63 Drg Jobs

Hiring for Certified Medical coders, who are specialized in IPDRG specialty Coding . Coders is responsible for accurately assigning Inpatient Prospective Payment Diagnosis-Related Groups (IPDRG) codes to patient records based on medical documentation. The role plays a key part in the revenue cycle management by ensuring the correct diagnosis and procedural codes are used to maximize reimbursement and compliance with healthcare regulations. Preferred candidate profile: Education: Bachelors degree in Health Information Management, Nursing, or related field (preferred). Certification: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or other relevant coding certifications. Experience: Minimum 1years of experience in medical coding, specifically in inpatient settings, with a strong understanding of IPDRG. If you or someone you know are interested please share your resume with me stefiseles.s@coronishealth.com

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD - 10 (CM & PCS) and DRG coding experience responsibilities

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced certified Surgery & IPDRG Auditors & Coders medical coders to join us. Interested candidates please call us @ 91+ 8667765320 or mail to raghul.krishnasamy@coronishealth.com to book interview slot. General SURGERY Coders ( 3 to 8 yrs ) * Certified coders only * Experience : 2+ yrs of experience in General Surgery is must * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Coders & Auditors ( 3 to 15 yrs ) * Experience : 1 to 10 years * Only for Certified coders * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Interested Candidates send you resume to the below WhatsApp Number or Reach me out on 8667765320 Regards, Raghul - 8667765320 Human Resources Coronis Ajuba

We Are Hiring: IP/DRG Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 4+ Years Required We are looking for experienced and certified IP/DRG Coders to join our team. Mode of Interview: Walk-in (5th June & 6th June) Salary: Negotiable based on experience and skills Eligibility: Certified Coders only with a minimum of 4 years of experience Location: 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Work From Office (No Remote Option) Interested candidates can call and schedule their interview with: Ranjitha (HR) - 8807618852 (Whatsapp & Call Only)

Job Title: IPDRG Medical Coder Location: Chennai Employment Type: Full-time Experience Required: 1-3 years in inpatient coding preferred Job Description: We are seeking experienced Medical Coders to support our IPDRG (Inpatient Diagnosis- Related Group) operations. The ideal candidate will have a solid understanding of ICD- 10-CM, ICD-10-PCS, and DRG assignment methodologies. Key Responsibilities: Review and analyse inpatient medical records for accurate code assignment Assign ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines Ensure appropriate DRG assignment to optimize coding accuracy and compliance Collaborate with clinicians and auditors as needed for clarification Meet established productivity and quality benchmarks Qualifications: Certification in medical coding (e.g., CPC, CCS, or equivalent) Experience with IP coding and DRG grouping systems Familiarity with clinical documentation improvement (CDI) concepts is a plus Strong attention to detail and understanding of medical terminology

Job Title: IPDRG Auditor Location: Chennai Employment Type: Full-time Experience Required: 3+ years in coding audit, especially inpatient Job Description: We are hiring IPDRG Auditors to ensure the accuracy, compliance, and quality of coding within our inpatient services. This role involves retrospective audits, coder feedback, and performance reporting. Key Responsibilities: Conduct regular audits of inpatient medical records and coding outputs Evaluate DRG assignments and identify discrepancies or errors Provide feedback and training to coders to improve accuracy and compliance Prepare audit reports and track coding performance metrics Stay updated with coding regulations and payer policies Qualifications: Advanced certification (e.g., CCS, CIC, or equivalent) preferred In-depth knowledge of ICD-10-CM/PCS and DRG grouping Experience in inpatient coding audits and CDI practices Excellent analytical and communication skills

OPENINGS FOR GROUP COACH / QA / TEAM LEAD SPECIALTY IN ANESTHESIA OR SURGERY CODING OR E & M OBSERVATION CODING Location : Chennai / Hyderabad / Bangalore Required Candidate profile For more details contact: SUSHMI - 7397286767 DIVYA - 7358399847 Sindhuja - 7305158666 Rajitha - 9790878558 Varalakshmi - 6385161155

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced certified Surgery & IPDRG Auditors medical coders to join us. Interested candidates please call us @ 91+ 6385272597 or mail to manojprassana.dillibabu@coronishealth.com to book interview slot. SURGERY Coders ( 3 to 8 yrs ) * Certified coders only * Experience : 2+ yrs of experience in SDS is must * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Coders & Auditors ( 3 to 12 yrs ) * Experience : 1 to 10 years * Only for Certified coders * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Interested Candidates send you resume to the below WhatsApp Number or Reach me out on 6385272597 Regards, Manoj - 6385272597 Human Resources Coronis Ajuba

Company: MedMetrix Job Title: EM IP & OP / IPDRG(4 yrs) / SDS / IVR Interview Mode: Walk-In Minimum Exp : 1.5 years Requirements: Degree in Healthcare or related field. Experience with medical coding and data management. Proficiency in Excel and healthcare systems. Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact: Ranjitha (HR) - 8807618852

WE ARE HIRING *MEDICAL CODERS* Ip drg CODERS & QA Location: Chennai,Hyd *Experience : Min 1+Years Exp Salary : Best In Market Certification Mandatory Virtual & Walkin Interview Immediate Joiners Preffered Work From Office ANCILLARY CODERS Location: Chennai,Banglore *Experience : Min 2+Years Exp Salary : Best In Market Certification Mandatory *Virtual & Walkin Interview *Immediate Joiners Preffered *Work From Office IVR CODERS : Chennai,Banglore *Experience : Min 2.5+Years Exp Salary : Best In Market Certification Mandatory *Virtual Interview *Immediate Joiners Preffered *Work From Office EM Multy Specality & EM Oncology : Chennai,Banglore *Experience : Min 2.5+Years Exp Salary : Best In Market Certification Mandatory *Virtual Interview *Immediate Joiners Preffered *Work From Office Contact: Hr Harini: 9884933934

Experience: 6 months as QA (IPDRG) on papers Certification - Mandatory Salary: Best in industry Immediate joiners - preferred Location: Chennai & Hyderabad Interested candidates reach out to: Reneth HR -7904010785 / Deepikaa HR -7904574485 Required Candidate profile Candidate should have a minimum of 6 months of experience as a QA for IPDRG (on papers) Any Certification - Can apply Notice period : up to 30 days is acceptable

Hiring for Ipdrg Coder and QA, General surgery and SDS QA and coder Minimum of 1.5 yrs years of experience Location- Chennai US shifts Work from Office salary Negotiable Roles and Responsibilities: - Accurately code SDS and Special Procedures through review of medical record documentation and encounter forms for Outpatient facility General surgery and SDS QA and coder vacancy Hands on experience in coding tools such as EPIC, 3M, Optum. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/ NCCI policies. Should have working experience in all Surgery procedures (10000-69990 CPT series) Good knowledge in Cardiac catheterization with 9xxxx series codes is an added advantage. Minimum of 1.5 yrs years of experience Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements. Please call Durga 9884244311 for more Info Regards Durga 9884244311

We Are Hiring! | IPDRG Roles Coder / QA / Trainer Locations: Hyderabad & Chennai Work From Office (WFO) Open Positions: IPDRG Coder – Min. 1 Year Experience | Certified Candidates Only IPDRG QA – Immediate Joiners Preferred | Certified Only | Hyderabad IPDRG Trainer – Immediate to 2 Months Notice | Certified Only | Chennai & Hyderabad Qualification: Any Degree Salary: As per Industry Standards Relieving Letter: Not Mandatory Notice Period: Immediate Joiners Preferred Interested? Send your updated resume via WhatsApp to: HR Aparna – 8019127669

Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders/ QA with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. 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 IPDRG medical Coding 1 plus years of experience for coders 5 plus years of experience for QA with CPC/CCS/CIC mandatory 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. Completely Work from Office (Chennai Location) Preferred Immediate Joiners & notice period is acceptable. Contact person Vedha Mithra HR Contact mail - Vedha@happiehire.com/ 9010608096. If you are not interested, refer any of your friends who has the relevant experience.

Desired Candidate Profile QA(Head) / TL(With QA Experience) / TL with Six Sigma Certificate 1) E/M IP & OP - Lead Delievery Quality Exp : 7-9 Yrs , (Candidate should have Team Handling Experience in Quality side - On paper is not mandatory) Location : Chennai Max CTC - 8-10 LPA 2) IPDRG - Lead Delivery Quality Exp - 7-9 Yrs (Candidate should have Team Handling Experience in Quality side - On paper is not mandatory) Location - Chennai Salary - Max 8 -11 LPA 3)Process Coach - E/D Pro & Facility Exp - 5-8 Yrs Any Certification Location : Chennai Salary - 7-8 LPA Both are WFO Only & Only 15 OR 30 Days notice Period only Location Chennai , Bangalore ,Coimbatore Interested Can DM - 7550062225 Thanks regards , Indhu Senior Lead HR *Be Kind to Everyone*

Job description Greeting from Access Healthcare!... We are hiring for Medical Coders Specialty: E&M IP/OP, Multispecialty Denials, Surgery, HCC & Ipdrg Experience 2 + Years Location: Chennai Work Type: Office Certification Mandatory (CPC, CRC, CCS, CIC, COC) Immediate Joiners Kavitha M Recruiter - TA (Talent Acquisition) Ph- +91 78258 27715 Email: kavitha.m24@accesshealthcare.com

OPENINGS FOR MEDICAL CODING Minimum 1 yr of exp Both Certified and Non certified SURGERY IPDRG E&M DENIAL Location : Chennai / Hyderabad / Bangalore Required Candidate profile For more details contact: Sindhuja - 7305158666 Rajitha - 9790878558 Varalakshmi - 6385161155 Nihila - 7305155582 Arshiya - 7305155583

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD - 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication Prepare training documentation, SOPs, reference guides, and maintain accurate training record Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance Participate in coding calibration meetings and contribute to coding related discussions Support coders with complex case resolution, documentation improvement education, and coding clarification Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications Bachelor’s degree in health information management, life science or a related field is preferred AAPC/AHIMA Certification is requiredCPC, CIC, CCS, COC 8+ years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role In-depth understanding of 2021 E&M guideline changes and CMS documentation Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies Solid Knowledge of US healthcare RCM system Familiarity with EMR/EHR, compliance standards, auditing platforms Excellent attention to detail and accuracy in coding and documentation Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.) Skills: Solid understanding of medical terminology, anatomy, and physiology Excellent communication and presentation skills Proficiency in using training software and tools Solid organizational and time management skills Analytical thinking At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Hi All interview Started For CODERS & QA and offer Relesing also Started EM IP - 1 Year Above EM OP - 1 year Above Denial Coder - 1 year Above ED profee with facility-1 year above ED Profee Facility + Ancillary - 1 year Above Anesthesia -1 year Above EM IP +OP + Hospitalist - 1 year Above Coding Denials (Multispeciality) - 1 year Above Surgery Coding -1 year Above IPDRG - 1 Year Above HCC Coders - 2 year Above HCC QA - 3.5 Year Above Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Surendaran HR 9600183612 WhatsApp and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9600183612 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relesing also Started EM IP - 1 Year Above EM OP - 1 year Above Denial Coder - 1 year Above ED Profee Facility + Abcillary - 1 year Above Anesthesia -1 year Above EM IP +OP + Hospitalist - 1 year Above Coding Denials (Multispeciality) - 1 year Above Surgery Coding -1 year Above IPDRG - 1 Year Above HCC Coders - 2 year Above HCC QA - 3.5 Year Above Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 watsapp and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Knowledge: • Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. • Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - E&M-IP/OP. • Knowledge of EM – IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination & Medical Decision Making in Documentation guidelines, hospital E&M coding - initial/subsequent visit • Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. • Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities • Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects • Quality control as per client SLA • Ensure effective implementation of organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement

Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. • Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - E&M-IP/OP. • Knowledge of EM – IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination & Medical Decision Making in Documentation guidelines, hospital E&M coding - initial/subsequent visit • Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. • Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities • Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects • Quality control as per client SLA • Ensure effective implementation of organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement

Greeting from Access Healthcare!... We are hiring for Medical Coders Speciality: E&M IP/OP, Multispeciality Denials, HCC & Ipdrg Experience 2 + Years Location: Chennai Work Type: Office Certification Mandatory (CPC, CRC, CCS, CIC, COC) Immediate Joiners Jagatheeswari T Recruiter - TA (Talent Acquisition) Ph- +91 7010971953 Email: jagatheeswar.t@accesshealthcare.com

1. Education Bachelor's degree in Health Information Management, Healthcare Administration, or related field (or equivalent work experience). 2. Experience Minimum of ten (15) years in Health Information Management and/or Medical Coding and Auditing. Five (5) years supervisory or management experience. 3. Credentials/Certifications CSS CCS-P (AHIMA) or CPC (AAPC) mandatory. Additional industry relevant certifications preferred. 4. Required Skills Proven experience in Medical Coding and Auditing, with a minimum of 5+ years in a supervisory or managerial role. Strong understanding of ICD-10, CPT, HCPCS Level II, and other relevant coding systems. Familiarity with electronic health records (EHR) and coding software. Strong understanding of the U.S reimbursement process and IPPS and OPPS Excellent leadership, communication, and problem-solving skills. Attention to detail and a commitment to maintaining coding accuracy and compliance 5. Preferred Skills Medical Coding and Auditing, Clinical Documentation, People Management 6. Productivity Standards Experience in handling 250+ Team size I. Position Responsibilities 1. Looking for 15+ years of experienced candidates with relevant experience Role is Medical Coding and Auditing with a flair for technology. 2. Responsible for coordinating the work of the Medical Coding and Auditing staff, Supervising all functions of the Medical Coding and Auditing department. 3. Responsible for how the coding department operates each day and ensures that work assignments are completed on schedule by providing effective monitoring to both quantity and quality of workflow. 4. Responsible for project planning and all process documentation. It also involves being responsible for quality delivery and team performance. 5. Provides assistance in developing coding practice standards and policies and suggests the appropriate trainings to improve the performance of the team. 6. Managing client interaction and customer engagement, as well as coordinating with client and internal teams. 7. Must always strive to enhance his/her knowledge and also continually improve on established processes to be effective on the job. Identify & implement technology solutions that help in improving Coding efficiency. 8. Oversees resource utilization to ensure all clients are staffed appropriately, overtime is not overutilized, and that production resources not remain idle. 9. Identifies resource skill gaps to ensure that we are appropriately staffed with the correct discipline of coder (patient type, skill level, component etc.) 10. Strong knowledge of Health Information and Coding data such as audit results methodology and financial impact of medical coding errors. 11. Reviews internal and external audit results and ensures Plans of Action are produced and carried out when required. 12. Works closely with Coding, Data Quality and Production teams during client implementations to ensure a smooth transition for the client. 13. Ensures Client directives, sent directly from the client, via Client Services or from leadership, are carried out by Coding and Data Quality team accurately and timely. 14. All other tasks as requested.