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3.0 - 7.0 years
0 Lacs
chandigarh
On-site
As a Medical Coder at Edifecs, you will play a crucial role in coding medical documentation for HIPAA claims/encounters. Your responsibilities will include extracting relevant information from patient records, liaising with physicians and other parties to clarify information, and examining documents for missing information. You should have familiarity with coding systems like ICD, CPT, and HCPCS, the ability to spot inaccuracies or inconsistencies in medical records, and ensure precision. Additionally, you should be able to interpret complex medical information from patient records and work on coding software efficiently for medical coding tasks. To be successful in this role, you are required to have a Bachelor's degree in health information systems or a related field, along with a minimum of 3 years of work experience as a medical coder. Proficiency in computer skills, excellent communication skills (both verbal and written), strong people skills, outstanding organizational abilities, and the capacity to maintain the confidentiality of information are essential qualities that you should possess. You will also be responsible for performing chart audits and ensuring compliance with medical coding policies and guidelines. Join the team at Edifecs and be part of a dynamic environment where your expertise as a Medical Coder will contribute significantly to the organization's success.,
Posted 2 days ago
0.0 - 4.0 years
0 Lacs
kozhikode, kerala
On-site
We are looking for a OP Medical Coder - Freshers to join our team in Calicut. This is a Hybrid job opportunity. The ideal candidate should be a CCS / CPC Certified coder from AAPC/AHIMA with a Medical Background. You should be ready to join immediately. It is essential for the candidate to possess an understanding of the coding principles and systems for ICD-10, CPT, and HCPCS. We are specifically looking for Non-Licensed medical professionals (Physician, nurse, or therapist) with a life science background. Please be informed that only short-listed candidates will be contacted. Kindly ensure that your email subject follows the format: Candidate name _ Location _ Graduation Name. Interested applicants are requested to share their updated resume to recruitment@greycodes.ae.,
Posted 2 days ago
1.0 - 4.0 years
6 - 9 Lacs
Kolkata, Mumbai, New Delhi
Work from Office
Aster Medcity is looking for Specialist Radiology to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes
Posted 2 days ago
0.0 - 3.0 years
7 - 9 Lacs
Kolkata, Mumbai, New Delhi
Work from Office
Aster Medcity is looking for Junior Radiographer Radiology to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes
Posted 2 days ago
5.0 - 10.0 years
6 - 10 Lacs
Chennai
Work from Office
Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience #NTRQ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ
Posted 2 days 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. Apply Internal Employee Application
Posted 2 days ago
0.0 - 3.0 years
4 - 7 Lacs
Mumbai
Work from Office
Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player 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 Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of “Meets Expectations” or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine 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. #NJP External Candidate Application Internal Employee Application
Posted 2 days ago
1.0 - 6.0 years
3 - 7 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-timeYes Work from officeYes Travelling Onsite / OffsiteNo 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. External Candidate Application Internal Employee Application
Posted 2 days ago
0.0 - 3.0 years
2 - 6 Lacs
Bengaluru
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 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 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: Graduate Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA 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 or 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. #njp External Candidate Application Internal Employee Application
Posted 2 days 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 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 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. External Candidate Application Internal Employee Application
Posted 2 days ago
4.0 - 9.0 years
4 - 9 Lacs
Chennai
Work from Office
Primary Responsibilities: Identify appropriate assignment of ICD – 10 – CM and ICD – 10 – PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up – to – date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD – 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application
Posted 2 days ago
0.0 - 3.0 years
4 - 7 Lacs
Chennai
Work from Office
Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information 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 #NTRQ Required Qualifications: Bachelor’s degree or master’s degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location and income – deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. External Candidate Application Internal Employee Application
Posted 2 days 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. External Candidate Application Internal Employee Application
Posted 2 days ago
5.0 - 10.0 years
6 - 10 Lacs
Noida
Work from Office
Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ #NJP #NTRQ
Posted 3 days ago
0.0 - 3.0 years
2 - 6 Lacs
Bengaluru
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 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 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 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: Graduate Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA 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 or 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 everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp
Posted 3 days ago
0.0 - 3.0 years
4 - 7 Lacs
Mumbai
Work from Office
Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player 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 Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of Meets Expectations or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine 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. #NJP
Posted 3 days ago
6.0 - 11.0 years
7 - 11 Lacs
Hyderabad
Work from Office
nitro-lazy"> Qualifications : Graduate in Lifesciences with Coding certifications : CPC, CCS. Highly experienced in surgical coding with an emphasis on orthopedic surgery. Years of Experience : Minimum 6 years of experience and overall 8 years of experience Job Summary The Coding Auditor and Educator is responsible for providing coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially orthopedic surgery, along with expertise in professional inpatient E/M services. The auditor/educator assists in providing educational training and understanding to physicians, mid-levels, clinical personnel, and revenue cycle teams. The auditor/educator will have effective communication skills via verbal and written and will be able to speak with providers and clinical team members confidently. Qualifications 2+ years of relevant experience in a professional coding auditor and/or coding educator capacity required. 3+ years orthopedic surgery and Evaluation and Management (E/M) coding experience. Other surgical specialties considered. Certified coding certificate from AAPC or AHIMA, required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive Experience with multiple practice management systems Expert level knowledge of Microsoft Office (Word and Excel) An innate desire for continuous operational improvement Responsibilities Conducts regular audits of coding and billing practices to ensure that they comply with regulations, identify areas for improvement, and provide training and support to staff members as necessary. Prepares clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating providers, coders, and management throughout the organization. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Stays up-to-date with changes in coding regulations, policies, and procedures to ensure that the organization is always in compliance. Assists to designs, develops, and implements coding education programs for clients and staff members in the organization. Assists to provide education and training to coding staff, physicians, and other healthcare providers on CDI and coding best practices, including documentation requirements, coding guidelines, and compliance with regulatory requirements. Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)
Posted 3 days ago
3.0 - 8.0 years
3 - 6 Lacs
Noida
Work from Office
We are looking for a highly skilled Medical Content Writer with 3 to 9 years of experience to join our team at Digilantern. The ideal candidate will have a strong background in medical writing and excellent communication skills. Roles and Responsibility Develop high-quality, engaging medical content for various platforms. Conduct research and interviews to gather information and insights. Collaborate with cross-functional teams to ensure consistency and accuracy. Edit and proofread content for clarity, grammar, and punctuation. Stay up-to-date with industry trends and developments. Meet deadlines and deliver content on time. Job Requirements Minimum 3 years of experience in medical writing or a related field. Strong knowledge of medical terminology and concepts. Excellent writing, editing, and communication skills. Ability to work independently and as part of a team. Strong research and analytical skills. Familiarity with content management systems and publishing software.
Posted 3 days ago
2.0 - 10.0 years
2 - 8 Lacs
Remote, , India
Remote
Company Description MedCoded is a healthcare organization focused on advancing health information management and medical coding services. The company's mission is to ensure that healthcare providers, hospitals, and other healthcare organizations have access to high-quality, accurate coding and health information management (HIM) services to enhance patient care, optimize reimbursement, and maintain compliance with industry regulations. With its blend of skilled personnel, robust compliance practices, and commitment to accuracy, MedCoded aims to be a leading player in the field of health information management, contributing to better patient care and improved healthcare operations across the board. Join Our Team as a Medical Coder! Are you passionate about healthcare and detail-oriented Do you have a knack for interpreting medical records and coding them accurately We have the perfect opportunity for you! Position: Medical Coder Location: Remote Type: Full-Time Salary: Competitive, Based on Experience About Us: Med Coded is a leading healthcare provider dedicated to delivering the highest quality of care to our patients. We believe in innovation, excellence, and compassion. Our team is composed of dedicated professionals who work together to make a difference in the lives of our patients. Job Responsibilities: Accurately assign ICD-10-CM and PCS codes to patient records Ensure compliance with coding guidelines and regulations Review and verify documentation for completeness and accuracy Collaborate with healthcare providers to clarify diagnoses and procedures Participate in continuous education and training to stay updated on coding practices Qualifications: Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) Minimum of 1-2 years of coding experience preferred Proficiency in ICD-10 and PCS Strong attention to detail and analytical skills Excellent communication and interpersonal skills Ability to work independently and as part of a team Benefits: Competitive salary and benefits package Opportunities for professional growth and development Supportive and inclusive work environment Access to the latest technology and resources Join us in making a difference in healthcare. Be a part of a team that values your skills and dedication. Apply today!
Posted 4 days ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employees to minimize errors, providing inputs to enhance training curriculum based on common mistakes observed, and testing files/batches for new clients/processes are also key aspects of this role. Additionally, you will be responsible for generating QA reports on a daily basis, meeting and exceeding internal and external SLAs as per defined processes, maintaining quality status reports, and ensuring strict adherence to company policies and procedures. Your role will involve conducting quality audits, coaching, and training sessions as per the defined process, requiring a minimum of 1.5 years of professional and relevant experience in the field. To excel in this role, you must possess sound knowledge of healthcare concepts, critical problem-solving skills, good analytical abilities, and judgmental skills. It is essential to have a good understanding of product and process knowledge, and to conduct quality feedback and refresher sessions regularly. If you are looking for a challenging opportunity to enhance your quality control skills and contribute to maintaining high standards in healthcare coding, this position offers a platform to showcase your expertise and make a significant impact within the organization.,
Posted 5 days ago
1.0 - 3.0 years
2 - 4 Lacs
Pune
Work from Office
Female Report typist OR Female Radio Technician can apply Manipal Hospitals, Kharadi, Pune, is seeking a detail-oriented and efficient Sonography Report Typist to accurately transcribe and process sonography examination reports. The ideal candidate will possess excellent typing skills, a strong understanding of medical terminology, and the ability to maintain patient confidentiality. This role is crucial in ensuring timely and accurate documentation for effective patient care. Roles and Responsibilities The Sonography Report Typist at Manipal Hospitals, Kharadi, Pune, will be responsible for the following: Transcription of Sonography Reports: Accurately and efficiently transcribe sonography findings from dictation, handwritten notes, or voice recognition software into well-formatted and professional reports within the stipulated turnaround time. Medical Terminology and Accuracy: Demonstrate a strong understanding of medical terminology, particularly related to sonography and anatomy, ensuring the correct usage of terms and maintaining the clinical accuracy of the reports. Report Formatting and Editing: Format reports according to departmental standards and ensure they are clear, concise, and free of grammatical and typographical errors. Proofread all transcribed reports for accuracy and completeness. Data Entry and Management: Enter relevant patient information and report details accurately into the hospital's electronic medical record (EMR) system or other designated databases. Maintain organized records of completed and pending reports. Communication and Clarification: Communicate effectively with sonographers and radiologists to clarify any ambiguities, discrepancies, or missing information in the examination findings to ensure report accuracy. Confidentiality and Data Security: Maintain strict confidentiality of patient information and adhere to hospital policies and legal regulations (e.g., HIPAA equivalent) regarding data privacy and security. Equipment Handling: Operate and maintain necessary office equipment, such as computers, printers, and transcription devices. Report any technical issues promptly. Workflow Management: Prioritize tasks effectively to meet deadlines and ensure a smooth flow of reports within the radiology department. Quality Assurance: Participate in quality improvement initiatives and adhere to established protocols to ensure the highest standards of report accuracy and quality. Ad Hoc Tasks: Perform other clerical and administrative duties as assigned by the Lead Sonographer or Radiology Manager. Collaboration: Work collaboratively with other members of the radiology team to ensure efficient and effective departmental operations. Continuous Learning: Stay updated with advancements in medical terminology, sonography procedures, and hospital information systems.
Posted 5 days ago
5.0 - 10.0 years
4 - 8 Lacs
Chennai
Work from Office
"Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement."
Posted 5 days ago
3.0 - 6.0 years
0 - 1 Lacs
Noida
Work from Office
Summary : A leading company is hiring experienced Medical Billers (US healthcare) for Noida location. Local candidates from Delhi-NCR only need to apply. Job Description : Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes. Ability to analyse and organize work for maximum efficiency. Excellent hands-on experience on all the items below: Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Working knowledge of CPT, ICD codes, Modifiers etc. Rejection & denials management. Checking status of claims on payer portals. Payments posting: Manual & electronic (EOB/ERA). Preparing and sending Patient Statements. Excellent communication skills in English (written as well as Verbal) Ability to analyse and organize work for maximum efficiency and meet Daily targets. Ability to work in a team and communicate effectively. Candidate should be a local of Delhi-NCR. Qualification : Undergraduate or Post Graduate in any discipline Minimum 3 Years of experience as Medical biller
Posted 6 days ago
1.0 - 5.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Kamineni academy of medical sciences is looking for Assistant Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teach a range of courses in the department, at both the undergraduate and graduate levels Conduct original research in the field and publish findings in academic journals and at conferences Advise students and mentor junior faculty members Participate in department and university-wide committees, such as curriculum committees and search committees Pursue external funding opportunities to support research and teaching activities Engage in professional development activities to stay current in the field and enhance teaching skills
Posted 6 days ago
1.0 - 5.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Kamineni academy of medical sciences is looking for Associate Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teaching and Instruction: Associate Professors are responsible for teaching undergraduate and/or graduate-level courses in their area of expertise They develop syllabi, prepare course materials, deliver lectures, facilitate discussions, and assess student performance They may also supervise student research projects, theses, and dissertations Research and Scholarship: Associate Professors engage in research activities, pursue scholarly publications, and contribute to the advancement of knowledge in their field They conduct research projects, secure research funding, collaborate with colleagues, and publish their findings in academic journals or present them at conferences They may also mentor and guide graduate students in their research pursuits Academic Advising: Associate Professors provide academic guidance and advising to students They assist students in selecting courses, developing academic plans, and pursuing research or career opportunities within their discipline They may also serve as thesis advisors or mentors to graduate students Service and Committee Work: Associate Professors contribute to the administrative functions of their department, college, or university through service and committee work They participate in faculty meetings, serve on academic committees, contribute to curriculum development, and provide input on various institutional matters
Posted 6 days ago
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