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10.0 years
0 Lacs
Pune, Maharashtra, India
Remote
Job Title : Smart Connected Products - Manager-S&C GN Management Level: 07 - Manager Location: Bangalore/ Must have skills: Have Experience with leading MedTech solutions effectively by providing value-add to the processes, designs, methodologies, and business models Good to have skills: Have business Acumen to drive actionable outcomes for clients Possess analytical and outcome-driven approach Demonstrate a strategic Mindset to understand shape innovative, fact-based strategies and operating models Ability to communicate and present skills to share the perfect pitch with key stakeholders Have team building skills to collaborate, work and motivate teams with diverse skills and experience to achieve goals Job Summary: As part of the Smart Connected Product Design & Development (SCPDD) team you will create Connected Products based solutions in the MedTech space that provide vital digital intelligence and drive organizational changes for some of the world's best product companies. Roles & Responsibilities: Have business Acumen to drive actionable outcomes for clients Possess analytical and outcome-driven approach Demonstrate a strategic Mindset to understand shape innovative, fact-based strategies and operating models Ability to communicate and present skills to share the perfect pitch with key stakeholders Have team building skills to collaborate, work and motivate teams with diverse skills and experience to achieve goals Demonstrate leadership skills along with strong communication, problem solving, organizational and delegation skills Professional & Technical Skills: At least 10+ years in MedTech and Life Sciences across the value chain with experience to lead Strategic Projects with a global top Pharmaceutical, Medical Devices, Biotechnology or Healthcare Consulting firms Experience with QMS development and alignment from beginning to end of project cycle and be comfortable working with and according to the industry norms and existing processes. Comfortable with platforms including Trackwise, Veeva etc. Experience of developing commercialization strategy and launching medical devices in new markets End to End development of Personal Health Record (PHR) System as per HL7 PHR-S Functional Model Experience with integrating new technologies for EMR & PHR and medical devices Understanding of In-Hospital and remote fetal monitoring system, Remote ECG Monitoring system and Medical Device connectivity with EMR system Understanding of gateway connectivity with EHR, PACS and multiple devices such as C-Arm, Ultrasound, Laser, saline devices etc. Implementation of Healthcare Information System (HIS), Radiology Information System (RIS), Pharmacy Solution & e-Health solution at Healthcare Providers In-depth understanding of Medtech, Digital health, Cybersecurity, Connected Health Strategy (DTx and SaMD), Point of care diagnostics and Digital/Robotics Surgery Experience in business scoping, assessment and planning that includes Blueprinting, business case creation and business process redesign Experience in Project Management: Transform Product Strategies, Product Management, and overall engineering by enabling portfolio alignment with overall business strategy, right products mix with optimal resource utilization and better governance thereby ensuring increased product success Develop assets and methodologies, point-of-view, research or white papers for use by the team and larger community Lead proposals, business development efforts and coordinate with other colleagues to create consensus-driven deliverables. Execute a transformational change plan aligned with client’s business strategy and context for change. Engage stakeholders in the change journey and build commitment for change. Additional Information: Exceptionally organized Detail oriented Good judgement in how to engage with senior stakeholders regarding approvals/ follow ups Strong communication skills Proactive and able to work independently Sensitivity and skill at working with different cultures and styles A highly motivated self-starter About Our Company | Accenture , Experience: 10+ years of Industry Experience Educational Qualification: Engineering background with MBA preferred
Posted 1 week ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Description: Outpatient Clinical Documentation Improvement (CDI) Specialist: Position Summary: The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities: · Documentation Review: Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. · Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. · Query Process: Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. · Coding Support: Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. · Compliance: Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. · Data Analysis: Monitor and analyze documentation trends to identify opportunities for improvement in clinical documentation processes and provider education. · Quality Improvement: Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications: Education: Science Graduate or Postgraduate. Experience: Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills: Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “ Outpatient CDI Specialist Application ” in the subject line.
Posted 1 week ago
6.0 years
0 Lacs
Pune, Maharashtra, India
On-site
About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia. Job Title: Java Back End Developer Location : Pan India Experience : 6-8 Years Job Typ e: Contract to Hire Notice Period : Immediate Joiners Mandatory Skills: Job description: We are seeking a FHIR Functional Resource to strengthen our FHIR-based solution capabilities with foundational knowledge of the FHIR standard to support documentation and project-related activities. This role is well-suited for an individual with a working understanding of FHIR artifacts and implementation guides, who can translate complex technical specifications into structured, developer-friendly documentation. The selected candidate will play a key role in bridging the gap between technical and business teams, ensuring alignment across deliverables. Key Responsibilities Develop structured documentation for FHIR resources, profiles, extensions, and related components Interpret and summarize complex FHIR Implementation Guides (IGs) for use by development and business teams Assist in gap analysis and impact assessments driven by changes in HL7/FHIR specifications Support definition and documentation of Epics, User Stories, and Acceptance Criteria in Agile workflows Ensure traceability between specifications and development deliverables through cross-functional collaboration Contribute to Agile project tools (e.g., Jira) for task tracking, issue resolution, and documentation alignment Minimum Qualifications Foundational understanding of FHIR including: FHIR resource structures RESTful API interactions Profiles and Extensions Common FHIR resources (e.g., Patient, Practitioner, ExplanationOfBenefit) Ability to interpret and work with FHIR Implementation Guides Familiarity with FHIR artifacts such as StructureDefinition , ValueSet , CodeSystem , etc . Preferred Qualifications Experience in documenting or creating guidance for FHIR-based implementations Hands-on experience in Agile project environments, ideally using tools like Jira Background in healthcare IT, EHR systems, or clinical workflow integration Exposure to HL7 standards beyond FHIR (e.g., HL7 v2, CDA) is an added advantage Soft Skills Strong written communication skills, with the ability to distill and simplify complex concepts Highly organized, detail-oriented, and capable of managing competing documentation priorities Collaborative mindset with a proactive and solution-oriented approach
Posted 1 week ago
3.0 - 5.0 years
0 Lacs
Pune, Maharashtra, India
On-site
We’re #Hiring : #MedicalDocumentationReviewer | Pune, India (On-site) Join our team as a #MedicalDocumentationReviewer , where you'll leverage your clinical expertise and passion for medical data to enhance AI-driven healthcare solutions. 🔹Experience: 3 to 5 years 🔹 Location: Work from Office | Pune, India 🔹 Job Type: Full-time 🔹 Notice Period: Immediate Joiners / 15-30 Days Key Responsibilities: ✔ Clinical Data Annotation Use your healthcare expertise to annotate and label electronic health records, clinical notes, discharge summaries, and trial documentation with precision and care. ✔ Quality Assurance Ensure accuracy, consistency, and adherence to protocols across all annotations. Provide feedback and perform peer reviews to maintain high data standards. ✔ Process Improvement Collaborate with team leads to refine annotation guidelines, improve workflows, and implement process enhancements for greater efficiency. ✔ AI Tools & Technology Work with advanced annotation tools (e.g., Doccano) and EHR systems (e.g., Epic, Cerner). Basic understanding of SQL or data querying is a bonus. Requirements: ✅ Educational Background: #BDS , #BSc ./ #MSc . #Nursing , #BPharm / #MPharm , or related field ✅ Technical Skills: Proficiency in English, annotation tools, EHR systems, & basic data querying 📩 If you’re interested or know someone who’d be a great fit, please apply https://lnkd.in/gUZD-gmW
Posted 1 week ago
3.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Analytical Wizards is part of the Definitive Healthcare family. We balance innovation with an open, friendly culture and the backing of a long-established parent company, known for its ethical reputation. We guide customers from what’s now to what’s next by unlocking the value of their data and applications to solve their challenges, achieving outcomes that benefit both business and society. Our people are our biggest asset, they drive our innovation advantage and we strive to offer a flexible and collaborative workplace where they can thrive. We offer industry-leading benefits packages to promote a creative and inclusive culture. If driving real change gives you a sense of pride and you are passionate about powering social good, we’d love to hear from you. Role : Senior Data Analyst – Professional Services Office Location : Bangalore Job Description We are seeking a Senior Data Analyst to join our Professional Services team in Bangalore. This role involves developing custom reports, performing complex data analysis, and supporting client-specific data needs. The ideal candidate will have expertise in SQL, data manipulation, and healthcare analytics with strong problem-solving skills and the ability to work cross-functionally with internal teams and clients. Key Responsibilities Data Analysis & Reporting Develop and deliver custom data extracts and reports using SQL, Excel, and Python. Analyze large-scale healthcare datasets to provide actionable insights. Ensure data integrity, accuracy, and quality assurance in all deliverables. Client & Cross-functional Collaboration Work closely with Product, Customer Success, and Engineering teams to deliver client-specific solutions. Engage directly with clients via web conferences to discuss data requirements, methodologies, and insights. Support data integration projects, ensuring smooth implementation and validation. Technical Expertise & Innovation Optimize SQL queries and stored procedures for efficiency and scalability. Serve as a technical point of contact for client data-related questions and integrations. Train internal team members on SQL best practices and healthcare analytics methodologies. Thought Leadership & Training Present market trends and analytical use cases to internal teams and clients. Conduct knowledge-sharing sessions to enhance the team's expertise in data analysis and reporting. Contributes to the development of standardized reporting templates and methodologies. Required Qualifications & Experience Education: Bachelor’s degree in a quantitative or healthcare-related field (e.g., Computer Science, Healthcare Informatics, Data Analytics). Experience: 3+ years in data analysis, report building, or research in a professional setting. 3+ years of hands-on SQL experience, including developing queries, views, and stored procedures. Strong understanding of relational database principles and healthcare data structures. Experience working with Real World Evidence (RWE), medical claims, and EHR data. Skills: Strong analytical and problem-solving abilities. High attention to detail and a quality assurance mindset. Ability to communicate complex data findings to both technical and non-technical audiences. Self-starter with the ability to manage multiple priorities effectively. Should have experience with Healthcare Data Analytics. Preferred Skills (Good To Have) Experience with Databricks, Snowflake, or other cloud-based analytics platforms. Knowledge of Python or R for data manipulation and automation. Exposure to data visualization tools like Tableau or Power BI. Prior experience in professional services, client-facing analytics, or data consulting roles. This is a hybrid role, requiring at least three days in the office per week to collaborate effectively with teams and clients.
Posted 1 week ago
0 years
0 Lacs
Coimbatore, Tamil Nadu, India
On-site
Job Advertisement: Psychologist at Bodhi Mind Care Hospital Position : Clinical or Counseling Psychologist Location : Bodhi Mind Care Hospital, Coimbatore Employment Type : Full-Time About Us : Bodhi Mind Care Hospital is dedicated to providing comprehensive mental health services to our community. We strive to create a compassionate and supportive environment for our patients and staff. Our new psychiatry outpatient clinic is an exciting addition to our services, and we are seeking a skilled and empathetic Clinical Psychologist to join our team. Key Responsibilities : Conduct psychological assessments, evaluations, and diagnosis of mental health conditions. Develop and implement individualized treatment plans for patients. Provide evidence-based psychotherapy to individuals, groups, and families. Collaborate with psychiatrists, social workers, and other healthcare professionals to ensure comprehensive patient care. Maintain accurate and timely documentation in the Electronic Health Records (EHR) system. Participate in case conferences, team meetings, and continuous professional development activities. Conduct community outreach and educational workshops to promote mental health awareness. Qualifications : Doctoral degree (Ph.D. or Psy.D.) in Clinical Psychology from an accredited institution. Current state licensure as a Clinical Psychologist Proven experience in providing psychotherapy and conducting psychological assessments. Strong understanding of evidence-based therapeutic modalities. Excellent communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team environment. Commitment to maintaining patient confidentiality and ethical practice standards. Preferred Skills : Experience in a hospital or outpatient clinic setting. Specialization or certification in specific therapeutic approaches (e.g., CBT, DBT). Familiarity with EHR systems and digital documentation. Bilingual or multilingual capabilities. What We Offer : Competitive salary and benefits package. Supportive and dynamic work environment. Opportunities for professional growth and development. Access to continuing education and training programs. A chance to make a meaningful impact on the lives of our patients and the community. How to Apply : Interested candidates are invited to submit their resume, cover letter, and contact information for three professional references to hr@bodhimindcarehospital.com with the subject line "Application for Psychologist Position". Application Deadline : 27.07.2025 Bodhi Mind Care Hospital is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Join us in our mission to provide exceptional mental health care and support to those in need. Apply today! Visit www.bodhimindcarehospital.com
Posted 1 week ago
1.0 years
0 Lacs
Nagpur, Maharashtra, India
On-site
Bizmatics, A leading EHR company provides clinical and business productivity software and services to medical practices & multi-specialties. Our cloud-based application, PrognoCIS is a fully-integrated solution comprising EHR, Telemedicine, Practice Management, Medical Billing, RCM, Patient Engagement tools, and more. Built on multi-tier Internet architecture, PrognoCIS EHR supports all major specialties and has fully customizable templates. The integrated architecture supports common databases for all Prognocis products to ensure seamless, real-time information flow between EHR and Billing. PrognoCIS is available both as an ASP service or an in-house Client-Server solution. As a Quality Assurance Analyst, this professional will be responsible for ensuring the quality and reliability of our software applications through comprehensive testing processes. You will collaborate closely with cross-functional teams, including developers, product managers, and project managers, to drive the success of our products. Work Mode: Hybrid Shift Timings: 9:30AM to 6:30PM IST Location: Mumbai, Nagpur Responsibilities & Duties Analyze software requirements and technical specifications. Participate in requirement and design review meetings. Develop and documents application test plans based on business requirements and technical specifications. Create test cases including detailed expected results. What We Are Looking For Bachelor’s degree in Computer Science, Software Engineering, a related field, or relevant experience. 1+ year(s) of experience in software quality assurance or software testing. Hands-on experience in manual testing and familiarity with automated testing tools. Proven understanding of QA processes, methodologies, and testing types
Posted 1 week ago
0 years
0 Lacs
Pune, Maharashtra, India
On-site
Key Expertise Solution Design & Architecture : Expertise in architecting end-to-end solutions that meet both technical and business requirements, ensuring scalability, performance, and security. Software Development : In-depth knowledge of modern software development practices, frameworks, and methodologies, including expertise in full-stack development using React and Python Django. AI Integration : Proficient in implementing AI-driven solutions such as Generative AI, machine learning, and predictive analytics to enhance decision-making and automate processes. Cloud Architecture : Extensive experience in designing and deploying cloud-based solutions using AWS, Azure, and Google Cloud. Strong expertise in cloud migration, infrastructure design, and DevOps practices. Data Management & Analytics : Skilled in leveraging data management platforms and real-time analytics to create data-driven solutions that support decision-making and business intelligence. Security & Compliance : Strong understanding of data security, privacy regulations (e.g., HIPAA, GDPR), and industry-specific compliance standards, ensuring that solutions are designed with security and regulatory compliance in Highlights : Architecting AI And Generative AI Solutions Designed and implemented AI-powered solutions, including Generative AI models for content generation and automation. Led teams to develop AI solutions for predictive analytics, data augmentation, and real-time decision-making for healthcare and financial clients. Integrated AI functionalities into business applications to enhance customer experience and operational efficiency. Cloud Solutions Design Architected cloud infrastructure solutions for enterprises, optimizing cost, performance, and security using AWS, Azure, and Google Cloud. Led cloud migration projects, moving legacy systems to scalable cloud environments with minimal downtime and data integrity. Integrated cloud-native services such as serverless computing, containerization (Docker, Kubernetes), and CI/CD pipelines to streamline deployment and Software Development : Led teams in the development of scalable, user-centric web applications using React for front-end and Python Django for back-end. Architected microservices and RESTful APIs for enterprise-level applications, ensuring seamless integration across systems. Optimized performance and security across full-stack applications, focusing on user experience and application Management & Analytics : Implemented data management platforms (DMPs) for advanced audience segmentation and targeting, enabling more effective marketing campaigns for clients in the AdTech and e-commerce sectors. Developed real-time bidding (RTB) solutions and programmatic advertising systems, integrating data analytics to improve ad spend & Healthcare Solutions : Architected secure and compliant telemedicine platforms, integrating real-time communication tools with electronic health record (EHR) systems for healthcare clients. Designed and implemented solutions to manage patient data securely, adhering to HIPAA and GDPR Skills : Languages : JavaScript, Python, HTML/CSS, SQL, : React, Node.js, Django, Flask AI/ML : TensorFlow, PyTorch, GPT models, Generative AI, Predictive Analytics Cloud Platforms : AWS, Azure, Google Cloud, Docker, Kubernetes Data Management : PostgreSQL, MySQL, MongoDB, Data Lakes, DMPs Security : SSL, Firewalls, Identity & Access Management, Data Encryption, Compliance (HIPAA, GDPR) DevOps : Jenkins, Git, Docker, Kubernetes, CI/CD Skills : Leadership & Collaboration : Successfully led cross-functional teams, working closely with developers, product managers, and stakeholders to deliver solutions aligned with business goals. Strategic Thinking : Ability to balance technical innovation with business objectives, ensuring solutions are not only technologically advanced but also cost-effective and scalable. Client Engagement : Skilled in working directly with clients to understand their needs, translating business requirements into actionable technical solutions. Problem Solving : Strong analytical skills with a focus on diagnosing complex technical issues and providing innovative solutions under tight : AWS Certified Solutions Architect Certified Kubernetes Administrator (CKA) Certified in Generative AI Applications Microsoft Certified : Azure Solutions Architect Expert (ref:hirist.tech)
Posted 1 week ago
6.0 - 11.0 years
5 - 8 Lacs
Chennai
Work from Office
Develop and deliver training on coding, create SOPs, track assessments, provide feedback, and update content per regulatory/payer guidelines to enhance coding quality. Required Candidate profile 6+ years experience in medical coding training; strong CPT/ICD-10-CM knowledge; expertise in training delivery and curriculum design; excellent communication.
Posted 1 week ago
8.0 years
0 Lacs
Coimbatore, Tamil Nadu, India
On-site
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager, Coding. This role requires a deep understanding of medical coding practices, regulations, and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities, exceptional organizational skills, and a commitment to maintaining high standards of accuracy and compliance. Essential Functions And Tasks Team Leadership: Provide leadership and guidance to the medical coding team, including assigning tasks, setting goals, and conducting performance evaluations. Foster a positive work environment that encourages collaboration, innovation, and professional growth. Coding Operations: Oversee all aspects of the medical coding process, ensuring accuracy, completeness, and compliance with relevant coding guidelines and regulations (e.g., CPT, ICD-10, HCPCS). Implement best practices to optimize coding efficiency and productivity. Compliance: Stay informed about changes and updates in coding regulations, reimbursement policies, and healthcare compliance requirements. Ensure that coding practices align with applicable laws, regulations, and industry standards, including HIPAA and other privacy regulations. Training and Development: Provide ongoing training and education to coding staff to keep them updated on changes in coding guidelines, regulations, and best practices. Mentor team members and support their professional development goals. Collaboration: Work closely with other departments, such as revenue cycle management, clinical documentation improvement, and compliance, to ensure seamless integration of coding processes with overall revenue cycle operations. Collaborate with internal and external stakeholders to address coding-related issues and optimize revenue capture. Performance Analysis: Monitor coding metrics and key performance indicators to track team performance and identify opportunities for process improvement. Develop reports and presentations to communicate coding trends, challenges, and achievements to senior management. Education And Experience Requirements Bachelor's degree in any related field. Master's degree preferred. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required. Minimum of 8 years of experience in medical coding, with at least 3 years in a supervisory or managerial role. Knowledge, Skills, And Abilities In-depth knowledge of CPT, ICD-10, HCPCS coding systems, as well as coding guidelines and regulations in the US healthcare industry. Strong leadership skills, with the ability to motivate and inspire team members to achieve high performance standards. Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse stakeholders. Proficiency in coding software and electronic health record (EHR) systems. Demonstrated experience in developing and implementing coding policies, procedures, and quality assurance programs. Experience with revenue cycle management processes and healthcare reimbursement methodologies. Familiarity with coding-related software tools and technology, such as encoders, grouper software, and computer-assisted coding (CAC) systems. Knowledge of healthcare compliance regulations, including HIPAA, HITECH, and Medicare billing rules. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.
Posted 1 week ago
1.0 - 6.0 years
5 - 5 Lacs
Pune
Work from Office
Hiring: Payment Posting (Provider Side) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period : Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal - 9251688424
Posted 1 week ago
7.0 years
5 - 7 Lacs
Hyderābād
On-site
Job Title: Senior Clinical Data Scientist / Clinical Data Analyst Experience: 7+ Years Location: Bangalore / Chennai / Hyderabad / Noida / Gurgaon (India) Industry: Pharmaceutical / Healthcare / Life Sciences Employment Type: Full-time Job Summary: We are seeking a highly experienced and analytical Senior Clinical Data Scientist / Analyst with 7+ years of experience in clinical data analysis, pharmaceutical research, and data science methodologies . The ideal candidate will have hands-on experience working with EMR/EHR data , advanced SQL , and machine learning models to derive actionable insights that support clinical research and drug development. Key Responsibilities: Analyze and interpret complex clinical and EMR data to support real-world evidence (RWE), HEOR, and clinical trial analysis. Design and develop statistical and machine learning models to predict patient outcomes, drug efficacy, and safety. Perform deep-dive analytics using Advanced SQL (CTE, RANK, PARTITION) for cohort identification and data transformation. Collaborate with cross-functional teams including biostatisticians, clinical operations, and regulatory affairs. Ensure data quality and integrity from diverse sources like EMR, claims, lab systems, and clinical trial management systems (CTMS). Automate data pipelines and implement best practices in reproducible analytics. Create dashboards, data visualizations, and reports for stakeholders and medical affairs teams. Stay up to date with current industry trends in real-world data (RWD), clinical informatics, and regulatory requirements. Required Skills: 7+ years of experience in clinical data analytics or data science within the Pharma/Healthcare domain . Strong expertise in Advanced SQL : CTEs, Window Functions (RANK, DENSE_RANK, PARTITION BY), joins, subqueries. Experience working with EMR/EHR systems such as Epic, Cerner, Meditech, etc. Proficiency in Python, R , or SAS for statistical and machine learning modeling. Strong knowledge of clinical trial design , ICD/CPT coding , MedDRA , and pharmacovigilance datasets. Hands-on with machine learning frameworks (Scikit-learn, XGBoost, etc.) for prediction and classification tasks. Familiarity with regulatory guidelines such as HIPAA , GCP , and 21 CFR Part 11 . Experience with data visualization tools such as Tableau, Power BI, or Python-based dashboards . Preferred Qualifications: Master’s or Ph.D. in Data Science, Biostatistics, Bioinformatics, Public Health, or a related field . Prior experience in RWE/RWD analytics , HEOR studies , or pharma R&D analytics . Knowledge of CDISC SDTM/ADaM standards . Experience working with cloud platforms (AWS, Azure, GCP) and data lake architecture is a plus. Job Type: Contractual / Temporary Contract length: 12 months Schedule: US shift Application Question(s): What would your NP? Which location would you pick Bangalore / Chennai / Hyderabad / Noida / Gurgaon (India) Experience: Data science: 5 years (Preferred) Machine learning: 5 years (Preferred) EMR systems: 5 years (Preferred) Work Location: In person
Posted 1 week ago
4.0 years
5 - 6 Lacs
Hyderābād
On-site
Location: [Hyderabad] Shift: Night (EST) Preferable – Male candidates Job Type: Full-time Budget: 6.5LPA MAX Industry: Healthcare Job Description: We are seeking a highly skilled and experienced Healthcare Recruiter with at least 4 years of proven expertise in recruiting for various roles within the U.S. healthcare industry. The ideal candidate will have in-depth knowledge of healthcare staffing and recruitment needs, as well as expertise in sourcing, screening, and placing qualified professionals across a wide range of healthcare functions. As a Healthcare Recruiter, you will work with hiring managers to ensure that our organization is able to attract and retain top talent for various healthcare positions, ensuring compliance with industry standards and regulations. You will leverage your understanding of healthcare roles, including but not limited to Medical Billing Specialists, AR Follow-up Specialists, Coding and Compliance Officers, Healthcare Business Analysts, Project Managers, and more, to provide exceptional recruitment services. Key Responsibilities: Recruitment & Sourcing: Source, screen, and recruit qualified candidates for healthcare roles, including but not limited to: · Medical Billing Specialists · Accounts Receivable (AR) Follow-up Specialists · Coding and Compliance Officers · Healthcare Business Analysts · Project Managers · EMR/EHR Consultants · Claims Processors · Medical Coders · Provider Network Managers · Data Analysts · HR, Finance, Compliance, IT Support, Supply Chain, Talent Acquisition · Claims Specialists · Pricing Analysts · Formulary Managers · Back-office Support · Regulatory Affairs Specialists · Logistics Coordinators · Policy Analysts · Program Managers · Data Scientists · Collaborate with hiring managers and department heads to fully understand recruitment needs for various roles. · Screening & Interviewing: · Conduct in-depth interviews, evaluate resumes, and ensure candidates meet the qualifications and requirements for each role. · Assess candidate skillsets, industry experience, and cultural fit to ensure alignment with organizational goals. · Candidate Engagement & Negotiation: · Engage with candidates throughout the recruitment process, providing timely updates and feedback. · Assist in salary negotiations, onboarding processes, and overall candidate experience. · Talent Pipeline & Employer Branding: · Build and maintain a network of top talent for future hiring needs. · Assist in improving employer branding and outreach efforts to attract top-tier healthcare professionals. · Continuous Improvement: · Stay up-to-date on healthcare industry trends, recruitment technologies, and best practices. · Provide insights and recommendations for improving recruitment processes. Required Skills & Qualifications: · Minimum 4 years of experience as a Healthcare Recruiter or in a similar recruiting role within the healthcare industry. · Expertise in recruiting for various healthcare positions, including roles in medical billing, coding, compliance, project management, IT support, and more. · Familiarity with U.S. healthcare laws, regulations, and compliance standards, including HIPAA and other regulatory frameworks. · Strong sourcing and interviewing skills, with the ability to assess technical and cultural fit for diverse healthcare roles. · Proven experience with recruitment tools, job boards, applicant tracking systems (ATS), and other recruitment technologies. · Excellent communication and interpersonal skills, with the ability to build relationships with hiring managers, candidates, and external stakeholders. · Strong organizational skills, with the ability to manage multiple requisitions and candidates simultaneously. · Bachelor’s degree in Human Resources, Business Administration, or a related field preferred. Job Type: Full-time Pay: ₹500,000.00 - ₹650,000.00 per year Work Location: In person
Posted 1 week ago
0 years
2 - 4 Lacs
Delhi
On-site
This role combines the crucial functions of patient billing and discharge coordination in a healthcare setting. Oversee daily billing operations, ensuring accurate and timely processing of patient bills and insurance claims. Ensure compliance with healthcare regulations, billing procedures, and hospital policies. Submit medical claims to insurance companies and third-party payers. Coordinate with insurance providers to process claims and facilitate reimbursements. Assist patients in understanding their bills Maintain accurate billing records and update patient account information. Initiate discharge planning early in the patient's stay, preparing them for a smooth transition home or to another facility. Coordinate with the multidisciplinary team (physicians, nurses) skills required- Proficiency in billing software, electronic health record (EHR) systems, and MS Office Suite (especially Excel). Knowledge of healthcare billing regulations and procedures (e.g., HIPAA compliance). Data entry and management skills. Excellent communication (verbal and written) and interpersonal skills to interact effectively with patients, families, healthcare professionals, and insurance companies. Strong attention to detail and accuracy. Analytical and problem-solving abilities. Organizational and time management skills Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹36,106.90 per month Benefits: Cell phone reimbursement Commuter assistance Flexible schedule Paid sick time Paid time off Provident Fund Work Location: In person
Posted 1 week ago
0 years
3 - 6 Lacs
Coimbatore
On-site
Job Summary We are seeking a detail-oriented and tech-savvy Medical Scribe to join our healthcare team. The Medical Scribe will work alongside physicians to document patient encounters in real-time, assisting in the creation of accurate and timely medical records. This role enhances the efficiency and productivity of healthcare providers, allowing them to focus more on patient care. Key Responsibilities : Accurately document patient history, physical examination, assessments, procedures, and treatment plans in the Electronic Health Record (EHR) system. Prepare referral letters, discharge summaries, and other medical documentation as directed by physicians. Follow up on diagnostic tests and summarize results for review by physicians. Maintain confidentiality and adhere to HIPAA guidelines and hospital/clinic protocols. Communicate effectively with the healthcare team for any clarifications needed on patient records. Ensure timely and error-free completion of all clinical documentation. Qualifications : Bachelor’s degree in Life Sciences, Biology, or a related field (preferred but not mandatory). Prior experience as a medical scribe or knowledge of medical terminology is an advantage. Proficient in English (both spoken and written); strong grammar and listening skills are essential. Familiarity with EHR systems and fast typing speed (50+ WPM) preferred. Ability to multitask and work in a fast-paced environment. Willingness to work night shifts (for US-based physicians) if required. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹50,000.00 per month Benefits: Health insurance Life insurance Provident Fund Work Location: In person
Posted 1 week ago
2.0 - 5.0 years
4 - 6 Lacs
Noida
On-site
Hiring: Medical Software Sales Executive Location : Noida | Experience : 2–5 years Salary : ₹40,000 – ₹55,000 per month We are looking for a dynamic and target-driven Sales Executive to sell our cutting-edge healthcare software solutions to hospitals, clinics, diagnostic labs, and healthcare providers. Key Responsibilities: Identify and close sales opportunities Build and manage client relationships Conduct demos and presentations for EMR/HIS solutions Collaborate with internal teams for smooth onboarding Meet monthly & quarterly sales targets You Should Have: 2–5 years of software sales experience (preferably healthcare/EMR/HIS) Strong communication and negotiation skills Basic tech understanding of EHR, HIS, or medical software Bachelor's in Business/Healthcare/Marketing or related field Willingness to travel Job Types: Full-time, Permanent Pay: ₹35,000.00 - ₹55,000.00 per month Education: Bachelor's (Preferred) Experience: total work: 3 years (Required) SaaS Sales: 3 years (Required) software sales: 2 years (Required) medical software: 2 years (Required) Language: English (Preferred) Location: Noida, Uttar Pradesh (Preferred) Willingness to travel: 75% (Preferred) Work Location: In person
Posted 1 week ago
1.0 - 2.0 years
2 Lacs
India
On-site
Job Title: Medical Receptionist Location: Vedanta Hospital, 1st Floor, Near Vedanta Institute of Medical Sciences, Commerce Six Rd, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 Job Type: Full-Time Hospital Name: HOC Vedanta Hospital Experience : Min. 1 to 2 Years Reports To: Admin Executive, Admin Officer, Facility Manager Job Summary: We are seeking a friendly, organized, and detail-oriented Medical Receptionist to join our healthcare team. As the first point of contact for patients, you will play a crucial role in creating a welcoming and efficient front office environment. You will be responsible for greeting patients, managing phone calls, scheduling appointments, and maintaining accurate patient records. Key Responsibilities: Greet patients and visitors in a courteous and professional manner Answer and manage incoming calls; route calls to appropriate personnel Schedule, reschedule, and confirm patient appointments Verify and update patient information and insurance details Collect co-pays and other patient payments; issue receipts Maintain the cleanliness and organization of the reception area Coordinate patient flow by notifying healthcare providers of patient arrivals Handle patient inquiries and resolve or escalate issues as needed Assist with administrative tasks such as filing, scanning, and faxing Support clinical staff with various clerical duties as assigned Qualifications: Any Graduate Previous experience in a medical office or healthcare setting highly desirable Strong customer service and interpersonal skills Excellent verbal and written communication skills Proficiency in using electronic health records (EHR) systems and basic office software Work Environment: Typically a medical office or clinic setting May require long periods of sitting, computer use, and interaction with patients Occasional need to handle stressful or emergency situations with professionalism Requirement * Responsible for making duty roster and leave management of all front office & OPD service coordinators and executives. * Regular updates to be provided to the team members. * Ensuring that the team is skilled, competent and motivated to perform its duties. * Ensure adequate manpower at all counters Job Types: Full-time, Permanent Schedule: Day shift Skills: Customer service (required) Typing Phone etiquette Administrative experience Organizational skills Job Types: Full-time, Permanent Pay: Up to ₹23,000.00 per month Benefits: Health insurance Leave encashment Provident Fund Work Location: In person
Posted 1 week ago
1.0 - 2.0 years
0 Lacs
Navrangpura, Ahmedabad, Gujarat
On-site
Job Title: Medical Receptionist Location: Vedanta Hospital, 1st Floor, Near Vedanta Institute of Medical Sciences, Commerce Six Rd, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 Job Type: Full-Time Hospital Name: HOC Vedanta Hospital Experience : Min. 1 to 2 Years Reports To: Admin Executive, Admin Officer, Facility Manager Job Summary: We are seeking a friendly, organized, and detail-oriented Medical Receptionist to join our healthcare team. As the first point of contact for patients, you will play a crucial role in creating a welcoming and efficient front office environment. You will be responsible for greeting patients, managing phone calls, scheduling appointments, and maintaining accurate patient records. Key Responsibilities: Greet patients and visitors in a courteous and professional manner Answer and manage incoming calls; route calls to appropriate personnel Schedule, reschedule, and confirm patient appointments Verify and update patient information and insurance details Collect co-pays and other patient payments; issue receipts Maintain the cleanliness and organization of the reception area Coordinate patient flow by notifying healthcare providers of patient arrivals Handle patient inquiries and resolve or escalate issues as needed Assist with administrative tasks such as filing, scanning, and faxing Support clinical staff with various clerical duties as assigned Qualifications: Any Graduate Previous experience in a medical office or healthcare setting highly desirable Strong customer service and interpersonal skills Excellent verbal and written communication skills Proficiency in using electronic health records (EHR) systems and basic office software Work Environment: Typically a medical office or clinic setting May require long periods of sitting, computer use, and interaction with patients Occasional need to handle stressful or emergency situations with professionalism Requirement * Responsible for making duty roster and leave management of all front office & OPD service coordinators and executives. * Regular updates to be provided to the team members. * Ensuring that the team is skilled, competent and motivated to perform its duties. * Ensure adequate manpower at all counters Job Types: Full-time, Permanent Schedule: Day shift Skills: Customer service (required) Typing Phone etiquette Administrative experience Organizational skills Job Types: Full-time, Permanent Pay: Up to ₹23,000.00 per month Benefits: Health insurance Leave encashment Provident Fund Work Location: In person
Posted 1 week ago
6.0 - 10.0 years
10 - 20 Lacs
Pune, Chennai, Bengaluru
Hybrid
Role & responsibilities Job Title: Subject Matter Expert (SME) HL7/FHIR Experience Level Minimum:6+ years in healthcare IT Relevant SME Experience:6 years in HL7 and FHIR standards Preferred: 6+ years with leadership in interoperability projects Mandatory Skills HL7 v2.x and FHIR standards FHIR (Fast Healthcare Interoperability Resources) standards, API, resources, profiles, extensions, and implementation guides Clinical data modeling and terminology (e.g., SNOMED CT, LOINC, ICD-10) Preferred candidate profile Experience: 6-10 Years Location: Bangalore, Pune, Chennai Mode: Hybrid Employment: Full Time Permanent Shift: General day shift If interested kindly share resume to lakshmi.naidu@citiustech.com with below details: Total Experience: Relevant Experience: Current CTC: Expected CTC: Notice Period: Current Location: Preferred Location:
Posted 1 week ago
0.0 - 2.0 years
0 - 0 Lacs
Noida, Uttar Pradesh
On-site
Hiring: Medical Software Sales Executive Location : Noida | Experience : 2–5 years Salary : ₹40,000 – ₹55,000 per month We are looking for a dynamic and target-driven Sales Executive to sell our cutting-edge healthcare software solutions to hospitals, clinics, diagnostic labs, and healthcare providers. Key Responsibilities: Identify and close sales opportunities Build and manage client relationships Conduct demos and presentations for EMR/HIS solutions Collaborate with internal teams for smooth onboarding Meet monthly & quarterly sales targets You Should Have: 2–5 years of software sales experience (preferably healthcare/EMR/HIS) Strong communication and negotiation skills Basic tech understanding of EHR, HIS, or medical software Bachelor's in Business/Healthcare/Marketing or related field Willingness to travel Job Types: Full-time, Permanent Pay: ₹35,000.00 - ₹55,000.00 per month Education: Bachelor's (Preferred) Experience: total work: 3 years (Required) SaaS Sales: 3 years (Required) software sales: 2 years (Required) medical software: 2 years (Required) Language: English (Preferred) Location: Noida, Uttar Pradesh (Preferred) Willingness to travel: 75% (Preferred) Work Location: In person
Posted 1 week ago
5.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Hiring: Medical Software Sales Specialist Location : India | Experience : 2–5 years Salary : ₹35,000 – ₹50,000 per month We are looking for a dynamic and target-driven Sales Executive to sell our cutting-edge healthcare software solutions to hospitals, clinics, diagnostic labs, and healthcare providers. Key Responsibilities: Identify and close sales opportunities Build and manage client relationships Conduct demos and presentations for EMR/HIS solutions Collaborate with internal teams for smooth onboarding Meet monthly & quarterly sales targets You Should Have: 2–5 years of software sales experience (preferably healthcare/EMR/HIS) Strong communication and negotiation skills Basic tech understanding of EHR, HIS, or medical software Bachelor's in Business/Healthcare/Marketing or related field Willingness to travel
Posted 1 week ago
40.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
About Amgen Amgen harnesses the best of biology and technology to fight the world’s toughest diseases, and make people’s lives easier, fuller and longer. We discover, develop, manufacture and deliver innovative medicines to help millions of patients. Amgen helped establish the biotechnology industry more than 40 years ago and remains on the cutting-edge of innovation, using technology and human genetic data to push beyond what’s known today. About The Role Role Description: The Data Quality Lead will be responsible for defining, operationalizing, and monitoring data quality capabilities to increase the quality and trust of data across Amgen. This role will be responsible for delivering strategic and tactical data quality and stewardship services. This is a vital role to support Amgen’s aspirations for a FAIR data ecosystem that conforms with business needs. This role will interact with Amgen’s data owners and product teams worldwide to monitor and improve data related KPIs and remediation plans. Roles & Responsibilities: Develop and implement data quality standards, metrics, and governance frameworks to ensure consistency, accuracy, and reliability of enterprise data across systems and domains. Lead root cause analysis and resolution of data quality issues by collaborating with data stewards, business stakeholders, and Technology teams to identify, prioritize, and remediate data anomalies. Establish data quality monitoring and reporting processes, including dashboards and KPIs, to track progress, highlight trends, and drive continuous improvement initiatives. Functional Skills: Must-Have Skills: Experience managing commercial data quality platforms Technical data management skills with in-depth knowledge of Pharma data standards. Aware of industry trends and priorities and can apply to governance and policies. In-depth knowledge and experience with data masking, data access controls, and technologies to enable a scalable operating model. Good-to-Have Skills: Experience managing industry external data assets (e.g. Claims, EHR, etc.) Ability to successfully execute complex projects in a fast-paced environment and in managing multiple priorities effectively. Ability to manage projects or departmental budgets. Experience with modelling tools (e.g., Visio). Basic programming skills, experience in data visualization and data modeling tools. Experience working with agile development methodologies such as Scaled Agile. Soft Skills: Ability to build business relationships and understand end-to-end data use and needs. Excellent interpersonal skills (team player). People management skills either in matrix or direct line function. Strong verbal and written communication skills Ability to work effectively with global, virtual teams High degree of initiative and self-motivation. Ability to manage multiple priorities successfully. Team-oriented, with a focus on achieving team goals Good presentation and public speaking skills. Strong attention to detail, quality, time management and customer focus. Basic Qualifications: Doctorate degree and 2 years of Information Systems experience, or Master’s degree and 6 years of Information Systems experience, or Bachelor’s degree and 8 years of Information Systems experience, or Associates degree and 10 years of Information Systems experience, or 4 years of managerial experience directly managing people and leadership experience leading teams, projects, or programs. EQUAL OPPORTUNITY STATEMENT Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We will ensure that individuals with disabilities are provided with reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request and accommodation.
Posted 2 weeks ago
7.0 years
0 Lacs
Payum, Arunachal Pradesh, India
Remote
Position Summary We are seeking a strategic, results-oriented Director of Revenue Cycle to lead and optimize our revenue operations. This leadership role is vital to ensuring the financial performance, operational integrity, and regulatory compliance of the practice. The ideal candidate has deep experience in U.S. healthcare revenue cycle management, preferably within orthopedic or specialty care, and a strong track record of success in improving cash flow, managing payer contracts, and building high-performing teams. This position is ideally suited for someone based in Illinois with a strong understanding of state and federal healthcare regulations and payers. Key Responsibilities Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations. Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation. Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness. Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance. Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows. Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards. Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience. Supervise the management of medical records and disability documentation in accordance with best practices. Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals. Leverage data analytics to provide actionable insights and continuous performance improvement. Requirements Key Responsibilities Qualifications Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred. 7-10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role. Demonstrated success in orthopedic or specialty practice RCM is strongly preferred. Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies. Proven ability to negotiate and manage Managed Care and value-based contracts. Familiarity with Illinois payer landscape and regulatory requirements is highly desirable. Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms). Excellent analytical, leadership, communication, and organizational skills. Experience managing remote or hybrid teams and working across diverse cultures and departments. Benefits At Genesis, we believe that ethical, affordable, and high-quality care should be a universal right—not a privilege. After 17 years of practicing conventional medicine, we reimagined healthcare from the ground up. Through hundreds of hours of research and innovation, we developed a model that maintains our clinical excellence while expanding access to those who need it most. If you're a forward-thinking revenue cycle leader with a passion for healthcare transformation, we'd love to hear from you.
Posted 2 weeks ago
0.0 - 2.0 years
0 Lacs
Bengaluru, Karnataka
Remote
Please Note: English language proficiency is required for this role. This is a full-time , work from office role. This requires a U.S. schedule - India Night shift. Work Location: This is a Work from Office position and location is Bangalore at: Block 12B, Pritech Park,3rd Floor, SEZ Survey No 51-64/4, Bellandur,Village. Bldg 9A Rd, Bengaluru –Karnataka 560103 Shift: Night Contact: Nirmala 911 301 5045 Build Your Future! Come join our thriving team as a Certified Medical Coder! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the RCM Healthcare arena. Why should you consider TSI (part of TSI family of companies)? Paid training Team-oriented work environment Growth opportunity Generous Incentive opportunity Comprehensive benefits package available: including medical insurance, paid time off and paid holidays! Transport facility (As per policy and shift) - Transportation provided Working 5 days/week We are seeking a Certified Medical Coder to join our growing team. In this role, you will be responsible for reviewing and coding both hospital and physician-billed charges for accuracy and compliance with established billing and coding guidelines. You will also analyze supporting medical documentation and address coding-related denials to ensure optimal reimbursement. This role reports directly to a Supervising Attorney or Supervisor and requires the ability to work onsite. Review and assign appropriate codes for both facility (hospital) and professional (physician) billed services Ensure accuracy of ICD-10-CM, CPT, HCPCS , and modifier usage per payer guidelines Evaluate and resolve claim denials, including medical necessity and timely filing issues Provide feedback on payer denials and assist with the appeal process when appropriate Reference and interpret UB04, CMS-1500, EOBs , and RAs to support coding validation Collaborate with internal teams and external partners to resolve coding discrepancies Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations Work independently and maintain productivity standards in an onsite setting Use electronic health record (EHR) systems and documentation tools to access and update coding information Refer to written training resources and coding references as needed Certified Billing and Coding Specialist (CBCS) or AAPC Coder Certification (Advanced level required) Minimum of 2 years of experience coding hospital and/or physician claims Strong knowledge of ICD-10-CM, CPT, HCPCS, UB04 , and CMS-1500 forms Familiarity with Medicare, Medicaid, HMOs, PPOs , and managed care plan guidelines Proficient in medical terminology, healthcare documentation, and coding best practices Strong comprehension, problem-solving, and conflict resolution skills Excellent verbal and written communication skills in English Ability to work independently with minimal supervision Preferred Skills: Experience working in a fully remote coding or RCM environment Prior involvement in denial resolution and payer appeals Comfortable using multiple healthcare platforms and EHR systems Ability to analyze coding patterns and identify billing trends This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company. We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws INDJOBS
Posted 2 weeks ago
7.0 years
0 Lacs
India
Remote
Position Summary We are seeking a strategic, results-oriented Director of Revenue Cycle to lead and optimize our revenue operations. This leadership role is vital to ensuring the financial performance, operational integrity, and regulatory compliance of the practice. The ideal candidate has deep experience in U.S. healthcare revenue cycle management, preferably within orthopedic or specialty care, and a strong track record of success in improving cash flow, managing payer contracts, and building high-performing teams. This position is ideally suited for someone based in Illinois with a strong understanding of state and federal healthcare regulations and payers. Key Responsibilities Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations. Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation. Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness. Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance. Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows. Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards. Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience. Supervise the management of medical records and disability documentation in accordance with best practices. Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals. Leverage data analytics to provide actionable insights and continuous performance improvement. Requirements Key Responsibilities Qualifications Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred. 7-10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role. Demonstrated success in orthopedic or specialty practice RCM is strongly preferred. Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies. Proven ability to negotiate and manage Managed Care and value-based contracts. Familiarity with Illinois payer landscape and regulatory requirements is highly desirable. Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms). Excellent analytical, leadership, communication, and organizational skills. Experience managing remote or hybrid teams and working across diverse cultures and departments. Benefits At Genesis, we believe that ethical, affordable, and high-quality care should be a universal right—not a privilege. After 17 years of practicing conventional medicine, we reimagined healthcare from the ground up. Through hundreds of hours of research and innovation, we developed a model that maintains our clinical excellence while expanding access to those who need it most. If you're a forward-thinking revenue cycle leader with a passion for healthcare transformation, we'd love to hear from you.
Posted 2 weeks ago
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