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4.0 - 9.0 years
7 - 12 Lacs
Noida
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settingsMultispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application
Posted 1 month ago
0.0 - 2.0 years
3 - 7 Lacs
Chennai
Work from Office
Primary Responsibilities: Performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit Accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes Identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Attend conference calls as necessary to provide information relating to Coding 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: Graduate – Any Graduate Certifications accepted include CPC, CCS, CIC and COC – Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / Offer process Certified Fresher or Experience in medical coding or with any other previous experience Experience in Medical Coding G23 (0 to 2+ years), G24 ( 3 to 5 years) Must be a certified coder through AAPC or AHIMA Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. #NTRQ External Candidate Application Internal Employee Application
Posted 1 month ago
2.0 - 4.0 years
1 - 6 Lacs
Chennai
Remote
Walk-In dirve for Certified Medical Coders from HCC Coding and Risk Adjustment background. Interview Date: 28th June 2025(Saturday) Interview Time: 10:00 AM POC: Sonia Johny/Babu Shift & Mode: Work from Home / Day Shift Education : Any Graduate with Medical Coder certification mandatory Requirement: Minimum 2 Years to 4 Years of experience in HCC coding and Risk adjustment Certified Coder only eligible (CPC-A not eligible) Good communication Skills All education documents and Govt.ID proofs are mandatory Good Attitude and Stability Interested candidates kindly walk-In to the below venue. ADDRESS: Cognizant Technology Solutions, SDB3, Cafeteria block, 1stfloor, Let wing, SEZ Ave, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119. Mandatory Documents: 2 copies of resume 1 Govt. ID proof (Aadhar/PAN/Voter ID)
Posted 1 month ago
1.0 - 2.0 years
2 - 4 Lacs
Chennai
Work from Office
Title: HCC Coder Job Location: Chennai Job Type: Full-time Job Summary: We are seeking a detail-oriented and knowledgeable HCC Coder with 12 years of experience to join our healthcare team. The successful candidate will be responsible for reviewing medical records and assigning accurate diagnosis codes to support risk adjustment and proper reimbursement in accordance with CMS HCC risk adjustment guidelines. Key Responsibilities: Review and analyze medical records to assign accurate ICD-10-CM diagnosis codes in accordance with official coding guidelines and HCC risk adjustment models. Ensure all coded data meets CMS, Medicare Advantage, and company compliance standards. Identify missing or incomplete documentation and communicate with providers for clarification when needed. Validate HCC codes and ensure risk-adjusted conditions are captured appropriately for each patient encounter. Maintain confidentiality of all patient health information in compliance with HIPAA regulations. Meet daily/weekly production and accuracy targets set by management. Participate in audits, compliance reviews, and training updates. Qualifications: 12 years of experience in medical coding, specifically in HCC/Risk Adjustment. Certification required: CPC, CRC, CCS, or equivalent (AHIMA or AAPC credential). Solid understanding of HCC coding principles and risk adjustment models (CMS-HCC, HHS-HCC, etc.). Familiarity with electronic health records (EHR) and coding software/tools. Strong knowledge of ICD-10-CM coding guidelines. Excellent attention to detail, time management, and analytical skills. Interested candidates kindly share your resume at ta@shai.health Contact Person : Sinthiya (7305382415)
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Candidates, Greetings from Saisystems Health! We have vacancy for Exp Medical Coder. Looking for Immediate joiners. Roles & Responsibilities: Review patient data and assign basic ICD-10 and CPT codes . Maintain coding accuracy and quality. Ensure compliance with basic coding rules and confidentiality standards . Coordinate with seniors or team leads for clarifications. Meet daily or weekly productivity targets. Qualifications: Certification in medical coding. 1+ years of experience in medical coding . Good communication skills. Attention to detail and accuracy. Contact Person: Nainar Mohamed Contact number: 7358703376 Thanks & Regards, Nainar Mohamed
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Candidates, Greetings from Saisystems Health! We are looking for Medical coder. Candidate must be certified medical coder We are looking for Male candidates only. Qualifications: Certification in medical coding. 1+ years of experience in medical coding . Good communication skills. Attention to detail and accuracy. Contact Person: Y Mohammad Asif Contact number: 9342840498 Thanks & Regards, Y Mohammad Asif
Posted 1 month ago
2.0 - 7.0 years
2 - 7 Lacs
Chennai
Work from Office
Greeting from Access Healthcare!... We are hiring for HCC Coders Interested candidates can fill this form https://forms.office.com/r/ZjZfxSRLiq HCC Coders ************** Need HCC Coder with minimum 6 months to 5 yrs experience. Certified / Non certified can apply Candidate must be ready to work as Coder, we don't have any openings for QC /SME Work location : Chennai (Ambattur IE) No WFH will be provided, Need to report office from day 1 Mode of interview : Virtual Interview Contact details HR Koperumdevi (9176207018) Note: Non certified coders should join us before 27th Jun 2025 while Certified coders can join us before 30th Jul 2025 Send Updated Resume, Recent Photo, Aadhar card, Member ID with the mentioned details to whatsapp your interview will be Scheduled For any other queries kindly reach out & drop your resume on Whatsapp or call and discuss for interview schedule and process 9176207018 Contact Name : Koperumdevi ( HR ) Contact Number : 9176207018 Mail ID: koperumdevi.elu@accesshealthcare.com Immediate openings for Certified Medical Coding Freshers (CPC /CRC) Need freshers with Life Science / Para- medical / Ancillary Medical courses for HCC coding project Applicable only to candidates with strong knowledge in Human Anatomy and Physiology Shortlisted will be trained in HCC coding. Only certified coders are eligible for this requirement (CPC / CRC) Work location: Chennai (Ambattur IE) Work mode: Work from office Interview Mode: Face to Face Walk-in Venue: Access Healthcare Headquarters, A9, 1st Main Road, Ambattur Industrial Estate, Chennai - 600058 Interview date and timing: 25th , 26th ,27th , 28th June 2025 at 11.00 am Contact - HR Team - 7825855974 (Only Whatsapp message)
Posted 1 month ago
1.0 - 6.0 years
0 - 3 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Omega Healthcare is hiring Medical Coders and Quality Control Analysts!! Job Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have minimum 1 year of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports. *Chennai Vacancies* 1. Home Health Coders and QCA 2.EM IP OP Coders / QCA 3.ED Facility Coders (Non-Life Science graduates also eligible; Min. 2+ years of experience) 4.Radiology Coders (Min. 2+ years of experience) 5.IPDRG Coders / QCA (CPC/CIC/CCS certified) 6.HCC - Coders / QCA 7. Multi Specialty Denial 8.IVR Radiology Coders 9.ED Profee Coders *Bengaluru Vacancies* 1. Home Health Coders / QCA * Hyderabad Vacancies* 1.ED EM Multispecialty (ED Profee EM IP) SME 2.Anesthesia Coders 3.IPDRG Coders / QCA (CPC/CIC/CCS certified) Experience - For Coders - Minimum 1 year is required For QCA - Minimum 3 years is required Note: Certification (CPC/CIC/CCS) is mandatory for all specialties except Home Health and HCC. Mode - Work from Office Notice Period: 0 - 15 Days Interested candidates can share their updated resume at vigneshwar.chawan@omegahms.com or WhatsApp at 9963068969 / syed.azeez@omegahms.com or WhatsApp at 8073452491
Posted 1 month ago
10.0 - 20.0 years
10 - 16 Lacs
Chennai, Bengaluru
Work from Office
Job Description: Meet all Client Service Level Agreements (deliverables) Ensure the team understands client specific training requirements / needs etc. Analyse performance results of the team and implement process improvements. Determine appropriate staff levels and implement strategies to ensure efficient operations. Work with support departments to ensure staffing strategies are effectively executed. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for the Team Leaders for all their client and team members related needs and create a harmonious work environment. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team managers to complete performance appraisal of work group(s) in accordance with the organizations policies and applicable legal requirements. Job Specification: Minimum of 10 Years of Professional and Relevant Experience in Medical Coding Must have experience in Client and Stakeholder and Quality Management. Excellent experience in Team and People Management as well. Must have Coding Certification like CPC/ CCS/ COC/ AHIMA + Quality Any graduate will do. Shift Details :General Shift / Day Shift Work Mode :WFO
Posted 1 month ago
1.0 - 3.0 years
2 - 5 Lacs
Pune
Work from Office
Proven experience in training or mentoring others in medical coding Strong Knowledge of ICD-10, CPT, HCPCS Excellent verbal and written skills Ability to work independently and collaboratively within a team Minimum 6 months of experience as medical coding trainer Should be CPC certified. Responsibilities: Deliver engaging and interactive training sessions to individuals and groups Provide hands-on coding practice and real-world case studies to reinforce learning objective Stay updated with changes and updates in coding guidelines, regulations, and industry trends Train candidates for the CPC exam Evaluate training effectiveness through assessments and feedback mechanisms, and make continuous improvements to the training program Mentor and support participants in developing coding skills and problem-solving resources MedeXCode Solutions, 1st Floor, Amit Plaza, Subhash Nagar, Hadapsar, Pune 411028
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Chennai
Work from Office
Greetings From Access Healthcare: Openings for Experienced ( HCC Certified & Non Certified ) Medical Coders & Preferred Immediate Joiner's 1. HCC Coder & HCC ( QA ) ( Certified & Non - Certified ) ( Chennai ) ( Work From Office ) Shift: Day shift Job Location: Chennai Compensation: We offer highly competitive work environment with best in the business compensation package. *Interested candidates kindly Call or WhatsApp me on # 9840064094 Contact Name : Suhashini HR Contact Person : 9840064094 suhashini.palan@accesshealthcare.com Freshers Not Suitable. For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9840064094
Posted 1 month ago
1.0 - 3.0 years
2 - 5 Lacs
Hyderabad, Coimbatore
Work from Office
Cotiviti Hiring HCC Medical Coders For Coimbatore & Hyderabad for HEDIS Department: HCC Coding Role: Medical Coder / Sr Medical Coder Job Location: Coimbatore & Hyderabad Eligibility Criteria: Any graduate with minimum 1.2 years of experience in HCC Coding HEDIS experience candidates are preferrable Should have active coding credentials through AAPC/AHIMA is Mandatory Experience in HCC record abstraction and coding required Demonstrate high level of quality in clinical coding work, identifying and validating HCC mapped diagnoses that are revenue generating Adherence to official coding guidelines, coding clinic determinations, client specific coding guidelines, CMS and other regulatory compliance guidelines and mandates. Experience in medical record validation of correct coding procedures and guidelines Identified by accuracy of 95% or above and consistent productivity Excellent written and verbal skills to include coaching and interpersonal skills Strong knowledge of medical terminology, anatomy and physiology Skills in organization, time management and customer service Ability to read and understand medical record documentation for diagnosis extraction Analytical and problem-solving skills Must abide by all HIPAA and associated patient confidentiality requirements Must be able to identify trends in coding and documentation errors Interested Candidates can share their resume to the email id abdul.rahuman@cotiviti.com (or) contact the number for booking online interviews. Abdul Rahuman - 9080276094 Regards Abdul Rahuman - Talent Acquisition
Posted 1 month ago
5.0 - 6.0 years
4 - 8 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
0.0 - 2.0 years
4 - 8 Lacs
Hyderabad
Work from Office
Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awareness: strives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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: Should be a Graduate Certified coder through AAPC or AHIMA Certified Fresher or Experience in medical coding or with any other previous experience Certifications accepted include CPC, CCS, CIC and COC Anyone G23 (0 to 2+ years), G24 ( 3 to 5 years) If experience in Medical Coding All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / Offer process At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
1.0 - 6.0 years
4 - 8 Lacs
Chennai
Work from Office
Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. 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 Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
1.0 - 3.0 years
4 - 8 Lacs
Noida
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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#NTRQ Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
2.0 - 7.0 years
4 - 8 Lacs
Noida
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines 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 with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
Posted 1 month ago
9.0 - 14.0 years
10 - 18 Lacs
Chennai
Work from Office
Role: Assistant Delivery Manager | Domain: Operation coding SQ function | Reporting: Delivery Manager or above Role summary: The Assistant Manager of Medical Coding Quality is responsible for overseeing and enhancing the accuracy, compliance, and overall quality of medical coding operations. This role involves managing a team of coding professionals, ensuring adherence to regulatory standards, and implementing quality assurance processes. The Senior Manager will collaborate with cross-functional teams to optimize coding practices, support revenue cycle operations, and mitigate compliance risks. Education Experience & Other requirements Graduation: Any Coding certification: CPC or Any Relevant Certification equivalent to Cpc Specialization: HCC Must have minimum 10 years of experience Should have HCC Fluent in communication Should have GB certification or should have good exposure to quality principles Key Responsibilities: 1. Quality Assurance and Compliance: Develop and implement medical coding quality standards and audit processes to ensure coding accuracy and compliance with ICD, CPT, and HCPCS coding guidelines. Stay updated on changes in regulatory requirements, payer policies, and coding best practices. Monitor and enforce compliance with HIPAA, CMS, and other applicable regulations. 2. Team Leadership and Development: Lead and mentor a team of quality analysts, fostering a culture of continuous learning and improvement. Conduct performance evaluations, provide feedback, and design individualized development plans. Coordinate training programs for QAs to enhance proficiency and maintain certifications. 3. Operational Excellence: Analyse coding accuracy rates and error trends and develop action plans to address gaps. Collaborate with cross functional teams to resolve discrepancies and optimize processes. Establish and track key performance indicators (KPIs) related to coding quality and process improvement. 4. Data Analysis and Reporting: Provide regular reports on coding quality metrics to leadership, highlighting trends, issues, and recommended improvements. Conduct root cause analysis of errors to identify systemic issues and propose solutions. 5. Process Improvement: Identify opportunities for process improvements to enhance coding accuracy, reduce denials, and improve claim turnaround times. Skills: Strong understanding of coding guidelines, compliance standards, and regulatory requirements. Exceptional leadership, communication, and interpersonal skills. Proficiency in coding software, EHR systems, and data analytics tools. An analytical mindset with the ability to interpret complex data and drive actionable insights. Key Competencies: Attention to detail and commitment to high-quality standards. Problem-solving and critical thinking abilities. Ability to manage multiple priorities in a fast-paced environment. Collaborative and proactive approach to cross-functional team interactions. If interested to apply, email your resume to mega.k@accesshealthcare.com Contact: 7305291728
Posted 1 month ago
9.0 - 14.0 years
10 - 18 Lacs
Chennai
Work from Office
Greetings from Access healthcare!!!!! We are hiring Assistant Delivery Manager for coding Role: Assistant Delivery Manager for Operations and Quality Role summary: The Assistant Manager of Medical Coding Quality is responsible for overseeing and enhancing the accuracy, compliance, and overall quality of medical coding operations. This role involves managing a team of coding professionals, ensuring adherence to regulatory standards, and implementing quality assurance processes. The Senior Manager will collaborate with cross-functional teams to optimize coding practices, support revenue cycle operations, and mitigate compliance risks. Graduation: Any Coding certification: Any certification Specialization: HCC Must have minimum 10+ years of experience. Fluent in communication Key Responsibilities: 1. Quality Assurance and Compliance: Develop and implement medical coding quality standards and audit processes to ensure coding accuracy and compliance with ICD, CPT, and HCPCS coding guidelines. Stay updated on changes in regulatory requirements, payer policies, and coding best practices. Monitor and enforce compliance with HIPAA, CMS, and other applicable regulations. 2. Team Leadership and Development: Lead and mentor a team of quality analysts, fostering a culture of continuous learning and improvement. Conduct performance evaluations, provide feedback, and design individualized development plans. Coordinate training programs for QAs to enhance proficiency and maintain certifications. 3. Operational Excellence: Analyse coding accuracy rates and error trends and develop action plans to address gaps. Collaborate with cross functional teams to resolve discrepancies and optimize processes. Establish and track key performance indicators (KPIs) related to coding quality and process improvement. 4. Data Analysis and Reporting: Provide regular reports on coding quality metrics to leadership, highlighting trends, issues, and recommended improvements. Conduct root cause analysis of errors to identify systemic issues and propose solutions. Skills: 1. Strong understanding of coding guidelines, compliance standards, and regulatory requirements. 2. Exceptional leadership, communication, and interpersonal skills. 3. Proficiency in coding software, EHR systems, and data analytics tools. 4. An analytical mindset with the ability to interpret complex data and drive actionable insights. Key Competencies: 1. Attention to detail and commitment to high-quality standards. 2. Problem-solving and critical thinking abilities. 3. Ability to manage multiple priorities in a fast-paced environment. 4. Collaborative and proactive approach to cross-functional team interactions. If interested to apply, email your resume to mega.k@accesshealthcare.com Contact: 7305291728
Posted 1 month ago
2.0 - 6.0 years
2 - 5 Lacs
Chennai
Work from Office
Greetings from ASP-RCM Solutions !!! Looking for Experienced Medical Coder's Experience : 2 to 6 years Specialty : E/M (IP & OP) & HCC Coder Designation : Coder & Sr. Coder Certification (Mandatory) Joining Bonus for E/M (IP & OP) for immediate joiner's Interview Mode : Direct Walk-in & Virtual mode Work Shift: Day Shift Preferred: Immediate joiner's Contact Number: Sharmila -9840966922 Anu Priya - 7200538735 Darin - 7200535316 Monisha - 9384600158 Mail ID: recruitment@asprcmsolutions.com Address: ASPRCM Solutions Private Limited Plot No.14, Kosmo One Business Park Tower-C, 4th Floor, Ambattur Industrial Estate, Chennai, Tamil Nadu 600058.
Posted 1 month ago
1.0 - 6.0 years
2 - 7 Lacs
Chennai
Work from Office
Hi All Access Health Care Hiring HCC Coders Experience - 2 year - 20 years Location - Chennai Specialty - HCC Certified only Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name : Praveen ( HR ) Contact Number : 9655581000 watsapp alone praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000 watsapp alone Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled Rec Id - Needed to be done in Access Health Care Job App ( Find In Play store ) Name - Contact Number - Current Company - Experience - Location - Work Location - Applying For WFH/ WFO - Certification - Take home salary - Expected salary - Certification Number - Certification Number - NOTICE PERIOD - Active Bond - Email ID - kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06
Posted 1 month ago
0.0 - 5.0 years
2 - 7 Lacs
Chennai
Work from Office
Hi All interview Started For HCC CODERS & HCC QA HCC Fresher- CRC certified HCC Fresher- life science Graduation Must for non certified HCC non Certified - 6 months Above HCC certified Coders - 6 months Above HCC QA - 3 Year Above Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified and Non Certified can apply NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift / Night Shift Our supporting HR - Details Call Them Schedule Your Interviews Mohamed Nazarudeen 8903902178 WATSAPP and call Sai Santosh 8925722891 WATSAPP and call Hashrithaa 9894654083 WATSAPP and call Karthick 9626985448 WATSAPP and call praveen 9655581000 only watsapp Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - Contact Name : Praveen ( HR ) Contact Number : 9655581000 watsapp alone praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000 watsapp alone Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06 OR PING HI TO 9655581000
Posted 1 month ago
0.0 - 5.0 years
3 - 8 Lacs
Chennai
Work from Office
Hi All interview Started For CODERS & QA and offer Relese also Started HCC Coders - 6 Month Above + To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified And Non Certified can apply NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Available Timing from 10.30 am to 6.30 pm Monday to Saturday praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding
Posted 1 month ago
12.0 - 15.0 years
30 - 40 Lacs
Navi Mumbai
Work from Office
Designation: Senior Manager Quality Department: Business Excellence – Coding Work Location: Airoli, Navi Mumbai Work from Office Job Description: Atleast 10 years- of experience of having worked in the Medical Coding business. Extremely knowledgeable about, Inpatient coding, Medical Coding guidelines and Coding Techniques (ICD-10, CPT) Also, must have strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology and Pharmacology. Efficient in using MS Office. Must have excellent communication and interpersonal skills Duties & Responsibilities : Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Quality control as per client SLA • Ensure effective implementation of the organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement Required Skills: 10+ years’ Experience in Medical Coding either in Operations or Quality team of outpatient / HCC+ Home Health medical Coding Should be at Leadership role to be eligible as per the role define The individual would have a high leadership stint in managing medium to Large sized teams for training & Quality teams preferably across multiple sites CPC/CIC/COC/CSS any certification
Posted 1 month ago
0.0 - 5.0 years
2 - 7 Lacs
Chennai
Work from Office
Hi All interview Started For HCC CODERS & HCC QA HCC Fresher- CRC certified HCC Fresher- life science non certified HCC non Certified - 6 months Above HCC certified Coders - 6 months Above HCC QA - 3Year Above Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified and Non Certified can apply NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Mohamed Nazarudeen 8903902178 WATSAPP and call Sai Santosh 8925722891 WATSAPP and call Hashrithaa 9894654083 WATSAPP and call Karthick 9626985448 WATSAPP and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - Contact Name : Praveen ( HR ) Contact Number : 9655581000 watsapp alone praveen.t@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9655581000 watsapp alone Send Updated Resume , Recent Photo ,Adhar with the Mentioned Details Your Interview Will Be Scheduled kindly join our watsapp group for updates - https://whatsapp.com/channel/0029VaVpsJe0G0XrQvQ2hK06 OR PING HI TO 9655581000
Posted 1 month ago
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