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6 - 10 years
13 - 23 Lacs
Navi Mumbai
Work from Office
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,
Posted 1 month ago
1 - 6 years
4 - 9 Lacs
Hyderabad, Chennai
Work from Office
We are looking for Certified skilled and detail-oriented IPDRG Coders to join our dynamic team. The ideal candidate should have experience in coding inpatient diagnoses, procedures, and services according to the Inpatient Prospective Payment System (IPPS) and DRG (Diagnosis-Related Group) methodology. This position plays a critical role in ensuring accurate and timely coding of medical records. Role & responsibilities : Assign appropriate codes based on patient diagnoses, procedures, and services. Ensure adherence to IPDRG coding guidelines, standards, and policies. Review patient medical records to extract relevant coding information. Perform code validation and resolve discrepancies in coding. Stay updated with changes in coding regulations and guidelines. Collaborate with the medical team and other departments to ensure accurate coding and billing. Conduct audits to ensure coding accuracy and compliance. Preferred candidate profile : In-depth knowledge of the IPDRG coding system. Certification in medical coding (e.g., CPC, CCS) is highly preferred. Strong attention to detail and accuracy. Ability to interpret clinical data and translate it into appropriate codes. Familiarity with medical terminology, anatomy, and physiology. Excellent communication skills (written and verbal). Proficiency in coding software and medical record management systems. Ability to work independently and meet deadlines. 1+ years of experience in IPDRG coding or related medical coding. Experience with coding audits and compliance. Knowledge of coding software and tools. Perks and benefits : Competitive salary and benefits package. Opportunity to work in a growing and supportive environment. Chance to enhance your coding skills and knowledge. We provide meals for our employees How to Apply : * Experience : 1 to 10 years * Only for Certified coders * Location : Hyderabad / Chennai * Work from office * Looking for Immediate joiners, will have attractive joining bonus If you are interested, please apply by sending your resume to jacqulinemary.b@coronishealth.com or 9940084176(What'sapp) for more details .
Posted 1 month ago
3 - 8 years
5 - 15 Lacs
Hyderabad, Chennai
Work from Office
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+ 8667765320 or mail to raghul.krishnasamy@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 8667765320 Regards, Raghul - 8667765320 Human Resources Coronis Ajuba
Posted 1 month ago
1 - 5 years
2 - 7 Lacs
Chennai
Work from Office
Greetings from Medical Billing Wholesalers... Location: Chennai (WFO) Experience: 1-5 Years Key Skills: E&M Coding, Denial Management, Inpatient Coding, DRG, ICD-10, CPT. Certification: Not Mandatory Note: No Cross Training Interested can contact : Lavanya - 78710 90718 / Gowri - 77084 62567 Job Description: We are hiring experienced Medical Coders with strong expertise in: E&M Coding: Assign accurate Evaluation & Management codes as per CMS guidelines. or Denial Coding: Review and resolve coding-related denials from payers; work on appeals and resubmissions. or IP/DRG Coding: Code inpatient records using ICD-10-CM/PCS and validate MS-DRGs/APR-DRGs. Desired Candidate Profile: Certification: CPC / CCS / CIC (Not Mandatory) Experience:1- 5 years in Medical Coding Strong knowledge of ICD-10, CPT. Excellent analytical and communication skills
Posted 1 month ago
1 - 6 years
4 - 9 Lacs
Noida, Hyderabad, Chennai
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders/ Trainers/ 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 IP DRG medical Coding 1 plus years of experience for coders 5 plus years of experience for Trainer /QA with CCS/CIC mandatory Lead analyst- QA on papers mandatory with CCS certification 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. notice period is acceptable Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person Harrishma HR Contact mail - hpalaniappan@r1rcm.com/ 9677152997 If you are not interested, refer any of your friends who has the relevant experience
Posted 1 month ago
4 - 6 years
8 - 12 Lacs
Pune
Work from Office
Position Summary This role will be responsible for developing commercial forecasts for pipeline and launching products as well as completing opportunity assessments for life cycle management. This role brings specific therapeutic area in-depth expertise, analytical instinct, strategic thinking, and project management skills to communicate the value assessment of new assets and flag appropriate risks and opportunities Job Responsibilities Build realistic, transparent, and assumption-driven demand forecasts. Challenge assumptions and apply forecasting methodologies to support the brand strategy Prepare robust forecast assumptions leveraging expertise and analogs from the in-line Forecasting team and research from the Insights and Analytics team Ensure objectivity of brand/therapeutic area forecasts by establishing objectives aligned around forecast accuracy Developing brand volume forecasts, both short-term and long-term, to feed into strategic and operational planning processes Ensure that value assessment addresses the impact of key market dynamics and internal events, is logically designed and well-documented Support launch preparations and guide the teams to set up clear post-launch performance tracking by creating and monitoring the short-term revenue forecasts, comparable to actuals in the future, and recommending adjustments when applicable Consistent delivery of analytics that drive informed decision-making, including the definition and development of models to be used in answering business and operational questions Adopting and executing new and innovative analytics offerings for untapped opportunities; Enabling automation of routine measurements Perform ad-hoc queries for leadership across all functions; be an internal expert and resource Maintaining accountability for high quality, timely service delivery of forecasting analytic service requests, including requests for solutions requiring sophisticated statistical and machine learning approaches Education Bachelor of Engineering in Statistics Work Experience 4-6 years of experience in Experience working with Life Sciences companies in pharmaceutical forecasting (in branded business)/ data analytics; experience supporting both pipeline and marketed product(s) preferred; experience in Specialty or Rare Disease, preferred Expertise with a variety of modeling techniques including statistical, patient-flow, simulations, agent-based, and other systems dynamics-based techniques Manage & develop patient/epidemiology-based forecasting models for pharma clients Project Manager who can lead enablement of global life sciences companies to manage forecasting and/or data & analytics function through Axtria solutions and innovative methodologies EPI-based Forecasting for Inline, Pipeline, and BD&L Products/ Brands. Trend-Based Forecasting Experience Experience supporting multiple markets globally, Region, and countries. A deeper understanding of disease and Therapy Areas and their application to forecast Expertise in handling datasets - IQVIA, Evaluate, IPD, Kantar, DRG etc. Proven experience working with pharmaceutical datasets (Rx, APLD, etc) Effective forecast storyboarding, capturing key insights backed by relevant data and Quantitative Analytics, Business Analysis and Analog Analysis Behavioural Competencies Teamwork & Leadership Motivation to Learn and Grow Ownership Cultural Fit Project Management Communication Technical Competencies Python R SQL EXCEL MMx Forecasting Machine Learning Pharma Commercial Know How HEOR EPI and Economic Analysis HEOR Simulation Analysis Patient Data Analytics Know How Dataiku KNIME Others
Posted 1 month ago
4 - 7 years
13 - 18 Lacs
Pune
Work from Office
Education BE/B.Tech Position Summary This role will be responsible for developing commercial forecasts for pipeline and launching products as well as completing opportunity assessments for life cycle management. This role brings specific therapeutic area in-depth expertise, analytical instinct, strategic thinking, and project management skills to communicate the value assessment of new assets and flag appropriate risks and opportunities Job Responsibilities The delivery role will include project scoping, solution design, execution, and communication of the analysis in the client-ready formats Build realistic, transparent, and assumption-driven demand forecasts. Challenge assumptions and apply forecasting methodologies to support the brand strategy Prepare robust forecast assumptions leveraging expertise and analogs from the in-line Forecasting team and research from the Insights and Analytics team Ensure objectivity of brand/therapeutic area forecasts by establishing objectives aligned around forecast accuracy Developing brand volume forecasts, both short-term and long-term, to feed into strategic and operational planning processes Support launch preparations and guide the teams to set up clear post-launch performance tracking by creating and monitoring the short-term revenue forecasts, comparable to actuals in the future, and recommending adjustments when applicable Consistent delivery of analytics that drive informed decision-making, including the definition and development of models to be used in answering business and operational questions Adopting and executing new and innovative analytics offerings for untapped opportunities; Enabling automation of routine measurements Supports client strategy to ensure business and compliance needs are met Coordinate and manage subordinates, facilitate interdepartmental communication, and allocate tasks and resources as needed Guide and advise the modeling and capabilities team as a Subject Matter Expertise on various technologies, solutions, and capabilities to help set up industry-leading practice Work Experience 7-12 years of experience in Experience working with Life Sciences companies in pharmaceutical forecasting (in branded business)/ data analytics; experience supporting both pipeline and marketed product(s) preferred; experience in Specialty or Rare Disease, preferred Expertise with a variety of modeling techniques including statistical, patient-flow, simulations, agent-based and other systems dynamics-based techniques Manage & develop patient/epidemiology-based forecasting models for pharma clients Project Manager who can lead enablement of global life sciences companies to manage forecasting and/or data & analytics function through Axtria solutions and innovative methodologies EPI based Forecasting for Inline, Pipeline, and BD&L Products/ Brands. Trend-Based Forecasting Experience Experience supporting multiple markets globally, Region, and countries. A deeper understanding of disease and Therapy Areas and their application to forecast Expertise in handling datasets - IQVIA, Evaluate, IPD, Kantar, DRG etc. Proven experience working with pharmaceutical datasets (Rx, APLD, etc) Effective forecast storyboarding, capturing key insights backed by relevant data and Quantitative Analytics, Business Analysis and Analog Analysis Behavioural Competencies Teamwork & Leadership Motivation to Learn and Grow Ownership Cultural Fit Talent Management Technical Competencies Problem Solving Lifescience Knowledge Communication Project Management Attention to P&L Impact Business development Capability Building / Thought Leadership Scale of revenues managed / delivered Scale of Resources Managed
Posted 1 month ago
1 - 6 years
2 - 5 Lacs
Chennai
Work from Office
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
Posted 1 month ago
2 - 7 years
3 - 8 Lacs
Hyderabad, Chennai
Work from Office
Job description Hiring medical coder Denial, Surgery, IPDRG , HHC || HYD & Chennai || upto 18 lpa || Medical Coder: 1. Surgery || up to 75k || Hyderabad, chennai, || Min 1 yr into Surgery Coder || 2 Months 2. IPDRG || up to 18 LPA || Hyderabad , Chennai & Noida, Mumbai, Bangalore || Min 1 yr into IPDRG Coder || 2 Months 3. Home Health coder || Up to 75k TH ||Work from Home || 4. Denial|| up to 75k || Hyderabad , Chennai || Min 1 yr into Denial Coder || 2 Months 5. Radiology coder || up to 75k || Chennai || Min 1 yr into Radiology Coder || 2 Months Work from Office Relieving is not mandatory Interested candidates can share your updated resume at 9030434022 Refer your friend's / Colleagues Axis Services Preferred candidate profile min 1yr exp into Medical coder Perks and Benefits week 5 Days
Posted 1 month ago
1 - 6 years
4 - 9 Lacs
Noida, Hyderabad, Chennai
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders/ Trainers/ 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 IP DRG medical Coding 1 plus years of experience for coders 5 plus years of experience for Trainer /QA with CCS/CIC mandatory Lead analyst- QA on papers mandatory with CCS certification 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. notice period is acceptable Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person Harrishma HR Contact mail - hpalaniappan@r1rcm.com/ 9677152997 If you are not interested, refer any of your friends who has the relevant experience
Posted 1 month ago
1 - 6 years
1 - 6 Lacs
Chennai, Bengaluru, Hyderabad
Work from Office
WE ARE HIRING FOR MEDICAL CODER !!! IPDRG Immediate joining bonus $50,000 IPDRG - Chennai / Hyderabad / Bangalore Surgery Coder-Chennai Experience : 1 + years Certification : Mandatory Work From Office Immediate joiners / Notice period 30days Salary as per market Moi interview - Walkin/ virtual Please note : Freshers not eligible HCC Not Eligible No work from home Interested candidates: YUVARANI -8939662839 Email id - hryurani.dcsjobs@gmail.com Refer your friends
Posted 1 month ago
2 - 7 years
8 - 14 Lacs
Chennai, Bengaluru, Hyderabad
Hybrid
The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology. Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA. Provide ongoing feedback and education to coding staff. ESSENTIAL CRITERIA: Bachelors in science/ bachelors in nursing Certified - CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder, CPC - Certified Professional Minimum 5 years experience in IP DRG coding or auditing. Minimum 1 - 2 years' experience in Quality. DESIRABLE CRITERIA: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail. Complete received Audits for quality review and ensure quality output. To achieve Quality SLA and quality production target. Excellent verbal and written communication. Follow project related protocols and instructions. Escalate issues, identify error trends. Update all the required monitoring trackers. All emails from Leads/Manager should be answered promptly without fail. Ensure to adhere with HIPAA compliance. Good excel skills. Flexibility Good Communication Please send your CV's to karan.kinger@exlservice.com
Posted 2 months ago
10 - 15 years
20 - 30 Lacs
Chennai, Bengaluru, Hyderabad
Hybrid
Job Description & Skills Requirements Job Name: Manager Position Title: Manager Coding Audit Automation Band: C1 ERP Full Position ID: Reporting to: Sr Manager Location/Site: EXL India Overview: Manager is responsible for identifying automation and digitalization opportunities in in-patient coding streamline processes, enhance efficiency, and reduce manual efforts through innovative technology and AI solutions aligned with organizational goals. Qualifications: Bachelors Degree B.sc/M.Sc./Nursing/Pharmacy/Biotech Certifications: CPC - Certified Professional CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience: Manager: 10 to 15 years experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 5 years of experience in Inpatient DRG coding. Outpatient medical coding experience is added advantage. Mandatory working experience on US healthcare automation projects. Knowledge on automation tools Knowledge of programming language would be added advantage alike. Python SQL R, etc. Payer experience is added advantage. Expertise in Microsoft outlook/excel/word/Power BI. Primary Roles and Responsibilities: Automation of DRG Coding to streamline repetitive coding tasks. Bringing AI based solutions for DRG claims validations. Improve compliance through predictive analytics. AI-Assisted decision-making automations for diagnosis and procedure codes. Ability to work with physicians, IT professionals, SMEs, and medical coders. Solutions to automatically recognize and extract data from medical records to facilitate auditing. Workflows Optimization. Conducting UAT and providing feedback to the respective teams. Retraining and evaluating the performance of the automated model. Estimating or projecting the return on investment (ROI). Perform analysis of benchmarking. Additional Roles and Responsibilities: Oversee operations of healthcare facilities. Manage staffing, scheduling, and resource allocation Stay updated on changes in healthcare. Develop and implement quality improvement initiatives. Strategic planning process to align organizational goals. Engage in market analysis to understand the competitive landscape. Maintaining SOP and Audit manual. Track key performance indicators (KPIs). Please send your CV's to the following email id - karan.kinger@exlservice.com
Posted 2 months ago
3 - 8 years
15 - 16 Lacs
Hyderabad
Work from Office
Greetings of the day ! Our reputed MNC Client is hiring for: Designation: DRG Reviewer/ Clinical Reviewer Work Mode: 5 days working (WFO) Location: Hyderabad Shift: General Certification: CIC/ CCS (Any one is mandatory) Job Description: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details. We are looking for professionals with strong expertise in DRG. The ideal candidates should have: Key Responsibilities: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim. Using the revised codes, regroup the claim using provided software to determine the new DRG Where the regrouped new DRG differs from what was originally claimed by the provider, write a customer facing rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research Identify new DRG coding concepts to expand the DRG product. Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Meet and/or exceed all internal and department productivity and quality standards Recommend new methods to improve departmental procedures Achieve and maintain personal production and savings quota Maintain awareness of and ensure adherence to company standards regarding privacy Skills, Knowledge, and Experience: Registered Nurse licensure preferred Graduate Inpatient Coding Certification required (i.e., CCS, CIC) 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 Certification: CIC/ CCS (Any one is mandatory) Thanks & Regards, Gayatri Kumari Email Id: gayatri@v3staffing.in V3 Staffing Solutions India P. Ltd.
Posted 2 months ago
1 - 6 years
4 - 9 Lacs
Chennai, Hyderabad, Noida
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding . About the role: Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. Requirements: 1 to 7+ Years experience in IP DRG medical Coding Education Any Graduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC / CPC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Interested candidate please share your resume at cr199@r1rcm.com or reach me @ 8072266094 HR Details Charu 8072266094 cr199@r1rcm.com
Posted 2 months ago
1 - 6 years
4 - 9 Lacs
Chennai, Hyderabad
Work from Office
We are looking for Certified skilled and detail-oriented IPDRG Coders to join our dynamic team. The ideal candidate should have experience in coding inpatient diagnoses, procedures, and services according to the Inpatient Prospective Payment System (IPPS) and DRG (Diagnosis-Related Group) methodology. This position plays a critical role in ensuring accurate and timely coding of medical records. Role & responsibilities : Assign appropriate codes based on patient diagnoses, procedures, and services. Ensure adherence to IPDRG coding guidelines, standards, and policies. Review patient medical records to extract relevant coding information. Perform code validation and resolve discrepancies in coding. Stay updated with changes in coding regulations and guidelines. Collaborate with the medical team and other departments to ensure accurate coding and billing. Conduct audits to ensure coding accuracy and compliance. Preferred candidate profile : In-depth knowledge of the IPDRG coding system. Certification in medical coding (e.g., CPC, CCS) is highly preferred. Strong attention to detail and accuracy. Ability to interpret clinical data and translate it into appropriate codes. Familiarity with medical terminology, anatomy, and physiology. Excellent communication skills (written and verbal). Proficiency in coding software and medical record management systems. Ability to work independently and meet deadlines. 1+ years of experience in IPDRG coding or related medical coding. Experience with coding audits and compliance. Knowledge of coding software and tools. Perks and benefits : Competitive salary and benefits package. Opportunity to work in a growing and supportive environment. Chance to enhance your coding skills and knowledge. We provide meals for our employees How to Apply : * Experience : 1 to 10 years * Only for Certified coders * Location : Hyderabad / Chennai * Work from office * Looking for Immediate joiners, will have attractive joining bonus If you are interested, please apply by sending your resume to jacqulinemary.b@coronishealth.com or 9940084176(What'sapp) for more details .
Posted 2 months ago
2 - 7 years
5 - 14 Lacs
Chennai, Bengaluru, Hyderabad
Hybrid
Eligibility Criteria: - Graduates with a minimum of 2 years of IPDRG coding experience. - Certification is a Mandatory. - Experience in IP DRG specialty is Mandatory. - Auditing experience on IP DRG is added advantage. - Excellent verbal and written communication For those interested, please reach out directly or share your resume via email: Karan.Kinger@exlservice.com; careers@exlservice.com
Posted 2 months ago
1 - 6 years
0 - 0 Lacs
Chennai
Work from Office
Role & responsibilities Shearwater Health is seeking a talented and driven individual to join our Clinical Documentation Improvement (CDI) Academy. This full-time position and will play a crucial role in enhancing the quality of our healthcare records and ensuring optimal reimbursement for our clients. What you'll be doing? Conduct comprehensive reviews of patient medical records to identify areas for improvement in clinical documentation Collaborate with physicians and other healthcare professionals to educate and train them on best practices for clear, accurate, and compliant documentation Analyze data and generate reports to track and measure the impact of CDI initiatives Stay up-to-date with industry regulations, guidelines, and coding changes to ensure the organization's compliance Provide expert guidance and support to the wider team on CDI-related matters Contribute to the continuous development and refinement of the CDI program Preferred candidate profile Must be a bachelor's degree graduate of any course. Minimum six (6) months of experience in Clinical Documentation Improvement, preferably within the healthcare industry With at least one (1) year of Inpatient DRG Medical Coding experience Strong understanding of medical terminology, coding, and reimbursement principles Excellent written and verbal communication skills, with the ability to effectively collaborate with clinicians and other stakeholders Proficient in data analysis and reporting, with the ability to interpret and communicate complex information Have at least any of these active Medical Coding License: Certified Inpatient Coder (CIC) Certified Professional Coder (CPC) Certified Coding Specialist License (CCS) Certified Clinical Documentation Specialist (CCDS) from ACDIS Certified Documentation Improvement Practitioner (CDIP) from AHIMA with Excellent communication, organizational, time management, and interpersonal skills Must be amenable for any shift schedule.
Posted 2 months ago
3 - 8 years
3 - 8 Lacs
Chennai, Bengaluru, Hyderabad
Work from Office
*Opportunities for Medical coders !* IPDRG Coder Location - Chennai, Hyderabad, Bangalore Salary - Up to 95k + Incentives IVR Coder & QA Location - Chennai & Bangalore Salary - Up to 65k + incentives Surgery coder & QA Location - Chennai, Hyderabad, Bangalore Salary - Up to 88k + incentives Surgery TL Location - Chennai Salary - UP to 1.10 L/Month EM WITH SURGERY QA Location - Chennai Salary - Best In the Market IPDRG TL Location: Chennai & Bangalore Salary - Best in the Market Ancillary Coder & QA Location: Chennai & Bangalore Salary - Best in the Market * Salary: Negotiable * Work From Office only * Virtual / Walk-in interview * Immediate Joiners preferred * Relieving Letter not mandatory * Any Certification can apply No Freshers References are most welcome Share your CV to HR Harini : 9884933934
Posted 2 months ago
2 - 7 years
3 - 8 Lacs
Trichy, Chennai, Pune
Work from Office
OPENINGS FOR MEDICAL CODING Minimum 1 yr of exp Both Certified and Non certified SURGERY IPDRG E&M DENIAL Location : Chennai / Hyderabad Required Candidate profile For more details contact: Sindhuja - 7305158666 Rajitha - 9790878558 Varalakshmi - 6385161155 Nihila - 7305155582 Arshiya - 7305155583
Posted 2 months ago
1 - 6 years
5 - 13 Lacs
Chennai, Hyderabad, Noida
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. Interested candidate please share their resume @ dbisht4@r1rcm.com.
Posted 2 months ago
5 - 10 years
6 - 13 Lacs
Chennai, Hyderabad
Work from Office
Dear Candidate, We are hiring experienced Quality auditors/ Lead analyst with coding certifications (CIC /CCS) Requirements: Education Any Graduate. Five years of progressive coding or coding review experience in IPDRG. Certified Coder from AAPC/AHIMA - CIC/CCS Comprehensive understanding of coding guidelines, Coding Clinics, and appropriate coding references along with the ability to employ these coding resources to audit findings. Initiates physician queries for clarification of documentation in the medical record to achieve accurate code assignment and coding integrity. Delivers educational feedback to coding staff regarding audit findings. Performs other duties as assigned including training/mentoring of new staff and performing research related to special projects Excellent interpersonal verbal and written communication skills to accurately relay information to internal and external customers. Proficient computer and technical skills, along with experience using MS Word, Excel, and PowerPoint. Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person Harrishma Contact mail - hpalaniappan@r1rcm.com/ 9677152997 If you are not interested, refer any of your friends who has the relevant experience
Posted 2 months ago
1 - 6 years
2 - 7 Lacs
Chennai
Work from Office
Greetings From Access Healthcare: Openings for Experienced Medical Coders & Preferred Immediate Joiner's 1. HCC Coder and QA / QC 2. IPDRG Coder and QA / QC 3.ED Facility Coder and QA / QC Certification is Mandatory Work Location Chennai Work from Office Compensation: We offer highly competitive work environment with best in the business compensation package. *Interested candidates kindly Call or WhatsApp me on # 9655581000 Contact Name : praveen ( HR ) Contact Person : 9655581000 praveen.t@accesshealthcare.com Freshers Not Suitable. For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000
Posted 2 months ago
2 - 7 years
2 - 7 Lacs
Chennai
Work from Office
Greetings From Access Healthcare: Openings for Experienced Medical Coders & Preferred Immediate Joiner's 1. HCC Coder and QA / QC 2. IPDRG Coder and QA / QC 3.ED Facility Coder and QA / QC Certification is Mandatory Work Location Chennai Work from Office Compensation: We offer highly competitive work environment with best in the business compensation package. *Interested candidates kindly Call or WhatsApp me on # 9655581000 Contact Name : praveen ( HR ) Contact Person : 9655581000 praveen.t@accesshealthcare.com Freshers Not Suitable. For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000
Posted 2 months ago
1 - 6 years
8 - 11 Lacs
Chennai
Work from Office
Corro Health is hiring!!! Specialties: IPDRG, Immediate Joiners Preferable. Attractive salary and Joining Bonus for Immediate Joiners. Location - Chennai, WFH Eligibility : Must have more than 1+Yrs Exp in IPDRG as Auditor role Certification is Mandatory Position for - Coder Interview Type - Virtual For any Clarification or if interested please feel free to Contact: Vinitha HR: 9150046898 Email ID: vinitha.panneer@corrohealth.com
Posted 3 months ago
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