach employees to minimize errors and improve performance Provide inputs to the training team on common mistakes made to enhance training curriculum Test files/batches for new clients/processes to be processed as part of familiarization Generation of QA reports on a daily basis Attainment of Internal & External SLA as per Process Defined. Meet and exceed inspection efficiency score, calibration score, knowledge and skills score, inspection productivity rate and any other appropriate metrics Record identified errors. This is an organizational record & can be used by the organization as it deems fit Strict adherence to the company policies and procedures. Extensive Quality experience Audits, Coaching & training as per process defined. Min of 1.5 Yrs of Professional and Relevant Experience Sound knowledge in Healthcare concept. Critical problem solving and issue resolution Must have Good Product and Process Knowledge Must have good analytical and judgmental skills Quality Feedback/Refresher sessions Prepare and Maintain Quality status reports
Posted 2 weeks ago
0 years
0 Lacs
Raniganj, West Bengal, India
On-site
Location: Raniganj, WB, IN Areas of Work: Sales & Marketing Job Id: 13272 The position is that of commercial personnel who would primarily be responsible for extending backend support to sales function by ensuring timely service of material to customers, effective warehouse operations and implementation of all laid down systems and procedures, thereby achieving overall business objectives. Customer Service Review of Order Cycle Time (OCT) for delivery of material to Customers (Dealers, Project Sites etc.) based on orders received at Warehouse and as per defined benchmark Review with customers and sales team on regular basis for identification and resolution on material service related issues Support to other businesses like Home Improvement in terms of material storage and delivery Warehouse Management Monitor and improve the productivity of CFA Manpower deployed at Warehouse Conduct stock verification as per defined frequency and take measures to control stock variances Maintain documents and legal agreements related to Warehouse operations Implement and ensure usage of Transport Management System to improve customer service parameters, timely Review and rationalization of route plans Warehouse and Office Infrastructure Assess infrastructure requirements at the warehouse and sales offices and accordingly propose the capex projects Execution of Capex Projects as per project implementation schedule Overheads Assist and provide inputs to Regional Commercial team on the proposals for annual overheads budget Monitor and ensure freight cost per ton (CPT) and other overheads are within the budgeted limits Vendor Payments Process the vendor payments as per the defined payment terms Monitor and ensure no pending payments, open goods receipts and open advances at each vendor level Coordinate with Vendors for outstanding closure and quarterly balance confirmation within the defined timelines Statutory Compliances and Audits Track and ensure timely renewal of statutory licenses applicable for warehouse and office operations Updation of compliances in statutory portal (GRC) as per the due dates Initiate corrective and preventive actions for identified statutory non-compliances Participate and support with relevant documents during audits like ISO, 5S, Internal Audit Safety Monitor safety parameters and conduct safety audits as per schedule to provide safe working environment at warehouses and office premises Reports Prepare and circulate monthly reports on various parameters in a timely manner . Show more Show less
Posted 2 weeks ago
0.0 - 31.0 years
0 - 0 Lacs
Salt Lake City, Kolkata/Calcutta
Remote
Opening for AR Caller / Denial Management experience candidates in Kolkata, Salary upto 3.60 lpa Job Title:** AR Caller / Denial Management Executive Location:** Salt Lake, Kolkata (Work from Office) Working Days:** 5 Days a Week Weekly Off:** 2 Rotational Offs Shift Timings:** Rotational Shifts Joining:** Immediate Joiners to Candidates with Max 15 Days’ Notice Note: Only Male candidates are eligible for this role JOB DESCRIPTION: We are hiring for the position of **AR Caller / Denial Management Executive** for a reputed US healthcare BPO in **Salt Lake, Kolkata**. This is a **full-time, outbound calling process**, requiring follow-up with US-based insurance companies to resolve pending or denied claims. RequirementsGood command of **spoken and written English**. Prior experience in **AR Calling** or **Denial Management** is preferred. Basic knowledge of US healthcare revenue cycle, CPT/ICD codes is an added advantage. Open to work in **rotational shifts**. Must be ready to **work from office** (Salt Lake, Kolkata). Only **immediate joiners or up to 15 days’ notice** candidates will be considered. BenefitsSalary:** Up to 3.60 lpa annual CTC Drop Cab Facility** (as per shift timing and company policy) Work from Office (No WFH) Stable weekday schedule with 2 rotational offs
Posted 2 weeks ago
3.0 - 31.0 years
0 - 0 Lacs
Palangantham, Madurai Region
Remote
Job Description Organization: M/s Kannan’s Academy Kannan’s Academy is committed to delivering high-quality coaching and personalized mentoring to students preparing for competitive exams like IIT-JEE, NEET, NTSE and Foundation for Crash Courses. Guided by the visionary leadership of Dr. Kannan, we focus on nurturing academic excellence, critical thinking, and innovation. Our mission is to empower 1 million students by 2030, fostering their potential to become future leaders and innovators. At Kannan’s Academy, we are dedicated to creating a supportive, goal-driven learning environment where students are equipped to succeed in both exams and life. --- Job Title: Chemistry Faculty – NEET, IIT-JEE & Olympiads Location: Kannan's Academy, Madurai & School Centers Reports to: Vice Head - Academics & Chief Mentor (Head Academics) --- Job Summary: We exclusively provide a specialized – AchieveX (2 Years Integrated + Futuristic Coaching Program). We prioritize systematic, high-impact learning to prepare students for NEET, IIT-JEE, and Olympiads, with a focus on concept clarity and competitive exam readiness. --- Who We Are Looking For We need a dedicated and passionate Chemistry Tutor who can shape young minds and help them excel in NEET, IIT-JEE & Olympiad exams. If you have the knowledge, the drive, and the commitment to making a real difference in students’ lives, this role is for you. --- Your Role Teach Chemistry with a strong conceptual approach, ensuring students understand the fundamentals before moving to advanced applications. Teach Grade 11 & 12 Chemistry with a structured, exam-oriented approach, balancing concept clarity with result-driven strategies. Deliver engaging lessons aligned with NCERT, Samacheer, and Competitive Exam Syllabus. Guide students through our AchieveX academic roadmap, covering Pre-Assessment, Concept Mastery, SkillX & ClarifyX, and Intensive Test Series. Conduct regular Daily Practice Tests (DPT), Concept Proficiency Tests (CPT), Term Tests (TT), Full-Length Tests (FLT) and Mock Exams. Help students strengthen problem-solving skills and analytical thinking for competitive exams. Contribute to Olympiad coaching and IFLSAT contest preparation. Maintain high classroom energy, discipline, and motivation to push students toward their academic goals. --- What We Expect from You Strong foundation in Physical, Organic, and Inorganic Chemistry. Teaching experience in NEET/IIT-JEE/Olympiad coaching is a huge plus. Ability to connect with students and make learning effective. Willingness to adapt to our structured academic plan and deliver results. A growth mindset – both for yourself and for our What We Offer A highly structured teaching environment that eliminates guesswork.
Posted 2 weeks ago
0 years
0 - 0 Lacs
India
On-site
Hello Job Summary: The ED Professional Coder is responsible for accurate and timely coding of emergency department (ED) services using ICD-10-CM, CPT, and HCPCS coding systems. This role ensures compliance with official coding guidelines and regulatory requirements to support optimal reimbursement and quality reporting. Key Responsibilities: Review and analyze ED medical records to assign accurate diagnosis and procedure codes. Ensure coding compliance with federal and state regulations and guidelines, including CMS and HIPAA. Apply coding guidelines and conventions for ED encounters, including E/M leveling based on documentation. Communicate with ED physicians and clinical staff as needed for clarification or documentation improvement. Abstract relevant data for reporting and billing purposes. Assist with audits and quality reviews to ensure coding accuracy and integrity. Keep current with changes in coding standards and payer-specific rules. Collaborate with revenue cycle and compliance teams to resolve coding or billing issues. Job Type: Full-time Pay: ₹35,000.00 - ₹80,000.00 per month Benefits: Cell phone reimbursement Health insurance Internet reimbursement Provident Fund Schedule: Day shift Fixed shift Supplemental Pay: Performance bonus Quarterly bonus Yearly bonus Work Location: In person Application Deadline: 10/06/2025 Expected Start Date: 02/06/2025
Posted 2 weeks ago
5.0 - 8.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Overview The SENIOR EXECUTIVE CODING AUDITOR Quality performs quality auditing reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness and accuracy of provider documentation and CPT and HCPCS coding. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Perform analysis of data and understand the reasons for denial reasons, use appropriate codes to be used in documentation of the reasons for denials. Qualifications Life science Bachelor’s degree. Para - medical background (B.PT, Pharm, and B.SC. Nursing) graduation is an added advantage. Certification is added advantage – Certified coding professional coder (CPC) – AAPC OR Certified Coding specialist (CCS) – AHIMA Experience working in quality team is must Experience Minimum 5 to 8 years of Coding experience in multispecialty surgery. Denial management experience is an added advantage. Ability to apply analytical and critical thinking to review medical records. Knowledge in CMS Medicare and Medicaid guidelines. Specialty certificate (CPMA, CIRCC, CEDC) from – AAPC. Para - medical background (B.PT, B.Pharm, B.SC. Nursing) graduation is an added advantage. Auditing experience on multi-specialty. Knowledge in Microsoft outlook/excel/word Communication Skill Good communication skills Working Hours 9 Hours Skills And Abilities Integrates coding principles in performance of medical audit activity and educates as needed on those principles. Upon completion of medical record audit, compiles detailed findings and prepares client reports, when needed. Coordinates with client to ensure patient data is received and processed for all scheduled audit work. Communicate proper volume to support invoicing. Provides feedback and process improvement recommendations to appropriate leadership team and participates in workgroups/committee meetings and process improvement solutions as required. Participates in and/or leads inter-departmental process improvement initiatives. Maintains professional license and certifications and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise. Identifies compliance risks and financial opportunities based on chart reviews. Prepares reports and executive summaries as required by management regarding audit results, process improvement recommendations, and systemic billing errors. Adheres to established productivity standards, participates in departmental performance improvement activities and work level. Communicates and works with all internal and external customers. Performs other duties as assigned Show more Show less
Posted 2 weeks ago
0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Company Description Shiash Info Solutions is a leading IT and Infrastructure Management provider headquartered in Chennai. They work with fortune 500 companies as global IT partners for healthcare and infrastructure sectors with a vision to lead, serve, innovate, and inspire for the betterment of society. Role Description This is a full-time on-site role located in Chennai for a Home Health Coder at Shiash Info Solutions. The Home Health Coder will be responsible for assigning codes to patient records using specific coding classification systems, reviewing patient information for preexisting conditions, and ensuring accuracy in coding for reimbursement and data analysis purposes. Qualifications Coding Experience and RHIT certification Proficiency in Health Information Management and Medical Terminology Knowledge of Medical Coding practices Attention to detail and analytical skills Strong organizational and time management skills Ability to work effectively in a team setting Experience with ICD-10-CM and CPT coding systems Bachelor's degree in Health Information Management or related field Show more Show less
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Pune, Chennai
Work from Office
Looking for any Certified/Non-Certified Medical coder with EM Coder/QA/SME ED Coder/QA/SME Preferably Immediate Joinees or 15 days Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty in EM Coder/ED Coder/QA/SME
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Noida, Mumbai, Hyderabad
Work from Office
Looking for any Certified/Non-Certified Medical coder with EM Coder/QA/SME ED Coder/QA/SME Surgery Coder/QA/SME Preferably Immediate Joinees or 15 days Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty in EM Coder/ED Coder/QA/SME Surgery Coder/SME/QA
Posted 2 weeks ago
1.0 - 5.0 years
4 - 9 Lacs
Noida, Hyderabad/Secunderabad, Pune
Work from Office
Looking for any Certified/Non Certified Medical coder with HCC Coder/QA HHC Coder/QA Denial Coder/QA Only Immediate Joinees should Apply. Flexible in Relieving letters & Gaps. Joining Bonus. Required Candidate profile Looking for any Certified/Non-Certified Medical coder with any specialty like HCC/HHC/Denial Coder/QA Perks and benefits Cab and Food Coupons
Posted 2 weeks ago
1.6 years
0 Lacs
Greater Chennai Area
On-site
Vacancy published date: 19/12/2024 Last date of application: 21/12/2024 Job Requirements 1.6 years experience in Denials or Surgery Coding Any graduation Certification not mandatory Good knowledge of medical coding systems, medical terminologies, regulatory requirements, auditing concepts and principles Job Descriptions Assigning accurate diagnosis and procedure codes using ICD-10 and CPT coding systems Editing and re-submitting claims that were submitted incorrectly Ensuring that coding and billing are accurate Ensuring that the reasons for denying healthcare claims are valid Meeting with physicians to share performance data and recommendations Compiling documentation for appeals Salary: Up to 5.8 LPA Job Type: Full Time Mode of Work: Work from Office Number of Vacancies: 5 Process: Denials / Surgery Coding Interview Mode: Online / Onsite Ability to commute/relocate: Chennai IMMEDIATE JOINING Selection Process Assessment Technical Round HR Discussion Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions, please register for the post published. Show more Show less
Posted 2 weeks ago
0 years
0 Lacs
Bengaluru East, Karnataka, India
On-site
Vacancy published date: 24/04/2025 Last date of application: 30/04/2025 Job Requirements Registered Nurse / Nursing Graduate Good Communication skills Good Typing Skills Should have knowledge in Medical Coding Job Descriptions Extracting pertinent information from patient records. Reviewing documents for completeness. Assigning CPT, HCPCS, ICD-9/ICD-10-CM, APC, DRG, and ASA codes. Conducting chart audits. Ensuring adherence to medical coding policies and standards. Verifying code accuracy with physicians' diagnoses. Staying informed on evolving coding regulations. Managing coding-related data and billing inquiries. Salary: 25K Job Type: Full Time Mode of Work: Work from Office (Monday -Friday) Number of Vacancies: 10 Process: HCC Coding Interview Mode: Onsite Ability to commute/relocate: Bangalore Immediate Joining Selection Process Assessment Technical Round HR Discussion Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions, please register for the post published. Show more Show less
Posted 2 weeks ago
3.0 - 8.0 years
5 - 12 Lacs
Hyderabad, Chennai
Work from Office
Experience: 6 months as QA (IPDRG) on papers Certification - Mandatory Salary: Best in industry Immediate joiners - preferred Location: Chennai & Hyderabad Interested candidates reach out to: Reneth HR -7904010785 / Deepikaa HR -7904574485 Required Candidate profile Candidate should have a minimum of 6 months of experience as a QA for IPDRG (on papers) Any Certification - Can apply Notice period : up to 30 days is acceptable
Posted 2 weeks ago
12.0 years
5 - 6 Lacs
Hyderābād
On-site
Job Description: Experience Level: 12+ years. Location: Hyderabad Responsibilities Include: Performing formal and informal targeted “Hunts” to identify vulnerabilities. Actively building and participating in Red Team exercises. Design and execute red team engagements, simulating advanced attack scenarios to identify vulnerabilities and assess the effectiveness of security measures. Conduct penetration tests on networks, applications, and physical security controls. Employing tactics to uncover security holes in user practices and procedures. Develop and execute red team strategies and methodologies to uncover potential security gaps. Analyze and report on findings from red team exercises, including detailed recommendations for remediation. Providing feedback and verification as security issues are fixed. Stay current with the latest security threats, attack techniques, and industry trends. Communicate complex security concepts to both technical and non-technical stakeholders. Collaborate with other security teams to improve overall security practices and incident response capabilities. Be proactive and demonstrate the ability to analyze issues, generate ideas, and initiate action while achieving results. Effectively manages multiple tasks / projects with close attention to detail and meets short turnarounds and deadlines. Collaborate with leadership teams, provide subject matter expertise and insights. Support and guide team members in providing high-quality and actionable intelligence products / deliverables. Support, guide and mentor team members in technical and functional matters The expert in this role will perform analysis of complex security issues and corresponding activities to help mitigate risk. Includes forward looking research, planning and strategy to strengthen our stance against future cyber security threats and attacks, and enhancing our mitigation techniques, processes, and technology solutions. Required skills: At least 12+ years of experience in penetration testing and red team operations. Expert level understanding of Transmission Control Protocol / Internet Protocol (TCP/IP) protocols, devices, security mechanisms and how they operate. Strong understanding of network security threats including APT, botnets, Distributed Denial of Service (DDoS) attacks, worms, and network exploits. Expert knowledge of attack vectors, exploitation techniques, and vulnerability assessment methodologies. Experience with industry-standard penetration testing tools and frameworks. Experience with network probing/testing/analysis tools (Nessus, nmap, burp, wireshark, etc.) Deep technical knowledge of Windows, UNIX and Linux operating systems as both an expert user and system administrator Programming skills that will be used to construct, modify, and execute testing tools including shell (ksh, bash), [g]awk, Python, PERL, regex, .NET Programming, Java, C, C++, C#, PowerShell, curl, Web application development (PHP, ASP.NET, etc.) Comprehensive knowledge of software security testing principles, practices, and tools, experience of vulnerability assessments in a complex environment. Experience or familiarity with vulnerability analysis, computer forensics tools, cryptography principles Excellent teamwork skills for collaboration on analysis techniques, implementation, and reporting. Must be able to work both independently as well as effectively in teams of individuals with a variety of skills and backgrounds. Excellent written and verbal communication skills and have demonstrated ability to present material to senior officials. Highly self-motivated requiring little direction. Demonstrates creative/out-of-the-box thinking and good problem-solving skills. Demonstrates strong ethical behavior. Sense of urgency and attention to detail Flexible to provide coverage in US morning hours on a need-basis, and as required Desirable skills: Strong knowledge of an enterprise architecture Ability to obtain a strong and ongoing understanding of the technical details involved in current APT threats and exploits involving various operating systems, applications and networking protocols. Knowledge of tactics, techniques, and procedures associated with malicious insider activity, organized crime/fraud groups and both state and non-state sponsored threat actors. Understanding of cloud-based architectures and highly distributed big data architectures Experience with application security testing tools, such as the Metasploit framework and Burp Suite One or more of these certifications CEH: Certified Ethical Hacker CPT: Certified Penetration Tester CEPT: Certified Expert Penetration Tester GPEN: GIAC Certified Penetration Tester OSCP: Offensive Security Certified Professional BS/MS degree in Computer Science, Cyber Security, Engineering, or related technical field Prior experience with Telecom sector. Additional information (if any): Need to be flexible to provide coverage in US morning hours. Weekly Hours: 40 Time Type: Regular Location: IND:AP:Hyderabad / Atria Building, Plot 17 - Adm: Atria Building, Plot No 17 It is the policy of AT&T to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, AT&T will provide reasonable accommodations for qualified individuals with disabilities. AT&T is a fair chance employer and does not initiate a background check until an offer is made. Job ID R-60445 Date posted 05/16/2025 Benefits Your needs? Met. Your wants? Considered. Take a look at our comprehensive benefits. Paid Time Off Tuition Assistance Insurance Options Discounts Training & Development
Posted 2 weeks ago
5.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Description Amazon's WHS Central Programs team (IN) is seeking a skilled and motivated Program Manager to assist in the management and execution of the WHS programs worldwide. This provides an opportunity to join a team that is continuously evolving and growing. Team supports WW WHS programs to drive injury prevention and risk management. The team works on process improvement, quantitative assessment and statistical analysis on data and generates insights and solutions for effective program management. Program Manager, WHS will build processes and work with the program team across geographies and market places. We are looking for a strong leader who is passionate about managing projects, developing scalable solutions, driving process improvement, and can work with multiple teams. The leader will be responsible for partnering with the WW WHS team, operations team, and tech partners for the execution of the program. By leveraging lean mechanisms and Kaizens, this individual will build processes to drive continuous improvement initiatives to ensure risk management that impact the site operations and create a safe, healthy, and engaging working environment for our Associates. The person needs to work with Senior leaders to create and achieve the WHS vision in alignment with Amazon’s global standards, policies, and procedures. The program manager must be an effective communicator and send clear, concise, and consistent written and verbal messages. The person will be required to identify best practices and incorporate these best practices into our standards to continuously improve the processes. The individual must have the ability to work with cross-functional teams, including senior leadership in across the globe. We are willing to consider candidates for on-site positions in Bengaluru, India Key job responsibilities Lead key workstreams on data analysis, statistical analysis and ops excellence Work closely with tech teams on data visualization, automation and development of tech based solutions Develop tools and solutions for CPT team and stakeholder teams and scale them up globally across different BUs Lead and provide support to process improvement projects to address key cross functional issues impacting stakeholders Work with stakeholder teams and use data to identify and prioritize high impact improvement opportunities Partner with Cross functional leaders to secure resources, scope efforts, set project priorities and milestones, and drive delivery. Help internal WHS team to determine where to iterate to make improvements Responsible for organizing/collecting data, writing PR/FAQs and other strategic program documentation (e.g., Technical Whitepaper, WBR, MBR etc.) Drive program innovation / simplified mechanism for existing projects and look for opportunities to improve system quality and operational excellence Basic Qualifications 5+ years of program or project management experience 3+ years of working cross functionally with tech and non-tech teams experience 3+ years of defining and implementing process improvement initiatives using data and metrics experience Bachelor's degree Experience defining program requirements and using data and metrics to determine improvements Knowledge of data science and statistical modelling using Minitab or similar tools Excellent computer skills for use of digital tools for project management, document control and data visualization (Advanced MS Excel, Sharepoint, Quicksight, Smart Forms etc.) Preferred Qualifications Master's degree in analytics or equivalent Lean Principles, Six Sigma Certification 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: A2977988 Show more Show less
Posted 2 weeks ago
1.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Radiology Medical Coder Years of Experience: 1 year Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies. Show more Show less
Posted 2 weeks ago
2.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Description The Central Programs Team, India (CPT India) 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 equivalent from an accredited university Minimum 2 years relevant program management experience Analytical skills with experience using Excel (analysis using aggregate functions and pivot table) Good communication skills both verbal and writing (Ability to communicate clear and coherent narratives) Preferred Qualifications 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: A2978266 Show more Show less
Posted 2 weeks ago
1.0 years
3 - 5 Lacs
Gurgaon
On-site
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. Primary Responsibilities: Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Adherence to state and federal compliance policies and contract compliance Assist the prospective team with special projects and reporting Work is frequently completed without established procedures Works independently May act as a resource for others May coordinate others' activities 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: Medical degree - BHMS/BAMS/BUMS/BPT/MPT B.Sc Nursing and BDS with 1+ years of corporate experience Experience Range - 6 months - 3+ years (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply) Extensive work experience within own function Proven attention to detail & quality focused Proven good analytical & comprehension skills Preferred Qualifications: Claims processing experience Health Insurance knowledge, managed care experience Knowledge of US Healthcare and coding Medical record familiarity 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. #NTClinical
Posted 2 weeks ago
3.0 years
0 Lacs
Chennai
Remote
Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.
Posted 2 weeks ago
2.0 years
0 Lacs
Karnataka, India
On-site
We are looking for a highly motivated Associate Data Scientist with an interest in real-world evidence (RWE) and healthcare data analytics to join our growing Bangalore-based RWE analytics team at Clarivate. About You – Experience, Education, Skills, And Accomplishments Bachelor’s or Master’s degree in Data Science/Analytics, Biostatistics, Computer Science, or a related quantitative field At Least 2 years of experience in a data-oriented role, preferably in healthcare analytics (internships count) Strong coding skills in SQL and/or Python, AI/ML , Statistical modelling to efficiently work with large, complex relational healthcare databases Interest in healthcare data and familiarity with standard healthcare coding systems (e.g., ICD, CPT, HCPCS, LOINC, SNOMED, etc.) Strong problem-solving skills and attention to detail Eagerness to learn and contribute in a collaborative, team-based environment It would be great if you also had . . . Exposure to real-world data (e.g., claims, EHR, labs, etc.) Basic understanding of observational research or epidemiological concepts Experience working on academic or professional projects involving healthcare data What will you be doing in this role? Support the team by querying large-scale real-world data sources (claims, EMR, lab, etc.) Assist in preparing client-ready outputs, dashboards, and summary reports Help conduct feasibility assessments for various RWE use cases Document code, data assumptions, and analysis steps to support reproducibility Collaborate with senior analysts, data scientists, and project leads across functions Contribute to internal knowledge sharing, code libraries, and process improvement initiatives About The Team We are a highly motivated team of 20+ analytics, biostatistics, epidemiology, and data science professionals distributed across three countries, working together to provide analytics and insights using Clarivate’s RWD product for pharmaceutical, biopharma, and MedTech clients. Hours of Work Hybrid work mode. You will be expected to work on a work schedule (12:00 PM IST to 9:00 PM IST) to provide for reasonable hours of collaborative work with the US team and there could be a slight extension on an as-needed basis. Location – Bengaluru At Clarivate, we are committed to providing equal employment opportunities for all qualified persons with respect to hiring, compensation, promotion, training, and other terms, conditions, and privileges of employment. We comply with applicable laws and regulations governing non-discrimination in all locations. Show more Show less
Posted 2 weeks ago
4.0 years
0 Lacs
Vizag S E Z, Andhra Pradesh, India
On-site
Position: HCC Medical coding location : VIZAG WORK FROM OFFICE 6 months to 4 years based on previous salary please share your resume to 9052301964 whatsapp only.... Role Description This is a full-time on-site role for a HCC Medical Coder located in Vizag S E Z. The HCC Medical Coder will be responsible for assigning medical codes to diagnoses and procedures using ICD and CPT coding systems, reviewing medical records for accuracy and completeness, and ensuring compliance with coding guidelines and regulations. Qualifications Coding Experience and Medical Coding skills RHIT and Health Information Management knowledge Proficiency in Medical Terminology Strong attention to detail and analytical skills Ability to work effectively in a team environment Certification in medical coding (e.g., CPC, CCS) Knowledge of ICD and CPT coding systems Show more Show less
Posted 2 weeks ago
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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.
Here are 5 major cities in India actively hiring for CPT roles: 1. Bangalore 2. Hyderabad 3. Pune 4. Chennai 5. Mumbai
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
A typical career path in the CPT field may progress as follows: - Junior Developer - Senior Developer - Tech Lead
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
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)
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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