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1.0 - 6.0 years
3 - 8 Lacs
Hyderabad, Bengaluru
Work from Office
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
Posted 1 month ago
1.0 - 3.0 years
13 - 18 Lacs
Gurugram
Work from Office
R1 RCM is a leading provider of revenue cycle services and physician advisory services to healthcare providers. We help transform and manage the commercial infrastructure of care organizations. 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 clie nt-specific healthcare reimbursement methodology to 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 Preferabl y 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 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
Posted 1 month ago
1.0 - 6.0 years
3 - 7 Lacs
Hyderabad
Work from Office
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
Posted 1 month ago
1.0 - 4.0 years
7 - 15 Lacs
Noida, Hyderabad, Chennai
Work from Office
IP- DRG- Coder || Hyd || Chennai || Noida || Upto 15 LPA Experience : 1yr exp into IP- DRG Package : upto 14-15 LPA Only CCS Certified For CPC Certified IP-DRG- Coder Experience : 3yr+ experience into IP-DRG Package Upto 14-15LPA Reliving Mandatory any certified coder can apply CPC, CCS, CRC, CIC, COC Drop Your Resumes to HR Ramadevi : 7842224022 email : ramadevi.axisservices@gmail.com IP- DRG validation || Hyderabad|| Up to 16LPA Exp :- Min 3+ years exp as a ip-drg validation Only CCS /CIC certification is Mandatory * Package :-Up to 16LPA Locations :- Hyderabad Work from office Graduation & Reliving is Mandatory Notice period: Prefers Immediate joiners- 60 days Interested candidates can share your updated resume to HR Ramadevi : 7842224022 (share resume via WhatsApp) Refer your friend's / Colleagues
Posted 1 month ago
1.0 - 6.0 years
0 - 3 Lacs
Hyderabad, Chennai
Work from Office
Hiring for Certified Medical coders, who are specialized in IPDRG specialty Coding . Coders is responsible for accurately assigning Inpatient Prospective Payment Diagnosis-Related Groups (IPDRG) codes to patient records based on medical documentation. The role plays a key part in the revenue cycle management by ensuring the correct diagnosis and procedural codes are used to maximize reimbursement and compliance with healthcare regulations. Preferred candidate profile: Education: Bachelors degree in Health Information Management, Nursing, or related field (preferred). Certification: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or other relevant coding certifications. Experience: Minimum 1years of experience in medical coding, specifically in inpatient settings, with a strong understanding of IPDRG. If you or someone you know are interested please share your resume with me jacqulinemary.b@coronishealth.com or 9940084176 - Jacquline (in Whatsapp)
Posted 1 month ago
1.0 - 6.0 years
4 - 8 Lacs
Hyderabad, Coimbatore
Work from Office
Cotiviti Hiring : IPDRG Coders at Coimbatore & Hyderabad Location Role : Auditor - CV Department : IPDRG Location : Coimbatore & Hyderabad Eligibility: Any Graduates with IPDRG experience of Min 1+ Years CIC / CCS Certification is Mandatory Good Communications Ready to work from Office Ready to work in rotational shifts Job Responsibilities : Perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical background to ensure appropriateness for reimbursement Respond to provider appeals. Respond to client logics and record reviews. Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations. Reports his/her work performance on a timely basis to the team lead. Works diligently to meet and exceed productivity and quality benchmarks. Takes charge of ongoing learning and development and participates in relevant training and development activities. Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as companys ability to resume operations from an office setting. Interested candidates can share your resume or call the below number for booking interview calls. A single phone call could brighten up your career in IPDRG Regards, Abdul Rahuman Talent Acquisition Team 9080276094 abdul.rahuman@cotiviti.com
Posted 1 month ago
5.0 - 10.0 years
5 - 13 Lacs
Hyderabad, Chennai, Bengaluru
Hybrid
Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minimum 2 years experience in IP DRG coding or auditing. Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE Skills and abilities: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends... Update all the logs like productivity, Clarification log, and any other logs applicable, daily Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Good excel skills Flexibility Good Communication Preferred candidate profile
Posted 1 month ago
2.0 - 7.0 years
3 - 8 Lacs
Chennai
Work from Office
We Are Hiring: IP/DRG Coders (Certified Only) Company: Med-Metrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 2+ Years Required We are looking for experienced and certified IP/DRG Coders to join our team. Mode of Interview: Walk-in Salary: Negotiable based on experience and skills Eligibility: Certified Coders only with a minimum of 2 years of experience Location: 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Work From Office (No Remote Option) Interested candidates can call and schedule their interview with: Ranjitha (HR) - 8807618852 (Whatsapp & Call Only)
Posted 1 month ago
3.0 - 8.0 years
5 - 15 Lacs
Hyderabad, Chennai
Work from Office
Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced IPDRG Certified & Non Certified medical coders to join us. Interested candidates please call us @ 91+ 8667765320 or mail to raghul.krishnasamy@coronishealth.com to book interview slot. IPDRG Certified & Non Certified Coder (1 to 7 yrs ) * Experience : 1 to 7 years * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Auditors (7 to 15 yrs ) * Experience : 7 to 15 years * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * 60 Days Notice Period Accepted 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
2.0 - 7.0 years
8 - 14 Lacs
Chennai
Hybrid
Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minimum 2 years experience in IP DRG coding or auditing. Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE Skills and abilities: Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends... Update all the logs like productivity, Clarification log, and any other logs applicable, daily Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Good excel skills Flexibility Good Communication Interested candidates can come for a walk-in drive at the below mentioned address on 21 June 2025 between 11am to 3pm Address: - EXL Service 1, Level 4 Block, TVH Beliciaa Tower, No.94, 1st St, MRC Nagar, Raja Annamalaipuram, Chennai, Tamil Nadu 600028, India
Posted 1 month ago
0.0 - 2.0 years
1 - 3 Lacs
Chennai
Work from Office
Dear Candidate We are looking for a highly experienced and dynamic IP DRG Coder /Senior Coder Job Title: IP DRG (Coder / Senior Coder Location: Chennai, India Experience: 1 To 10 Years (Minimum 1year in IP DRG specialization) Requirements:- Over 1 to 10 + years of experience in medical coding, exclusively in IP DRG coding. Seeking candidates with a minimum of 10 years of experience. Proven expertise in managing P&L and driving business outcomes in Inpatient market. Certification in medica coding ( AHIMA or AAPC) added advantage Join our team at Chennai location Work from Office Interested candidates, Get in touch 7397647886 (mobile and watsapp) for a further information. Contact Person: HR Rumal Sakthi - 7397647886 Email id - Rumal.Sakthi@omegahms.com Regards, Rumal Manager - TA
Posted 1 month ago
4.0 - 9.0 years
6 - 11 Lacs
Pune, Chennai, Thiruvananthapuram
Work from Office
Dear Job Aspirants, Greetings From Pacific BPO Pvt. Ltd.!! We are looking to hire Quality Auditors, who has 4-10 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 4 - 10 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Mode- Work from Office (5 Days) Salary: Best in the Industry. Shift: Day Shift Interested Candidate Can share cv at TA@PACIFICBPO.COM
Posted 1 month ago
4.0 - 9.0 years
4 - 9 Lacs
Chennai
Work from Office
Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Chennai
Work from Office
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
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Noida
Work from Office
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. #NJP #NTRQ
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Hyderabad
Work from Office
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. #NJP
Posted 1 month ago
3.0 - 8.0 years
5 - 15 Lacs
Hyderabad, Chennai
Work from Office
Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced IPDRG Certified & Non Certified medical coders to join us. Interested candidates please call us @ 91+ 6385272597 or mail to manojprassana.dillibabu@coronishealth.com to book interview slot. IPDRG Certified & Non Certified Coder (1 to 7 yrs ) * Experience : 1 to 7 years * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Interested Candidates send you resume to the below WhatsApp Number or Reach me out on 6385272597 Regards, Manoj - 6385272597 Human Resources Coronis Ajuba
Posted 1 month ago
2.0 - 7.0 years
6 - 16 Lacs
Hyderabad, Chennai, Delhi / NCR
Work from Office
- Position : IPDRG CODER / QA / TRAINER - Location : Chennai , Hyderabad & Noida - Experience :- * Coder - 1+ year * QA - 4+ years * Trainer - 5+ years - Any Certification (CPC/CCS/CIC) - Salary: Negotiable - Notice Period: Immediate or 3 months - Mode of Interview: Virtual If you're interested and meet the requirements, feel free to reach out to Abinesha HR Phone: 8925527109 / abinesha.rcs@gmail.com
Posted 1 month ago
1.0 - 6.0 years
2 - 5 Lacs
Mohali
Work from Office
Dear Aspirants, We are hiring for experienced IP DRG professionals to join our team at our Mohali location . Eligibility Criteria: Any graduate Mandatory certification in CIC / CCS Medical Coding Minimum 1 year of experience in IP DRG (Mandatory) Strong Communication Skills In-depth knowledge if In-Patient process Flexible to work in rotational shifts, including night shifts Looking for long term commitment If you meet the above requirement and are interested in this opportunity, please share your updated resume with us at: avinash.jeniga@cotiviti.com We look forward to hearing from you! Best regards, Cotiviti Talent Acquisition Team
Posted 1 month ago
1.0 - 6.0 years
4 - 9 Lacs
Noida, Hyderabad, Chennai
Work from Office
Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding . 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 1 month ago
10.0 - 12.0 years
14 - 18 Lacs
Chennai
Work from Office
Designation : Operations Manager Medical Coding (Inpatient) Role Objective: To Maintain and improve the efficiency and effectiveness of the Team and drive the Business Operations without any challenges Essential Duties and Responsibilities: Ability to co-ordinate multiple projects and initiative simultaneously Ability to drive action plans and strategies Ability to meet Client SLA Deliverables Addressing performance issues and implementing corrective actions Assigning coding tasks and monitoring workload distribution Certification: CIC/CCS (AAPC & AHIMA) Skill Set: Good analytical and process improvement skills. Self-driven, Excellent personal and interpersonal skills, active listener, and excellent communication skills Excellent process knowledge and domain understanding relating to Inpatient coding as per R1 standard. Need to have an Inpatient coding certification. Pre-requisite: Ability to lead and motivate a team of 100+ people, with strong decision-making and problem-solving skills. Excellent verbal and written communication Should have strong experience in IP DRG Coding Ability to analyze data and metrics to improve processes with proficiency in using data analytics and MS Office Ability to build and maintain strong relationships with team members/stakeholders and conflict resolution Ability to identify training needs and provide coaching and mentoring Ability to manage resources efficiently and effectively
Posted 1 month ago
1.0 - 6.0 years
0 - 3 Lacs
Hyderabad, Chennai
Work from Office
Hiring for Certified Medical coders, who are specialized in IPDRG specialty Coding . Coders is responsible for accurately assigning Inpatient Prospective Payment Diagnosis-Related Groups (IPDRG) codes to patient records based on medical documentation. The role plays a key part in the revenue cycle management by ensuring the correct diagnosis and procedural codes are used to maximize reimbursement and compliance with healthcare regulations. Preferred candidate profile: Education: Bachelors degree in Health Information Management, Nursing, or related field (preferred). Certification: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or other relevant coding certifications. Experience: Minimum 1years of experience in medical coding, specifically in inpatient settings, with a strong understanding of IPDRG. If you or someone you know are interested please share your resume with me stefiseles.s@coronishealth.com
Posted 1 month ago
4.0 - 8.0 years
4 - 8 Lacs
Chennai
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD - 10 (CM & PCS) and DRG coding experience responsibilities
Posted 1 month ago
3.0 - 8.0 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 & Coders medical coders to join us. Interested candidates please call us @ 91+ 8667765320 or mail to raghul.krishnasamy@coronishealth.com to book interview slot. General SURGERY Coders ( 3 to 8 yrs ) * Certified coders only * Experience : 2+ yrs of experience in General Surgery is must * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Coders & Auditors ( 3 to 15 yrs ) * Experience : 1 to 10 years * Only for Certified coders * Location : Hyderabad / Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred Attractive Salary for immediate joiners. Grab the opportunity and refer your friends Interested Candidates send you resume to the below WhatsApp Number or Reach me out on 8667765320 Regards, Raghul - 8667765320 Human Resources Coronis Ajuba
Posted 1 month ago
4.0 - 9.0 years
5 - 12 Lacs
Chennai
Work from Office
We Are Hiring: IP/DRG Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 4+ Years Required We are looking for experienced and certified IP/DRG Coders to join our team. Mode of Interview: Walk-in (5th June & 6th June) Salary: Negotiable based on experience and skills Eligibility: Certified Coders only with a minimum of 4 years of experience Location: 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Work From Office (No Remote Option) Interested candidates can call and schedule their interview with: Ranjitha (HR) - 8807618852 (Whatsapp & Call Only)
Posted 1 month ago
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