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4.0 - 9.0 years
5 - 10 Lacs
Coimbatore, Bengaluru
Work from Office
Job Title : IP & OP Coder Qualification : Any Graduate Experience : 1-5 Years Must Have Skills : Strong knowledge of medical terminology, anatomy, and physiology. Proficient in electronic health records (EHR) and coding software . Knowledge of compliance regulations including HIPAA, CMS, and NCCI edits. Good to Have Skills : High attention to detail and analytical thinking. Ability to work independently and meet productivity/accuracy benchmarks. Roles and Responsibilities : Inpatient Coding Duties: l Review and analyze patient records for complete and accurate documentation. l Assign ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. l Ensure coding compliance with federal regulati...
Posted 3 months ago
4.0 - 9.0 years
5 - 10 Lacs
Bengaluru
Work from Office
About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Medical Coding 2.Compliance & Accuracy Checks 3.Claim & Reimbursement Verification 4.Process Improvement & Training 5.CPC (Certified Professional Coder) AAPC 6.ICD-10 7.CPT 8.HCPCS codes 9.Surgery coder 10.Inpatient and Outpatient 11.Emgerency department 12.Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsib...
Posted 3 months 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 communic...
Posted 3 months ago
3.0 - 7.0 years
3 - 7 Lacs
Mumbai
Work from Office
The role requires: * Retrieval and review of documentation in medical records from various client EMR systems. * Verify the completeness of the documentation and coding in accordance with the coding compliance guidelines. *Verify the assigned diagnoses, procedural codes, modifiers and HCPCS codes adhering to the general, payer and client specifications (in all forms of audits (prospective, retrospective, focused). * Identify errors related to compliance and coding including (provider/DOS/CPT/Mod/ICD) in alignment of the general coding guidelines, client and payer specifications as needed.
Posted 3 months ago
3.0 - 6.0 years
4 - 6 Lacs
Bengaluru
Work from Office
Role & responsibilities Job Summary The Accounts Officer RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, te...
Posted 3 months ago
0.0 - 1.0 years
2 - 3 Lacs
Hyderabad, Chennai, Coimbatore
Work from Office
At MedCode, we believe precision matters. As a Medical Coder, you ll play a critical role in transforming healthcare diagnoses, procedures, and medical services into universal alphanumeric codes, ensuring proper billing and efficient healthcare management. Position: Medical Coder Experience: Experienced & Certified Professionals Type: Full-time Location: Chennai, Coimbatore, Hyderabad. Certifications Preferred: CPC, CCS, CCA (or any relevant certifications) Responsibilities : Review and analyze medical records for accurate code assignment (ICD-10, CPT, HCPCS). Ensure compliance with all federal, state, and insurance regulations. Work closely with physicians and healthcare teams to clarify di...
Posted 3 months ago
2.0 - 5.0 years
3 - 8 Lacs
Chennai
Work from Office
Greetings from Shearwater Health !!!! Job Title: Quality and Training Lead (CPC/CCS Certified) Department: Medical Coding Industry: Healthcare Experience Level: 3-5 Years Job Type : On-site Shift : Mid Shift Location: Shearwater Health - 3rd Floor, We works, Olympia cyberspace, Arulayiammanpet, SIDCO Industrial Estate, Guindy, Chennai, Tamil Nadu 600032. CONTACT HR : Deepthi Sai - 9944611634 / dsai@swhealth.com Preferably looking for Immediate joiners !!! ** Interested candidates can share your updated resume and CPC/CCS license (Active license is mandatory) on email to dsai@swhealth.com to proceed further with your application. Subject on Email: Application for QAT Lead Full Name: Phone Num...
Posted 3 months ago
2.0 - 7.0 years
4 - 8 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 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. Primary Responsibilities Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting...
Posted 3 months 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,...
Posted 3 months ago
2.0 - 3.0 years
4 - 5 Lacs
Visakhapatnam
Work from Office
Job Description As a medical coder with 2-3 years of multispecialty, E&M-OP, and Surgery coding experience, you will be responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services performed by healthcare providers. Your duties will include, but are not limited to: Reviewing patient medical records to accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes. Ensuring compliance with all coding guidelines, regulations, and standards. Collaborating with healthcare providers and other members of the healthcare team to resolve coding-related issues. Auditing medical records to ensure accuracy and completeness of coded data. Participating in coding-re...
Posted 3 months ago
0.0 - 2.0 years
1 - 2 Lacs
Madurai, Dindigul, Theni
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of...
Posted 3 months ago
0.0 - 2.0 years
1 - 2 Lacs
Pollachi, Tiruppur, Coimbatore
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020-2025 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to ...
Posted 3 months ago
9.0 - 14.0 years
9 - 14 Lacs
Pune
Work from Office
JOB TITLE: Manager DEPARTMENT: Operations REPORT TO: AVP, Operations PRINCIPAL PURPOSE OF THE JOB We are currently seeking a manager to manage Medical Coding programs. His/her Primary responsibility will be to support and monitor day-to-day work processes and meet production and Service Level Agreements. Assessing and forecasting staffing requirements based on client communication and incoming volume. Should coach team members in achieving team deliverables and escalate appropriately and as needed. Monitor activities of team members; provide feedback and counsel team members regarding performance, timekeeping, and personnel issues. JOB RESPONSIBILITIES Project Transition and Stability People...
Posted 3 months ago
1.0 - 6.0 years
2 - 5 Lacs
Bengaluru / Bangalore, Karnataka, India
On-site
Assign accurate ICD-10-CM, CPT, and HCPCS codes for Home Health services. Review and analyze medical records to ensure proper coding and compliance with CMS regulations. Ensure coding accuracy and adherence to payer-specific guidelines. Required Candidate profile Collaborate with physicians, healthcare providers, and billing teams to clarify documentation and coding requirements. Strong understanding of medical terminology, anatomy, and physiology. Perks and benefits Plus perks and incentives Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Gradua...
Posted 3 months ago
1.0 - 6.0 years
4 - 5 Lacs
Bengaluru / Bangalore, Karnataka, India
On-site
Ortho Coders Assign ICD-10, CPT, HCPCS codes for orthopedic treatments, surgeries Review, validate clinical documentation for coding accuracy Ensure compliance, coding guidelines, payer policies Conduct coding quality audits, error correction Required Candidate profile E&M IP/OP Coders Assign E&M codes (CPT, ICD-10, HCPCS) for inpatient, outpatient Review physician documentation for medical necessity and compliance Adherence to CMS, AAPC, and AHIMA guidelines Perks and benefits Plus incentives and Perks Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education...
Posted 3 months ago
5.0 - 7.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
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 Clai...
Posted 3 months ago
0.0 - 1.0 years
1 - 4 Lacs
Chennai
Work from Office
In this role you will be responsible for: The coder reads the documentation to understand the patient's diagnoses assigned - Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes - Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders - Medical coding allows for Uniform documentation between medical facilities - The main task of a medical coders is to review clinical statements and assign standard codes of the role include: - 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Ph...
Posted 3 months ago
3.0 - 8.0 years
3 - 5 Lacs
Chennai
Work from Office
In this Role you will be Responsible For The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes of the role include 3+ Year of experience in any Healthcare BPO _ ED PROFEE & FACILITY / CPC CERTIFIED Highlights documentation deficiency / Play SME role for freshers Good kn...
Posted 3 months ago
4.0 - 9.0 years
3 - 7 Lacs
Coimbatore
Work from Office
In these roles, you will be responsible for The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Following strict coding guid...
Posted 3 months ago
2.0 - 5.0 years
3 - 4 Lacs
Gurugram
Remote
AR Follow up with Eligibility Verification JD About Company Valerion Health exists to bridge the consultative gap between broken RCM and consistent revenue generation. Our new and innovative approach paired with decades of industry experience is helping organizations navigate RCM and implement a value-based revenue cycle journey. Night Shift - 6pm to 3am 5 Days Working (Mon-Fri) Candidate should have own Laptop & Wifi Setup About the role The person who takes on this role will be required to follow up on pending claims from insurance companies based out of the US, to view patient histories, operations, chart reviews, consultation and discharge summaries to support rebuttal for denials. Job S...
Posted 3 months ago
7.0 - 10.0 years
13 - 18 Lacs
Gurugram
Work from Office
Cognitio Analytics LLC is looking for Sr. Medical Coding Consultant to join our dynamic team and embark on a rewarding career journey. Undertake short-term or long-term projects to address a variety of issues and needs Meet with management or appropriate staff to understand their requirements Use interviews, surveys etc. to collect necessary data Conduct situational and data analysis to identify and understand a problem or issue Present and explain findings to appropriate executives Provide advice or suggestions for improvement according to objectives Formulate plans to implement recommendations and overcome objections Arrange for or provide training to people affected by change Evaluate the...
Posted 3 months ago
2.0 - 5.0 years
4 - 5 Lacs
Chennai, Thiruvananthapuram
Work from Office
Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly tar...
Posted 3 months ago
1.0 - 6.0 years
2 - 7 Lacs
Hyderabad, Chennai, Delhi / NCR
Work from Office
Greetings from R1RCM Hiring for Neurology+denials coders location-Chennai/Hyd/NCR minimum 1 to7 years of experience CPC/CCS certification is mandatory regular shift- 8.30 am to 5.30pm interview mode- virtual mode Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person Harrishma HR Contact mail - hpalaniappan@r1rcm.com/ 9677152997 If you are not interested, refer any of your friends who has the relevant experience
Posted 3 months ago
0.0 - 1.0 years
2 - 2 Lacs
Sivaganga, Madurai, Dindigul
Work from Office
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2018 -2024 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to...
Posted 3 months ago
5.0 - 10.0 years
5 - 15 Lacs
Hyderabad, Chennai
Work from Office
We are looking for Experienced IPDRG QA for Chennai and Hyderabad location (Work from office) to join our growing team. . Role & responsibilities : Review and analyze medical records to assign appropriate CPT, ICD-10-CM, and HCPCS codes Ensure coding accuracy and compliance with official coding guidelines and payer requirements Work with clinical staff for clarifications and documentation improvement Maintain productivity and quality standards Preferred candidate profile Minimum 6 months of experience in IPDRG QA Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Attention to detail and excellent analytical skills Strong knowledge of anatomy, medical terminology, and sur...
Posted 3 months ago
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