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2 - 7 years
3 - 8 Lacs
Coimbatore
Work from Office
Role & responsibilities Review and analyze medical records to accurately assign HCC codes based on the patient's diagnoses. Ensure compliance with federal regulations, risk adjustment guidelines, and insurance payer requirements. Work closely with physicians and other healthcare providers to clarify documentation when necessary. Maintain up-to-date knowledge of HCC coding guidelines and coding policies. Ensure timely and accurate completion of coding assignments to meet department deadlines. Identify opportunities for education and improvements in documentation practices. Collaborate with the team to ensure the accuracy of coding audits and risk adjustment reporting. Preferred candidate profile Certification as an HCC Coder (e.g., CRC - Certified Risk Adjustment Coder, CPC-H - Certified Professional Coder, or equivalent) is preferred. Minimum 2 years of experience in HCC coding or medical coding. Proficiency in ICD-10-CM coding and knowledge of CMS-HCC risk adjustment models. Strong attention to detail, analytical skills, and the ability to work independently. Ability to maintain confidentiality and handle sensitive patient information with care. Perks and benefits Competitive salary Incentives Professional development opportunities Interested candidates can share your profile to recruitment@medcodeservices.com or Call 8925955904 | 8925974365 | 8925955905
Posted 2 months ago
4 - 9 years
5 - 10 Lacs
Bengaluru
Work from Office
About Client : Hiring for one of our multinational corporations! Job Title :Quality Assurance E&M (Surgery) Qualification :Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Surgical Coding 2.Compliance & Regulatory Checks 3.Claim & Reimbursement Accuracy 4.Process Improvement & Trainingy 5.ICD-10 6. CPT 7.HCPCS codes 8.pre-op documentation 9.intra-op documentation 10.post-op documentation Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1.Verify ICD-10, CPT, and HCPCS codes assigned to surgeries. 2.Ensure proper documentation of pre-op, intra-op, and post-op details. 2.Ensure coding follows CMS (Centers for Medicare & Medicaid Services), insurance, and payer guidelines. 3.Prevent upcoding (overbilling) or undercoding (underbilling). 4.Identify coding errors that could cause insurance claim denials. 5.Work with medical coders & billing teams to fix errors before claim submission. 6.Provide feedback & corrective training to medical coders. 7.Implement best practices for accurate surgical coding Location :Bangalore, Coimbatore CTC Range : 5 10 LPA (Lakhs Per Annum) Notice Period :30 Days Mode of Interview :Virtual Shift Timing :General Shift Mode of Work :Work From Office -- Thanks & Regards, Monika HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp 9916116145 monika.j@blackwhite.in | www.blackwhite.in ********Please refer your Friends********
Posted 2 months ago
4 - 9 years
5 - 10 Lacs
Bengaluru, Coimbatore
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 to 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. Emergency department 12. Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1. Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2. Verify medical necessity & documentation accuracy. 3. Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4. Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6. Work with billing teams to correct errors before submission. 7. Provide feedback to medical coders to improve E&M coding accuracy. 8. Suggest best practices to avoid claim rejections Location : Bangalore, Coimbatore CTC Range : 5 - 10 LPA (Lakhs Per Annum) Notice Period : 30 Days Mode of Interview : Virtual Shift Timing : General Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489 | WhatsApp 7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************
Posted 2 months ago
3 - 8 years
9 - 12 Lacs
Trivandrum
Work from Office
GG Hospital is looking for Neuro Surgeon to join our dynamic team and embark on a rewarding career journey Specializes in the surgical treatment of conditions affecting the brain, spinal cord, and nerves Responsibilities include evaluating patients, ordering and interpreting diagnostic tests, developing treatment plans, and performing surgeries Prescribing medication and performing follow-up evaluations Must have strong surgical skills, as well as a thorough understanding of anatomy, physiology, and medical technologies M.B.B.S,M.S,MCH (Neuro Surgery)
Posted 2 months ago
0 - 1 years
2 - 3 Lacs
Hyderabad
Work from Office
Vijaya Diagnostic Centre P. Ltd. is looking for TYPIST RADIOLOGY AND CARDIOLOG to join our dynamic team and embark on a rewarding career journey Prepare and maintain medical documentation and records. Ensure compliance with medical documentation standards. Collaborate with healthcare teams and stakeholders. Conduct documentation reviews and audits. Provide training and support on documentation practices. Prepare and present medical documentation reports.
Posted 2 months ago
4 - 7 years
9 - 13 Lacs
Pune
Work from Office
A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Team Lead Billing for Patient Financial Services, India, this role is responsible for ensuring the accuracy and completeness of billing and charges within the revenue cycle. This role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. Responsibilities may include the following and other duties may be assigned: As a Team Lead Billing for Patient Financial Services, the role involves the specialist to work closely with various departments to ensure accurate coding, compliance with payer requirements, and maximization of reimbursement on Patient Financial Service accounts receivable metrics. Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Required Knowledge and Experience: Bachelor s degree in business or accounting major is preferred. 8+ years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology - CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. Benefits Compensation This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission to alleviate pain, restore health, and extend life unites a global team of 95,000+ passionate people. We are engineers at heart putting ambitious ideas to work to generate real solutions for real people. From the RD lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here
Posted 2 months ago
3 - 6 years
9 - 13 Lacs
Pune
Work from Office
A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Team Lead Cash Posting for Patient Financial Services, India, this role is responsible for accurately posting and reconciling all payments received from patients, insurance companies, and other third-party payers within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. Responsibilities may include the following and other duties may be assigned: As a Team Lead Cash Posting for Patient Financial Services, the role involves specialist to collaborates with various teams to resolve discrepancies and ensure that the revenue cycle process is efficient and effective.This role plays a crucial part in maintaining the financial integrity of the organization by ensuring that all cash receipts are properly accounted for within the revenue cycle. Accurately post all payments (electronic, checks, credit cards, etc.) to patient accounts in the billing system. Ensure all payments are applied to the correct accounts and invoices. Process and post insurance payments, including primary, secondary, and tertiary payers. Reconcile daily cash postings with bank deposits and accounting records. Identify and resolve discrepancies between posted payments and actual deposits. Work with the finance team to ensure accurate general ledger postings. Post adjustments, write-offs, and denials as per payer contracts and company policies. Identify trends in denials and underpayments and communicate findings to management. Collaborate with the billing and collections teams to resolve outstanding issues. Maintain accurate and detailed records of all cash posting activities. Generate and analyze reports on payment trends, reconciliation outcomes, and discrepancies. Provide feedback on processes and suggest improvements to enhance efficiency. Ensure all cash posting activities comply with company policies and relevant regulations. Required Knowledge and Experience: Bachelor s degree in business or accounting major is preferred. 8+ years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Experience with medical billing and collections terminology - CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. Benefits Compensation This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission to alleviate pain, restore health, and extend life unites a global team of 95,000+ passionate people. We are engineers at heart putting ambitious ideas to work to generate real solutions for real people. From the RD lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here
Posted 2 months ago
0 - 1 years
2 - 2 Lacs
Trichy, Ariyalur, Kumbakonam
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 -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 identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Kowshika 72006 52461
Posted 2 months ago
2 - 7 years
5 - 10 Lacs
Noida
Work from Office
SCA eCode Solutions Pvt. Ltd. is looking for Apprentice Medical Coder to join our dynamic team and embark on a rewarding career journey. Extracting relevant information from patient records Liaising with physicians and other parties to clarify information Examining documents for missing information Ensuring documents are grammatically correct and free from typing errors Performing chart audits Advising and training physicians and staff on medical coding Informing supervisor of issues with equipment and computer program Ensuring compliance with medical coding policies and guidelines Excellent communication skills, both verbal and written
Posted 2 months ago
2 - 5 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2+ year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially multispeciality E/M.
Posted 2 months ago
2 - 5 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2+ year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, exposure to radiology , ancillary worktypes.
Posted 2 months ago
3 - 4 years
6 - 7 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially emergency room coding, exposure to radiology , ancillary worktypes.
Posted 2 months ago
3 - 4 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Surgery Coding.
Posted 2 months ago
3 - 4 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Surgery Coding.
Posted 2 months ago
3 - 4 years
6 - 7 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Multi Speciality E/M coding.
Posted 2 months ago
2 - 6 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2+ year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Denial Coding.
Posted 2 months ago
3 - 4 years
6 - 7 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Denial Coding.
Posted 2 months ago
2 - 4 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2+ year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Surgery Coding.
Posted 2 months ago
2 - 4 years
4 - 5 Lacs
Chennai, Trivandrum
Work from Office
Responsibility 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 target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2+ year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Surgery Coding.
Posted 2 months ago
4 - 9 years
5 - 10 Lacs
Bengaluru, Coimbatore
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 to 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. Emergency department 12. Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1. Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2. Verify medical necessity & documentation accuracy. 3. Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4. Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6. Work with billing teams to correct errors before submission. 7. Provide feedback to medical coders to improve E&M coding accuracy. 8. Suggest best practices to avoid claim rejections Location : Bangalore, Coimbatore CTC Range : 5 10 LPA (Lakhs Per Annum) Notice Period : 30 Days Mode of Interview : Virtual Shift Timing : General Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432440 | WhatsApp 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************
Posted 2 months ago
6 - 8 years
6 - 11 Lacs
Chennai
Remote
MedVance Health: Pioneer in the Medical Coding Industry (EXCITING JOB OPENINGS - MULTIPLE POSITIONS - TEMPORARY WFH) As part of our strategic expansion, MedVance Health is excited to announce plans as we are into rapid expansion. With a strong presence in Chennai, Trivandrum, and Delhi, in addition to our operations in the United States and Sri Lanka, we are committed to growth and excellence in the field of medical coding. Career Opportunity in Medical Coding: Surgery Specialty (Temporary Work from Home - Chennai location) Open Positions: 1. Surgery Team Lead Experience - 6 to 12 Years Should be Currently working as designated Team Lead / SME / Group Coordinator / Trainer / ATL Experience with same-day, ambulatory, or general surgery coding Familiarity with the 1 to 6 series coding Immediate joiners preferred 2. IPDRG Auditor Experience - 6 to 12 Years Should have experience in IPDRG Coding and auditing Should be currently working as 3rd level auditor / Senior Auditor in IPDRG Immediate joiners preferred 3.SDS Coder Experience - 1 to 8 Years Experience with same-day, ambulatory, or general surgery coding Familiarity with the 1 to 6 series coding Requirements Any Medical Coding Certification is mandatory Candidates from South India are Preferred Candidates who are flexible work from Chennai location after 4 to 6 months alone can apply Additional Benefits: Yearly festival bonuses (twice a year) Attendance bonuses Certification renewal support Medical insurance Gratuity Incentives in accordance with company policy Exciting career opportunity who are ready to have fun@work on long term And much more! Work Schedule: Fixed weekends off Day shift Embrace this opportunity for career growth in a dynamic and rewarding environment. If you are interested, please send your resume to hiring@medkpo.com and srinivasan.rangarajan@medkpo.com For any inquiries, feel free to reach out via mobile or WhatsApp HR Dharini - 7305954636 HR Sandhiya - 6380682916 #CareerGrowth #Surgery #Coders #MedicalCoder #SeniorMedicalCoder #Trainer #TempWFH #TeamLead #SDS #Jobopportuinity#IPDRG Note - Immediate joiners preferred however someone who have got notice period can also apply
Posted 2 months ago
4 - 9 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 Responsibilities : 1.Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2.Verify medical necessity & documentation accuracy. 3.Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4.Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6.Work with billing teams to correct errors before submission. 7.Provide feedback to medical coders to improve E&M coding accuracy. 8.Suggest best practices to avoid claim rejections Location :Bangalore, Coimbatore CTC Range : 5 10 LPA (Lakhs Per Annum) Notice Period :30 Days Mode of Interview :Virtual Shift Timing :General Shift Mode of Work :Work From Office -- Thanks & Regards, Danuja Senior HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432443 | WhatsApp 9448845077 danuja@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************
Posted 2 months ago
2 - 6 years
2 - 6 Lacs
Mohali
Work from Office
Oversee and manage client medical and routine vision claims, ensuring compliance with CMS standards and optical billing regulations. Ensure timely and accurate processing of all client claims. Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement. Collaborate with clients to resolve complex billing issues and discrepancies. Review insurance EOBs and work with clients to address claim denials or underpayments. Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims. Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered Qualifications : Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services. Familiarity with Vision Plan Claims filing and optical-related billing. Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively. Detail-oriented, analytical, and highly organized, with the ability to manage multiple priorities. Problem-solving skills to identify, research, and resolve billing issues independently. Strong written and verbal communication skills, with a focus on providing excellent customer service. Ability to quickly adapt to new software programs and systems. Excellent interpersonal skills and the ability to build strong relationships with clients. Oversee and manage client medical and routine vision claims, ensuring compliance with CMS standards and optical billing regulations. Ensure timely and accurate processing of all client claims. Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement. Collaborate with clients to resolve complex billing issues and discrepancies. Review insurance EOBs and work with clients to address claim denials or underpayments. Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims. Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered Qualifications : Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services. Familiarity with Vision Plan Claims filing and optical-related billing. Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively. Detail-oriented, analytical, and highly organized, with the ability to manage multiple priorities. Problem-solving skills to identify, research, and resolve billing issues independently. Strong written and verbal communication skills, with a focus on providing excellent customer service. Ability to quickly adapt to new software programs and systems. Excellent interpersonal skills and the ability to build strong relationships with clients.
Posted 2 months ago
4 - 9 years
2 - 7 Lacs
Bengaluru
Work from Office
Audit on coded medical records for Surgery & Evaluation, Management (E&M) (IP & OP) Ensure compliance with ICD-10, CPT, HCPCS, payer-specific Identify, rectify coding errors, ensuring accuracy, completeness Collaborate with coders, physicians Required Candidate profile Stay updated on industry regulations and coding updates. Maintain quality benchmarks and coding standards. Generate audit reports and provide feedback for process improvement. Free Recruitment Perks and benefits Perks and Benefits
Posted 2 months ago
1 - 2 years
3 - 4 Lacs
Bengaluru
Work from Office
Dear All, Greetings from Flatworld Healthcare Services. WE ARE HIRING !! Hiring: Spravato/Mental Health Biller & Caller Location: Bangalore (In-office) Experience: 1-2 years Company: Finnastra Client: Flatworld Healthcare Solutions We are looking for a Spravato/Mental Health Biller & Caller with 1-2 years of experience in US healthcare RCM. The role involves billing, claims processing, denial management, and AR follow-ups for Spravato (Esketamine) & Mental Health services . Strong communication skills are required to interact with insurance companies, providers, and patients for timely reimbursement. Key Responsibilities: Process & submit Spravato/Mental Health claims Verify insurance eligibility & obtain prior authorizations Follow up on denied/rejected claims & resolve outstanding AR Ensure compliance with payer policies & HIPAA Skills Required: Experience in medical billing & coding (CPT, HCPCS, ICD-10) Strong knowledge of denial management & claim follow-up Familiarity with insurance portals, EHRs & clearinghouses Excellent communication & analytical skills Why Join Us? Competitive salary & incentives Work with global clients Growth opportunities in US healthcare RCM Interested candidates can share their CVs at pavan.v@finnastra.com or contact 9035473861 (Available between 11 AM - 9 PM ).
Posted 2 months ago
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