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1.0 - 5.0 years
5 - 10 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
Looking for any Certified/Non-Certified Medical coder with EM IP OP/ Coder/QA IPDRG Coder/QA HHC Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like HHC/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA
Posted 4 days ago
1.0 - 6.0 years
4 - 9 Lacs
Hyderabad, Chennai
Work from Office
Job description Hiring IP DRG Medical coders || Chennai & Hyderabad || Up To 90k || Min 1 yrs exp into IP DRG coding Package: Up to 90k Only Certified ( cpc, cic, coc, ccs ) Location: - Chennai , Hyderabad Work from Office Notice Period :- 0 to 15 days Reliving letter is not Mandate Interested candidates can share your updated resume at 9030874428 Refer your friend's / Colleagues Axis Services Preferred candidate profile min 1yr exp into Medical coder Perks and Benefits week 5 Days
Posted 1 week ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with HHC/ Coder/QA IPDRG Coder/QA Radiology Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Radiology/CODER/SR.CODER/QA IPDRG Coder/QA HHC Coder/QA
Posted 1 week ago
2.0 - 7.0 years
3 - 8 Lacs
Chennai, Bengaluru
Work from Office
Role & responsibilities Hiring Medical Coders ENM | Surgery | IPDRG Location: Bangalore & Chennai Position: Medical Coders and QA (Certified Only) Salary: Up to 10 LPA (Based on Specialty & Experience) Specialties We're Hiring For : Evaluation & Management (ENM) Surgery Coding IPDRG Coding Eligibility Criteria : Only Certified Medical Coders (CPC, CCS, CIC, etc.) Minimum 1 year - 5 years of experience in relevant specialty Strong knowledge of ICD-10-CM, CPT, HCPCS, DRG (as applicable) Willingness to work from Bangalore or Chennai Preferred candidate profile Interested candidates can share their updated resume via WhatsApp to: HR Prananya 9603760528 Email : prananya.axisservices@mail.com Feel free to refer your friends & colleagues too!
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA Surgery Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA Surgery Coder/QA
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with EM IP OP/ Coder/QA IPDRG Coder/QA HHC Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like HHC/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA
Posted 2 weeks ago
3.0 - 8.0 years
5 - 12 Lacs
Noida
Work from Office
Job Description DRG Coder This role is Individual Contributor Role and not a Team management role Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Review medical records to ensure accurate coding and billing practices in accordance with established guidelines and regulations. Identify discrepancies, errors or potential fraud in coding and billing practices. Analyze coding trends and patterns to identify areas for improvement or potential risks. Collaborate with stakeholders to address coding and billing issues and improve documentation practices. Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes. Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions. Stay current with updates to coding guidelines, regulations and industry best practices. Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices. Qualifications : Bachelors in nursing preferable / bachelors in science. Certification - Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Skills and abilities: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends... Update all the logs like productivity, Clarification log, and any other logs applicable, daily All emails from the Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA, OIG Good excel skills Flexibility Good Communication
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Mumbai (All Areas)
Work from Office
Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA Radiology Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA
Posted 3 weeks ago
1.0 - 6.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Hiring for IP-DRG - Coders & QA || Up to 90K ||Locations : Hyderabad , Chennai , Bangalore || Joining Bonus up to 1 Lakh|| Take-Home Up to 90,000 + Joining Bonus up to 1 Lakh (Only for immediate joiners) Locations: Hyderabad | Chennai | Bangalore IPDRG CODER Minimum 1 year of experience in IPDRG Package: Up to 70,000 take-home IPDRG QUALITY ANALYST (QA) Minimum 5 years of IPDRG experience Minimum 1 year as a QA (on-paper or off-paper experience accepted) Package: Up to 90,000 take-home Joining Bonus: Up to 1 Lakh for Immediate Joiners Locations: Hyderabad | Chennai | Bangalore Notice Period: Immediate joiners preferred (up to 15 days acceptable) Relieving Letter: Not Mandatory Interested & eligible candidates can share updated resume to: HR Keerthi Sai Priya 9951773491
Posted 3 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA EM Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA
Posted 3 weeks ago
3.0 - 8.0 years
5 - 14 Lacs
Hyderabad
Work from Office
Note: These resources should possess certification either in CIC or CCS (Mandatory) Job Description: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details. We are looking for professionals with strong expertise in DRG. The ideal candidates should have: Key Responsibilities: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim. Using the revised codes, regroup the claim using provided software to determine the new DRG Where the regrouped new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research Identify new DRG coding concepts to expand the DRG product. Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Meet and/or exceed all internal and department productivity and quality standards Recommend new methods to improve departmental procedures Achieve and maintain personal production and savings quota Maintain awareness of and ensure adherence to Zelis standards regarding privacy Skills, Knowledge, and Experience: Registered Nurse licensure preferred Graduate Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 3 – 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience conducting root cause analysis and identifying solutions Strong organization skills with attention to detail Outstanding verbal and written communication skills Note: These resources should possess certification either in CIC or CCS (Mandatory)
Posted 3 weeks ago
16.0 - 26.0 years
25 - 40 Lacs
Pune
Work from Office
Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you! Summary: We are currently seeking an AVP Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance which would result in client delight. Handle large number of teams with the support of managers, AMs and team leads Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences CPC/CIC/CCS certification Additional relevant certifications would be an added advantage 15 years of experience in BPO/KPO industry 5+ years of experience as Senior Manager/Director Operations Experience managing Managers or similar levels Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred Implementations/transitions experience preferred Skills and competencies: Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills MS office proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to make sound decisions keeping in mind business interests Comfortable handling teams across geographies, i.e. other locations within India, Philippines or in the US Capable of working under stress and for extended amounts of time Disclaimer: This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change Thanks & Regards Talent Acquisition Team | COTIVITI
Posted 1 month ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA EM Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA
Posted 1 month ago
1.0 - 3.0 years
2 - 7 Lacs
Chennai, Bengaluru
Work from Office
Hi guys We are hiriing IP-drg coder/Qa opening sin multiple clients Location:Chennai/Banaglore/Trichy Exp:1+yrs Certified only Interested share cv -9629859733 Monisha-Starworth
Posted 1 month ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with Surgery/ Coder/QA EM Coder/QA IPDRG Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Surgery/CODER/SR.CODER/QA EM Coder/QA IPDRG Coder/QA
Posted 1 month ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA
Posted 1 month ago
2.0 - 7.0 years
3 - 8 Lacs
Coimbatore, Bengaluru, Thiruvananthapuram
Work from Office
Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225
Posted 2 months ago
1.0 - 6.0 years
10 - 16 Lacs
Hyderabad, Chennai
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. NOTE: Must have real time IPDRG experience. About the role: Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. Requirements: 1 to 7+ Years experience in IP DRG medical Coding Education Any Graduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC / CPC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Interested candidate please share your resume at jsaidev@r1rcm.com or reach me @ 9885978995 HR Details Sai Dev only for IPDRG role Thanks & Regards, Sai Dev. J | HR - Specialist||Talent Acquisition - India| +91-9885978995 Workstation: 1st Floor, 2nd Tower, NSL Arena, Uppal, Hyderabad-500039
Posted 2 months ago
2 - 7 years
3 - 8 Lacs
Trivandrum
Work from Office
Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225
Posted 2 months ago
2 - 7 years
3 - 8 Lacs
Bengaluru
Work from Office
Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225
Posted 2 months ago
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