79 Drg Jobs

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 Be 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) 5+ 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 #NTRQ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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. #NTRQ

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. External Candidate Application Internal Employee Application

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 Be 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) 5+ 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 everyoneof every race, gender, sexuality, age, location and incomedeserves 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. #NTRQ #NJP #NTRQ

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

Company Description At EXL, we focus on collaboration and character to tailor solutions that meet your unique needs and goals. We partner with businesses to make the most of their data for enhanced decision-making and digital operations efficiency. Our expertise spans AI, digital transformation, and operations management to help companies gain and maintain a competitive edge. Whether through scaling the use of AI, redesigning operating models, or making better and faster decisions, we aim to deliver sustainable models at scale. For more information, please visit www.exlservice.com. Role Description This is a full-time hybrid role for a Medical Coder IPDRG based in Chennai, allowing for some work from home flexibility. The Medical Coder will be responsible for accurately coding medical records using ICD-10, CPT, and other classification systems. Daily tasks will include reviewing clinical statements and assigning standard codes, maintaining coding guidelines, and ensuring compliance with regulatory requirements. The role also involves collaborating with healthcare providers to clarify diagnosis and procedures as needed. Qualifications 2+ Years Experience in Medical Coding (IPDRG) CPC/CCS or Any certification Health Information Management skills Proficiency in coding classifications such as ICD-10 and CPT Strong analytical skills and attention to detail Ability to work independently and in a hybrid environment Good communication and interpersonal skills Previous experience in healthcare settings is a plus Associate's or Bachelor's degree in Health Information Management or related field

Hiring Certified Medical Coders IPDRG | E&M | Surgery | Denials Salary: Up to 7 LPA Location: Hyderabad, Bangalore , Chennai Experience: 1-6 Years Job Type: Full-Time Certification Required: CPC / COC / CCS / CRC / CIC (Mandatory) Roles and Responsibilities : IPDRG Surgery Multispecialty Denials E&M (Evaluation & Management) Candidate Profile : Minimum 1 year of experience in medical coding Must hold a valid CPC, CIC, CRC or CCS certification Proficient in IPDRG, Surgery, Multispecialty Denials , and E&M coding Strong understanding of medical terminology, anatomy, and coding compliance Excellent analytical and communication skills Preferred candidate profile Apply Now Drop your CV to HR Sunitha WhatsApp : 9603931383 Email : sunithayadav.axisservices@gmail.com Join a fast-growing healthcare organization and take your career to the next level! Referrals are mostly appreciated

We are hiring//Medical Coders// Min 1 + yr of exp in below mentioned specialisation's Ed Profee - Bangalore Surgery - Hyderabad , Chennai, Noida, Bangalore IPDRG - Hyderabad , chennai, Noida,Bangalore OBGYN - Hyderabad ENM - Chennai , Bangalore Denials multi-speciality - Chennai Position: QA Min 4 + yr of exp in below mentioned specialisation's IPDRG QA - Hyderabad, Chennai, Bangalore ED Facility QA - Chennai ENM OP QA or ENM IP QA - Chennai, Bangalore Surgery QA - Hyderabad , Chennai , Bangalore IPDRG Trainer - Hyderabad Home health QA - Hyderabad Position: Team Lead Enm Surgery lead delivery ( Quality ) - chennai Surgery Lead Delivery - chennai Enm lead delivery -chennai Only Certified Coders Up to 12 LPA Notice Period : 0-30 Days Relieving letter is mandatory Interested candidates can drop Your Resume To: HR Lalitha - 8179142981 through Whatsapp lalithahr.axis@gmail.com through Mail Referrals are appreciated

As a Data Analyst with deep experience in the US Healthcare industry and skills around Machine Learning (ML), you will play a vital role in conducting comprehensive data analysis using statistical and exploratory methods to uncover patterns and insights that drive data-driven decision-making in the healthcare domain. Leveraging your knowledge of healthcare industry metrics such as HEDIS, CMS Star Ratings, risk adjustment models, and revenue cycle data, you will optimize analytics strategies to ensure efficient data quality, availability, and reliability for AI/ML-driven healthcare analytics solutions. Your responsibilities will include designing and maintaining data pipelines for the ingestion, transformation, and storage of claims, electronic health records (EHR), HL7/FHIR data, and real-world evidence (RWE) while ensuring compliance with HIPAA, PHI, and other regulatory requirements. Collaborating closely with data science and engineering teams, you will develop and maintain dashboards and reports that translate complex healthcare data into actionable insights for business stakeholders using visualization tools such as Streamlit, Snowflake, Power BI, or similar platforms. You will apply your expertise in healthcare cost, quality, and operational performance analytics to deliver meaningful insights and work closely with cross-functional teams, including data science, engineering, API development, and healthcare operations, to understand data needs and deliver tailored solutions. Additionally, you will engage with industry experts, attend relevant healthcare and data science conferences, and contribute to continuous learning within the team to enhance process understanding and ensure data accuracy for regulatory and business reporting. To excel in this role, you should have strong proficiency in SQL and Python, including libraries such as pandas for data manipulation and analysis. Experience with healthcare data visualization and storytelling tools, familiarity with ETL pipelines, data warehousing, and cloud platforms (AWS, Azure, GCP) for healthcare data processing, as well as knowledge of healthcare standards and regulations are essential. Experience in revenue cycle management (RCM), medical coding (ICD, CPT, DRG), and healthcare cost/utilization analytics is a plus, along with the ability to analyze complex healthcare datasets and derive meaningful insights impacting operational efficiency, patient outcomes, and cost optimization. Excellent communication and stakeholder management skills, with the ability to translate technical findings into business insights, are key to collaborating effectively with healthcare business teams, IT, and data science professionals. A curious mindset and willingness to explore new challenges and drive innovation in healthcare analytics are also important qualities for success in this role.,

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!

Corro Health is Hiring Join Our Team! We are currently looking for experienced professionals to join us in the role of IPDRG Coder . Position: Coder Specialization: IPDRG Location: Chennai, Bangalore Experience Required: Minimum 1+ year Certification: Mandatory Interview Mode: Virtual Immediate Joiners Preferred If you meet the eligibility criteria and are interested in this opportunity, wed love to hear from you! Contact: Vinitha (HR) 9150046898 Email: vinitha.panneer@corrohealth.com

Hiring Medical Coders || UP TO 10 LPA|| Hyderabad, Chennai & Banglore Min 1 year of exp in below mentioned specialisation's IPDRG - Hyderabad , chennai, Noida OBGYN - Hyderabad Surgery - Hyderabad , Chennai , Noida, Bangalore EM with Surgery - Chennai Denials multi-speciality - Hyderabad , Chennai Radiology - Chennai ENM - Chennai, Bangalore Only Certified Coders Up to 9 LPA Notice Period : 0-30 Days Relieving letter is mandatory upto 30% hike on current CTC Interested candidates can drop Your Resume To: HR Maneesha - 9603789316 through Whatsapp maneesha.axishr@gmail.com through Mail References are highly appreciated

Hiring for Ipdrg Coder/ sn coder and QA, For Coders - Minimum 1 year is required For QCA - Minimum 3 years is required. Successful completion of CPC or CCS certification, must be active during joining and verified. 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 yr 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 varsha 7200847046 for more Info Regards varsha 7200847046

As an experienced Competitive Intelligence professional, your primary responsibilities will involve executing secondary CI projects and providing comprehensive summaries on competitor events across clinical, regulatory, and commercial domains. You will play a crucial role in supporting multiple projects related to competitor monitoring, including investor relations activities. Additionally, you will be tasked with developing and delivering periodic reports encompassing market landscape analyses, competitive landscape assessments, and CI news alerts. Collaboration with various stakeholder groups will be essential to ensure alignment on project objectives. The ideal candidate for this role should hold a master's degree in pharmaceuticals, life sciences, or management, or possess equivalent qualifications. You should have a solid background with 5-10 years of experience in competitive intelligence or similar roles within the pharmaceutical industry or consulting organizations. A thorough understanding of the pharmaceutical business landscape is crucial for success in this position. Your proficiency should extend to navigating pharmaceutical databases, with expertise in platforms such as Citeline, Trial Trove, IQVIA, Cortellis, Evaluate, DRG, Biomedtracker, and AlphaSense. Strong analytical skills, attention to detail, and the ability to think critically are essential attributes for this role. You should be capable of working independently while adhering to aligned strategies, as well as collaborating effectively within a global and diverse team environment. Excellent organizational skills, time management, and the ability to prioritize tasks in a fast-paced setting are vital. Leadership qualities, including demonstrated team management capabilities, will be advantageous in this role. Proficiency in written and verbal English communication is a must, along with adeptness in Microsoft applications like Excel, PowerPoint, and Word. Your language proficiency should be in English. If you meet these requirements and are ready to take on the challenges of competitive intelligence in the pharmaceutical sector, we invite you to apply for this exciting opportunity.,

Greetings from Medical Billing Wholesalers... Location: Chennai (WFO) Experience: 1-5 Years Key Skills: Surgery Coder, Denial Coder, Anesthesia Coder Note: No Cross Training Interested can contact : Gowri - 7708462567 / Lavanya - 7871090718 Desired Candidate Profile: Certification: Certified or Non certified Experience:1- 5 years in Medical Coding Strong knowledge of ICD-10, CPT. Excellent analytical and communication skills Job Description: We are hiring experienced Medical Coders with strong expertise in: Denial Coding: Review and resolve coding-related denials from payers; work on appeals and resubmissions. or Surgery Coding: Accurately code complex surgical procedures using CPT, ICD-10-CM, and HCPCS in accordance with NCCI and payer-specific guidelines . or Anesthesia Coding: Assign correct anesthesia CPT codes using ASA Crosswalks , apply appropriate modifiers (e.g., QS, AA, QX) , and calculate anesthesia time and base units

Hiring Medical coders||UP TO 10 LPA || Min 3 yr of exp in below mentioned specialisation's Surgery - Hyderabad,Chennai,Bangalore,Noida Radiology - Chennai Denials Multispeciality - Chennai ENM Multispeciality - Chennai ENM IP OP Observation - Chennai ENM with Surgery - Chennai IPDRG - Hyderabad, Chennai, Bangalore ENM - Chennai, Bangalore OBGYN - Chennai Only certified coders Up to 10 LPA Notice Period : 0-30 Days Relieving letter is mandatory Interested candidates can drop Your Resume To: HR Lalitha - 8179142981 through Whatsapp lalithahr.axis@gmail.com through Mail References are highly appreciated.

Role & 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 Preferred candidate profile : 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

We are Hiring For "Medical Coders"// up to 9 LPA // Certification is Mandatory Qualification: Any Degree Experience : Minimum 1 year relevant experience is mandatory 1. IPDRG Coder : Noida / Hyd / Chennai 2. Surgery Coder : Hyderabad / Chennai / Bangalore / Noida 3. Denials : Chennai / Hyderabad 4. Radiology : Chennai 5. ENM : Chennai / Bangalore 8. ED Blended : Hyderabad 9. Obgyn : Chennai 10. Enm with Surgery : Chennai Work from office / Relieving is mandatory Interested candidates can share your updated resume to HR sadhvika (9100163918) ( Via What's app ) sadhvika.axishr@gmail.com ( Via Mail ) Reference are welcome.

Hiring for Medical coding role in Mohali !! Eligibility Criteria: Bachelors degree in any stream (preferably Life Science). Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred. Minimum one year of experience in medical coding. Knowledge of ICD-10 coding preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali

Company Description At EXL, we focus on collaboration and character to tailor solutions that meet your unique needs and goals. We partner with businesses to make the most of their data for enhanced decision-making and digital operations efficiency. Our expertise spans AI, digital transformation, and operations management to help companies gain and maintain a competitive edge. Whether through scaling the use of AI, redesigning operating models, or making better and faster decisions, we aim to deliver sustainable models at scale. For more information, please visit www.exlservice.com. Role Description This is a full-time hybrid role for a Medical Coder IPDRG based in Chennai, allowing for some work from home flexibility. The Medical Coder will be responsible for accurately coding medical records using ICD-10, CPT, and other classification systems. Daily tasks will include reviewing clinical statements and assigning standard codes, maintaining coding guidelines, and ensuring compliance with regulatory requirements. The role also involves collaborating with healthcare providers to clarify diagnosis and procedures as needed. Qualifications 3+ Years Experience in Medical Coding (IPDRG) CPC/CCS certification Health Information Management skills Proficiency in coding classifications such as ICD-10 and CPT Strong analytical skills and attention to detail Ability to work independently and in a hybrid environment Good communication and interpersonal skills Previous experience in healthcare settings is a plus Associate's or Bachelor's degree in Health Information Management or related field

Job Title: Oracle Hyperion Consultant Experience: 10+ years Location: Remote Work Time: 2 PM to 11 PM IST Immediate joiners highly desired. Job Summary: We are looking for an experienced Oracle Hyperion consultant with 10+ experience to join our Managed Services team. The role involves managing and supporting Oracle Hyperion modules. The ideal candidate will be responsible for providing ongoing support, maintenance, and enhancements for existing Oracle Hyperion suite of applications (such as HFM, planning , Essbase and reporting tools) , and a strong background in financials systems and processes. This role requires strong troubleshooting skills, a deep understanding of Hyperion application suite and architecture, and the ability to work closely with business users and Team. Responsibilities: Lead Hyperion support projects. Provide day-to-day support for Oracle Hyperion applications, including issue resolutions. Coordinate with business users to understand and resolve functional and technical issues. Stakeholder management Perform root cause analysis and implement corrective actions. Maintain documentation for configurations, processes, and procedures. Participate in enhancements and change requests as part of continuous improvement. Support financial close cycles and ensure timely resolution of issues impacting reporting and planning. Maintain metadata, business rules, calculation scripts, and data load processes across Planning, HFM, and Essbase. Manage FDMEE integrations and troubleshoot data load and mapping issues . Administer and maintain DRM/DRG hierarchies and workflows. Support Smart View users with connectivity, performance, and data retrieval issues. Maintain and enhance Hyperion Financial Reports (HFR) as per business requirements. Monitor and troubleshoot data flows between EBS and Hyperion. Required skills and experience 10+ years of hands-on experience in Oracle Hyperion Planning, Oracle Hyperion Financial Management (HFM), Oracle Essbase, Oracle FDMEE, Oracle Data Relationship Management (DRM) including Data Relationship Governance (DRG), Smart View, Oracle Hyperion Financial Reporting (HFR) Strong knowledge of Essbase, Calculation Scripts, Business Rules, and Smart View. Responsibilities and Requirements Required skills and experience Proficiency in DRM/DRG, Smart View, and Hyperion Financial Reporting. Experience with data integration tools (FDMEE, Data Management, ODI, etc. ). Proficiency in troubleshooting application and performance issues. Well-versed in financial planning and budgeting process . Troubleshooting data integration and reconciliation issues between Oracle EBS and Hyperion. Hands on knowledge in Essbase (ASO/BSO), MaxL scripting, and performance tuning . Hands on knowledge of scripting (Batch/Python/Powershell) Automate data loads, metadata updates and security provisioning. Excellent communication and documentation skills. Experience working in a managed services or support environment. Experience in participating and leading knowledge transition sessions. Required Modules and Area: Oracle Hyperion Planning Hyperion Financial Management (HFM) FDMEE Data Relationship Management (DRM) including Data Relationship Governance (DRG) Smart View Hyperion Financial Reporting (HFR) Oracle E-Business Suite R12 (Integration) Send you updated resume to recruiter@skillontap.in

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

OPENINGS FOR GROUP COACH / QA / TEAM LEAD SPECIALTY IN ANESTHESIA OR SURGERY CODING Location : Trichy / Bangalore Required Candidate profile For more details contact: Poonkodi - 86808 76555 Sindhuja - 7305158666 Rajitha - 9790878558 Varalakshmi - 6385161155

JOB Description Designation/Role: Assistant Manager IP DRG Department: Quality Reporting to: Director - Quality Location of work:Hyderabad skillset : Excellent domain expertise and process knowledge of RCM for Hospital facility. Understanding of Hospital Facility IP DRG coding concepts, MS DRG, APR DRG, reimbursement methodology, ICD-10-CM, ICD-10-PCS guidelines, elements of UHDDS guidelines, query processes, documentation guidelines. Strong knowledge in human anatomy, physiology, pathophysiology, pharmacology, diagnostic studies, conservative and surgical treatments. Understanding of all document types, Operative Reports, Discharge Summary, Progress Notes, ED Report and all other report formats used in hospital care setting. Understanding of CMS IPPS payment methodologies Aware of consequences of risky practices like up-coding and down-coding, fraud and abuse, inflated documentation, OIG guidelines, and HIPAA rules. Skills: Strong interpersonal skills, excellent communication skills, and ability to effectively work with and coach team members. Ability to communicate with other stakeholders and clients, MIS team, and training teams for driving quality management. Possess operational skills to manage team with better resource utilization. Should have an aptitude to learn new things. Ability to read, writes, and performs basic computer operations. Must be a self -starter, motivated, organized and able to prioritize tasks. Managing reports daily, weekly, monthly and monitoring and being active participant in client calls and maintaining good client relationship. Research, analyze and respond to inquiries regarding compliance,

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. 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. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. 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. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook