Job Description 3+ Years of Experience in Surgery/IPDRG Medical Coding. Specialty : Surgery/Inpatient Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/CCS is Must Salary: up to 12 Lac Joining: notice period upto 2 months accepted Location :Noida Preferred candidate profile Medical Coding Trainer- Candidate need to have experience in Medical Coding IPDRG or Surgery

Job Description 3+ Years of Experience in Surgery/IPDRG Medical Coding. Specialty : Surgery/Inpatient Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/CCS is Must Salary: up to 12 Lac Joining: notice period upto 2 months accepted Location :Noida Preferred candidate profile Medical Coding Trainer- Candidate need to have experience in Medical Coding IPDRG or Surgery Hybrid working partly from home and partly from office Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. Review medical records to ensure accurate coding and billing practices in accordance with established guidelines and regulations. Identify discrepancies, errors or potential fraud in coding and billing practices. Analyze coding trends and patterns to identify areas for improvement or potential risks. Collaborate with stakeholders to address coding and billing issues and improve documentation practices. Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes. Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions. Stay current with updates to coding guidelines, regulations and industry best practices. Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices

Job Description 3+ Years of Experience in Surgery/IPDRG Medical Coding. Specialty : Surgery/Inpatient Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/CCS is Must Salary: up to 12 Lac Joining: notice period upto 2 months accepted Location :Noida Preferred candidate profile Medical Coding Trainer- Candidate need to have experience in Medical Coding IPDRG or Surgery Hybrid working partly from home and partly from office Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. Review medical records to ensure accurate coding and billing practices in accordance with established guidelines and regulations. Identify discrepancies, errors or potential fraud in coding and billing practices. Analyze coding trends and patterns to identify areas for improvement or potential risks. Collaborate with stakeholders to address coding and billing issues and improve documentation practices. Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes. Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions. Stay current with updates to coding guidelines, regulations and industry best practices. Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices

JOB TITLE: Auditor Clinical Validation REPORTS TO: Team Leader/Asst. Manager PRINCIPLE PURPOSE OF JOB We are currently seeking Auditor to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes for the descriptions available on various medical procedures and diagnosis and other related medical coding as per the medical policy requirements. 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. Willing to work in US hours during training, which may last for 8 to 12 weeks. Thereafter shift timing will overlap US working hours for couple of hours (shift timing anytime between 7:00am – 10:00pm IST), based on business requirements. 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 company’s ability to resume operations from an office setting. ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others Shares ideas and information Ability to collaborate efficiently. Assists colleagues unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated – driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Medical degree (MBBS or BAMS or BHMS or BPT) with prior US Healthcare or Clinical experience will be preferred. Fresher can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CIC/CCS) Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general knowledge of medical procedures, conditions, illnesses, and treatment practices. Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency. Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. SKILLS & COMPETENCIES Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills Be a quick learner and proficient in application of learnings Excel proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to work well independently and maintain focus on a topic for prolonged periods of time

JOB TITLE: Clinical Analyst Clinical Validation REPORTS TO: Team Leader/Asst. Manager PRINCIPLE PURPOSE OF JOB We are currently seeking Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Research Analyst is responsible for analyzing and interpreting and assign the correct codes for the descriptions available on various medical procedures and diagnosis and other related medical coding as per the medical policy requirements 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. Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency. 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 ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others Shares ideas and information Ability to collaborate efficiently. Assists colleagues unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated – driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Medical degree (MBBS or BAMS or BHMS or B.P.Th) with CPC certification Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, AAOS, ICD-9, CPT & HCPCS, etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general knowledge of medical procedures, conditions, illnesses and treatment practices Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. SKILLS & COMPETENCIES Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills Be a quick learner and proficient in application of learnings Excel proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to work well independently and maintain focus on a topic for prolonged periods of time

JOB TITLE: Auditor Clinical Validation REPORTS TO: Team Leader/Asst. Manager PRINCIPLE PURPOSE OF JOB We are currently seeking Auditor to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes for the descriptions available on various medical procedures and diagnosis and other related medical coding as per the medical policy requirements. 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. Willing to work in US hours during training, which may last for 8 to 12 weeks. Thereafter shift timing will overlap US working hours for couple of hours (shift timing anytime between 7:00am – 10:00pm IST), based on business requirements. 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 company’s ability to resume operations from an office setting. ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others Shares ideas and information Ability to collaborate efficiently. Assists colleagues unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated – driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Any Graduate (Preferred Life science ) Medical coders with CIC or CCS certification with prior DRG experience (at least 1-2 years’ experience) Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general knowledge of medical procedures, conditions, illnesses, and treatment practices. Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency. Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. SKILLS & COMPETENCIES Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills Be a quick learner and proficient in application of learnings Excel proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to work well independently and maintain focus on a topic for prolonged periods of time