1821 Cpt Jobs - Page 25

Medical Coder Preferred: ***Min 0 - 3 Years experience in CPC certified Evaluation and Management Coding Wound Care Coding Podiatry Coding Billing Coding Nursing Home Coding Job Description: 1. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. 2. Researches and analyzes data needs for reimbursement. 3. Analyzes medical records and identifies documentation deficiencies. 4. Serves as resource and subject matter expert to other coding staff. 5. Reviews and verifies documentation supports diagnoses, procedures and treatment results. 6. Identifies diagnostic and procedural information. 7. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. 8. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. 9. Follows coding conventions. Serves as coding consultant to care providers. 10. Identifies discrepancies, potential quality of care, and billing issues. 11. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. 12. Identifies reportable elements, complications, and other procedures. 13. Serves as resource and subject matter expert to other coding staff. 14. Assists lead or supervisor in orienting, training, and mentoring staff. 15. Provides ongoing training to staff as needed. 16. Handles special projects as requested. Skills Required Good Knowledge on Anatomy & Physiology Excellent Knowledge on ICD & CPT Good Computer Skills Above Average Communication Skills Good Reporting Skills A medical coder should, Give 100% production with 99% quality. Ensure that the coding follows the ICD -10 CM Coding rules as well as the specific guidelines given by the client-based coding guidelines. Associate the diagnosis codes to appropriate services provided and sequence the codes in such a way as to ensure proper reimbursement. Have a good knowledge of Anatomy, Physiology, Medical Terminology, ICD-10, CPT procedure and to understand the patient care charts and histories Familiar with medical coding procedures and systems. Should have experience of educating the coder in achieving the quality To Maintain Coders Quality Reports (Data in Excels). Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹28,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Morning shift Supplemental Pay: Yearly bonus Experience: total work: 1 year (Preferred) Medical Coding: 1 year (Preferred) License/Certification: CPC, CIC, COC (Preferred) Work Location: In person

Roles and Responsibilities: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Eligibility: Candidate should be a Life science/BPT/Pharm/Nursing. Candidate should have knowledge in Anatomy/Physiology. Medical Transcription background preferred. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-10 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Requirements of the role include: 1 plus years of experience working with CPT and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work regularly scheduled shifts from Monday-Friday 7:30 am to 5:30p.m IST. Should be specialized in E/M or Surgery coding. Permanent work from Office for Chennai location

Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 04 Jul 2025 End Date 18 Jul 2025 Required Experience 2 - 4 Years Basic Section No. Of Openings 3 Grade 1C Designation Senior Coder Closing Date 18 Jul 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill MEDICAL CODING HEALTHCARE CPT ICD-9 EMR MEDICAL BILLING HEALTHCARE MANAGEMENT REVENUE CYCLE ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Job Description Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) ing the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

We’re Hiring: US IT Recruiters! Join our dynamic team and build your career in US IT Staffing . Location : 5th Floor, Gamma Block, SSPDL Alpha City, OMR, Navalur, Chennai Shift Timing : 6:30 PM – 3:30 AM IST (Night Shift) Open Positions : 5 Qualification : Any Degree / Postgraduate Experience : 6 months to 6 years in US IT Recruitment Key Requirements : 6 months to 6 years of hands-on experience in US IT Staffing Proficient in C2C, W2, and 1099 hiring models Skilled in using US job portals (Dice, Monster, CareerBuilder, etc.) Strong sourcing , screening , and negotiation abilities Solid understanding of US Tax Terms & Visa Types (OPT, CPT, H1-B, GC, USC) Excellent communication and problem-solving skills If you're looking to grow in a fast-paced, rewarding environment Contact : 8637425983 Job Type: Full-time Pay: ₹15,000.00 - ₹30,000.00 per month Schedule: Monday to Friday UK shift Work Location: In person

Job Title: Sales Manager – Ed Tech (Fitness Certification) Location: AMCO Tower, Sector 09, Noida Department: WTF Academy – Sales Employment Type: Full-Time | On-Site Experience Required: 5–6 Years About WTF Academy: WTF Academy is the educational wing of WTF Gyms, one of India’s fastest-growing fitness brands. We specialize in delivering world-class certification programs including ACE – Certified Personal Trainer , ACE – Nutrition Coach , and International CPT courses. Our mission is to transform passionate individuals into certified fitness professionals. Position Overview: We are seeking a dynamic and results-oriented Sales Manager with experience in EdTech or fitness education sales. The ideal candidate should have a proven track record in team handling and driving course enrollments. The role demands a strong understanding of consultative selling and the ability to drive conversions for certification programs. Key Responsibilities: Lead and manage a team of Sales Executives and Counselors to meet monthly and quarterly targets. Sell and promote ACE CPT, ACE Nutrition, and other international certification courses. Develop and implement strategic sales plans to drive B2C lead conversion. Monitor daily team performance and coach team members for improvement. Conduct performance reviews, one-on-one coaching sessions, and training to enhance sales capabilities. Handle escalated leads and high-ticket prospects directly to ensure closures. Coordinate with the marketing team for campaign optimisation and lead quality improvements. Maintain CRM hygiene, track follow-ups, and ensure timely communication with leads. Prepare regular sales reports and forecast revenue. Required Skills & Qualifications: Bachelor’s degree in Business, Marketing, or related field (MBA preferred). 5–6 years of experience in EdTech sales, preferably in fitness, wellness, or certification domains. At least 2+ years of experience in team leadership/management. Strong communication, negotiation, and interpersonal skills. Goal-oriented with a passion for education and fitness. Proficient in CRM tools (e.g., LeadSquared, Zoho, Salesforce). Perks & Benefits: Competitive salary and performance-linked incentives. Opportunity to work with a fast-growing fitness education brand. Professional growth through internal mentorship and leadership exposure. Complimentary gym access and wellness sessions.

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

Hi All interview Started For CODERS & QA and offer Relese also Started HCC QA - 2 Year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Available Timing from 10.30 am to 6.30 pm Monday to Saturday praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started HCC Coders - 6 Month Above + To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Available Timing from 10.30 am to 6.30 pm Monday to Saturday praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hashtech Info is hiring freshers for a remote Bench Sales Recruiter role (night shift, 5:30PM2:30AM IST). Must have good English, basic computer skills, own laptop, internet. Only for freshers (0–1 yr exp). Full-time, training provided.

Hi All Access Health Care Hiring HCC Coders Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Praveen ( HR ) Contact Number : 9655581000 watsapp alone praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000 watsapp alone Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled Rec Id - Needed to be done in Access Health Care Job App ( Find In Play store ) Name - Contact Number - Current Company - Experience - Location - Work Location - Applying For WFH/ WFO - Certification - Take home salary - Expected salary - Certification Number - Certification Number - NOTICE PERIOD - Active Bond - Email ID - kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06

Job description Position: Insurance Eligibility and Benefit Verification Specialist Location: 1105, Iconic Shyamal , Shyamal cross Road, Satellite, Ahmedabad Shift: US Shift (Night Shift) Experience: 6 month to 3 years Working Days: 5.5 days Working Role overview: The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. This role ensures that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. This position plays a critical role in the revenue cycle management for healthcare providers. Responsibilities & duties: Verify patient insurance eligibility and benefits through online portals or direct communication with insurance carriers. Accurately document insurance coverage details, including co-pays, deductibles, and out-of-pocket maximums. Collaborate with healthcare providers to obtain prior authorizations for medical procedures and treatments. Resolve discrepancies in insurance information and address coverage issues promptly. Communicate effectively with patients regarding their insurance coverage and financial responsibilities. Preferred Skills: Strong understanding of insurance terminology, medical coding (CPT, ICD-10, HCPCS), and insurance plans. Proficiency with medical billing software, Electronic Health Records (EHR) systems, and online insurance portals. Excellent written and verbal communication skills, with the ability to interact professionally with patients, insurance companies, and healthcare providers. Detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment. Knowledge of HIPAA and other healthcare privacy and compliance standards. Experience with Medicare, Medicaid, PPO, HMO, and commercial insurance plans. Note : Share your resume on recruiter@abacoshealth.in/ +91 6355320395

Access Health Care Hiring Experienced - HCC Coders & QA Experience - 0.6 Months - 3 years Location - Chennai Specialty - HCC Certified only Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Suhashini ( HR ) Contact Number : 9840064094 call and whatsapp suhashini@accesshealthcare.com

Basic Information Role Title: Senior AI/ML Engineer Required Technical Skillset : Python, Java/Scala/Golang, ML frameworks at least one (TensorFlow/PyTorch), MLOps, Microservices, Cloud at least one (Azure/AWS/GCP), LLM/Generative AI Work Location: Gurugram Work Experience : 5-7 years About the Team and Role The AI Engineering and Solutions team at the Super-app is responsible for building and deploying next-generation AL Platform and intelligence data solutions across various consumer products and services on the Super-app platform. We engage closely with cross-functional teams—Product, Engineering, Marketing, Data Science, Customer Experience, and more—to drive data-informed strategies and deliver cutting-edge ML Platform advance data capabilities including Generative AI and LLM (Large Language Model) solutions for customer-facing applications. We are currently seeking a Senior AI/ML Engineer with 5-7 years of experience. The ideal candidate will excel in designing and implementing scalable ML pipelines, integrating MLOps best practices, architecting microservices for low-latency model serving, and leveraging LLM-based techniques (including fine-tuning and agent development) to build advanced AI solutions. You will be instrumental in building a full-stack ML platform that supports a variety of high-impact AI initiatives. Key Responsibilities ML Platform Development Architect and develop end-to-end ML pipelines for data ingestion, model training, and deployment at scale. Implement scalable and secure infrastructure on Azure/AWS/GCP using IaC (e.g., Terraform, CloudFormation). Model Engineering & MLOps Collaborate with data scientists to productionize ML/DL models, including Generative AI/LLMs . Set up and manage automated CI/CD pipelines for model versioning, testing, deployment, and monitoring (e.g., MLflow, Kubeflow). Fine-tune large language models on domain-specific data and optimize for real-world scenarios (e.g., prompt engineering, RAG, agent-based architectures). Microservices & API Develop high-performance microservices in Java/Scala/Golang or Python for real-time model inference. Containerize services using Docker and orchestrate them via Kubernetes for scaling and reliability. Integrate APIs that deliver low-latency, customer-facing AI features (e.g., chatbots, generative text/image solutions). Performance & Scalability Optimize ML systems for low-latency applications and high-throughput services, particularly for LLM-based endpoints. Implement caching, load balancing, and auto-scaling strategies to handle large-scale traffic. AI/LLM Innovation Stay current with state-of-the-art LLM, Generative AI, and agent-based technologies to drive continuous innovation. Experiment with advanced techniques (e.g., reinforcement learning from human feedback, multi-modal embeddings) to enhance platform capabilities. Customize GPT/LLM for specific use cases using Continued Pre-Training (CPT) or Instruction Fine Tuning (IFT). Product & Business Enablement Work with product managers and business stakeholders to shape the AI/ML roadmap, ensuring alignment with strategic objectives. Translate complex technical solutions into clear business value propositions and drive ROI analysis for ML initiatives. Collaboration & Cross-Functional Engagement Partner with engineering, data, and business teams to integrate AI/ML solutions seamlessly into the Tata Neu ecosystem. Provide technical mentorship, best practices, and leadership to junior engineers and data scientists. Competencies for the Role Educational Background B.Tech/BE/M.Tech or equivalent in Computer Science, Data Science, or a related field. Technical Expertise Programming : Expert in Python and at least one of Java/Scala/Golang for building robust microservices. ML & LLM Frameworks : Hands-on experience with TensorFlow, PyTorch, or Scikit-learn; familiarity with LLM fine-tuning and associated libraries (e.g., Hugging Face). Cloud & DevOps : Proficiency in cloud platforms (Azure/AWS/GCP) and container orchestration (Kubernetes, Docker). Data Processing : Familiarity with Spark/Kafka or similar technologies for large-scale or real-time data workflows. Generative AI, Agents and RAG: Experience of building applications with LangChain, LangGraph, LlamaIndex and similar frameworks and libraries. Exposure to Vector Databases, Embedding Models, and Semantic Similarity Search. Expertise in advanced Prompt Engineering and Retrieval Augmented Generation (RAG) techniques for working with structured and unstructured data. Experience in applying AI to practical and comprehensive technology solutions, and developing and deploying machine learning systems into production. MLOps & Automation Experience in setting up CI/CD pipelines, model registries, and feature stores. Knowledge of best practices for model monitoring, logging, and drift detection. Analytical & Problem-Solving Skills Ability to design experiments, interpret complex data, and create actionable insights. Familiarity with advanced statistical and ML techniques, including advanced NLP, LLM fine-tuning, and agent-based AI. Product & Business Acumen Proven track record of delivering ML solutions that impact business metrics and user experience. Capable of balancing technical trade-offs with product requirements and ROI considerations. Communication & Leadership Strong written and verbal communication skills for stakeholder alignment. Demonstrated ability to lead projects and mentor cross-functional teams.

We are currently hiring for Medical Coding Trainer with minimum 5 Years of experience into Medical Coding Prior experience training medical coding batches in a classroom or group setting is required. Strong background in ICD-10, CPT, and HCPCS Required Candidate profile Proven ability to design and lead group training sessions, including interactive learning activities and performance evaluations. CPC (Certified Professional Coder) certification required.

Hi All Access Health Care Hiring HCC Coders Experience - 0.6 Months - 4 years Location - Chennai Specialty - HCC Certified only Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : santosh ( HR ) Contact Number : 8925722891 call and watsapp praveen.t@accesshealthcare.com Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled Rec Id - Needed to be done in Access Health Care Job App ( Find In Play store ) Name - Contact Number - Current Company - Experience - Location - Work Location - Applying For WFH/ WFO - Certification - Take home salary - Expected salary - Certification Number - Certification Number - NOTICE PERIOD - Active Bond - Email ID - kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology. Job Description Key Responsibilities: Pharmacy Benefits Domain Knowledge: Leverage knowledge of US Pharmacy standards, regulations, and practices (e.g., HIPAA, ICD-10, CPT codes, etc.) to ensure the system complies with industry-specific requirements and test as per the US Pharmacy Standards. Claims Testing: Testing pharmacy claims processes (adjudication, pricing, benefit configuration) while ensuring compliance with HIPAA, EDI (837/835/276/277), and ANSI X12 standards. It includes end-to-end claims lifecycle testing and validating ICD, CPT, and HCPCS codes. Verifying integrations with clearinghouses and payers. Test Planning and Execution: Develop detailed test plans, scenarios, and scripts to ensure comprehensive test coverage of business processes. Execute test cases manually or with automation tools. End-to-End Testing: Plan, design, and execute end-to-end test cases to verify the functionality and workflow of the system. Ensure complete traceability and coverage from requirement gathering to deployment. Defect Management: Identify, document, and track defects using defect management tools. Collaborate with development teams to resolve issues and ensure timely delivery of high-quality software. Collaboration with Cross-Functional Teams: Work closely with business analysts, developers, product managers, and other stakeholders to ensure that requirements are met and quality is maintained throughout the software development lifecycle. Automation: Able to work with test automation frameworks (e.g., Selenium, Gherkin, etc.) to create and execute automation test scripts. Required Qualifications: Experience: Minimum of 5 years of experience in Quality Engineering or Software Testing, particularly in the US Pharmacy Benefits domain, with a focus on Pharmacy Claims management. Pharmacy Healthcare Domain Expertise: Strong knowledge of US Pharmacy Healthcare industry standards, including pharmacy claims lifecycle, coding systems (ICD-10, CPT, HCPCS), and compliance (HIPAA, etc.). End-to-End Testing Experience: Proficiency in performing end-to-end testing, including functional, integration, and regression testing, from requirements through deployment. Testing Tools: Experience with test management tools and defect tracking systems. Automation Experience: Familiarity with test automation frameworks (e.g., Selenium, Gherkin, etc.) is a plus. Problem-Solving Skills: Ability to analyze complex business requirements and provide clear, actionable insights during the testing process. Attention to Detail: High attention to detail, ensuring accuracy and completeness of testing activities. Communication Skills: Strong written and verbal communication skills to effectively document test results, communicate defects, and collaborate with stakeholders. Agile Methodology: Experience working in Agile environments and participating in sprint planning, daily stand-ups, and sprint retrospectives. Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services. SS&C Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology. Job Description Key Responsibilities: Pharmacy Benefits Domain Knowledge: Leverage knowledge of US Pharmacy standards, regulations, and practices (e.g., HIPAA, ICD-10, CPT codes, etc.) to ensure the system complies with industry-specific requirements and test as per the US Pharmacy Standards. Claims Testing: Testing pharmacy claims processes (adjudication, pricing, benefit configuration) while ensuring compliance with HIPAA, EDI (837/835/276/277), and ANSI X12 standards. It includes end-to-end claims lifecycle testing and validating ICD, CPT, and HCPCS codes. Verifying integrations with clearinghouses and payers. Test Planning and Execution: Develop detailed test plans, scenarios, and scripts to ensure comprehensive test coverage of business processes. Execute test cases manually or with automation tools. End-to-End Testing: Plan, design, and execute end-to-end test cases to verify the functionality and workflow of the system. Ensure complete traceability and coverage from requirement gathering to deployment. Defect Management: Identify, document, and track defects using defect management tools. Collaborate with development teams to resolve issues and ensure timely delivery of high-quality software. Collaboration with Cross-Functional Teams: Work closely with business analysts, developers, product managers, and other stakeholders to ensure that requirements are met and quality is maintained throughout the software development lifecycle. Automation: Able to work with test automation frameworks (e.g., Selenium, Gherkin, etc.) to create and execute automation test scripts. Required Qualifications: Experience: Minimum of 5 years of experience in Quality Engineering or Software Testing, particularly in the US Pharmacy Benefits domain, with a focus on Pharmacy Claims management. Pharmacy Healthcare Domain Expertise: Strong knowledge of US Pharmacy Healthcare industry standards, including pharmacy claims lifecycle, coding systems (ICD-10, CPT, HCPCS), and compliance (HIPAA, etc.). End-to-End Testing Experience: Proficiency in performing end-to-end testing, including functional, integration, and regression testing, from requirements through deployment. Testing Tools: Experience with test management tools and defect tracking systems. Automation Experience: Familiarity with test automation frameworks (e.g., Selenium, Gherkin, etc.) is a plus. Problem-Solving Skills: Ability to analyze complex business requirements and provide clear, actionable insights during the testing process. Attention to Detail: High attention to detail, ensuring accuracy and completeness of testing activities. Communication Skills: Strong written and verbal communication skills to effectively document test results, communicate defects, and collaborate with stakeholders. Agile Methodology: Experience working in Agile environments and participating in sprint planning, daily stand-ups, and sprint retrospectives. Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services. SS&C Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.

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: A3008086

Summary Sr. Analyst, Reimbursement I&A - TAs, play a critical role in supporting the delivery of high-quality, actionable insights for strategic business decisions. The role is responsible for directly contributing to the preparation of key deliverables—including, but not limited to, IPST, CPT, IDS POD, BPR and adhoc materials—ensuring data accuracy, analytical rigor, and effective integration of Hyderabad’s contributions. About the Role Key Responsibilities Responsible for day-to-day delivery of analytics by being 100% hands on for respective tagged project/assignment, not limited to daily ad-Hocs, BPRs, IPSTs, CPTs, IDS POD requirements Deliver and continuously upskill the level of insights for every deliverable ( why questions ) and be responsible for any quality concerns with respective deliverables Responsible for comparing numbers/analysis across similar reports and ensure triangulation of numbers throughout, thus enabling business solutions through a holistic lens Have complete understanding of data , comprising of NPS ARDs and base tables, in order to answer deep dive questions End to end understanding and hands on knowledge of all KPIs, their nuances and exceptions Proactively communicating on personal and professional challenges to leads (on time) to enable quick resolution Maintain documentation of all codes and business rules for enterprise usage (usage of enterprise rules rather than re-inventing new ones) Essential Requirements: Additional qualifications are as follows: Masters/ bachelor’s in technology/ life-sciences/ management Experience in patient analytics and US pharma is a must. Strong technical and functional expertise in analytics Experience of 3-5 years in pharma or industry with wide maturity of analytics and reporting Experience in advanced excel, SQL, Python/R, DataIKU Experienced in consulting with good communication skills, along with proven record of the same Ability to ask questions and help design analytical solutions for broad business needs Experience in understanding and designing wide variety of complex data models Expert understanding of enterprise standard platforms, tools and technologies Passion and commitment to drive results through unbossed wow and growth mindset Desired Requirements: Strong communication skills with flexibility to adapt wow for different cultures Strong analytical thinking with problem solving approach Should have exposure to cross-functional/ cultural work environment Why Novartis: Helping people with disease and their families takes more than innovative science. It takes a community of smart, passionate people like you. Collaborating, supporting and inspiring each other. Combining to achieve breakthroughs that change patients’ lives. Ready to create a brighter future together? https://www.novartis.com/about/strategy/people-and-culture Join our Novartis Network: Not the right Novartis role for you? Sign up to our talent community to stay connected and learn about suitable career opportunities as soon as they come up: https://talentnetwork.novartis.com/network Benefits and Rewards: Read our handbook to learn about all the ways we’ll help you thrive personally and professionally: https://www.novartis.com/careers/benefits-rewards Division Operations Business Unit Universal Hierarchy Node Location India Site Hyderabad (Office) Company / Legal Entity IN10 (FCRS = IN010) Novartis Healthcare Private Limited Functional Area Marketing Job Type Full time Employment Type Regular Shift Work No Accessibility and accommodation Novartis is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the recruitment process, or in order to perform the essential functions of a position, please send an e-mail to [email protected] and let us know the nature of your request and your contact information. Please include the job requisition number in your message. Novartis is committed to building an outstanding, inclusive work environment and diverse teams' representative of the patients and communities we serve.

AR Caller (Accounts Receivable) – Denial Management Experience Required: 1–3 years in AR Calling with Denial Management Job Summary We are looking for a dedicated and detail-oriented AR Caller with experience in Denial Management to join our RCM team. The role involves working with US-based healthcare clients to resolve insurance claim denials, reduce aging A/R, and ensure timely follow-up on unpaid claims. Key Responsibilities: Call insurance companies in the US to follow up on outstanding claims. Analyze and understand the reason for denials and take appropriate actions. Initiate appeals, re-submissions, or corrective actions as per payer guidelines. Work closely with billing teams to resolve coding, billing, or documentation issues causing denials. Document all call interactions and update the billing software/system with the outcome. Meet daily productivity and quality targets. Provide feedback and trends related to recurring denials to management or clients. Escalate complex denial cases to senior analysts or team leads as needed. Required Skills: 1+ years of experience in AR calling with a strong focus on denial resolution . Good understanding of US healthcare RCM process, including CPT, ICD, and HCPCS codes. Familiarity with EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice). Strong communication skills (verbal and written) with a neutral accent. Working knowledge of billing software (e.g., Athena, Epic, Kareo, AdvancedMD, etc.) is a plus. Ability to work in a fast-paced environment and handle high call volumes. Education: Preferred: Bachelors / Masters Preferred Qualifications: Experience handling denials for multiple specialties (e.g., radiology, DME, pathology, etc.) Prior experience with tools like Availity, Navinet, or payer portals. Certification in Medical Billing/Coding (CPC, CPB) is a plus. Job Types: Full-time, Permanent Pay: Up to ₹460,000.00 per year Benefits: Food provided Health insurance Provident Fund Schedule: US shift Work Location: In person Expected Start Date: 01/08/2025

We are looking for an experienced Medical Coder to join our healthcare team in Qatar . The ideal candidate must have a strong background in medical coding with at least 3 years of experience , and be willing to relocate immediately. Key Responsibilities: Accurately assign CPT, ICD-10,codes based on medical records Ensure compliance with QCHP and insurance requirements Review clinical statements and assign standard codes using classification systems Communicate with healthcare providers to clarify information when necessary Work closely with billing teams to support claims processing Requirements: Minimum 3 years of hands-on medical coding experience Certified Professional Coder (CPC) or equivalent certification preferred Strong knowledge of medical terminology, anatomy, and physiology Familiarity with insurance claims processing and denial management Excellent attention to detail and organizational skills Willing to relocate to Qatar immediately Benefits: Competitive tax-free salary Free visa and air ticket Yearly Paid Leave &Ticket Allowance Accommodation or housing allowance Medical Facility and other benefits as per Qatari labor law Job Type: Full-time Application Question(s): Are You willing to relocate to Qatar Experience: Medical coding: 3 years (Required) Language: English Very Fluently (Preferred)

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: A3008069

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: A3008067

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: A3008084

Description The Central Programs Team, India (CPT India) leads cross-functional projects that require 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 is 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 in a timely manner 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, conducting stakeholder reviews of audit reports, finalizing and tracking audit reports in the database, and managing issues in the system (and SIM/TT management). Owns weekly/monthly reports and metrics. Identifies gaps in audit programs and processes and escalates them to the manager. Follows confidentiality rules for documents reviewed. Drafts documents and revisions of audit reports per manager's 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: A3008068