Role & responsibilities Verify Patient Insurance Coverage Confirm inpatient benefits, eligibility, and coverage details with insurance providers prior to or during admission. Obtain Pre-authorizations & Pre-certifications Secure necessary approvals from payers for inpatient services to ensure reimbursement. Generate and Submit Claims Prepare accurate claims using UB-04 forms, ensuring correct coding (ICD-10, CPT, HCPCS) and charge entry for inpatient services. Review and Interpret EOBs & Remittance Advice Analyze Explanation of Benefits (EOBs) and Remittance Advices to identify payment issues, denials, or short pays. Manage Claim Denials and Appeals Investigate denied or underpaid claims, correct billing issues, and submit appeals or reconsiderations to insurance carriers. Coordinate with Clinical and Administrative Teams Work with physicians, nurses, and case managers to ensure documentation accuracy and timely billing. Track and Follow Up on Outstanding Claims Monitor aging reports and follow up with payers to ensure timely payment of inpatient claims. Resolve Patient Billing Inquiries Address patient concerns regarding coverage, out-of-pocket costs, and payment options in a clear, professional manner. Ensure Regulatory Compliance Adhere to HIPAA, Medicare/Medicaid regulations, and payer-specific billing rules and guidelines. Maintain Accurate Billing Records and Reports Document claim activity, maintain billing logs, and generate reports for management or audits.Preferred candidate profile Qualification : B.COM (Any Graduate0 Experience : Minimum 5 year to a maximum of 10 years in Inpatient (IP) Billing & Insurance (RCM) within the hospital industry Job Type: Full-time Pay: ₹35,000.00 - ₹45,000.00 per month Benefits: Health insurance Leave encashment Provident Fund Schedule: Day shift Rotational shift Ability to commute/relocate: Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Preferred) Application Question(s): Current CTC Expected CTC Notice Period Education: Bachelor's (Required) Experience: IP billing & Insurance (Hospital Industry): 4 years (Required) Language: English & Kannada (Required)

Job Profile: Medical Coding Trainer Work Mode: Onsite Location: Bangalore Experience: 2 to 4 years Profile Summary: We’re looking for a Medical Coding Trainer who not only knows the codes—but knows how to connect with people, make complex topics simple, and inspire learners to grow confidently into successful coding professionals. What You’ll Do: Teach with impact: Deliver live or recorded classes that break down coding concepts like ICD-10, CPT, and HCPCS in a way that learners actually understand and remember. Support learners: Be there to answer questions, guide them through practice cases, and help them prep for certifications like CPC or CCS. Shape our curriculum: Help us build and improve course content—think quizzes, case studies, and mock exams—that match industry standards and real-world expectations. Track progress: Give students honest, constructive feedback. Celebrate their wins, and help them overcome obstacles. Stay current: Keep up with updates in coding guidelines, certification requirements, and best practices—and help us keep our training ahead of the curve. Collaborate across teams: Work with content writers, product designers, and academic teams to deliver a learning experience that's smooth, modern, and truly effective. What We’re Looking For: Certified in CPC (AAPC), CCS (AHIMA), or a similar credential Experience working as a medical coder (2+ years ideally) Some teaching, mentoring, or training experience—formal or informal Great communication skills and a knack for explaining technical things clearly Comfortable with online tools like Zoom, Google Meet, LMS platforms, etc. Passion for teaching and helping others succeed Bonus Points If You: Have worked in an EdTech or e-learning environment Know how to create engaging digital content (videos, slides, assessments) Bring empathy and patience to every interaction Job Types: Full-time, Permanent Pay: ₹35,000.00 - ₹50,000.00 per month Benefits: Provident Fund Experience: Medical coding: 3 years (Required) Language: English (Required) Location: Jayanagar, Bengaluru, Karnataka (Required) Work Location: In person Application Deadline: 13/06/2025 Expected Start Date: 15/06/2025

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

Job Family: Coding OP (India) Travel Required: None Clearance Required: None What You Will Do: Senior individual contributor focused on routine delivery, requiring moderate experience Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures Requires general instructions for new types of work or special assignments Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures Explains practices, procedures and policies that may require providing additional information or some interpretation to reach agreement • Communicates with contacts within and outside the practice area to obtain or provide information on matters related to job area What You Will Need: Valid Certification from AAPC or AHIMA 2+ Years of Experience in Medical Coding with ED Professional Experience Any Life science, Paramedical Graduates and Post Graduates Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, What Would be Nice to Have: Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Organization: M/s Kannan’s Academy Kannan’s Academy is committed to delivering high-quality coaching and personalized mentoring to students preparing for competitive exams like IIT-JEE, NEET, NTSE and Foundation for Crash Courses. Guided by the visionary leadership of Dr. Kannan, we focus on nurturing academic excellence, critical thinking, and innovation. Our mission is to empower 1 million students by 2030, fostering their potential to become future leaders and innovators. At Kannan’s Academy, we are dedicated to creating a supportive, goal-driven learning environment where students are equipped to succeed in both exams and life. Job Title: Chemistry Faculty – NEET, IIT-JEE & Olympiads Location: Kannan's Academy, Madurai & School Centers Reports to: Vice Head - Academics & Chief Mentor (Head Academics) Job Summary: We exclusively provide a specialized – AchieveX (2 Years Integrated + Futuristic Coaching Program). We prioritize systematic, high-impact learning to prepare students for NEET, IIT-JEE, and Olympiads, with a focus on concept clarity and competitive exam readiness. Who We Are Looking For We need a dedicated and passionate Chemistry Tutor who can shape young minds and help them excel in NEET, IIT-JEE & Olympiad exams. If you have the knowledge, the drive, and the commitment to making a real difference in students’ lives, this role is for you. Your Role  Teach Chemistry with a strong conceptual approach, ensuring students understand the fundamentals before moving to advanced applications.  Teach Grade 11 & 12 Chemistry with a structured, exam-oriented approach, balancing concept clarity with result-driven strategies.  Deliver engaging lessons aligned with NCERT, Samacheer, and Competitive Exam Syllabus.  Guide students through our AchieveX academic roadmap, covering Pre-Assessment, Concept Mastery, SkillX & ClarifyX, and Intensive Test Series.  Conduct regular Daily Practice Tests (DPT), Concept Proficiency Tests (CPT), Term Tests (TT), Full-Length Tests (FLT) and Mock Exams.  Help students strengthen problem-solving skills and analytical thinking for competitive exams.  Personalize teaching strategies based on student performance analysis.  Contribute to Olympiad coaching and IFLSAT contest preparation.  Maintain high classroom energy, discipline, and motivation to push students toward their academic goals. What We Expect from You  Strong foundation in Physical, Organic, and Inorganic Chemistry.  Teaching experience in NEET/IIT-JEE/Olympiad coaching is a huge plus.  Ability to connect with students and make learning effective.  Willingness to adapt to our structured academic plan and deliver results.  A growth mindset – both for yourself and for our students. What We Offer  A highly structured teaching environment that eliminates guesswork.  An opportunity to work with a team that’s redefining coaching in Madurai.  A student batch that’s serious about achievements, not just attendance.  Competitive salary and long-term growth prospects within Kannan’s Academy. If you’re passionate about Chemistry and serious about making an impact, we’d love to have you on board! Work Schedule:  Full-time, with flexibility to manage operations at both school centres and the Madurai center. Job Type: Full-time Pay: ₹40,000.00 - ₹50,000.00 per month Benefits: Paid sick time Experience: NEET/ IIT JEE Coaching: 2 years (Required) Language: English (Required) Work Location: In person

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

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

Job Family: Coding OP (India) Travel Required: None Clearance Required: None What you will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. What you will Need Minimum of 1+ Years of Experience in ED Profee coding Should be a Certified Coder from AAPC/AHIMA - Minimum Qualification - Any Life science, Paramedical Graduates and Post Graduates • Ability to communicate, have excellent interpersonal, listening skills and organizational skills.•onventions especially emergency room coding, exposure to radiology , ancillary work types. What Would be nice to Have Experience in ED Professional Coding Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT c What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Position : Medical Coder (Nutrition And Dietetics, Food Microbiology) Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Eligibility: UG / PG in Nutrition & Dietetics, Neuro Science, Food Microbiology, Industrial, Medical, Applied Microbiology, Genomics, Plant Biology, Advance Zoology, Radiology, Emergency Care, Anesthesia, Cardiac Perfusion, Physician Assistant Job Types: Full-time, Fresher Pay: ₹175,000.00 - ₹250,000.00 per year Benefits: Health insurance Schedule: Day shift Supplemental Pay: Performance bonus Work Location: In person

Growing as a brand, we're excited to offer internships and career opportunities for passionate personal trainers and strength & conditioning coaches. Join us and take your career to the next level - we'll support your pursuit(educational) of ACE-CPT or NSCA-CSCS certifications! Show more Show less

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies. Show more Show less

Job Title: Interventional Radiology Medical Coder Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Show more Show less

Experienced Chennai Posted 4 weeks ago About SolvEdge At SolvEdge, we are pioneers in revolutionizing healthcare with our advanced technology solutions. We are looking for a detail-oriented AR Caller to help us manage our accounts receivable process, perform effective follow-ups, and analyze payment trends within the healthcare sector. Experience: 1-3 Years What You’ll Do As an AR Caller at SolvEdge, you will play a key role in managing accounts receivable by contacting insurance companies, analysing payment trends, and resolving payment issues. Your work will ensure the smooth flow of payments, minimize outstanding claims, and contribute to revenue improvement. Primary Responsibilities Follow-Up on Outstanding Claims: Contact insurance companies to inquire about the status of unpaid claims and follow up on accounts receivable issues, ensuring timely resolution. Conduct Detailed Analysis: Analyze trends in payment patterns, identify reasons for underpayments or delays, and use this data to optimize the follow-up strategy Customer Interaction: Maintain effective communication with healthcare providers, insurance companies, and other stakeholders to resolve payment issues and ensure claims are processed efficiently. Assess Claims and Resolve Denials: Identify denied claims, assess the reasons for denials, and work with insurance companies to correct errors and ensure claims are paid. Maintain Documentation: Keep accurate and up-to-date records of all follow-up actions, payment statuses, and denial resolutions, maintaining a clear audit trail Generate Reports: Compile data and create reports to track accounts receivable performance, identify issues, and provide insights into ways to reduce outstanding balances. Who You Are You’re not just looking for a job; you’re seeking a career where you can make a significant impact in the healthcare industry. You bring analytical thinking, a customer-focused mindset, and attention to detail to everything you do. Requirements Experience: 1-3 years of experience in accounts receivable follow-up or denial management, particularly in healthcare-related fields Analytical Skills: Ability to analyze data trends, identify issues with payment patterns, and provide solutions to optimize the collections process. Communication Skills: Strong verbal and written communication skills to effectively communicate with insurance companies and internal stakeholders. Technical Proficiency: Proficiency in using medical billing software, MS Office tools, and other accounts receivable management platforms. Healthcare Industry Knowledge: Familiarity with healthcare billing, insurance processes, CPT/ICD-10 codes, and insurance filing limits is highly beneficial. Why Apply? Even if you feel you don’t meet every single requirement, we encourage you to apply. We’re looking for passionate individuals who may bring diverse perspectives and skills to our team. At SolvEdge, we value talent and dedication and are committed to fostering growth within our organization. How to Apply? Ready to make a difference? Submit your resume, a cover letter that highlights your qualifications, and any relevant experience. We look forward to hearing from you! SolvEdge is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. About SolvEdge Solvedge: Pioneering the Future of Digital Healthcare Our Expertise SOLVEDGE stands at the forefront of digital healthcare innovation as a premier healthcare performance company. With over 18 years of dedicated service in the healthcare industry, we specialize in a digital care journey platform that revolutionizes how hospitals and health systems engage, monitor, and connect with patients throughout their healthcare experiences. Our partnership with Fortune 100 medical device companies and hospitals nationwide underscores our position as a trusted partner in healthcare solutions. Key Features of SOLVEDGE Our Platform Is Designed To Empower Healthcare Providers With The Tools They Need To Automate And Streamline Care Delivery, Thereby Improving Clinical Outcomes And Patient Satisfaction: Personalized Care Plans: Leveraging evidence-based data, SOLVEDGE delivers digital care plans customized to meet the individual needs and conditions of each patient. Real-Time Patient Monitoring: Through daily health checks, assessment, surveys, and integration with wearable devices, our platform facilitates continuous monitoring of patient health. Automated Care Delivery: We automate essential tasks, including appointment scheduling, sending reminders, and delivering educational content, to enhance patient engagement and reduce administrative tasks. Remote Patient Monitoring: Healthcare providers can monitor vital signs, symptoms, and treatment plan adherence remotely, enabling timely interventions and proactive care management. The SOLVEDGE Advantage Our platform offers significant benefits to healthcare providers and patients alike: Improved Clinical Outcomes: By facilitating more effective care pathways and enabling early intervention, SOLVEDGE contributes to reduced readmission rates, fewer emergency department visits, and shorter hospital stays. Enhanced Patient Satisfaction: Patients enjoy a higher quality of care with SOLVEDGE, benefiting from improved communication, comprehensive education, and continuous support. Cost Savings: Healthcare organizations can achieve substantial cost reductions by minimizing unnecessary readmission, emergency visits, and complications associated with poor care management. Applications and Impact SOLVEDGE’s versatility allows for its application across various aspects of healthcare, with a particular emphasis on surgical care. From preparing patients for surgery to monitoring their post-operative recovery, our platform ensures a seamless and supportive care journey. Beyond surgical care, our focus encompasses managing care pathways, enhancing patient engagement through patient-reported outcomes, providing advanced data analytic, integrating with electronic medical records (EMR), and streamlining billing processes. Our comprehensive approach addresses the myriad challenges faced by today’s healthcare industry, backed by our commitment to excellence in service, communication, and customer experience. A Trusted Partner in Healthcare Innovation Our strategic relationships and deep understanding of healthcare challenges have positioned us as an indispensable ally to healthcare providers nationwide. As we continue to develop innovative solutions, our goal remains unchanged: to simplify healthcare delivery, improve patient outcomes, and enhance the overall patient experience. Job Features Job Category (RCM) Revenue Cycle Management Apply For This Job Attach Resume* No file chosen Browse Show more Show less

Job Family Coding OP (India) Travel Required None Clearance Required None What You Will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. What you will Need Minimum of 1+ Years of Experience in ED Profee coding Should be a Certified Coder from AAPC/AHIMA Minimum Qualification - Any Life science, Paramedical Graduates and Post Graduates Ability to communicate, have excellent interpersonal, listening skills and organizational skills. onventions especially emergency room coding, exposure to radiology , ancillary work types. What Would Be Nice To Have Experience in ED Professional Coding Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT c What We Offer Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Show more Show less

Job Family Coding OP (India) Travel Required None Clearance Required None What You Will Do Senior individual contributor focused on routine delivery, requiring moderate experience Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures Requires general instructions for new types of work or special assignments Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures Explains practices, procedures and policies that may require providing additional information or some interpretation to reach agreement Communicates with contacts within and outside the practice area to obtain or provide information on matters related to job area What You Will Need Valid Certification from AAPC or AHIMA 2+ Years of Experience in Medical Coding with ED Professional Experience Any Life science, Paramedical Graduates and Post Graduates Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, What Would Be Nice To Have Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, What We Offer Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Show more Show less

Job Location: Jubilee Hills, Hyderabad Job Type: Full Time Onsite Role (No Remote / WFH) Shift: Night (EST Working Hours) Job Description: We are seeking a highly motivated and experienced Senior Bench Sales Recruiter with a proven track record in the US IT Staffing and Consulting industry. The ideal candidate will possess a strong understanding of recruiting IT professionals for US companies and will be well-versed in marketing bench consultants. Key Responsibilities: - Manage the full cycle of bench sales recruitment, including sourcing job requirements from prime vendors, clients, and other sources. - Submit qualified bench consultants, negotiate competitive rates, and follow up on interview schedules to ensure successful placements. - Work effectively with candidates on various visa statuses, including OPT/CPT, H1B, EAD, Green Card holders, and US citizens. - Maintain a comprehensive understanding of US tax terms, such as W2, 1099, and Corp-to-Corp. - Engage in regular communication with bench consultants to identify their needs and align them with suitable projects. - Build and maintain a robust database and rapport with Tier 1 vendors, clients, and other stakeholders. - Utilize job portals such as Dice, Monster, CareerBuilder, Tech Fetch, Indeed, and LinkedIn, along with other networking methods, to source candidates. - Facilitate H1B transfers as needed. Required Skills: - Excellent communication skills, both oral and written. - A positive attitude and a strong work ethic. - Proven ability to thrive in a fast-paced, dynamic work environment. - Strong team player with a results-driven mindset. If you are passionate about bench sales recruitment and meet the qualifications outlined above, we encourage you to apply for this exciting opportunity.

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 07-Jun-2025 (Saturday) Walk in Timings :11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Desired Candidate Profile: Candidate must possess good communication skills. Only Immediate Joiners can apply & Candidate must be confortable with Gurgaon Location. Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

JOB DESCRIPTION Marketing our Bench Consultants (H1 Transfer/OPT/CPT/F1/ GC-EAD and GC,). Responsible for working on a C2C / C2H contract position. Posting/submitting their resumes on various job boards/requirements and finding requirements for them through other resources. Checking for the right requirements that match our consultant profiles on various job portals, submitting the consultants, negotiating the best rates, following up on interview schedules, and closing the best deals. Communicating with the consultants daily and updating them about submissions and interviews. Candidates should have good communication skills and computer knowledge. Candidates should have strong analytical and thinking skills. Arranging interviews with tier-one vendors or end clients. Develop and Maintain new vendor contacts, and build network relations across the IT industry using social networking sites such as LinkedIn. Working directly with Tier 1 vendors, implementation partners, and direct clients, understanding their job requirements, and finding matching profiles from the existing bench team. Follow up with the candidate and client in each stage and finally close the candidate's role. Preferred candidate profile: - Job Type: Full-time (On-Site) Experience: 2 Yrs – 5 Yrs Schedule: Night shift (6:30 PM IST to 3:30 AM IST) - US shift Monday to Friday hashtag#Interview Mode- F2F only. Praveen.admin@teamverseinc.com Work Location: #Kodad , Durgam Cheruvu, #Hyderabad Perks and benefits: - Performance bonus Quarterly bonus Yearly bonus Best Incentives Show more Show less

We are looking for Experienced IPDRG QA for Chennai and Hyderabad location (Work from office) to join our growing team. . Role & responsibilities : Review and analyze medical records to assign appropriate CPT, ICD-10-CM, and HCPCS codes Ensure coding accuracy and compliance with official coding guidelines and payer requirements Work with clinical staff for clarifications and documentation improvement Maintain productivity and quality standards Preferred candidate profile Minimum 6 months of experience in IPDRG QA Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Attention to detail and excellent analytical skills Strong knowledge of anatomy, medical terminology, and surgical procedures Perks and Benefits Competitive salary with incentives Continuous training and career development Supportive work culture Complimentary meals provided To Apply: Send your resume to - jacqulinemary.b@coronishealth.com For more details, contact us at 9940084176(Whatsapp)

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatomy, Physiology and, Medical terminology - 2-4 Years- experience in Medical Coding - Certification is preferred - Fluent verbal communication abilities - Knowledge of Healthcare terminology and ICD/CPT codes - Strong reporting skills - Familiar with Microsoft Excel - Excellent typing and accuracy

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatomy, Physiology and, Medical terminology - 2-4 Years- experience in Medical Coding - Certification is preferred - Fluent verbal communication abilities - Knowledge of Healthcare terminology and ICD/CPT codes - Strong reporting skills - Familiar with Microsoft Excel - Excellent typing and accuracy

Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatomy, Physiology and, Medical terminology - 2-4 Years- experience in Medical Coding - Certification is preferred - Fluent verbal communication abilities - Knowledge of Healthcare terminology and ICD/CPT codes - Strong reporting skills - Familiar with Microsoft Excel - Excellent typing and accuracy

Role & responsibilities We are looking for 10+ years of training and development experience with minimum of 5+ years of experience in training for RCM (Medical Coding, Account Receivables Process in Healthcare operations) Hands-on experience designing training for medical billing, coding, claims adjudication, or provider support services. In-depth understanding of RCM lifecycle and terminology (ICD, CPT, HCPCS, EOBs, etc.) Strong presentation and facilitation skills Proficiency in Learning Management Solutions (LMS) platforms. Preferred Certified Revenue Cycle Representative (CRCR). Graduate degree in Education, Business, or related field (Masters or professional certifications like CPC, AHIMA, Six Sigma is preferred).

Greetings from Omega Healthcare!! We are Hiring for ED Profee QA locations Minimum 3+ Yr of Experience required in Relevant Coding Certification is Mandatory Should possess good knowledge in medical coding terms and work process. Should have good knowledge in ICD-10, CPT, Modifiers and ETC.., Work from Office is must. Role: QA Location: Bangalore Notice Period: Immediate - 15 days If interested, kindly contact or send your resume ( Whatsapp ) and refer your friends with relevant experience to below mentioned number. Name : Mounika Contact No : 8977407669

Huge Vacancies for Radiology and Ancillary We are seeking experienced certified professionals for Radiology Coder and Ancillary Looking for strong knowledge in DX Coding and Diagnose Coding Mode: Work from office Immediate joiners - 1 Month notice Period accepted Certification Mandatory Salary best in industry Location- Bangalore Contact: Vinitha HR 9150046898 vinitha.panneer@corrohealth.com