139 Drg Jobs - Page 6

Job Opportunity: Medical Coder - Various Specialties Experience Required: 2+ Years Location: RMZ Millenia, Perungudi, Chennai Company: Med-metrix - Captive US Healthcare BPO About Med-metrix Med-metrix is a trusted captive BPO partner serving US healthcare clients with cutting-edge revenue cycle management solutions. With a culture rooted in precision and integrity, we empower healthcare providers through smart coding, auditing, and compliance. Coder : We are hiring a skilled Medical Coder for various specialties to join our coding team. Specialties : ED Facility, Radiology, IVR, IPDRG, Surgery, Denial, Ancillary ******Certification mandatory****** **Interested candidates can share their updated resume to hgayathri@med-metrix.com or 6369400598 (whatsapp only)** **Kindly mention the name of the HR on top of your resume for a smooth interview proceess Perks & Benefits Competitive compensation and incentive structure Career advancement opportunities Collaborative team culture within a premium workplace setting Office located at RMZ Millenia a landmark tech and business hub in Chennai Regards, Harshini - HR Talent Acquisition

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 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 Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems

Role: IP/DRG MEDICAL CODER (FRESHER ) Location: Chennai Certification: CCS Certification Mandatory Salary : 3.6 LPA Hike: Up to 4 LPA after 6 months based on performance Joining: Immediate Joiners Preferred Eligibility Criteria: • Must hold a valid CCS Certification (Other certifications will not be considered) • Freshers welcome with strong knowledge in ICD-10-CM/PCS & DRG • Must be willing to work from the Chennai location Only CCS-certified candidates will be shortlisted. Apply Now HR Manoj manojkumarv.rcs@gmail.com +91 99941 01945

Role: IP/DRG MEDICAL CODER (FRESHER) Location: Chennai Certification: CCS Certification Mandatory Salary: 3.6 LPA Hike: Up to 4 LPA after 6 months based on performance Joining: Immediate Joiners Preferred Eligibility Criteria: • Must hold a valid CCS Certification (Other certifications will not be considered) • Freshers welcome with strong knowledge in ICD-10-CM/PCS & DRG • Must be willing to work from the Chennai location Only CCS-certified candidates will be shortlisted. Apply Now Contact: Pooja HR Phone: +91 99941 01906

Hiring || IPDRG Coder & QA Level || Up to 16lpa || Specialization: IPDRG Eligibility Criteria Coder leve l : Min 1+ years of experience into IPDRG medical coding Quality Analyst : Min 4+ year experience into IPDRG coding with on / off papers QA experience is mandatory Only Certified coders Package: Up to 16 lpa Work from office Location: Hyderabad ,Chennai, Noida Notice : 0 - 60 days Reliving letter is Mandatory Interested candidates can share your updated resume to HR Mounika - 9849854938 (share resume via Whats App ) mounikaaxiservices@gmail.com Refer your friend's / Colleagues

Role Summary: This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing. JOB SUMMARY This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills ESSENTIAL RESPONSIBILITIES Review medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements. Review all documentation for compliance with quality standards and relevant policies. Prepare and provide information to west partners based on their expectation. Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency. Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data. Adhere to all company and department policies regarding security and confidentiality. EDUCATION Required Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc. Certification AAPC or AHIMA coding certifications required for all candidates EXPERIENCE Required Surgery with Multispecialty: 3 - 6 years of experience in E/M Coding (E/M OP/IP ED Profee/Facility) & Surgery Surgery with Cardiovascular: 3 6 years of experience in General Surgery (with Cardiovascular series) Should have exposure to multi-specialty and handled Hospital & Provider Coding Should be currently in an Auditor role and have exposure to reports related to quality. Preferred Preferred working knowledge in Epic and 3M 360. Having exposure to General and Cardiovascular Surgery coding. Having exposure to Multiple specialty and or working on Claims Edits. Must be extremely detail oriented and able to multitask. Should be strong in quality parameters. Possess a high level of Self-motivation and energy with minimal supervision. Highly developed oral and written communication skills. Ability to work both independently and in a team-oriented environment. Possess good organizational skills and strong attention to detail. Identify process improvement and communicate them through proper channel, follow up on the identified improvement until implementation. Work in a standard protocol/document to accurately complete the work assigned. Consistently document work assignments, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames. Should develop knowledge about payor policies. Develop the team's talent, drive employee retention and engagement. Additional Details: Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc. 1st position - should be IP DRG (7 to 10 years is still fine to consider), 2nd position - Certified Coder (Multi specialty experience is required. at least 2 (Surgery, Anesthesia), 1 preferred with US visa

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.

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.

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.

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

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced certified EM OP Medical coders to join us. Interested candidates please call us @ 91+ 8667765320 or mail to raghul.krishnasamy@coronishealth.com to book interview slot. EM OP ( 3 to 10 yrs ) * Certified People only (CPC) * Experience : 3 + yrs of experience in EM is must * Location : Chennai * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG ( 3 to 10 yrs ) * Certified People only (CPC) * Experience : 3 + yrs of experience in IPDRG is must * Location : Chennai & Hyderabad * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Auditors ( 5 to 15 yrs ) * Certified People only (CPC) * Experience : 3 + yrs of experience in IPDRG is must * Location : Chennai & Hyderabad * 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 K - 8667765320 Human Resources Coronis Ajuba

ID DRG CODER

ID DRG CODER

Hi all Greeting from HireWorks We have huge opening for medical coding Experienced candidate - IPDRG Only Certified Min - 5yrs Salary Open discussion Any Degree is Fine Location - Chennai / Hyderabad Notice period acceptable Interested candidates reach out to me Regards Neelaveni HR 9710978089