Review denied and underpaid claims using EOBs (Explanation of Benefits) and Remittance Advice (RA) Identify the reason for denial—coding errors, authorization issues, eligibility, timely filing, etc. Document all actions taken in the billing software Required Candidate profile 3-5 yrs of exp in U.S. Healthcare AR / Denial Mgmt Knowledge of U.S. insurance types: Medicare, Medicaid & commercial payers CPT, ICD 10, HCPCS codes RCM tools & billing platforms HIPAA compliance.

Job Summary As an E&M / Denial / Surgery Medical Coder at Omega Healthcare, you will be responsible for reviewing clinical documentation and assigning accurate Evaluation and Management (E\&M), diagnosis, and procedure codes. This role ensures compliance with coding standards, improves revenue cycle efficiency, and supports accurate claims processing. Key Responsibilities Review and analyze medical records to assign appropriate CPT, ICD-10, and HCPCS codes. Ensure coding accuracy and compliance with E\&M and surgical coding guidelines. Evaluate denial cases and rework as needed for resolution. Maintain productivity and accuracy benchmarks as per company standards. Collaborate with physicians and other healthcare providers to resolve documentation discrepancies. Stay updated with current coding regulations and payer guidelines. Qualifications & Requirements Experience: Minimum 1 year of experience in E\&M coding (denials/surgery coding experience preferred). Certification: Valid CPC, CCS, COC, CRC, or CIRCC certification required (CPC mandatory). Education: Graduate in any discipline. Skills: Proficient in medical terminology, anatomy, and coding guidelines. Excellent attention to detail and analytical skills. Strong communication and teamwork abilities. Ability to meet productivity targets in a deadline-driven environment . How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mansoor.shaikbabu@omegahms.com Call: +91 8618695607 Chat on WhatsApp: [Click here] (https://wa.me/8618695607?text=Hello) Quick Apply Link WA: [https://l1nk.dev/3XOpM](https://l1nk.dev/3XOpM) Regards: Mohammed Mansoor Human Resources Omega Healthcare LinkedIn: linkedin.com/in/mohammedmansoor8618695607 Phone: +91 8618695607 Email: (Mail to:Mansoor.shaikbabu@omegahms.com)

Note: ONLY Certified medical coder can apply . ( AAPC- CRC, CPC, CIC, COC OR AHIMA-CCS certified) Location: Chennai Mode: Work from office only Essential Duties and Responsibilities : The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Education and/or Work experience : Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified. Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary The Supervisor, Denial Specialist will manage and direct a team of Coding Denial Specialists, who are responsible for working assigned claim edits and rejection work queues, The Supervisor, Denial Specialist will ensure timely investigation and resolution of health plan denials. Additionally, the Supervisor, Denial Specialist will determine appropriate actions and provide resolution for health plan denials. Essential Functions And Tasks Oversee the daily operations of the coding denial team. Ensuring the timely investigation and resolution of health plan denials. Implementing and maintaining policies and procedures for denial management. Monitoring and reporting on the productivity and performance of the team. Providing training and support to the team members to enhance their skills and knowledge. Education And Experience Requirements Minimum of 3 months’ experience with Ventra. One to three years’ experience in physician medical billing with emphasis on research and claim denials. A current production and performance rating of no less than 95%. A current attendance rating of no less than 95%. Knowledge, Skills, And Abilities Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

We are seeking a highly skilled and knowledgeable Healthcare Domain Expert to join our team. This role requires a deep understanding of the healthcare ecosystem, including clinical practices, Key Responsibilities: Consulting: Provide expert advice to healthcare organizations on operational strategies, process optimization, and technology implementation. Project Management: Lead and oversee healthcare projects such as EHR implementations, hospital workflow optimizations, or infrastructure upgrades. Business Analysis: Analyze healthcare operations and systems, identifying gaps and recommending practical, data-driven solutions. Research: Conduct research on healthcare policies, treatments, and technology trends to inform business decisions. Education & Training: Deliver training sessions for healthcare professionals on new tools, systems, procedures, or best practices. Areas of Expertise: Clinical Knowledge: In-depth understanding of medical terminology, patient care, diagnoses, and treatments. Healthcare Operations: Knowledge of workflows in hospitals, medical billing systems, and insurance claim processes. Regulatory Compliance: Familiarity with healthcare regulations including HIPAA, ICD-10, and CPT coding standards. Health IT: Experience with EHRs, telemedicine platforms, and healthcare technology systems. Data Analysis: Ability to gather, analyze, and interpret healthcare data for strategic insights. Skills and Qualifications 1. Clinical Background: A degree in medicine, nursing, or a related field. 2. Healthcare Experience: Several years of experience working in healthcare, either in a clinical or administrative role. 3. Analytical Skills: Ability to collect, analyze, and interpret complex data. 4. Communication Skills: Strong verbal and written communication skills, with the ability to work with diverse stakeholders. 5. Certifications: Relevant certifications, such as CPHIMS (Certified Professional in Healthcare Information and Management Systems) or CPHQ (Certified Professional in Healthcare Quality). Job Type: Full-time Pay: ₹25,000.00 - ₹50,000.00 per month Schedule: Day shift Ability to commute/relocate: Dharwad, Dharwad, Karnataka: Reliably commute or willing to relocate with an employer-provided relocation package (Required) Application Question(s): Do you have experience working in the healthcare domain, including areas such as clinical operations, healthcare IT, or regulatory compliance?" Experience: Domain expert: 2 years (Required) Work Location: In person

Location: Onsite Type: Full-time Experience: 1- 3 years in US IT Bench Sales Job Summary: We are seeking a dynamic and results-driven Bench Sales Recruiter with experience in US IT staffing. The ideal candidate will be responsible for marketing our bench candidates (consultants) to staffing vendors, implementation partners, and direct clients across the United States. Key Responsibilities: Proactively market bench consultants (H1B, GC, OPT, CPT, and US Citizens) to vendors and clients. Maintain strong relationships with existing vendors and build new ones. Submit qualified resumes, coordinate interviews, and follow up with vendors/clients. Negotiate rates and close deals efficiently. Work closely with consultants during the marketing process and provide interview coaching and guidance. Maintain records of submissions, interview schedules, and placements. Monitor and ensure timely placement of candidates. Use job portals (Dice, Monster, CareerBuilder, Indeed) and social media (LinkedIn, etc.) for lead generation and networking. Requirements: Proven 13 years of experience in Bench Sales in US IT staffing. Strong knowledge of US Tax Terms (W2, 1099, C2C) and work visa classifications. Hands-on experience working with OPT, CPT, H1B, GC, and Citizens. Familiarity with marketing technologies: Job Portals, LinkedIn, email campaigns. Excellent communication and interpersonal skills. Ability to multitask, prioritize, and meet deadlines in a fast-paced environment.

Hiring for US Healthcare company Grad with 7 months exp in RCM can apply UG/Btech with 12 months RCM can also apply Salary upto 3.60 LPA to 5.50 LPA Fixed Sat-Sun off Fixed nght shifts Loc- Gurgaon / Noida Snehal@9625998099 Required Candidate profile Candidate should have good knowledge on RCM. Candidate should be comfortable with night shifts. Candidate should have decent typing speed. Perks and benefits Both side cabs One time meal

OVERVIEW PracticeSuite, a leading SaaS company providing cloud-based practice management and medical billing solutions, is seeking a AR Caller with at least four years of experience in AR Calling and Denial Management. ROLES AND RESPONSIBILITIES Perform pre-call analysis and check status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact. Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call. Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments. JOB REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: 4-8 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call centre expertise Knowledge on Denials management and A/R fundamentals will be preferred. Willingness to work continuously in night shifts ( Work From Office ). Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Location: Kochi Notice Period: 30 to 45 days WHO WE ARE PracticeSuite Pvt.Ltd, is a national, fast-growing cloud computing software company based in Kochi and Mumbai that provides a cloud-based 360Office Platform to healthcare facilities. PracticeSuite has an agile management team, high employee morale, and high customer satisfaction and retention. PracticeSuite is growing rapidly and is being recognized as one of the 5 top cloud-based systems within healthcare. Please visit our website to learn more about us, at www.practicesuite.com

Basic Section No. Of Openings 2 Grade 1A Designation Trainee Coder Closing Date 16 May 2025 Organisational Country IN State TAMIL NADU City COIMBATORE Location Coimbatore-II Skills Skill Healthcare Medical Coding Biotechnology Microbiology CPT Medical Billing Molecular Biology GMP HIPAA Biochemistry Education Qualification No data available CERTIFICATION No data available About The Role Role Description Overview: Trainee Coder is accountable to manage day to day activities of coding the patients chart & diagnosis report. Responsibility Areas: To review emails for any updates Updating/Clearing the production/pending reports Other miscellaneous work that requires coding expertise Coding or auditing charts, based on requirements Prepare and Maintain status reports. Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards.

Hi All Access Health Care is hiring HCC Coders: Experience - 2+ years exp Location - Chennai Specialty - HCC Coder *Certified only* (Any Certification) Work From Office NOTICE Period Acceptable Designation - HCC Coder / QA / QC Shift: Day shift Contact Name : Mohamed Nazarudeen ( HR ) Contact Number : 8903902178 (Call/ Whatsapp) Mail Id : hashrithaa.b@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 8903902178

As a TEAMMATE: We are looking for a talented Penetration Tester who likes to break software and embedded devices. Natus Sensory Division needs a qualified Penetration Tester to join our team! As our penetration tester, you will be responsible for conducting regular audits and inspections in order to make sure our systems are secure. You will be required to configure information systems as well as design and create new systems in order to fix known vulnerabilities. The ideal candidate will have previous experience in the IT Security field, as well as previous experience in a position as a penetration tester. You may also be required to assist other IT Security employees with tasks and present information to the correct supervisors when requested. If this position sounds of interest to you, please don’t hesitate to apply! We would love to have you on our team. The Penetration Tester will provide broad and in-depth knowledge to conduct cyber operations across the organization globally. In this role, you will conduct offensive security operations to emulate adversary tactics and procedures to test preventative, detective and response controls across the global technology landscape. You will use your expertise to help influence technology decisions and work as part of a team to create consistent approaches to the offensive security processes and techniques. Here’s what you can expect: Location: Remote Main Responsibilities : Conduct formal testing on computer systems Assess the security of computer software and hardware Conduct security audits and legal cyberattack simulations by designing and utilizing hacking tools to access designated pieces of data during a predetermined time frame Generate tools for breaking into security systems Detect and correct system weaknesses Provide recommendations based on an assessment of hardware and software systems Implement solutions to enhance data security Travel: Up to 10% domestic or international travel on an as needed basis, such as to visit a Natus or customer site for complex investigations What we are looking for: Bachelor’s degree in Computer Science or related technical field, with minimum 5+ years of penetration testing related experience CPT or CEH certification is desirable but not required Experience with medical device industry or other heavily regulated industry Ability to identify and exploit web vulnerabilities (XSS, CSRF, SQLi, SSRF, arbitrary file upload, etc.) Ability to identify and exploit mobile and desktop vulnerabilities (API issues, insecure storage, memory corruption, deep links, etc.) Clear communication skills and English fluency in speaking and writing Team player in a globally diverse environment Web application penetration testing Mobile application penetration testing Source code vulnerability analysis Robust creativity and analytical problem-solving skills Deep knowledge of at least one programming language (C#, Python, Go, Java, PowerShell, etc.) Knowledge of technical systems and terminology Proficiency in scripting languages Additional skills: Network penetration testing experience with advanced knowledge of Linux and/or Windows OS and experience in supporting and installing multiple software products Protocol analysis CTF experience Secure coding practices Cryptography Reading and writing assembly (x86 and ARM) Binary analysis tools and debuggers (IDA Pro, Ghidra, WinDbg, etc.) Exploit Development Embedded systems experience Physical security or red team experience Strong knowledge of information security best practices, standards, guidelines, and frameworks, including NIST 800-53, NIST RMF, and NIST CSF. Strongly preferred: FDA Pre-market and Post-market Guidance for Cybersecurity in Medical Devices, the HIPPA Security Rule, HSCC Joint Security Plan, AAMI TIR57, ISO/IEC 27000 family We offer The role is a work-from-home remote position. Minimal travelling: less than 5% Collaborative and international environment with different cultures. English company language. EEO Statement Natus Sensory is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, veteran status, disability, sexual orientation, gender identity, or any other protected status.

Hiring: Senior Bench Sales Recruiters📍 Walk-in Interviews: Monday to Friday, 8:00 PM – 10:30 PM IST📍 Location: Upmynd Inc, 4th Floor, Bhavya Akhila Exotica Commercial Building, Above Karachi Bakery, Near JNTU Metro StationJob Details:✅ Qualification: Any Graduation✅ Experience: 1-2 years only✅ Open Positions: 3Perks & Benefits:💰 Competitive Fixed Salary🍽️ Free Food📈 Incentives🛡️ Provident Fund (P.F)Job Responsibilities:Extensive experience in Bench Sales (US Staffing), handling the entire recruitment cycle.Strong understanding of working with OPT, CPT, H1B, EAD, Green Card, and US citizens.Familiarity with US tax terms like W2, 1099, and Corp-to-Corp (C2C).Sound knowledge of the US staffing industry, recruitment process, and bench sales strategies.Ability to independently screen consultant resumes to assess their suitability before marketing.Experience in sourcing job requirements from Prime Vendors, Clients, and Third-Party Vendors.Skilled in submitting bench consultants, negotiating rates, scheduling interviews, and finalizing placements.Self-motivated, proactive, and able to work with minimal supervision.

Company DescriptionWelcome to Redsun Solutions LLC. We are dedicated to empowering businesses with innovative staffing and implementation solutions, focusing on excellence and client satisfaction. Our services include staffing top-tier talent and executing strategic implementation projects across various industries, driven by a commitment to exceptional results and client success. Role DescriptionThis is a full-time remote role for an HR and Onboarding Specialist at Redsun Solutions LLC. The specialist will be responsible for managing HR processes, implementing HR policies, overseeing employee benefits, and personnel management. Additionally, the specialist will collaborate with teams to ensure efficient onboarding processes. Key Responsibilities End-to-end onboarding for new hires (US staffing context) Documentation collection, verification, and compliance Understanding and managing visa statuses (OPT, CPT, H1B, GC, etc.) Supporting bench candidates with training, resume building, and mock interviews Maintaining internal HR records and tracking onboarding KPIs Coordinating with sales, recruiting, and leadership teams QualificationsHuman Resources (HR) and HR Management skillsKnowledge of HR Policies and Employee BenefitsExperience in Personnel ManagementStrong communication and organizational skillsAttention to detail and ability to work independentlyBachelor's degree in Human Resources, Business Administration, or related field

Job description Business Development Manager (RCM Sales) to expand our US healthcare market. The ideal candidate should have prior experience in selling RCM services to physicians, clinics, and hospitals in the US. Responsibilities Lead Generation & Cold Outreach· Identify and connect with US-based healthcare providers via LinkedIn, email, and cold calls.· Develop targeted prospect lists and initiate sales conversations.· Generate qualified leads and schedule meetings for deal closures. Client Acquisition:· Develop strategies to acquire new clients in the healthcare domain.· Focusing on medical coding/billing, claims processing, denial management and provider-payer solutions. Account Management:· Build and maintain long-term relationships with clients, ensuring satisfaction and repeat business opportunities. Market Research: · Analyze industry trends, competitor strategies, and market demands to position our services effectively. Sales & Business Development· Pitch medical billing & revenue cycle management services to healthcare providers.· Handle client queries, objections, and negotiations.· Work closely with a US-based sales closer (if applicable) to finalize contracts. CRM & Reporting· Maintain a structured sales pipeline in Salesforce/HubSpot.· Provide weekly reports on lead conversion and sales performance.· Achieve and exceed monthly/quarterly revenue targets. Qualifications· Bachelor's/Master’s degree in Business, Healthcare Management, or a related field.· Proven track record in selling RCM services, medical billing, or healthcare IT solutions.· Strong knowledge of healthcare revenue cycle, payer-provider processes, and compliance (HIPAA, ICD-10, CPT coding, etc.).· Experience in cold calling, email marketing, and lead generation.· Excellent communication, negotiation, and presentation skills.· Proficiency in CRM software (Salesforce, HubSpot, Zoho, etc.).· Ability to work in a target-driven sales environment with a focus on revenue growth.

Hi All Access Health Care Hiring HCC Coders Experience - 2 year - 20 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 Our supporting HR - we May not able to Answer Your Calls please send details in watsapp HR will call you Back Mohamed Nazarudeen 8903902178 Sai Santosh 8925722891 Hashrithaa 9894654083 Karthick 9626985448 Ranjitha 8807618852 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

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention. Analysis data to identify process gaps, prepare reports. Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers') Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com Visit us on Facebook

Job description Profile - Manager / Senior Manager - RCM Experience Required: 10+ Years Location: Chandigarh Job highlights: · Should be able to manage a team of 20-25 FTEs. · Will be responsible for resolving queries, account reviews and provide training in case required. · FTEs will be directly reporting to AM/ Deputy Manager · Drive production and quality to the expected level · Responsible for identifying production and quality issues and putting plans in place for improvement. · Analyze data to identify payer issues & challenges and fixes. · Should work towards team engagement and retention/absenteeism. · Will be responsible for leading calls with Internal stakeholders. · Performance management. · First level of escalation. · Work in all shifts on a rotational basis. Preferable EST (night shift) · Need to be cost efficient with regards to processes, resource utilization and overall constant cost management. · Must operate utilizing aggressive operating metrics. Desired Candidate Profile · IMMEDIATE JOINER Preferred · Candidate should be good in Denial Management. . Candidate must have good experience in End to End RCM Operations. · Candidates should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. · Ability to interact positively with team members, peer group and seniors. · Demonstrated ability to exceed performance targets. · Ability to effectively prioritize individual and team responsibilities. · Communicates well in front of groups, both large and small. . Must have atleast 3 years experience as AM/DM. Job Type: Full-time Pay: Up to ₹1,500,000.00 per year Benefits: Food provided Provident Fund Schedule: US shift Ability to commute/relocate: Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Required) Experience: Associate Manager: 3 years (Required) Total: 10 years (Required) RCM: 10 years (Required) Language: English (Required) Location: Chandigarh, Chandigarh (Required) Shift availability: Night Shift (Required) Work Location: In person

- 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) 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. 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.

- Bachelor’s degree in Science / Engineering or equivalent from an accredited university - Minimum 3 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) The Central Programs Team, India (CPT India) team leads cross-functional projects that requires collaboration and partnership with Amazon businesses, geographical units and technical subject matter experts (SMEs). The projects are focused on initiatives to continually reduce risks and improve network WHS standards and procedures. Individuals gather business requirements, document functional and design specifications, identify appropriate resources needed, assemble the right project team, assign individual responsibilities and develop the milestones and launch schedules to ensure timely and successful delivery of the project. The team members measure and report progress, anticipate and resolve bottlenecks, provide escalation management, anticipate and make tradeoffs, and balance the business needs with the technical constraints. This a program management role responsible for executing per direction, the management of the WW WHS programs (standards, procedures, best practices) development, training and continuous improvement projects. The role involves hands-on work in the areas of understanding stakeholder needs and expectations, WHS regulatory research, global stakeholder engagement, data analytics and document technical writing. The candidate must be a self-starter and detail-oriented. They must be an effective communicator and send clear, concise and consistent messages, both verbally and in writing. Key job responsibilities • Program/Process Improvement, Project Management • Clearly and timely communicate findings, determinations, and recommendations to compliance management and business partners, both at periodic intervals and as needed regarding escalated or high-risk compliance issues. • Guide management in the development/review of applicable policies, procedures and business practices. Engage in frequent written and verbal communication with management and business partners to accomplish goals. • Execute and drive audits to completion per SOP. This includes drafting audit reports, stakeholder reviews of audit reports, finalizing and tracking audit reports in database and tracking issues in system (and SIM/TT management). • Owns weekly/monthly reports and metrics. • Identifies gaps in audit programs and processes and escalates to manager. • Follows confidentiality rules with the documents reviewed. • Drafts documents and revisions on audit reports per manager direction. • Performs deep dive analysis/research on data/information/literature and creates recommendations/corrective actions based on identified deviations and recommends appropriate solutions. • Earns trust of peers by understanding audit processes and programs. • Makes recommendations to managers for input into roadmap strategic discussions and continuous improvement projects to drive program efficiencies. Advanced Excel (Macros/VBA) Experience with Stakeholder Management across Geographies - Program/Project Management Certification -Six Sigma Certification Knowledge of visualization tools like QuickSight, Tableau 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.

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience : 4 to 10 years Must Have Skills : 1. Audit & Review Medical Coding 2. Compliance & Accuracy Checks 3. Claim & Reimbursement Verification 4. Process Improvement & Training 5. CPC (Certified Professional Coder) AAPC 6. ICD-10 7. CPT 8. HCPCS codes 9. Surgery coder 10. Inpatient and Outpatient 11. Emergency department 12. Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1. Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2. Verify medical necessity & documentation accuracy. 3. Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4. Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6. Work with billing teams to correct errors before submission. 7. Provide feedback to medical coders to improve E&M coding accuracy. 8. Suggest best practices to avoid claim rejections Location : Bangalore, Coimbatore CTC Range : 5 10 LPA (Lakhs Per Annum) Notice Period : 30 Days Mode of Interview : Virtual Shift Timing : General Shift Mode of Work : Work From Office -- Thanks & Regards, Hemalatha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432436 | Whats App: 9900261540 chaitanya.d@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Greetings from Access Healthcare: Openings for Experienced Medical Coders & Preferred Immediate Joiner's 1. Surgery Coder (Certification is Mandatory) ( Chennai, Coimbatore, Pune) (Work from Office / Home) CPC, COC, CCS, CIC Can Apply 1 year to 6 Year can apply 2. Denial Coder (Certification is Mandatory) ( Chennai, Coimbatore, Pune) (Work from Office / Home) CPC, COC, CCS, CIC Can Apply 1 year to 6 Year can apply 3. E/M IP/OP Coder (Certification is Mandatory) ( Chennai, Coimbatore) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year to 6 Year can appl y 4. ED Facility Coder (Certification is Mandatory) ( Chennai ) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year to 6 Year can apply 5. HCC Coder (Certification is Mandatory) Chennai (Work from Office) 2 year + Can apply 6. HCC QA /QC (Certification is Mandatory) Chennai (Work from Office) 4 years + Can apply 7. Surgery Auditor QA / QC - Chennai, Coimbatore, Pune (Certification is Mandatory) 1 year to 6 years can apply 8. Radiology (Certification is Mandatory) ( Chennai ) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply Shift: Day shift Job Location: Chennai, Coimbatore, Pune Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Hashrithaa ( HR ) Contact Number : 9894654083 hashrithaa.b@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9894654083

Greetings from Access Healthcare: Openings for Experienced Medical Coders & Preferred Immediate Joiner's 1. Surgery Coder (Certification is Mandatory) ( Chennai, Coimbatore, Pune) (Work from Office / Home) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply 2. Denial Coder (Certification is Mandatory) ( Chennai, Coimbatore, Pune) (Work from Office / Home) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply 3. E/M IP/OP Coder (Certification is Mandatory) ( Chennai, Coimbatore) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply 4. ED Facility Coder (Certification is Mandatory) ( Chennai ) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply 5. HCC Coder (Certification is Mandatory ) Chennai (Work from Office) 2 year + Can apply 6. HCC QA /QC (Certification is Mandatory) Chennai (Work from Office) 4 years + Can apply 7. Surgery Auditor QA / QC - Chennai, Coimbatore, Pune (Certification is Mandatory) 8 . Radiology (Certification is Mandatory) ( Chennai ) (Work from Office) CPC, COC, CCS, CIC Can Apply 1 year 6 Year can apply Shift: Day shift Job Location: Chennai, Coimbatore, Pune Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Praveen ( HR ) Contact Number : 9655581000 praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000

Role & responsibilities The Risk Adjustment Medical Coder role assists and provides suggestive improvements and opportunities under the Risk Adjustment coding program. Preferred candidate profile Must be Bachelor's Degree Graduate in any Medical Allied courses With at least six (6) months of recent Risk Adjustment medical coding experience in BPO/CPO set-up With active Certified Risk Adjustment Coder or Certified Professional Coder (CRC/CPC) License with Excellent communication, organizational, time management, and interpersonal skills Must be amenable for a work onsite (Chennai, India)

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Qualifications High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials.

Hi, Excellent opportunity For E/M Coders in Chennai! Exp: 1Yrs -6 yrs. Location: Velachery Work Mode: Work from Office Salary - Max 40k/Month for E/M coding Notice period: Max 20Days Interested candidates can reach out to me at 9677726344 / 8925808596. Regards, Vijayalakshmi L HR Team-TA