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1.0 - 6.0 years

5 - 15 Lacs

hyderabad, chennai, bengaluru

Work from Office

Description The IPDRG-Coder/Quality Analyst is responsible for accurately coding inpatient claims and ensuring the quality of coding practices within the organization. This role involves reviewing medical records, conducting audits, and collaborating with healthcare professionals to maintain compliance and improve coding accuracy. Candidates should possess strong analytical skills and a solid understanding of coding standards. Responsibilities Review and analyze medical records for accurate coding of IPDRG claims. Ensure compliance with coding guidelines and regulations. Conduct quality audits on coded data to identify discrepancies and improve accuracy. Collaborate with healthcare providers to clarify documentation and coding issues. Provide training and support to junior coders and staff on coding practices. Stay updated on changes in coding standards and regulations. Skills and Qualifications Proficiency in IPDRG coding and medical terminology. Strong analytical skills and attention to detail. Knowledge of healthcare regulations and compliance standards. Experience with electronic health record (EHR) systems and coding software. Excellent communication skills, both verbal and written. Ability to work independently and as part of a team. Role & responsibilities Preferred candidate profile

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3.0 - 8.0 years

10 - 20 Lacs

hyderabad, chennai

Work from Office

Job description Need IPDRG Coders with minimum 3 to 8 Yrs experience Candidates with 3+yrs will be considered for Coder position and Candidates with 5+yrs will be considered for QC positions CCS certification Mandatory Shortlisted candidates should join us before 20th Sep 2025 Please whatsapp your name , contact number to 7825855974, will schedule interview immediately For any other queries, kindly reach out & drop your resume on WhatsApp or call and discuss the interview schedule and process. Contact Name: Jagatheeswari T (HR) Contact Number: 7010971953 Email: jagatheeswar.t@accesshealthcare.com

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1.0 - 6.0 years

3 - 8 Lacs

hyderabad, chennai

Work from Office

We Are Hiring: Certified & Experienced Medical Coders ll ipdrg ll Work Location: hyderabad/ chennai Work Mode: Work From Office (WFO) IPDRGll hyderabad ll chennai || Specialization: IPDRG coders Eligibility: Minimum 2 years of experience Certified coders (ccs) Any one company Relieving letter is mandatory Notice period upto 15 days Package: Upto 90k Contact HR Prathyusha : 7702498242 Email : Prathyusha.vandragi@axisservice.co.in

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2.0 - 7.0 years

3 - 8 Lacs

hyderabad, chennai, bengaluru

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We are hiring - Medical Coder We're Hiring for 100+ Open Positions in Medical Coding! Location: Hyderabad - chennai - Coimbatore - bangalore Specialties Hiring For: IPDRG coders Requirements: * Minimum 1 + experience with parallon and non parallon Salary: * Attractive package with a decent hike based on current CTC & skills Immediate Joiners Preferred! Freshers dont apply Send your updated resume via WhatsApp/ DM 79040 33766

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12.0 - 20.0 years

20 - 30 Lacs

gurugram

Work from Office

Job Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class and fit for the purposes of clinical risk management (ranging from cost containment to quality and clinical pathways). Core Responsibilities Include How you would make a difference Evaluate and recommend improvements to the current clinical tools include but not limited to diagnosis related groupers, disease episode groupers, patient risk scores, disease staging tools. Evaluate and recommend improvements for relative indices such as risks scores, disease burden index and case mix that support our clinical tools. Understand the final usage of the tools and recommend relevant insights for clinical tool evolution. Provide clinical support in the analysis of claims data to derive actionable clinical insights. Participate in the application of the tools in various business processes and engage with Customers to discuss the effective usage of clinical tools. Create and assist in the development of Clinical Pathways for a range of products such as Condition Management, Hospital Optimization, Palliative Care, etc. Review the clinical appropriateness of product designers. Supporting clinical coding teams in the creation, update, and maintenance of clinical classifications Research and develop/implement various clinical terminologies and ontologies (such as SNOMED-CT, LOINC, WHO ICD-10, ICD10CM, ICD11, CPT, ATC etc.) for integration and enhancement for our clinical tooling Behavioural Skills What you need to be successful Exceptional communication skills across a wide range of stakeholders Ability to work cohesively in a team environment while balancing multiple priorities. High level of attention to detail, resilience, enthusiasm, energy, and drive Positive, can-do attitude focused on continuous improvement. Ability to take feedback and constructive criticism to drive improved delivery. Rigorous ability to problem-solve and optimize environment. Excellent co-ordination skills Technical understanding Required A working understanding of the clinical data used in healthcare is optimal as data forms the basis of our products, as such the following core understandings are required Knowledge of healthcare specific data/ health Insurance claims is a must. Reasonable competence in use of Microsoft Office suite of tools especially Excel, Access, and PowerPoint Knowledge of patient health management, provider profiling, healthcare reporting, and other key healthcare technologies, etc. Knowledge of clinical tools and coding including coders, groupers, cross walks, and classifications Jira and Confluence Knowledge Agile ways of working Understanding of Tech Products Lifecycle Strong DRG and Clinical Coding foundation Databricks knowledge Experience in clinical reviews for output sanity checks Experience in Closed File Review for missed recovery/ prevent FWA opportunities. Experience in working with Health Tech Team (Project Manager, Data Scientists, Data Analysts) The Below Understandings Are Advantageous However Not Compulsory SQL, python, and advanced excel Understanding of advanced statistics, risk adjustment and health outcome indices and metrics Knowledge of usage of data science in the healthcare space Experience in Microsoft Azure (Databricks, Synapse, Data Factory, etc.) Qualifications The following requirements are essential: Physician/MBBS degree as a clinical qualification required. Medical degree with a minimum of 5 years of post-qualification experience. Private health care experience would be an advantage. Qualifications or training in Health informatics, clinical coding or Health Administration would be very helpful.

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1.0 - 6.0 years

3 - 7 Lacs

hyderabad, bengaluru

Work from Office

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. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) 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. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

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1.0 - 6.0 years

2 - 6 Lacs

chennai

Work from Office

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. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) 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. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

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1.0 - 6.0 years

3 - 7 Lacs

hyderabad

Work from Office

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. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) 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. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

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9.0 - 14.0 years

15 - 30 Lacs

hyderabad, aurangabad, mumbai (all areas)

Work from Office

Role & responsibilities Job Title: Senior Manager Quality (Medical Coding) / Manager / Assistant Manager Experience Required: If anyone interested to work for Quality from Operations can also apply Senior Manager - 12+ Years in Medical Coding (with minimum 1 Year as Manager / Sr. Manager on papers) Manager -- 10+ years in Medical Coding (with minimum 1 Year as Manager/2 yrs as Assistant Manager on papers) Assistant Manager - 7+ years in Medical Coding (with minimum 1 Year as Assistant Manager/2 yrs as Team Lead on papers) Job Location: Hyderabad / Mumbai / Aurangabad Specialties: Hyderabad: IP DRG --Senior Manager Quality / Manager / Assistant Manager Quality Mumbai: Surgery, Anaesthesia, Home Health & HCC -- --Senior Manager Quality Aurangabad: Surgery, Anaesthesia, Home Health & HCC -- --Senior Manager Quality Key Skills: Medical Coding Quality, Coding Operations, DRG, Surgery Coding, Anaesthesia Coding, Team Management, Quality Audits, Compliance Compensation: Up to 32 LPA (based on experience) -- Senior Manager Up to 24 LPA (based on experience) -- Manager Up to 20 LPA (based on experience) -- Assistant Manager Notice Period: 0 to 60 Days Interested candidates can share their resumes with HR Surya - 8125761519 Preferred candidate profile

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1.0 - 3.0 years

13 - 18 Lacs

gurugram

Work from Office

About the role: Needs to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. This role involves designing and analyzing the healthcare reimbursement model . Be able take up new initiatives, maintain synchrony in the team. Collaborate with external & internal stakeholders, work effectively in a growing team, be a strong team player. Be able to create and define SOPs, TATs for ongoing and upcoming projects. What you will do: To design, analyze and maintain healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts. To perform various analytical reviews and deep-dives (root cause analysis) on client-specific healthcare reimbursement methodologyto ensure accuracy of revenue projections and actual collections. To report/highlight the exceptions in reimbursement method by building contract models for Hospital charges To effectively communicate the findings/ observations with recommended action to US team/clients. Maintain MIS related to analysis, Accuracy and coverage report for maintenance databases Handling client calls and communicating effectively for task deliverables and site maintenance What will you need: Graduate degree Preferably in Statistics\Mathematics\Economics\Commerce\Finance from a reputed educational institute Good analytical and algorithm building skills, having experience to build contract models for hospital charges to calculate expected reimbursement Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers. Experience/knowledge of various US healthcare reimbursement methods like MS DRG weightage, Multipliers, % of charges, outliers, Grouper fee schedule etc. Good Communication Skills (both written & verbal) Preferable - 1-3 years of experience in US healthcare Having good knowledge about RCM cycle and denial management

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3.0 - 8.0 years

5 - 15 Lacs

hyderabad, chennai

Work from Office

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) Hiring Certified IPDRG Coders / QA and Surgery QA for Chennai and Hyderabad Location Key Responsibilities: Review and analyze patient medical records, including clinical documentation, test results, and physician notes. Assign the correct ICD-10, CPT, and IPDRG & Surgery codes to diagnoses, procedures, and treatments based on the patients clinical information. Ensure proper classification into IPDRGs & Surgery based on the severity of illness and resource utilization. Work from Office | Certification Mandatory Experience - 2 Years to 10 Years Location : Chennai and Hyderabad Looking for Immediate Joiners or Maximum 30 Days Notice. Interested People can share CV to raghul.krishnasamy@coronishealth.com or WhatsApp to 8667765320 Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Regards, Raghul - 8667765320 Human Resources Coronis Ajuba

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10.0 - 20.0 years

8 - 17 Lacs

gurugram

Work from Office

Clinical assets Support clinical coding team in the creation, update, and maintenance of clinical assets Research and bring in international and regional medical coding schemas/ classifications, crosswalks, risk adjustment tools, reference lists/ value sets and drug/ medical device directories to the database, enhancing companys medical coding assets. Create and maintain crosswalks (code mappings) matching up/ recommend the equivalent codes based on coding guidelines. Work closely with the DS team and support in New Asset ingestion into the Database Highlighting the standards’ licensing requirements (wherever applied), engagements with the licensing vendor, requirement gathering & reporting. Rules & Benefits Creation & maintenance of clinical & operational rules for fraud waste and abuse (FWA) for health insurance Research of international and local APAC trends in FWA and available guidelines that are standard in the industry Creation & validation of Code value sets/ Concepts/ Reference lists for claims processing, benefit rules and billing schedule lists Clinical Coding Data assessment & schema finalization efforts for different markets. Create and maintain Schemas and Properties to fill in for the coding gaps across different clinical domains. Annotations - Analyse and interpret claims header level & line level descriptions and other documentation, categorize them into clinical domains (E.g., Procedures, radiology, Nursing etc.) and convert them into agreeable code format. Engage & support to improve Annotations Interface. Create and maintain Annotation Guidelines & SOPs for the team. Review and verify codes for diagnoses, procedures and treatment, and observations for coding inaccuracies and deficiencies as part of codes quality/ audit checks Actively participate in the Review committee/ Feedback sessions. Meet and maintain established quality coding goals, ensuring accuracy and compliance with coding standard Actively participate in Code Training & Mentoring - International & regional Knowledge sharing DRG Input & Output Files clinical audit/ coding sense checks. Provide clinical support in the analysis of claims data to derive actionable clinical insights. Engagements with internal stakeholders for any clarification, updates etc. Comparison of different DRGs & support in writing assessment reports. Overall AH Support Serve as a resource and subject matter expert to other coding staff. Support Leads & Sub-leads in managing Client discussions & expectations, business priorities, performance tracking, & resource hiring. Handle confidential information appropriately, adhering to company requirements General business / Product team support

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5.0 - 10.0 years

5 - 10 Lacs

hyderabad

Work from Office

Job Title: Team Lead - Medical Coding (IP DRG) Location: Hyderabad Job Type: Full Time | Work from Office Shift: Rotational Shifts (Including Night) Candidate Requirements: Education: Any Graduate / Post Graduate Experience: Minimum 2 years of experience as Team Lead (on papers) Mandatory Strong background in IP DRG medical coding Certifications: CCS or CIC Certification is Mandatory Skills: In-depth knowledge of Inpatient DRG guidelines & regulations Excellent team management and leadership skills Strong communication skills verbal and written Work Model: Must be ready to work from office Shifts: Comfortable with rotational shifts (including night shifts) Notice Period: Immediate to 60 days Apply now to lead and grow with one of the most dynamic healthcare teams in the industry!

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7.0 - 10.0 years

0 - 2 Lacs

noida, chennai

Work from Office

IPDRG Trainer Location: Chennai, Noida Experience: 7-10 years Certification Mandatory Skills: Min 7 yrs in IPDRG coding and auditing, and 2 yrs min. exp. in training, team training, CPC. CIC Immediate Joiners preferred

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3.0 - 5.0 years

3 - 5 Lacs

chennai, tamil nadu, india

On-site

About The Role : Conduct process trainings for codingspecialists. Floor support to coders during transitions to ensure quality standard maintenance during ramp-upperiod. Conduct focused trainings for quality improvement based on errorfindings. Publish monthly articles/updates on Healthcare regularly for enhancing coders knowledge andexpertise. Ensuretimelycompletion of onboarding compliance trainings for new hires as per Global and clientrequirement. Toparticipatein client calls,meeting,and KT sessions as per requirement Lead training sessions on current updates in the medical coding field for US based healthcaresystems. Training coders on US health care systems its updates as per protocol To create presentations, develops learning material, handbook, and other required training materials. Job Specification In-depth knowledge of coding process, coding system software, workflow management. Basic understanding of medical terminology, body systems/anatomy, physiology, and concepts of disease processes. Must have Coding Certification like CPC / CCS / COC / AHIMA. Any Graduate with minimum 3 years of IPDRG experience in medical coding Good to have training / coaching / mentoring experience. Good communicationand presentation skills ShiftDetails: General Shift / Day Shift WorkMode: WFO

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3.0 - 5.0 years

3 - 5 Lacs

trichy, tamil nadu, india

On-site

About The Role : Conduct process trainings for codingspecialists. Floor support to coders during transitions to ensure quality standard maintenance during ramp-upperiod. Conduct focused trainings for quality improvement based on errorfindings. Publish monthly articles/updates on Healthcare regularly for enhancing coders knowledge andexpertise. Ensuretimelycompletion of onboarding compliance trainings for new hires as per Global and clientrequirement. Toparticipatein client calls,meeting,and KT sessions as per requirement Lead training sessions on current updates in the medical coding field for US based healthcaresystems. Training coders on US health care systems its updates as per protocol To create presentations, develops learning material, handbook, and other required training materials. Job Specification In-depth knowledge of coding process, coding system software, workflow management. Basic understanding of medical terminology, body systems/anatomy, physiology, and concepts of disease processes. Must have Coding Certification like CPC / CCS / COC / AHIMA. Any Graduate with minimum 3 years of IPDRG experience in medical coding Good to have training / coaching / mentoring experience. Good communicationand presentation skills ShiftDetails: General Shift / Day Shift WorkMode: WFO

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3.0 - 5.0 years

3 - 5 Lacs

chennai, tamil nadu, india

On-site

About The Role : Conduct process trainings for codingspecialists. Floor support to coders during transitions to ensure quality standard maintenance during ramp-upperiod. Conduct focused trainings for quality improvement based on errorfindings. Publish monthly articles/updates on Healthcare regularly for enhancing coders knowledge andexpertise. Ensuretimelycompletion of onboarding compliance trainings for new hires as per Global and clientrequirement. Toparticipatein client calls,meeting,and KT sessions as per requirement Lead training sessions on current updates in the medical coding field for US based healthcaresystems. Training coders on US health care systems its updates as per protocol To create presentations, develops learning material, handbook, and other required training materials. Job Specification In-depth knowledge of coding process, coding system software, workflow management. Basic understanding of medical terminology, body systems/anatomy, physiology, and concepts of disease processes. Must have Coding Certification like CPC / CCS / COC / AHIMA. Any Graduate with minimum 3 years of IPDRG experience in medical coding Good to have training / coaching / mentoring experience. Good communicationand presentation skills ShiftDetails: General Shift / Day Shift WorkMode: WFO

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1.0 - 4.0 years

1 - 3 Lacs

hyderabad, chennai, bengaluru

Work from Office

Immediate Job Openings for IP DRG Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IP DRG Medical Coding. Specialty : IP DRG Medical Coding Experience : 1 - 4 Years. Designation : Medical Coder/ Sr Coder/QA Salary: 35K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Hyderabad/Trichy/Salem - WFO Interested Candidate can Call Immediately to 9790798065 (Available on Whatsapp) or forward your profile to vanitha.u@veehealthtek.com Regards, Vanitha - HRD 9790798065 vanitha.u@veehealthtek.com Vee Healthtek

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4.0 - 9.0 years

5 - 14 Lacs

hyderabad, chennai, delhi / ncr

Work from Office

Role & responsibilities Huge Hiring's for IPDRG Roles & Specialty: IPDRG Coder Up to 13 LPA (IPDRG 2 yrs exp with CPC also fn) IPDRG QA Up to 16 LPA IPDRG Trainer Up to 16 LPA IPDRG Validation (Lead Analyst role) – Up to 18 LPA Locations: Hyderabad | Chennai | Noida Experience: Minimum 1 yr+ in respective role (on paper) Notice Period: Immediate to 60 days Relieving: Mandatory Certification: CCS / CIC only Interested? Send your updated resume via WhatsApp to: HR Surya – 8125761519 Preferred candidate profile Hiring for IPDRG coder /QA/Trainer /validation || Up to 18 LPA

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2.0 - 5.0 years

2 - 7 Lacs

bengaluru

Work from Office

ERP/EPM/BI applications • Experience in building and leading large-scale MDM implementation projects • Strong understanding of data governance concepts and master data management best practices

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5.0 - 10.0 years

20 - 30 Lacs

gurugram

Work from Office

Job Description for Senior Clinical Tool Specialist You will assist and lead in the research, creation and development of Clinical Tools and Classification Systems such as groupers, classifiers, stagers, and patient segmentation. Work in a collaborative manner with support from data analyst to data scientist to ensure our clinical tools are world class and fit for the purposes of clinical risk management (ranging from cost containment to quality and clinical pathways). Core Responsibilities Include How you would make a difference Evaluate and recommend improvements to the current clinical tools include but not limited to diagnosis related groupers, disease episode groupers, patient risk scores, disease staging tools. Evaluate and recommend improvements for relative indices such as risks scores, disease burden index and case mix that support our clinical tools. Understand the final usage of the tools and recommend relevant insights for clinical tool evolution. Provide clinical support in the analysis of claims data to derive actionable clinical insights. Participate in the application of the tools in various business processes and engage with Customers to discuss the effective usage of clinical tools. Create and assist in the development of Clinical Pathways for a range of products such as Condition Management, Hospital Optimization, Palliative Care, etc. Review the clinical appropriateness of product designers. Supporting clinical coding teams in the creation, update, and maintenance of clinical classifications Research and develop/implement various clinical terminologies and ontologies (such as SNOMED-CT, LOINC, WHO ICD-10, ICD10CM, ICD11, CPT, ATC etc.) for integration and enhancement for our clinical tooling Behavioural Skills What you need to be successful Exceptional communication skills across a wide range of stakeholders Ability to work cohesively in a team environment while balancing multiple priorities. High level of attention to detail, resilience, enthusiasm, energy, and drive Positive, can-do attitude focused on continuous improvement. Ability to take feedback and constructive criticism to drive improved delivery. Rigorous ability to problem-solve and optimize environment. Excellent co-ordination skills Technical understanding Required A working understanding of the clinical data used in healthcare is optimal as data forms the basis of our products, as such the following core understandings are required Knowledge of healthcare specific data/ health Insurance claims is a must. Reasonable competence in use of Microsoft Office suite of tools especially Excel, Access, and PowerPoint Knowledge of patient health management, provider profiling, healthcare reporting, and other key healthcare technologies, etc. Knowledge of clinical tools and coding including coders, groupers, cross walks, and classifications Jira and Confluence Knowledge Agile ways of working Understanding of Tech Products Lifecycle Strong DRG and Clinical Coding foundation Databricks knowledge Experience in clinical reviews for output sanity checks Experience in Closed File Review for missed recovery/ prevent FWA opportunities. Experience in working with Health Tech Team (Project Manager, Data Scientists, Data Analysts) The Below Understandings Are Advantageous However Not Compulsory SQL, python, and advanced excel Understanding of advanced statistics, risk adjustment and health outcome indices and metrics Knowledge of usage of data science in the healthcare space Experience in Microsoft Azure (Databricks, Synapse, Data Factory, etc.) Qualifications The following requirements are essential: Physician/MBBS degree as a clinical qualification required. Medical degree with a minimum of 5 years of post-qualification experience. Private health care experience would be an advantage. Qualifications or training in Health informatics, clinical coding or Health Administration would be very helpful.

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2.0 - 7.0 years

3 - 8 Lacs

hyderabad, chennai, bengaluru

Work from Office

Hiring: Medical Coders Available Positions : 1. Surgery Coders Locations : Hyderabad, Chennai, Bangalore Salary : Up to 50,000/month (Take-home), based on experience Certifications : CPC Certified 2. IPDRG Coders Locations : Hyderabad, Bangalore, Chennai Salary : Up to 10,00,000/year, based on experience Certifications : CCS or CPC Certified 3. Home Health Coder Location : Hyderabad Salary : Up to 60,000/month (Take-home), based on experience Certifications : BCHHC Certified or Non-Certified What We Offer : Competitive Salaries based on experience Career Development : Training opportunities to enhance your skills Virtual Interviews : Flexibility to interview remotely Required Qualifications : Surgery Coders : CPC certification required IPDRG Coders : CCS or CPC certification required Home Health Coders : BCHHC certification preferred (Non-certified candidates are welcome to apply) Excellent knowledge of medical terminology and coding systems (ICD-10, CPT, HCPCS) Strong attention to detail and organizational skills Ability to work independently and as part of a team How to Apply : Contact HR: Leena Emerald Phone : 9030360584 Email : leena.emmi@axisservice.co.in

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1.0 - 4.0 years

1 - 5 Lacs

pune, chennai, thiruvananthapuram

Work from Office

Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG Hands-on experience in any of the Encoder tools specific to Hospital coding such as 3M, Trucode, etc. is preferred The coders assigned on the project would be reviewing Inpatient and observation medical records, determine and assign accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and/or CPT) codes with appropriate modifiers in addition to reporting any deviations in a timely manner Maintains high level of productivity and quality Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time keeping an elevated level of accuracy The coders would as well be screened for reasonable comprehension and analytical skills that are considered a prerequisite for reviewing the medical documentation and deliver accurate coding The coders are expected to deliver an internal accuracy of 95%, meet turnaround time requirements in addition to meeting productivity standards set internally per the specialty Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards. Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences. This includes refresher and ongoing training programs conducted periodically within the organization Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years experience in Medical Coding Candidates holding CCS/CIC with hospital coding experience are preferable The coders will focus on undergo certifications sponsored by AAPC and AHIMA as they mature with the process. Access health care has now partnered with AAPC to hand hold in-house certification training for its coders and sponsor for the examinations. Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles Location : Chennai,Mumbai,Pune,Coimbatore,TRV,Noida

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1.0 - 6.0 years

4 - 9 Lacs

chennai

Work from Office

50K Joining bonus ( applicable for immediate joiners ) Candidates must have at least 6 months experience Looking for immediate joiners preferred Certification Is mandatory Interview - Direct Location - Chennai Thanks & Regards, Krish Hr 9342780488

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4.0 - 9.0 years

4 - 9 Lacs

chennai

Work from Office

Greetings from Access Healthcare Openings for Medical Coders Surgery Coder (Certified) - Chennai & Pune location ED Facility Coder ( Certified) - Chennai & Pune location Denials coder ( Certified) - Chennai, Coimbatore & Pune location Em OP Coder ( Certified) - Chennai & Pune location Exp - 1 Year To 6 Years Virtual Interview only! ----------------------------------------------------------_------------- Huge opportunity for IPDRG Experience minimum - 3 Years Location - Chennai CCS Certificate mandatory Call / WhatsApp: Lavanya HR- * 9344964267 *

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