955 Cpt Jobs - Page 2

Job Title: Senior Software Engineer – AI (Prompt Engineering & Full Stack) Location: Remote / United States / India Employment Type: Full-Time Product Stage: (Stealth Mode) AI Product Platform for Healthcare About Us: We’re a growing healthtech startup on a mission to disrupt the $500B+ US Healthcare Operations & Management space using cutting-edge AI tools. Our goal is to build a modern, intelligent platform that eliminates administrative waste and improves healthcare operations. We’re backed by the industry's best investors and SMEs, and we're building an elite team of engineers, designers, and domain experts. We are on a mission to help Clinicians and patients so that their administrative burden is simplified and the patients have the best outcomes. The Role: We’re looking for an experienced Software Engineer – AI who thrives in ambiguity, moves fast, and is passionate about applying AI (& concepts...) to solve real-world problems. You’ll play a foundational role in shaping both the product and the engineering culture. This role blends Prompt Engineering, LLM application design, and Full Stack Development to help build a next-generation healthcare intelligence engine to solve real-life problems for hospitals and health systems. What You’ll Do: Design and develop prompt architectures for LLM-based workflows Engineer and fine-tune prompt chains for optimal performance, accuracy, and reliability Collaborate with domain experts to understand the nuances of healthcare and translate them into intelligent AI interactions Develop and deploy secure, scalable full-stack features – from front-end UIs to back-end services and APIs Integrate AI capabilities into product workflows using tools like LangChain, OpenAI APIs, or open-source LLMs Work closely with the founding team to iterate quickly and bring the product to real-life operations Skills & Experience: Required: 5–7 years of experience in software engineering, ideally in AI or health-tech startups Strong grasp of Prompt Engineering for LLMs (e.g., GPT-4, Claude, Mistral, etc.) Experience with Full Stack Development using modern frameworks (e.g., React, Next.js, Node.js, Python, Flask, or FastAPI) Familiarity with AI tooling (LangChain, Pinecone, vector databases, etc.) Understanding of HIPAA and secure data handling practices Experience shipping production-grade code in a fast-paced, agile environment Good to have (+plus points) Knowledge of US Healthcare operations (e.g., CPT, ICD-10 codes, SNOMED, EDI 837/835, payer, provider workflows) Experience with healthcare data formats (HL7, FHIR, EDI) Experience with DevOps and cloud deployment (AWS/GCP/Azure) Why Join Us: Work on a mission-critical, AI-first product that impacts real healthcare outcomes Join at ground zero and shape the technical and product direction Competitive compensation, meaningful equity, and flexible work environment Build with the latest in AI – and solve problems the world hasn’t cracked yet If you’re excited to use AI to fix the broken healthcare machinery, contact us ASAP! Show more Show less

Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Commure, we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care. Our innovative suite of software and hardware – augmented by advanced LLM AI, RTLS, and healthcare workflow automations – boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more. Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we’re only just getting started: Healthcare’s watershed moment for AI-powered transformation is here – so join us in creating the technology to power healthcare! As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions. Responsibilities Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission. Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions. Track and document all claim rejections, resolutions, and resubmissions in the internal system. Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections. Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections. Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance. Requirements A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes. Familiarity with payer-specific guidelines, policies, and procedures. Excellent communication, interpersonal, and problem-solving skills. Detail-oriented with strong organisational and time management abilities. Proficiency in using billing software and the Microsoft Office Suite. Ability to work effectively under pressure in a fast-paced company environment. Why you’ll love working at Commure + Athelas: Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector. Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. Incredible Growth: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We’ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction. Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process. Please be aware that all official communication from us will come exclusively from email addresses ending in @ getathelas.com , @ commure.com or @ augmedix.com . Any emails from other domains are not affiliated with our organization. Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Selected Intern's Day-to-day Responsibilities Include Review medical records and translate them into standardized codes using ICD-10, CPT, and HCPCS coding systems. Ensure all codes are compliant with healthcare regulations and insurance requirements. Communicate with the coding and billing departments to resolve discrepancies or issues. About Company: Medi Infotech is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nation's largest healthcare organizations. Our services include medical coding services, medical coding training and medical billing training, and medical scribe training services. Show more Show less

Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Commure, we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care. Our innovative suite of software and hardware – augmented by advanced LLM AI, RTLS, and healthcare workflow automations – boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more. Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we’re only just getting started: Healthcare’s watershed moment for AI-powered transformation is here – so join us in creating the technology to power healthcare! As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions. Responsibilities: Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission. Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions. Track and document all claim rejections, resolutions, and resubmissions in the internal system. Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections. Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections. Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance. Requirements : A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes. Familiarity with payer-specific guidelines, policies, and procedures. Excellent communication, interpersonal, and problem-solving skills. Detail-oriented with strong organisational and time management abilities. Proficiency in using billing software and the Microsoft Office Suite. Ability to work effectively under pressure in a fast-paced company environment. Why you’ll love working at Commure + Athelas: Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector. Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. Incredible Growth: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We’ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction. Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process. Please be aware that all official communication from us will come exclusively from email addresses ending in @ getathelas.com , @ commure.com or @ augmedix.com . Any emails from other domains are not affiliated with our organization. Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis. Show more Show less

End-to-end onboarding of SMS, WABA, RCS, Voice Services. Manage Recharges and Credit Limits for the onboarded Customers. First level troubleshooting of the issues related to SMS, WABA, RCS, Voice Services and further coordination with L2/L3 Teams. End-to-end customer handling to provide timely support for the raised issues. Respond to alerts, incidents and service requests related to Above mentioned services. Work in a shift-based rotation to provide continuous monitoring and support to customers. Show more Show less

Location: Gulbarga, KA, IN Areas of Work: Sales & Marketing Job Id: 13136 External Job Description Profiles Summary: 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. Primary Responsibilities:- 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. Essential Graduate Degree in any stream (BA/B.Sc./B.Com/BBA/BBM/BMS) Minimum 50% marks throughout education without any backlogs Graduation must be through a full time course Show more Show less

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 Subject Matter Expert in Continuous Improvement and Project management Perform Kaizen and VSM for processes within Central Program Team and at sites Lead by example and mentor leadership, managers and project teams on ACES concepts and methodologies Clearly and timely communicate findings, determinations, and recommendations to management and business partners, both at periodic intervals and as needed regarding escalated or high-risk 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 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 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 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: A2933741 Show more Show less

We’re Hiring! – Certified Medical Coders (HCC) Location: On-site CPC Certified Medical coders Job description: As a Medical Coder , you will play a crucial role in ensuring the accuracy and integrity of our healthcare data. Your primary responsibility will be to review medical records and assign appropriate codes for diagnoses and procedures. You will work closely with healthcare providers to guarantee compliance with all coding guidelines and regulations. Key Responsibilities: Review and accurately code medical records using ICD-10 and CPT coding guidelines. Collaborate with healthcare providers to resolve coding discrepancies and ensure accurate documentation. Stay updated with the latest coding and compliance regulations and guidelines. Assist in data analysis and reporting as required. Willing to work from our office at Kochi. Qualifications: Life science degree graduates with CPC certification are preferred. Freshers and experienced candidates can apply. Proficiency in ICD-10 and CPT coding systems. Strong knowledge of medical terminology and healthcare regulations. Attention to detail and a high level of accuracy in coding. Should have proper understanding regarding the rules and regulations of HIPPA Effective communication skills and the ability to work in a collaborative team environment. Valid Certified Professional Coder (CPC) certification is mandatory. Work Shift details: For kochi location - It will be purely night shift For coimbatore location - It will be day shift Salary Package: ₹16,000 – ₹20,000 per month for freshers and for experienced candidates, the salary will be based on the previous package & interview performance. If you're passionate about accuracy and compliance in medical coding and ready to work in a collaborative office environment, we want to hear from you! Apply Now with your updated resume and certification details at iqctsplacement@gmail.com Job Type: Full-time Pay: ₹16,000.00 - ₹20,000.00 per month Schedule: Day shift Night shift Work Location: In person

Job Description. AR Callers for Experienced candidates.  Reviewing and analyzing claim form 1500 to ensure accurate billing information.  Utilizing coding tools like CCI and McKesson to validate and optimize medical codes.  Familiarity with payer websites to verify claim status, eligibility, and coverage details.  Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.  Proficiency in using CPT range and modifiers for precise coding and billing.  Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions.  Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and Facilitate claims processing. Desired Candidate Profile: -  Minimum of 1 year of experience in physician revenue cycle management and AR calling.  Basic knowledge of claim form 1500 and other healthcare billing forms.  Proficiency in medical coding tools such as CCI and McKesson.  Familiarity with payer websites and their processes.  Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.  Understanding of Clearing House systems like Waystar and e-commerce platforms.  Excellent communication skills.  Should be a Graduate.  Comfortable to Work in Night Shifts.  Ready to join immediately Perks and Benefits  Night shift Allowance (100 Per Working Day)  Saturday and Sunday Fixed Week Offs.  2 Way Cab Facility (within 25 Km Radius).  24days Leave in a Year.upto Rs.5000 incentives.  Self-transportation bonus up to 3500. Location: Manikonda Lanco Hills Package: 30 % Hike on previous Package If interested, contact A. Srivani - 9959218281 Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Health insurance Provident Fund Schedule: Night shift US shift Supplemental Pay: Shift allowance Work Location: In person Speak with the employer +91 9959218281

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. This process works on identifying Fraud, Waste and Abuse between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve or deny claims and Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS guideline along with referring to client specific guidelines and member policies. Fraud is intentionally misrepresenting or concealing facts to obtain something of value. The complete definition has three primary components: Intentional dishonest action or misrepresentation of fact Committed by a person or entity With knowledge that dishonest action or misrepresentation could result in an inappropriate gain or benefit This definition applies to all persons and all entities. However, there are special rules around intentional misrepresentations to Government programs such as Medicare and Medicaid, or TRICARE. Waste includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources. Abuse includes any practice that results in the provision of services that: Are not medically necessary Do not meet professionally recognized standards for health care Are not fairly priced Primary Responsibilities: Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS 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 Coordinate with all team members and share recent process related updates 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 - MBBS or BHMS or BAMS or BUMS or BPT or MPT or BDS Graduate - “Results awaited” candidates will not be accepted Good knowledge on MS - Word and MS - Excel Attention to detail and Quality focused Preferred Qualifications: Knowledge of US Healthcare and coding Proven high attention to detail which translates to 100% quality of work performed Proven ready to support the business during peak volumes as & when needed Proven good written and verbal communication skills. Proven team player Proven good analytical skills. He should have the ability to understand the mistakes and correct the same Proven flexibility - Ready to accommodate the working hours and working days depending on the Business Need 100% work from office Demonstrated ability to work independently without close supervision 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.

Job Overview: We are seeking a detail-oriented and experienced Sr. Medical Coder/Auditor to join our team. In this role, you will be responsible for conducting audits on medical claims to ensure accuracy, compliance with plan provisions, and adherence to federal and state regulations. Your expertise will help maintain quality assurance within the claims process, reduce errors, and support the financial integrity of our TPA operations. ______________________________________________________________________________________ Key Responsibilities: ● Perform pre-payment and concurrent audits on medical claims for self-funded and level-funded health plans. ● Verify claims for accuracy in coding (ICD-10, CPT, HCPCS) for the application of plan benefits. ● Review plan documents alongside claim codes to determine the proper benefit assignments. ● Collaborate with claims examiners, supervisors, and compliance teams to resolve discrepancies. ● Document audit findings, prepare detailed reports, and present outcomes to internal stakeholders. ● Ensure claims adhere to regulatory guidelines including HIPAA, ERISA, and other applicable federal/state requirements. ● Participate in internal quality assurance initiatives and continuous improvement efforts. ● Maintain confidentiality of sensitive member and provider information. ______________________________________________________________________________________ Required Qualifications: ● 5 plus years of experience in medical claims auditing, preferably in a US healthcare TPA or insurance environment. ● Strong knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and claims forms (CMS-1500, UB-04). ● Familiarity with healthcare regulations including HIPAA, ERISA, and ACA. ● Proficiency in auditing tools, claim systems, and Microsoft Office Suite. ● Certifications such as CPC, CPMA, or CCS are mandatory. ● Excellent analytical, organizational, and communication skills. ______________________________________________________________________________________ Preferred Tools/Systems Experience: ● Claims adjudication platforms such as Trizetto, VBA, Plexis. ● EMR/EHR platforms and audit management systems. ______________________________________________________________________________________ Job Type: Full-time Pay: ₹700,000.00 - ₹1,000,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Evening shift Fixed shift Monday to Friday Night shift US shift Ability to commute/relocate: Mumbai Suburban, Maharashtra: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Required) Experience: Medical coding: 5 years (Required) Medical Auditing: 5 years (Preferred) License/Certification: Medical Coding Certification (Required) Location: Mumbai Suburban, Maharashtra (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

Omega Healthcare Management Services Private Limited KARNATAKA Posted On 14 Jun 2025 End Date 28 Jun 2025 Required Experience 2 - 4 Years Basic Section No. Of Openings 15 Grade 1C Designation Senior Coder Closing Date 28 Jun 2025 Organisational Country IN State KARNATAKA City BENGALURU Location Bengaluru-I Skills Skill MEDICAL CODING HEALTHCARE HIPAA CPT ICD-9 EMR MEDICAL BILLING HEALTHCARE MANAGEMENT REVENUE CYCLE ICD-10 Education Qualification No data available CERTIFICATION No data available Job Description 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) ing the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQ’s to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications CPC certification AAPC or CCS certification from AHIMA High School graduate or equivalent Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.) Knowledge of Microsoft Word, Outlook, Excel Must be able to use job-related software Surgical coding experience a plus Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Chennai, IN-TN Position Type Full Time Requisition ID 12274 Level of Education Years of Experience About Exela Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner. Health & Wellness We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services. Military Hiring: Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty. LexiCode Medical Coders, Outpatient Surgery / Observations Work from one of our company offices Job Summary- As a Medical Coder at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations. Job Description Essential Job Responsibilities Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. Accurately assign medical codes to precisely reflect clinical documentation. Ensure the integrity and precision of coded data. Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards. Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks. Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations. Minimum Qualifications Possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. Minimum of 1 year of experience coding Outpatient Surgery / Observations Proficiency in ICD-10-CM, ICD-10-CM, CPT and/or HCPCS codes as appropriate, and comprehensive knowledge of guidelines and conventions. Competence in utilizing coding software and electronic health record (EHR) systems. Strong analytical aptitude to interpret intricate medical documentation accurately. Detail-oriented approach, ensuring precision and accuracy in all coding assignments. Exceptional communication skills to facilitate effective collaboration with healthcare professionals. Disclaimer: Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. Exela recruiters or representatives will only contact you from emails ending with @exelaonline.com, @exelatech.com, @lexicode.com, @rustconsulting.com or @ersgroup.com. We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.

Job Title: PHP Developer – WordPress Core Developer (React/Node.js Advantage) Location: Noida Sector 3 Job Type: Full-Time Experience Required: 1 to 3 Years Working Days: Monday to Saturday Job Description: We are hiring a talented PHP Developer with strong expertise in Core WordPress Development. The candidate must have experience working with WordPress Codex, developing custom themes and plugins, and using hooks, actions, and filters. This is a developer role, not a WordPress customizer or page-builder user position. If you also have working knowledge of React.js or Node.js, it will be considered a strong advantage for full-stack or API-driven projects. Key Responsibilities: Build and maintain custom WordPress plugins and themes Use WordPress Codex, hooks, actions, and filters to build dynamic functionality Develop and manage custom post types, taxonomies, and meta fields Integrate REST APIs and external services Work with MySQL for database-level operations Optimize websites for performance and security Write clean, well-documented, and reusable code Collaborate with frontend developers/designers to deliver pixel-perfect output Must-Have Skills: Strong knowledge of Core PHP and MySQL Proficiency with WordPress Codex and custom development Experience in custom plugin and theme development from scratch Familiarity with WP_Query, ACF, CPT, and WordPress DB structure Good understanding of WordPress security best practices Experience with Git for version control Good to Have (Advantage): Working knowledge of React.js or Node.js Experience with WooCommerce custom development Familiarity with WordPress CLI Understanding of website performance optimization techniques Basic JavaScript, AJAX, jQuery Who Should Not Apply: Those who only work with Elementor, WPBakery, or other page builders Candidates who are only familiar with WordPress admin settings or theme configuration Developers without coding experience in WordPress Interested Candidate Kindly Contact Rahul 9354261364(Whats up Number) 9870568293(Whats up Number) Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Cell phone reimbursement Schedule: Day shift Morning shift Experience: Codex wordpress: 2 years (Preferred) wordpress : 2 years (Preferred) Work Location: In person

The rise of remote work has transformed the job market, offering professionals in the USA unprecedented flexibility to work from anywhere while maintaining full-time employment. With companies increasingly adopting “work-from-anywhere” policies, 2025 is a prime year to explore high-paying, fulfilling remote career opportunities. Whether you’re a seasoned professional or just starting out, this guide highlights the top full-time remote jobs hiring right now in the USA, along with actionable insights to help you land your dream role. From tech to healthcare to creative fields, we’ve curated a list of in-demand positions based on current trends and job board data. This SEO-optimized article is designed to help you navigate the remote job landscape, offering details on job roles, required skills, salary ranges, and tips for standing out in a competitive market. Let’s dive into the top full-time remote jobs hiring in the USA in 2025! Why Remote Work is Thriving in 2025 Benefits Remote work has become a cornerstone of the modern workplace, driven by advancements in technology, changing employee expectations, and the proven benefits of flexibility. According to Forbes, around 70% of workers are expected to work remotely at least five days a month by 2025. Companies are tapping into a global talent pool, prioritizing output over office attendance, and offering competitive salaries to attract skilled professionals. Here’s why remote work continues to thrive: Flexibility and Work-Life Balance: Remote jobs allow employees to manage their schedules, reduce commutes, and achieve a better balance between personal and professional lives. Cost Savings for Employers: Companies save on office space and operational costs, enabling them to invest in top talent regardless of location. Technological Advancements: Tools like Zoom, Slack, and advanced CRMs make remote collaboration seamless and efficient. Employee Demand: Surveys show that a significant percentage of workers prefer remote or hybrid roles, pushing employers to adapt. With this backdrop, let’s explore the top full-time remote jobs hiring right now in the USA, organized by industry and demand. Top Full-Time Remote Jobs in Technology Role The tech sector continues to lead the remote work revolution, offering a wide range of roles for developers, engineers, and IT professionals. Here are some of the most sought-after tech positions in 2025: Software Engineer Software engineers design, develop, and maintain applications, making them indispensable in the tech world. Remote software engineering roles are abundant, with companies like Google, Amazon, and startups posting openings daily. Key Responsibilities: Write clean, efficient code for web and mobile applications. Collaborate with cross-functional teams to design software solutions. Debug and optimize existing systems. Stay updated on emerging technologies. Skills Required: Proficiency in languages like Python, Java, JavaScript, or C++. Experience with frameworks like React, Angular, or Django. Knowledge of cloud platforms (AWS, Azure, Google Cloud). Strong problem-solving and communication skills. Salary Range: $100,000–$180,000/year Where to Find Jobs: We Work Remotely, Remote.co, LinkedIn (filter for “remote” jobs). Full Stack Developer Full stack developers handle both front-end and back-end development, making them versatile hires for companies building complex digital products. Key Responsibilities: Develop user-facing interfaces and server-side logic. Integrate APIs and third-party services. Ensure scalability and performance of applications. Work with designers and product managers to align on project goals. Skills Required: Expertise in HTML, CSS, JavaScript, and back-end languages like Node.js or Ruby. Familiarity with databases (SQL, NoSQL). Experience with version control (Git). Agile development experience. Salary Range: $95,000–$165,000/year Where to Find Jobs: FlexJobs, Jobspresso, Remote OK. Also Read: Best Part Time Remote Jobs to Earn Extra Income in the USA Cybersecurity Analyst With cyber threats on the rise, cybersecurity analysts are in high demand to protect company data and systems remotely. Key Responsibilities: Monitor networks for security breaches. Conduct vulnerability assessments and penetration testing. Develop and implement security protocols. Respond to and mitigate cyber incidents. Skills Required: Knowledge of firewalls, encryption, and security frameworks (NIST, ISO). Experience with tools like Splunk or Wireshark. Certifications like CISSP or CompTIA Security+. Analytical and detail-oriented mindset. Salary Range: $90,000–$150,000/year Where to Find Jobs: Nodesk, Remote4Me, LinkedIn. Top Full-Time Remote Jobs in Digital Marketing Digital marketing thrives on flexibility, making it a hotspot for remote opportunities. These roles focus on driving brand awareness and revenue through online channels. SEO Specialist SEO specialists optimize websites to rank higher on search engines, driving organic traffic and boosting visibility. Key Responsibilities: Conduct keyword research and competitor analysis. Optimize on-page elements like meta tags, headers, and content. Build high-quality backlinks to improve domain authority. Use analytics tools like Google Analytics to track performance. Skills Required: Proficiency in SEO tools (Ahrefs, SEMrush, Moz). Understanding of Google’s algorithm updates. Content creation and optimization skills. Data-driven decision-making abilities. Salary Range: $50,000–$85,000/year Where to Find Jobs: Remoters, Working Nomads, We Work Remotely. Content Marketing Manager Content marketing managers create and distribute engaging content to attract and retain audiences, often working closely with SEO and social media teams. Key Responsibilities: Develop content strategies aligned with business goals. Create blog posts, whitepapers, and social media content. Manage content calendars and coordinate with writers. Analyze content performance metrics. Skills Required: Strong writing and editing skills. Knowledge of CMS platforms (WordPress, HubSpot). Familiarity with SEO and social media trends. Project management experience. Salary Range: $70,000–$130,000/year Where to Find Jobs: Remote.co, ProBlogger, Jobgether. Social Media Manager Social media managers craft campaigns to engage audiences and build brand loyalty across platforms like Instagram, Twitter, and LinkedIn. Key Responsibilities: Develop and execute social media strategies. Create and schedule posts, including visuals and copy. Monitor engagement metrics and adjust campaigns. Collaborate with influencers and marketing teams. Skills Required: Expertise in social media platforms and tools (Hootsuite, Buffer). Creative content creation skills (Canva, Adobe Suite). Understanding of analytics and advertising platforms. Strong communication skills. Salary Range: $60,000–$110,000/year Where to Find Jobs: FlexJobs, Remote OK, LinkedIn. Top Full-Time Remote Jobs in Healthcare The healthcare sector is embracing remote work, particularly in telehealth and administrative roles, expanding access to care and expertise. Telehealth Nurse Telehealth nurses provide remote patient care through virtual platforms, addressing the growing demand for accessible healthcare. Key Responsibilities: Conduct virtual patient consultations and assessments. Provide medical advice and follow-up care. Document patient interactions in EHR systems. Collaborate with physicians and healthcare teams. Skills Required: Active RN license and clinical experience. Proficiency with telehealth platforms. Strong communication and empathy skills. Knowledge of HIPAA regulations. Salary Range: $75,000–$120,000/year Where to Find Jobs: Remote.co, USAJOBS, FlexJobs. Medical Coder Medical coders translate healthcare services into standardized codes for billing and insurance purposes, often working remotely. Key Responsibilities: Assign ICD-10, CPT, and HCPCS codes to patient records. Ensure compliance with coding guidelines. Review documentation for accuracy. Communicate with healthcare providers for clarification. Skills Required: Certification (CPC, CCS, or RHIA). Knowledge of medical terminology and coding systems. Attention to detail and organizational skills. Familiarity with EHR software. Salary Range: $50,000–$80,000/year Where to Find Jobs: We Work Remotely, Remote4Me, ZipRecruiter. Top Full-Time Remote Jobs in Education Remote education roles are booming as online learning platforms like Coursera and Khan Academy expand their reach. Online Instructor Online instructors teach courses across subjects, from coding to language skills, connecting with students globally. Key Responsibilities: Develop and deliver course content via virtual platforms. Engage students through interactive lessons and assignments. Provide feedback and assess student progress. Stay updated on educational trends and tools. Skills Required: Subject matter expertise in a specific field. Experience with LMS platforms (Moodle, Blackboard). Strong communication and presentation skills. Ability to adapt to diverse learning styles. Salary Range: $60,000–$100,000/year Where to Find Jobs: Remote.co, Jobspresso, LinkedIn. Instructional Designer Instructional designers create engaging online learning experiences, blending pedagogy with technology. Key Responsibilities: Design e-learning courses and materials. Collaborate with subject matter experts to develop content. Use authoring tools like Articulate or Adobe Captivate. Evaluate course effectiveness through learner feedback. Skills Required: Knowledge of instructional design models (ADDIE, SAM). Proficiency in e-learning software. Strong project management skills. Understanding of adult learning principles. Salary Range: $70,000–$120,000/year Where to Find Jobs: FlexJobs, We Work Remotely, Remote OK. Top Full-Time Remote Jobs in Customer Service Customer service roles are increasingly remote, offering opportunities to support clients from anywhere. Customer Success Manager Customer success managers ensure clients achieve their goals with a company’s products or services, often working remotely for SaaS companies. Key Responsibilities: Onboard and train new clients. Monitor client satisfaction and address concerns. Analyze usage data to improve customer outcomes. Collaborate with sales and product teams. Skills Required: Strong interpersonal and problem-solving skills. Experience with CRM tools (Salesforce, HubSpot). Ability to manage multiple client accounts. Knowledge of the SaaS industry. Salary Range: $80,000–$140,000/year Where to Find Jobs: Jobspresso, Remote.co, LinkedIn. Technical Support Specialist Technical support specialists assist customers with technical issues, often for software or hardware companies. Key Responsibilities: Troubleshoot and resolve technical issues via chat, email, or phone. Document support tickets and escalate complex issues. Provide user training and documentation. Collaborate with engineering teams to address bugs. Skills Required: Knowledge of technical support tools (Zendesk, Freshdesk). Strong troubleshooting and communication skills. Familiarity with software or hardware systems. Patience and a customer-focused mindset. Salary Range: $50,000–$90,000/year Where to Find Jobs: We Work Remotely, Nodesk, ZipRecruiter. Also Read: Remote Pharmacy Technician Jobs: Work From Home Roles You Can Apply For Tips for Landing a Full-Time Remote Job Securing a remote job requires a strategic approach, especially in a competitive market. Here are actionable tips to stand out: Tailor Your Resume and Cover Letter: Highlight remote work experience and digital communication skills. Use keywords from job descriptions to pass ATS filters. Build a Strong Online Presence: Optimize your LinkedIn profile with “remote” in your location and headline. Showcase a portfolio for creative or tech roles (e.g., GitHub for developers, Behance for designers). Leverage Remote Job Boards: Use platforms like FlexJobs, We Work Remotely, and Remote.co for curated listings. Set up job alerts for daily or weekly updates. Network Strategically: Join LinkedIn groups, Slack communities, or forums like Remote Work Hub. Reach out to hiring managers directly via email or LinkedIn. Prepare for Remote Interviews: Test your tech setup (camera, microphone, internet). Demonstrate familiarity with remote tools like Zoom or Trello. Avoid Scams: Research employers thoroughly, checking reviews on Glassdoor or social media. Avoid jobs requiring upfront payments or sharing sensitive information. Where to Find Full-Time Remote Jobs To Streamline Your Job Search, Focus On Platforms Dedicated To Remote Work. Here Are The Top Sites For Finding Full-time Remote Jobs In The USA We Work Remotely: The largest remote work community, featuring jobs from companies like Google and Amazon. FlexJobs: Curated listings for remote and flexible roles, with a focus on quality and legitimacy. Remote.co: Offers jobs in various categories, plus resources like Q&A forums. LinkedIn: Use the “remote” filter to find opportunities from top companies. Jobspresso: Features high-quality remote jobs in tech, marketing, and support. Nodesk: Ideal for digital nomads, with a focus on tech and marketing roles. Remote OK: Transparent listings with salary and location details. ZipRecruiter: Offers a wide range of remote jobs, including SEO and customer service. Conclusion – Full Time Remote Jobs The remote job market in the USA is thriving in 2025, offering diverse opportunities across tech, marketing, healthcare, education, and customer service. From high-paying software engineering roles to flexible customer success positions, there’s a remote job for nearly every skill set. By leveraging specialized job boards, tailoring your application materials, and building a strong online presence, you can land a fulfilling full-time remote role that aligns with your career goals. Start your search today on platforms like We Work Remotely, FlexJobs, or LinkedIn, and take the first step toward a flexible, rewarding career from anywhere in the USA. FAQs – Full-Time Remote Jobs What are the best platforms for finding full-time remote jobs in the USA? Top platforms include We Work Remotely , FlexJobs , and Remote.co , LinkedIn , Jobspresso , Nodesk , Remote OK , and ZipRecruiter . These sites specialize in remote listings and offer filters for full-time roles. What skills are most in demand for remote jobs in 2025? In-demand skills include programming (Python, JavaScript), SEO , content creation , cybersecurity , telehealth expertise , and proficiency with remote tools like Zoom , Slack , and CRM platforms . How can I avoid remote job scams? Research employers on Glassdoor or social media, avoid jobs requiring upfront payments , and verify recruiters through video calls . Never share bank details before being hired. Do remote jobs pay as well as in-office jobs? Many remote jobs offer competitive salaries , especially in tech and marketing . For example, software engineers can earn $100,000–$180,000/year , comparable to or higher than in-office roles. Can I work remotely from any state in the USA? Most remote jobs are location-agnostic , but some require specific time zones or state residency due to tax or legal reasons . Always check job listings for restrictions. What are the benefits of full-time remote work? Benefits include flexibility , no commute , cost savings , and access to global opportunities . Many companies also offer remote allowances or perks like parental leave . How do I stand out in a remote job application? Tailor your resume with relevant keywords , highlight remote work experience , and showcase digital skills . A strong LinkedIn profile and portfolio can also help. Are there remote jobs for entry-level candidates? Yes, roles like customer service , content writing , and data entry are accessible to beginners. Platforms like Pangian and Remote.co list entry-level opportunities. What tools should I learn for remote work? Familiarity with Zoom , Slack , Trello , Google Workspace , CRM tools (e.g., Salesforce, HubSpot), and industry-specific software (e.g., Ahrefs for SEO) is essential. How do I prepare for a remote job interview? Test your tech setup , research the company, and demonstrate familiarity with remote work tools . Highlight your ability to communicate effectively and manage time independently . Related Posts Top 10 Remote Customer Service Jobs You Can Start Today The Pros and Cons of Working Remote Data Entry Jobs How to Land Your First Remote Entry-Level Job: Tips and Tricks How to Thrive in Remote Customer Service Jobs: Tips for Success Best Remote Customer Success Jobs You Can Work From Anywhere Top Remote Front End Developer Jobs Hiring in 2025 Top 10 Work from Home Jobs in Delhi Hiring Now Legit Work From Home Jobs for Stepmoms: Real Opportunities & Flexible Roles in 2025 Show more Show less

🌟 We’re Hiring: Claims Executive – Health Insurance Sector 📍 Location: Pune 📚 Education: Any Graduate 🧾 Experience: Minimum 1–3 Years in Health Insurance Claims 🏢 Industry: Health Insurance | TPA | Healthcare Services Are you passionate about making healthcare claims fair, accurate, and efficient? Do you thrive in a fast-paced environment where coordination, attention to detail, and policy knowledge are key? Join our growing team as a Claims Executive and be a vital part of our mission to bring transparency and accountability to the health insurance process. 🔍 Key Responsibilities: End-to-end handling of health insurance claims — both cashless and reimbursement — in line with insurer/TPA guidelines and policy terms Examine and verify all medical documents , including prescriptions, invoices, discharge summaries, investigation reports, and operative notes Maintain updated data for each case on internal claim processing systems, ensuring no lapse in documentation or tracking Proactively follow up with internal departments, patients, insured members, treating hospitals, TPAs, and insurance companies for missing information, clarification, or approvals Ensure timely submission and response to queries raised by TPAs/insurers during the adjudication process Handle rejected claims with thorough documentation and initiate reconsideration appeals as appropriate Decode insurance policies to identify applicable benefits, sub-limits, exclusions, and waiting periods Understand and apply medical terminology , billing practices, and coding systems (ICD/CPT) to evaluate claims effectively Track and monitor claims from registration to settlement , flagging delays or discrepancies proactively Ensure strict compliance with IRDAI regulations, insurer circulars, internal SOPs, and TPA operational protocols Support senior team members in audits, claim reviews, and internal assessments Identify fraudulent claims, medical mismatches, or billing anomalies and escalate them appropriately Build strong working relationships with hospitals, doctors, and claims handlers to resolve issues smoothly and professionally ✅ Requirements: Education: Any Graduate Experience: Minimum 1–3 years in health insurance claims processing (Cashless or Reimbursement) Prior experience with TPAs, insurance companies, or hospital billing departments is essential Hands-on knowledge of insurance software platforms such as Mediware, iMediNet, HealthConnect, etc. Excellent communication, documentation, and coordination skills Strong understanding of policy structures, exclusions, and medical billing practices Ability to work under pressure, manage multiple cases, and meet TAT and audit requirements 📝 Preferred Skills (Not Mandatory): Certification in medical coding or insurance Familiarity with claim audit and fraud detection practices Knowledge of common healthcare procedures, diagnostics, and hospitalization workflows 📨 How to Apply: Send your CV to info@healthbridgeindia.in or apply directly via LinkedIn. Join us in making the claims journey transparent, timely, and trust-driven for every insured patient. 💼 Show more Show less

Job Summary: A Senior Denial Analyst is responsible for analyzing and resolving denied medical insurance claims, identifying trends, and implementing strategies to minimize denials. This role involves collaborating with billing teams, insurance providers, and healthcare professionals to ensure timely claim resolution and maximize revenue recovery. The Senior Denial Analyst also plays a key role in process improvement and compliance with payer regulations. Key Responsibilities:Denial Management & Resolution: Review and analyze denied claims to determine the root cause. Help is enhancing our inhouse product. Work with insurance companies to appeal and resolve denied claims. Identify patterns in denials and recommend corrective actions. Follow up on outstanding denied claims to ensure timely resolution. Process Improvement & Compliance: Develop strategies to reduce future denials by improving documentation and coding accuracy. Ensure compliance with payer policies, Medicare, Medicaid, and other regulatory requirements. Stay updated with industry changes, reimbursement policies, and claim adjudication guidelines. Collaboration & Reporting: Work closely with billing, coding, and revenue cycle teams to address claim rejections. Provide training and guidance to junior analysts and billing staff on denial prevention. Generate reports on denial trends, recovery rates, and financial impacts. Present findings to senior management and recommend improvements. Qualifications & Skills:Education & Experience: 5+ years of experience in denial management, medical billing, or revenue cycle management. Experience with electronic health records (EHR), practice management systems, and payer portals . Technical Skills: Proficiency in ICD-10, CPT, HCPCS, and medical billing codes . Familiarity with payer-specific denial reasons and appeals processes. Experience with denial management software and revenue cycle analytics tools . Soft Skills: Strong analytical and problem-solving skills . Detail-oriented with the ability to manage multiple tasks efficiently. Show more Show less

Omega Healthcare Management Services Private Limited KARNATAKA Posted On 14 Jun 2025 End Date 28 Jun 2025 Required Experience 2 - 4 Years Basic Section No. Of Openings 15 Grade 1C Designation Senior Coder Closing Date 28 Jun 2025 Organisational Country IN State KARNATAKA City BENGALURU Location Bengaluru-I Skills Skill MEDICAL CODING HEALTHCARE HIPAA CPT ICD-9 EMR MEDICAL BILLING HEALTHCARE MANAGEMENT REVENUE CYCLE ICD-10 Education Qualification No data available CERTIFICATION No data available Job Description 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) ing the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Description Atos is seeking an Associate Medical Coder to join our Hospital/Health Care team in Siruseri. In this FULL_TIME role, you will be responsible for accurately assigning medical codes to diagnoses and procedures for billing and data analysis purposes. This position requires working ONSITE and offers the opportunity to contribute to the healthcare industry by ensuring accurate coding practices. If you are detail-oriented, have a passion for healthcare, and possess the necessary coding skills, we welcome you to apply. Shift Timings General Shift (9:00 AM – 6:00 PM) Cab facility available till 40 kms . Responsibilities Accurately assign codes to diagnoses and procedures using the appropriate coding classification system (ICD, CPT, HCPCS). Review patient history and medical records to ensure coding accuracy. Maintain compliance with coding guidelines and company policies. Collaborate with clinical staff for clarification of documentation. Requirements Minimum 1 to 4 years of coding experience in ED or OP facility coding. CCS certification from AHIMA is mandatory. Strong understanding of medical terminology, anatomy, and healthcare procedures. Ability to review and analyze patient history, operative notes, and other clinical documentation. Show more Show less