309 Hcpcs Jobs - Page 4

Exciting Career Opportunity at CorroHealth! We are currently hiring experienced and certified IVR Medical Coders to join our dynamic team across multiple locations. Position IVR Medical Coder Work Location NCR, Bangalore, Chennai, Hyderabad Mode: Work from Office Notice Period Immediate Joiners Preferred Notice Period Accepted: Up to 1 Month Eligibility Criteria Certification: Only CIRC Certification is mandatory Other Certification not eligible Experience: Prior experience in IVR medical coding is highly desirable Why Join Us? Competitive salary Best in the industry Opportunity to work with a leading healthcare solutions provider Collaborative and growth-oriented work environment Contact HR: Name: Vinitha Phone: +91 91500 46898 Email: vinitha.panneer@corrohealth.com

Position Responsibilities - 1. Thorough understanding of the contents of medical record in order to identify information to support coding. 2. Basic knowledge of anatomy & physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded. 3. Basic understanding of claims form and reimbursement process. 4. Abstracts pertinent information from patient medical records. Assigns ICD-10-CM, CPT/HCPCS codes, and modifiers. 5. Utilizing CCI edits, LCD policies, CPT and Clinical guidelines while assigning codes. 6. Reviews denials for coding lapses and suggests coding changes for corrective and preventive (root cause) action by DHT (denial handling team) team. 7. Actively reviews denials and research to create claims scrubber edit which will prevent specific coding denials permanently. 8. Notifies Coding Manager/Account Manager or designated individual when reports are incomplete, and code assignments are not straightforward or documentation is inadequate and updates relevant logs. 9. Keeps self-updated of coding guidelines and federal reimbursement requirements, actively participates in and contributes to coding team presentations on Advance/Refresher Coding topics 10. Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA) and adheres to official coding guidelines. Position Qualifications - Must be a graduate, preferably in Life Science, with basic training in medical transcription or medical coding, or coding certificate program with AAPC/AHIMA certification status (CIRCC/CPC/COC)/CCS) preferred. Must be ICD-10 certified.

Job Family : Coding OP (India) Travel Required : None Clearance Required : None What You will do 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. What you will Need Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 3-4 years experience. AAPC/AHIMA certification 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. What Would be Nice to Have 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.

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. What you will Need Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 1-2 years experience. AAPC or AHIMA certification 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. What would be Nice to Have: 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.

Greetings from CorroHealth !! We are hiring Prospective HCC coders Eligible criteria : Experience : 3+ Years Open Position : QA Certification mandatory (CPC,CRC,CCS,..) Expectation : Should have experience in provider risk adjustment, prospective review/concurrent. Work location : Bangalore/Chennai Salary : Best in industry Shift : Day *******Work From Office Only***** Interested Candidates share your resume Reshma HR - 9361279443

Renai Medicity is looking for Senior Neuro Surgeon to join our dynamic team and embark on a rewarding career journeySpecializes in the surgical treatment of conditions affecting the brain, spinal cord, and nervesResponsibilities 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.

Primary Responsibilities: Lead a team of 75-90 certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities Performance Management Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies 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 in any discipline Experience in Performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, Foster Teamwork, Handles Pressure, Giving Feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc) Proven ability to operate basic office equipment (copier and facsimile machine) Preferred Qualifications: Graduate of Life science Certified Professional Coder / Certified Coding Specialist with 2 years 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. #NJP

Assign accurate ICD-10-CM, CPT, and HCPCS codes for surgical procedures; ensure compliance with coding guidelines; verify and abstract data from medical records in outpatient surgery and hospital settings. Required Candidate profile 2–4 years in surgical coding; proficiency in ICD-10-CM, CPT, HCPCS; knowledge of AMA, AHA, CMS guidelines; strong analytical skills; CPC or equivalent certification preferred.

About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: This Manager / Senior Manager - Learning & Development (L&D) role at CoverSelf is a fantastic opportunity for a seasoned professional passionate about Medical Coding and US Healthcare Payment Integrity . Based in Jayanagar, Bangalore , youll be joining a rapidly growing HealthTech company focused on revolutionizing US healthcare payment integrity through a next-gen, cloud-native platform. Why This Role is for You: At CoverSelf, you wont just be delivering training; youll be building a future-ready L&D function from the ground up. This means leading the charge on: Pioneering Medical Coding & Payment Integrity Training: Design and deliver cutting-edge programs on claim lifecycle, fraud/waste/abuse (FWA), overpayment recovery, and critical compliance standards like HIPAA, ICD-10, CPT, and HCPCS Level II . Youll engage learners with real-world case simulations and hands-on coding practice. Driving AI-Enabled Learning: Be at the forefront of integrating AI tools to accelerate content creation, documentation, and learning analytics. Youll train employees on effective AI usage, fostering a culture of innovation. Shaping Learning Infrastructure: Lead the end-to-end setup and administration of our Learning Management System (LMS), creating structured learning paths and dashboards that drive employee growth. Strategic Upskilling & Development: Proactively identify skill gaps with business leaders and orchestrate impactful upskilling programs, bringing in the best industry trainers. Impactful Onboarding: Design and deliver standardized induction and On-the-Job Training (OJT) programs, ensuring a smooth and effective transition for all new hires. Who Were Looking For: Were seeking a dynamic individual with: 10+ years (Manager) / 13+ years (Senior Manager) in L&D or Medical Coding Training. A strong Medical/Life Science background (MBBS, BDS, BSN, B.Pharm, M.Pharm, PharmD, Life Science Degree). Mandatory certifications such as CPC, CPMA, COC, CIC, CPC-P, CCS or other AHIMA/AAPC certifications. Specialty coding certifications are a significant plus. Proven experience with LMS setup and content development . Deep expertise in Medical Coding & Billing methodologies (CPT, ICD, LCD/NCD, PTP, NCCI edits, modifiers). A solid understanding of Payment Integrity concepts and Denials Management . Experience leveraging AI tools and strong prompt writing skills. Excellent instructional design, documentation, and communication abilities. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best-in-class compensation. Health insurance for Family. Personal Accident and Life Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more! Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.

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 Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Fresher & 7+ months of experience in Medical coding 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 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.

Roles and Responsibilities Accurately code medical records using ICD-10-CM/PCS, CPT, HCPCS codes. Ensure compliance with AAPC guidelines for coding accuracy and completeness. Review and edit medical records to ensure accurate diagnosis and procedure coding. Maintain confidentiality of patient information at all times. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding. Desired Candidate Profile 1-5 years of experience in medical coding (ICD-10-CM/PCS & CPT). Strong knowledge of anatomy, physiology, pathology, pharmacology, and medical terminology. Proficiency in AAPC certification preferred; CPC certified candidates will be considered. Interested candidates may WhatsApp their resume to 9063520022

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, PHARMACY B.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDICAL, 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 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 Deepika 9880650498 https://medi-code.in/

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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals 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. **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. Requirements for this role include: 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: 3+ 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.

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. **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. Requirements for this role include: 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.

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. Whay You Will Need: Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 1-2 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. What Would be Nice to Have: 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. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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. What You will Need: Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 1-2 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. Whay Would be Nice to Have: Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially in E/M IP worktypes. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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. What You will Need: 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. What Would be Nice to Have: 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 E/M IP worktypes. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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. What You Will Need Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 1-2 year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. What Would be Nice to Have: 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 in Dental worktypes. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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 Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. What Would be Nice to Have: 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. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

We are seeking an experienced and knowledgeable Subject Matter Expert (SME) in Medical Coding with a specialization in Oncology. The SME will provide expert guidance and support in oncology medical coding, ensuring accuracy and compliance with coding standards and regulatory requirements. This role involves collaborating with clinical staff, coding teams, and other stakeholders to enhance coding practices and maintain high-quality coding standards. Key Responsibilities: Expert Coding Guidance: Serve as the primary resource for oncology coding inquiries, providing expert advice on coding practices, guidelines, and regulations. Review and validate oncology-related medical codes to ensure accuracy and adherence to coding standards. Coding Process Management: Develop, implement, and refine coding practices and workflows specific to oncology. Monitor coding accuracy and productivity, providing feedback and recommendations for improvement. Compliance and Regulation: Ensure all oncology coding activities comply with relevant regulations, including ICD-10, CPT, and HCPCS codes. Stay updated with changes in coding regulations and industry best practices, integrating these updates into coding procedures. Training and Development: Conduct training sessions and workshops for coding staff on oncology coding practices and updates. Create and maintain coding reference materials, guidelines, and documentation. Collaboration and Communication: Collaborate with oncologists, clinical staff, and coding teams to address and resolve complex coding issues. Communicate effectively with internal and external stakeholders to ensure accurate and efficient coding practices. Quality Assurance and Auditing: Perform regular audits of oncology coding activities to ensure accuracy and compliance. Address and resolve any discrepancies or issues identified during audits, implementing corrective actions as necessary. Reporting and Analysis: Prepare and present reports on coding metrics, trends, and performance related to oncology. Analyze coding data to identify areas for improvement and provide actionable recommendations. Qualifications: Bachelors degree in Medical. 5 years of experience in medical coding with a focus on oncology. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or other relevant certification required. In-depth knowledge of oncology-specific coding guidelines, including ICD-10, CPT, and HCPCS codes. Strong analytical, problem-solving, and decision-making skills. Excellent communication and interpersonal skills, with the ability to effectively collaborate with clinical and coding teams. Proficiency in coding software, Electronic Health Records (EHR) systems, and Practice Management Systems (PMS).

Job Title: AR Follow-ups Analyst US Healthcare Location: [Gurugram] Salary: Up to 7 LPA Working Days: Monday to Friday (Saturday & Sunday Fixed Off) Transport: Both Side Transport Provided Job Description: We are hiring experienced AR Follow-ups Analysts with a background in US Healthcare to join our dynamic revenue cycle management team. This role is ideal for candidates with strong analytical skills and a passion for resolving complex accounts receivable issues from the hospital or physician side . Key Responsibilities: Perform accounts receivable follow-ups with insurance companies to ensure timely payments. Analyze and resolve denied claims, underpayments, and unpaid accounts. Work on hospital or physician billing (as per assigned client). Document call activities and findings in appropriate systems. Meet daily and monthly productivity and quality targets. Escalate unresolved claims to the appropriate departments. Required Skills & Qualifications: Minimum 1 year of experience in US Healthcare AR Follow-ups (hospital or physician side). Graduation in any discipline is mandatory. Familiarity with denial management, CPT codes, ICD-10, and insurance guidelines. Strong communication and interpersonal skills. Ability to work in a fast-paced, process-driven environment. Perks & Benefits: Competitive salary up to 7 LPA based on experience. Both side transport facility provided. Fixed weekends off Work-life balance ensured. Opportunities for growth and learning in a leading healthcare BPO. Apply Now: If you meet the above criteria and are looking for a rewarding opportunity in the US healthcare domain, call or Whatsaap your resume at 6291864166

Job Opening: Denial Medical Coder (CPC Certified) Location: Noida, India Experience: 1+ Years Certification Required: CPC (AAPC Certified) About the Role: We are seeking a skilled and detail-oriented Denial Medical Coder with over 1 year of experience to join our dynamic healthcare team in Noida. The ideal candidate will be CPC certified and have a strong understanding of denial management, coding guidelines, and insurance claim processes. Key Responsibilities: Analyze and resolve denied medical claims. Review and code medical records using ICD-10, CPT, and HCPCS codes. Ensure compliance with federal regulations and coding guidelines. Collaborate with billing teams to resubmit corrected claims. Maintain accurate documentation and coding records. Requirements: Minimum 1 year of experience in Denial Medical Coding. CPC Certification (AAPC) is mandatory. Strong knowledge of medical terminology, anatomy, and coding systems. Excellent analytical and communication skills. Ability to work independently and in a team environment. Perks & Benefits: Competitive salary and performance incentives. Health insurance and wellness programs. Friendly and collaborative work culture. Interested candidates contact us 8688383271 || Mamatha.Balannagari@corrohealth.com

Job Title: Nurse - Cath Lab Company Name: Manipal Hospitals Job Description: We are seeking a dedicated and skilled Nurse for our Cath Lab at Manipal Hospitals. The ideal candidate will be responsible for providing exceptional nursing care to patients undergoing cardiovascular procedures. Key responsibilities include preparing and monitoring patients before, during, and after procedures, assisting physicians during interventions, providing patient education, and ensuring the overall safety and comfort of patients in the Cath Lab. The nurse will also collaborate with a multidisciplinary team to deliver high-quality care and assist in the efficient operation of the unit. Skills and Tools Required: - Relevant nursing qualifications and licensure - Strong knowledge of cardiovascular anatomy and physiology - Experience in a Cath Lab or similar clinical setting - Proficiency in monitoring and interpreting cardiac rhythms - Familiarity with electrophysiological studies and interventional procedures - Excellent critical thinking and problem-solving skills - Ability to work in a fast-paced environment and manage multiple tasks - Strong communication and interpersonal skills for patient interaction and team collaboration - Basic life support (BLS) and advanced cardiovascular life support (ACLS) certification - Proficient in the use of medical equipment and technology relevant to cardiac procedures - Commitment to ongoing education and professional development in nursing and cardiology Candidates who possess a compassionate approach to patient care and a commitment to continuous improvement in clinical practices are encouraged to apply. Join our team at Manipal Hospitals and make a difference in the lives of patients undergoing critical cardiovascular interventions. Roles and Responsibilities About the Role: The Nurse - Cathlab at Manipal Hospitals will play a pivotal role in supporting cardiovascular procedures. This position involves assisting physicians during catheterization procedures, monitoring patient vitals, and ensuring a sterile environment. You will be responsible for delivering high-quality patient care and maintaining a safe environment in the Cathlab. About the Team: You will be part of a specialized team comprised of catheterization lab staff, cardiologists, and support personnel. The team fosters a collaborative approach to patient care, emphasizing communication and teamwork. Continuous professional development and training are key components of the team's culture. You are Responsible for: Preparing patients for procedures and ensuring they understand the process. Assisting during catheterization and interventional procedures by providing necessary tools and support. Monitoring patients' conditions pre, during, and post-procedure, and documenting relevant information. Maintaining the cleanliness and organization of the Cathlab equipment and environment. To succeed in this role – you should have the following: A valid nursing license and relevant experience in a Cathlab or similar environment. Strong clinical skills and knowledge in cardiac care and interventional procedures. Excellent communication and interpersonal skills to effectively interact with patients and team members. A commitment to delivering compassionate care and an ability to work effectively under pressure.

Primary Responsibilities: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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: Education Background: Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certification: Certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P 10+ years of coding experience with about 3+ years of experience as a Team Lead Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Knowledge of organizational structure, workflow, and operating procedures Proficient in healthcare reimbursement methodologies\ Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to manage and enable teams to reach their goals Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness

Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus We are hiring fresh graduates as well as experienced resources