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1.0 - 6.0 years
1 - 6 Lacs
Noida, Greater Noida, Delhi / NCR
Work from Office
CorroHealth is Hiring for Certified Denials / EM IP Coders..! Specialty: Multispecialty Denials / EM IP Designation: Executive / Sr.Executive Location: Noida Experience: 1 to 9 Years Certification: AAPC / AHIMA( Mandatory ) Salary: Best in the industry Preferred Joiners - 15 days to 1 month Interested candidates please send your resume to ashrafara.j@corrohealth.com or contact HR - Ashraf Ara - 8015364150
Posted 1 month ago
1.0 - 2.0 years
1 - 2 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
*AR CALLER OPENINGS WITH DENIALS* *Billing: Hospital/Physician* Location : *Bangalore/Chennai* *EXP : 1-2 YRS* *SALARY* - 38K *PF is Mandatory* *Voice Process* * Relieving Letter is not mandatory* share your CV here-Papitha-7092036199
Posted 1 month ago
1.0 - 5.0 years
3 - 6 Lacs
Hyderabad, Bengaluru
Work from Office
Hiring: AR Caller / Senior AR Caller Locations: Hyderabad Experience: 8 Months -5 Years Notice Period: Immediate Joiners Preferred We are hiring experienced AR Callers / Senior AR Callers with strong knowledge in Physician Billing . Experience in Hospital Billing is an added advantage. Job Description: Work on denial management and resolution Follow up with insurance companies for claim status Good understanding of the US healthcare RCM process Strong domain knowledge and communication skills required Requirements: 8 Months to 5 years of experience in AR Calling (US healthcare) Hands-on experience with denials Good understanding of Physician Billing; Hospital Billing is a plus Immediate joiners preferred For a quick response from HR, please WhatsApp your CV to: HR Phani 9494994261 Company: ACN Healthcare RCM Services Pvt Ltd. Venue: ACN Healthcare Indiqube Lexington Tower, 6th floor, Tavarekere main road, Chikka Audugodi, S G Palya, Bangalore - 560029 https://maps.app.goo.gl/SJapzVVoZrkac53MA?g_st=ipc
Posted 1 month ago
1.0 - 4.0 years
3 - 5 Lacs
Hyderabad, Bengaluru, Mumbai (All Areas)
Work from Office
AR Calling - Mumbai (Navi Mumbai) - 40k Take Home Experience :- Min 1+ yrs exp in AR Calling in Physician Billing Package :- Max Upto 40K Take-home Work Location :- Mumbai Qualification :- Inter & Above Notice Period :- Preferred Immediate Joiners - 1 week of notice (serving) Relieving is not Mandate WFO Interview Mode :- Virtual & Walkin AR Callers - Hyderabad - 33k Take Home Experience : Minimum 1+ years in AR Calling Package : Max Upto 33K Take-home Qualification: Degree Mandate Notice Period : 0 to 25Days Location : Hyderabad WFO Interview Mode : Virtual Interviews Interested candidates can share your updated resume to HR Harshitha - 7207444236 (share resume via WhatsApp ) Refer your friend's / Colleagues
Posted 1 month ago
1.0 - 5.0 years
1 - 4 Lacs
Noida
Work from Office
Build your career with one of India's largest and fastest growing companies in healthcare revenue cycle management . Join a team that values your work and enables you to become a true partner to your clients by investing in your growth, besides empowering you to work directly on KPIs that matter to your clients. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below. Note : Candidates from Accounting & Finance are not eligible. JOB LOCATION: Noida JOB DESCRIPTION Call to the insurance companies, responsible for the outstanding balances on patient accounts from the aging reports. Manage A/R accounts. Resolve billing issues that have resulted in delay in payment. Establish and maintain excellent working relationship with internal and external clients. Escalate difficult collection situations to management in a timely manner. Should have the knowledge of patient insurance eligibility verification. Manage A/R accounts by ensuring accurate and timely follow-up. Review provider claims that have not been paid by insurance companies. Handling patients billing queries and updating their account information. SKILLS AND QUALIFICATIONS REQUIRED Min 8 month of experience in AR Calling / Follow up with US Healthcare (provider side). Flexibility to work in night shift, according to US office timings and holiday calendars. Fast learner with the ability to talk to people effectively, and adapt well to different situations for meeting operational goals. Basic working knowledge of MS Office. Interested candidates can share their resumes on Pooja.singh2@pacificbpo.com or call on 9311446976, 9971170400, 7303413866, 9311441474.
Posted 1 month ago
1.0 - 6.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Hiring for Medical Coders || Up to 10 LPA || Locations : Hyderabad , Chennai , Bangalore , Noida || Min 1 + yr of exp in below mentioned specialization's ED facility - Hyderabad , Chennai , Noida (Only Immediate joiners) ED Profee - Chennai , Bangalore OBGYN , IVR (Interventional Radiology) - Hyderabad Radiology - Chennai Surgery - Hyderabad , Chennai , Noida , Bangalore EM OP , IP - Bangalore , Chennai EM with Minor / Major Surgery - Chennai , Noida Denials multispecialty - Hyderabad , Chennai IPDRG - Hyderabad , Chennai , Noida Any Certification is fine (CPC , CCS , CIC , COC) Up to 10 LPA Notice Period : 0-60 Days Relieving letter is mandatory Interested & Eligible candidates can share your updated resume to HR Keerthi Sai Priya - 9951773491
Posted 1 month ago
1.0 - 4.0 years
3 - 6 Lacs
Hyderabad, Chennai
Work from Office
We Are Hiring ||Surgery/Radiology / Denials Medical coder Hyd ,chennai|| Up to 10LPA Exp :- Min 1+ years exp as a surgery/ radiology/denials coding Only Certiifed *Package :-Up to 10LPA Locations :- Hyderabad,chennai Work from office Reliving is not Mandatory Notice period:Prefers Immediate joiners- 10 days Interested candidates can share your updated resume to HR Aparna- 8019127669(share resume via WhatsApp ) Refer your friend's / Colleagues
Posted 1 month ago
4.0 - 9.0 years
3 - 8 Lacs
Chennai
Work from Office
Job description Team Lead - RCM Reports to : Manager Location : Chennai Roles & Responsibilities: In-depth Knowledge and experience in the RCM Healthcare. 4-7 years of experience in AR Denial Management . With over 2 year of experience as a Team lead Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the Clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process. Interested candidates kindly share your updated CV to deepalakshmi.rrr@firstsource.com / 8637451071. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com
Posted 1 month ago
1.0 - 5.0 years
2 - 7 Lacs
Chennai
Work from Office
Greetings from AGS Health. Designation: Medical Coder/Senior Medical coder/ QA Speciality we are hiring: E/M OP, ED Profee, Denials, Surgery, IPDRG, Anaesthesia Job Description : Should have knowledge in Medical Coding concept. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports Good Knowledge on Anatomy & Physiology Excellent Knowledge on ICD & CPT Good Computer Skills Above Average Communication Skills Good Reporting Skills Requirements and Skills: Experience: 1 + Years of experience in above mentioned speciality Work Location - Ambattur, Kandanchavadi (Work from office) Salary Offered: Based on your experience Minimum Qualification: Life Science/ paramedics, Graduates. License/Certification: CPC, CIC, COC,CCS (Required) Evaluation & Management - OP : Minimum 12 months experience in EM - OP/IP, ED Profee, ED facility, Denials, surgery, IPDRG, Anaesthesia Certification is Mandatory. Preferably immediate joiners. Interview Mode: Virtual Benefits: Health insurance Provident Fund Day shift One way cab facilities + breakfast If your are interested please send me your updated resume to this number in WhatsApp - 9944111942 Thanks & Regards Sarath kovilpillai HR -TA AGS HEALTH
Posted 1 month ago
4.0 - 7.0 years
7 - 11 Lacs
Bengaluru
Work from Office
The Information Security Engineer II position operates in a support role implementing security, technology and innovation in the Global Security Operations Center (GSOC) environment. The Info Security Engineer II is virtually the same as Info Security Engineer I but is a promotion path for individuals that have been in the role for 5-7 years. The centers operate 24x7x365. The GSOC is a pivotal function in the Global Security organization responsible for operation, maintenance, and monitoring of the Managed Security portfolio. This function facilitates the ingress, implementation and egress of advanced client trouble / change requests for DDoS mitigation and Threat Intelligence products as well as active monitoring/response to DDoS alerts/events. The Information Security Engineer II is expected to perform in an advanced capacity, including escalation support and on-call. Provides mentoring, training and escalation support to front line SOC personnel. Principal GSOC Duties and Responsibilities (Essential Functions) : Perform basic to moderate changes within the managed security environment Manage and resolve customer faults, service outage and impairment events Monitor, triage and response to security alerts for client security events. Investigation and resolution of impairment scenarios on Managed Security products. Mentor and train peers in the Security Operations environment Research and implement customer generated change requests for Managed Security products Generate incident cases and escalate to superordinate teams in accordance with time and severity-based SLA’s Possess exceptional customer service skills Multi-task during events Communicate effectively with managers, customers and vendors Maintain solid working relationships, including collaborative technical activities with peers Develop relationships with other teams both within and outside of Security to enhance customer experience Strong written and verbal communication skills Analytical and problem-solving skills Attention to detail with good organizational capabilities Prioritize with good time management skills Qualifications & Skills: Required (education / experience / skills / competencies) Requires Bachelor’s degree in related field plus 2 years relevant experience or equivalent combination of education and experience. Preferred 4-5 years in a Security Operations environment Demonstrated understanding of Denial-of-Service concepts and attack vectors, mitigation options Demonstrated proficiency in routing and networking skills, including the ability to: Troubleshoot BGP and BGP community strings Review and analyze packet captures Demonstrated proficiency in configuring Access control Lists Certifications In specific security technologies such as Fortinet, Arbor, Radware, Palo Alto, Cisco or Checkpoint. Security industry certifications (examples): o CISSP o CRISC o CISM o Security o CCNA o ACIA o CCNA o CEH o ITIL Foundations Advanced knowledge and skills of at least one programming language (python preferred) Mandatory Skills Managed security services experience, Firewalls like Palo Alto & Fortinet, DDos Operations, Trend Micro Deep Security IPS/IDS,SLM, Radware, DDOS, Arbor, Splunk, Zabbix, Network security and Incident Management, Certifications, such as GCIH / CISSP / CEH / CISM, Client Interfacing, Strong Analytical and Compliance skills "We are an equal opportunity employer committed to fair and ethical hiring practices. We do not charge any fees or accept any form of payment from candidates at any stage of the recruitment process. If anyone claims to offer employment opportunities in our company in exchange for money or any other benefit, please treat it as fraudulent and report it immediately."
Posted 1 month ago
2.0 - 7.0 years
2 - 7 Lacs
Chennai
Work from Office
About Guidehouse Guidehouse is a global consultancy providing advisory, digital, and managed services to the commercial and public sectors. Guidehouse is purpose-built to serve the national security, financial services, healthcare, energy, and infrastructure industries. We are hiring for Medical coder with 2 to 4 years of experience for EM IP / ED (Profee ) & Denials for Chennai and Trivandrum Location ( work from Office) with Certification What You Will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical 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. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need Any Life science, Paramedical Graduates and Post Graduates Minimum Experience: 2-4 year experience for coder / Senior coder Certification on CPC ( Apprenticeship removed ) ,CIC, COC, or CCS Basic Skill set : 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-9-CM and CPT conventions especially emergency room coding. Interview Date : July 5, 2025 (Saturday) Time : From 9:30 to 1 Pm Venue : 2nd Floor, Cambridge Block, Ramanujan IT City , Rajiv Gandhi Salai, Taramani, Chennai, Tamil Nadu 600 113. Contact person : Jeevanantham B
Posted 1 month ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)
Posted 1 month ago
1.0 - 4.0 years
0 - 3 Lacs
Hyderabad, Mumbai (All Areas)
Work from Office
Immediate Hiring for AR callers || Hyderabad and Mumbai || work from office|| Upto 4.6 lpa Location: Hyderabad, Mumbai Minimum 1 yr+ experience in AR calling For Hyderabad (upto 34k take home) candidates serving notice period till 20 days are also eligibile shift allowance provided (upto 8000/-) Excellent english communication required 1 way or 2 way cab provided For Mumbai (upto 38k take home) Immediate joiners preferred reliving not mandate Inter and above also eligible 1 way cab provided Requirements: Reliving letter mandate Requires excellent communication skills Transportation provided Graduation or intermediate also eligible Immediate joiners preferred Interested candidates contact HR Nitya Phone: 8179082307 Mail: nityahr.axisservices@gmail.com References are highly appreciated
Posted 1 month ago
1.0 - 4.0 years
1 - 5 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
Hello Connections..! We have Huge openings for Ar callers!!!! Greetings from Happiehire!!! Designation: Ar caller / Sr Ar caller (International voice process) Experience: 1 to 4 years - (physician billing / hospital billing / Denials, voice process) **** Chennai location / Bangalore location / Mumbai Location*** Experience in physician or hospital billing Denial experience mandatory Good salary hike Virtual /walkin available FOR IMMEDIATE RESPONSE SEND CV TO 8925221508 Yogalakshmi Happiehire
Posted 1 month ago
1.0 - 4.0 years
0 - 3 Lacs
Chennai
Work from Office
Greetings from E-care India Pvt Ltd!!!Whats App We are looking for Experienced AR Callers!! Designation : Executive AR Caller / Senior AR Caller. Job Responsibilities : - Min of 1 Year to 3 years into AR calling experience is required. - Knowledge into Healthcare concept is mandatory. - Knowledge on Denial management. - Good communication skills. - Understand the client requirements and specifications of the project. Job Benefits: - J oining Bonus - Attractive Attendance and performance incentives. - Free one-way cab drop facility for all employee and home drop for women employees - Fixed Week off. - Medical Insurance will be covered. - Free refreshments will be provided. - Reward & Recognition practice. Interested and Suitable candidates can send your resume through WhatsApp along with the below mentioned information @ 9344624861 Name: Position applying for: AR Calling Current company: Current Salary: Expected Salary: Notice period: Current Location: **Note: Mention you're looking for AR calling position in the WhatsApp message along with the updated resume while Sending. Interviews will be happening through Gmeet only.
Posted 1 month ago
1.0 - 5.0 years
1 - 4 Lacs
Hyderabad, Bengaluru
Work from Office
Greetings from Vee Healthtek....! Hiring Experienced AR Caller US Healthcare Location: Bangalore/Hyderabad Shift: Night Shift (US Process) Job Description: We are hiring experienced AR Callers to join our growing team in Chennai and Bangalore. If you have solid knowledge of the US healthcare RCM process and are looking for a great work environment with exciting perks we want to hear from you! Responsibilities: Follow up with US insurance companies on outstanding medical claims Analyze and resolve claim denials, rejections, and underpayments Maintain accurate documentation in the billing system Meet daily/weekly productivity and quality targets Collaborate with the team to improve AR performance Requirements: Minimum 1 year of experience in AR Calling (US healthcare) Strong communication and analytical skills Knowledge of denial management and revenue cycle process Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance Interested candidate can reach Vilashini HR@8925866801 or vilasini.v@veehealthtek.com
Posted 1 month ago
2.0 - 7.0 years
3 - 8 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Role & responsibilities We're Hiring Huge Openings for Certified Medical Coders! ENM OP/IP Bangalore, Chennai Up to 48K/month Surgery Hyderabad, Bangalore, Chennai Up to 10 LPA ED Facility – Hyderabad, Chennai, Noida – Up to 8.5 LPA ENM Surgery – Chennai, Noida – Up to 10 LPA Multispecialty Denial – Chennai, Noida – Up to 10 LPA Radiology – Chennai– Up to 7.5 LPA Requirements: Min 1 year of experience in the respective specialty Certification Mandatory – CPC / COC / CIC / CCS Relieving Letter Mandatory Immediate Joiners Preferred Interested candidates can reach out to HR Sujitha at 8297250813 Preferred candidate profile
Posted 1 month ago
2.0 - 5.0 years
3 - 5 Lacs
Greater Noida
Work from Office
Job description : Overview : We are seeking an experienced and detail-oriented Accounts Receivable Associate (AR Caller) to join our dynamic team. The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Responsibilities : Claims Management: Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management: Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication: Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up: Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Documentation: Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems. Compliance: Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes. Reporting: Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved. Requirements : - Proven experience (2-5 Years) working in accounts receivable within the US healthcare industry. - Calling experience on Denial Management - Physician Billing/Hospital Billing. - Knowledge of insurance claim submission and reimbursement processes (Medicare, Medicaid, commercial insurance). - Experience with electronic medical records (EMR) and billing systems (e.g., Epic, Cerner, Meditech). - Excellent analytical and problem-solving skills. - Ability to prioritize and manage multiple tasks in a fast-paced environment. - Proficient in Microsoft Office Suite (Excel, Word, Outlook). - Strong interpersonal and communication skills, both verbal and written. - Should be comfortable working from office and in Night shifts. Benefits : - 5 Days Working. - Both side Cab Facility. - PF & Health insurance - Performance bonus - Professional development and training opportunities. - Collaborative and supportive work environment. Note: Immediate joiners preferred. *Interested Candidates can reach-out to below mentioned details : Contact Person : Lalit Bisht Contact Number : 8375974434 Email ID : lalit.bisht@rsystems.com
Posted 1 month ago
4.0 - 9.0 years
4 - 8 Lacs
Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer
Posted 1 month ago
4.0 - 9.0 years
4 - 8 Lacs
Noida, Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer
Posted 1 month ago
2.0 - 7.0 years
3 - 8 Lacs
Hyderabad
Work from Office
We are looking for E/M IP & OP Coders/ QAs/ SME/ Trainers with Gastro / Ortho/ Cariology / Urgent Care / Ob Gyn / General Surgery / Radiology specialties with minimum 2 years of experience. Relevant experience candidates can approach us on rarravalli@primehealthcare.com / 9052901190. Regards, Ramesh Arravalli Senior Lead - HR PrimEra Medical Technologies Pvt Ltd.
Posted 1 month ago
1.0 - 4.0 years
2 - 5 Lacs
Mumbai
Work from Office
Job Title:AR Caller Experience: 1 to 5 Years Location:Mumbai Billing Type:Physician Billing Interview Mode: Virtual Looking for immediate joiners Salary:Up to 38,000 (Take-Home) Transportation:One-way drop cab provided Contact: Suvetha – 9043426511
Posted 1 month ago
2.0 - 6.0 years
3 - 5 Lacs
Chennai
Work from Office
Generate and analyze AR reports to identify trends and areas for improvement. Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Excellent skills in analyze and resolve denied claims, identify reasons for denials, and implement strategies to minimize future denials. Review Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Perform pre-call analysis and check status by calling the payer or using IVR Actively contact insurance companies to inquire about the status of pending claims and resolve any issues. Good knowledge about insurance policies, billing codes, and denial reasons to effectively resolve issues and secure payment Exposure in multiple specialties and billing software. Walk-In Between : Monday to Friday : 03.00 PM to 09.00 PM Location: A7, Industrial Estate, Mogappair West, Chennai, Tamil Nadu 600037. Call HR @ 9176359249 / 9150941118 to confirm your interview time or to know more about us.
Posted 1 month ago
1.0 - 4.0 years
2 - 5 Lacs
Chennai
Work from Office
Greetings from Global Healthcare Billing Private Limited Urgent Hiring: AR Caller & AR Analyst(Experienced) Night Shift | Chennai (Velachery & Vepery) Company: Global Healthcare Billing Pvt. Ltd. Location: Velachery & Vepery, Chennai Position: AR Caller / AR Analyst Experience: 1 to 4 Years Shift: Night Shift Contact: HR Bhavana - 89258 08595 Job Highlights: Immediate Joiners Preferred Competitive Salary & Incentives Growth-Oriented Work Environment Excellent Training & Support Requirements: 14 years of experience in AR Calling / AR Analysis Good communication skills Willingness to work in night shifts Knowledge of US healthcare billing process Apply Now! Send your resume to below Contact details Contact: 89258 08595(BHAVANA HR)
Posted 1 month ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: AR Caller (Denial Management) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period : Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426
Posted 1 month ago
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