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0.0 - 1.0 years

14 - 16 Lacs

Coimbatore

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Position Overview: At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA, Inc. currently seeks a Medical Recs Coding & Transc. Senior Rep to join our team in Coimbatore . In this Role you will be Responsible For : The coder reads the documentation to understand the patients 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 Requirements 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/Pharm/Nursing Good knowledge in human Anatomy/Physiology 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend s basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client

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0.0 - 1.0 years

14 - 16 Lacs

Chennai

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In this Role you will be Responsible For : The coder reads the documentation to understand the patients 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 Requirements 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/Pharm/Nursing Good knowledge in human Anatomy/Physiology 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend s basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client

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0.0 - 1.0 years

14 - 16 Lacs

Chennai

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In this role you will be responsible for: The coder reads the documentation to understand the patients 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 Requirements 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/Pharm/Nursing - Good knowledge in human Anatomy/Physiology - 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools - Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. - Flexibility to accommodate overtime and work on weekend s basis business requirement. - Ability to communicate (oral/written) effectively in English to exchange information with our client. Must be a CPC-A Certified and working from office mandatory

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1.0 - 6.0 years

4 - 8 Lacs

Hyderabad, Coimbatore

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Cotiviti Hiring : IPDRG Coders at Coimbatore & Hyderabad Location Role : Auditor - CV Department : IPDRG Location : Coimbatore & Hyderabad Eligibility: Any Graduates with IPDRG experience of Min 1+ Years CIC / CCS Certification is Mandatory Good Communications Ready to work from Office Ready to work in rotational shifts Job Responsibilities : Perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical background to ensure appropriateness for reimbursement Respond to provider appeals. Respond to client logics and record reviews. Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations. Reports his/her work performance on a timely basis to the team lead. Works diligently to meet and exceed productivity and quality benchmarks. Takes charge of ongoing learning and development and participates in relevant training and development activities. Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as companys ability to resume operations from an office setting. Interested candidates can share your resume or call the below number for booking interview calls. A single phone call could brighten up your career in IPDRG Regards, Abdul Rahuman Talent Acquisition Team 9080276094 abdul.rahuman@cotiviti.com

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10.0 - 15.0 years

55 - 60 Lacs

Hyderabad, Bengaluru, Delhi / NCR

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Position Overview We are seeking an experienced Data Catalog Lead to lead the implementation and ongoing development of enterprise data catalog using Collibra. This role focuses specifically on healthcare payer industry requirements, including complex regulatory compliance, member data privacy, and multi-system data integration challenges unique to health plan operations. Key Responsibilities Data Catalog Implementation & Development Configure and customize Collibra workflows, data models, and governance processes to support health plan business requirements Develop automated data discovery and cataloging processes for healthcare data assets including claims, eligibility, provider networks, and member information Design and implement data lineage tracking across complex healthcare data ecosystems spanning core administration systems, data warehouses, and analytics platforms Healthcare-Specific Data Governance Build specialized data catalog structures for healthcare data domains including medical coding systems (ICD-10, CPT, HCPCS), pharmacy data (NDC codes), and provider taxonomies Configure data classification and sensitivity tagging for PHI (Protected Health Information) and PII data elements in compliance with HIPAA requirements Implement data retention and privacy policies within Collibra that align with healthcare regulatory requirements and member consent management Develop metadata management processes for regulatory reporting datasets (HEDIS, Medicare Stars, MLR reporting, risk adjustment) Technical Integration & Automation Integrate Collibra with healthcare payer core systems including claims processing platforms, eligibility systems, provider directories, and clinical data repositories Implement automated data quality monitoring and profiling processes that populate the data catalog with technical and business metadata Configure Collibra's REST APIs to enable integration with existing data governance tools and business intelligence platforms Required Qualifications Collibra Platform Expertise 8+ years of hands-on experience with Collibra Data Intelligence Cloud platform implementation and administration Expert knowledge of Collibra's data catalog, data lineage, and data governance capabilities Proficiency in Collibra workflow configuration, custom attribute development, and role-based access control setup Experience with Collibra Connect for automated metadata harvesting and system integration Strong understanding of Collibra's REST APIs and custom development capabilities Healthcare Payer Industry Knowledge 4+ years of experience working with healthcare payer/health plan data environments Deep understanding of healthcare data types including claims (professional, institutional, pharmacy), eligibility, provider data, and member demographics Knowledge of healthcare industry standards including HL7, X12 EDI transactions, and FHIR specifications Familiarity with healthcare regulatory requirements (HIPAA, ACA, Medicare Advantage, Medicaid managed care) Understanding of healthcare coding systems (ICD-10-CM/PCS, CPT, HCPCS, NDC, SNOMED CT) Technical Skills Strong SQL skills and experience with healthcare databases (claims databases, clinical data repositories, member systems) Knowledge of cloud platforms (AWS, Azure, GCP) and their integration with Collibra cloud services Understanding of data modeling principles and healthcare data warehouse design patterns Data Governance & Compliance Experience implementing data governance frameworks in regulated healthcare environments Knowledge of data privacy regulations (HIPAA, state privacy laws) and their implementation in data catalog tools Understanding of data classification, data quality management, and master data management principles Experience with audit trail requirements and compliance reporting in healthcare organizations Preferred Qualifications Advanced Healthcare Experience Experience with specific health plan core systems (such as HealthEdge, Facets, QNXT, or similar platforms) Knowledge of Medicare Advantage, Medicaid managed care, or commercial health plan operations Understanding of value-based care arrangements and their data requirements Experience with clinical data integration and population health analytics Technical Certifications & Skills Collibra certification (Data Citizen, Data Steward, or Technical User) Experience with additional data catalog tools (Alation, Apache Atlas, IBM Watson Knowledge Catalog) Knowledge of data virtualization tools and their integration with data catalog platforms Experience with healthcare interoperability standards and API management Location: Remote- Bengaluru,Hyderabad,Delhi / NCR,Chennai,Pune,Kolkata,Ahmedabad,Mumbai

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0.0 - 2.0 years

2 - 2 Lacs

Chengalpattu, Cheyyar, Chennai

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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 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 Vinodhini 7540052460 https://medi-code.in/

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0.0 - 2.0 years

1 - 2 Lacs

Ariyalur, Kumbakonam, Tiruchirapalli

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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 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 7200652461

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15.0 - 19.0 years

20 - 35 Lacs

Chennai

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Surgery-Ortho, IVR, GI and multispecialty.Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG

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2.0 - 4.0 years

2 - 5 Lacs

Chennai

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Looking for a skilled Senior Coder to join our team at Omega Healthcare Management Services Pvt. Ltd., with 1376576 being the reference number. The ideal candidate will have experience in coding and analytics, preferably in the healthcare industry. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and interpret medical information to determine appropriate codes. Assign correct codes using knowledge of coding systems and regulations. Collaborate with other healthcare professionals to clarify coding discrepancies. Maintain confidentiality and adhere to HIPAA guidelines when handling patient information. Stay updated with changes in coding regulations and guidelines. Job Strong knowledge of coding principles and practices, including E/M services. Experience with electronic health records (EHR) systems and software applications. Familiarity with ICD-10-CM/PCS, CPT, and HCPCS coding systems. Excellent analytical and problem-solving skills, with attention to detail. Ability to work accurately and efficiently in a fast-paced environment. Strong communication and interpersonal skills, with the ability to collaborate effectively.

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0.0 - 3.0 years

3 - 6 Lacs

Chennai

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We are looking for skilled Medical Data Abstractors to join our team at Omega Healthcare Management Services Pvt. Ltd., with 1358380 as the reference number. The ideal candidate will have a strong background in medical data abstraction and analysis, with excellent analytical and problem-solving skills. Roles and Responsibility Accurately and efficiently abstract medical data from various sources. Analyze and interpret complex medical information to identify trends and patterns. Develop and maintain databases and systems for storing and managing medical data. Collaborate with cross-functional teams to ensure data quality and integrity. Identify and resolve discrepancies or errors in medical data. Provide training and support to junior team members on data abstraction techniques. Job Strong knowledge of medical terminology and concepts. Excellent analytical and problem-solving skills. Ability to work accurately and efficiently in a fast-paced environment. Strong communication and interpersonal skills. Ability to collaborate effectively with cross-functional teams. Familiarity with database management systems and software applications.

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1.0 - 4.0 years

6 - 10 Lacs

Jaipur

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Clove Dental is looking for Oral Surgeon Professional to join our dynamic team and embark on a rewarding career journey A surgeon is a medical doctor who specializes in performing surgical procedures to treat injuries, diseases, and deformities through operative techniques Surgeons undergo extensive training, typically completing medical school followed by a residency program focused on surgery They possess advanced knowledge of human anatomy, physiology, and medical technology Surgeons work in various specialties such as general surgery, orthopedic surgery, neurosurgery, cardiovascular surgery, and more Their responsibilities include diagnosing patients, planning and performing surgical procedures, collaborating with other medical professionals, and providing post-operative care Surgeons require excellent technical skills, decision-making abilities, and communication skills to effectively manage complex medical conditions and ensure the best possible outcomes for their patients

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1.0 - 2.0 years

5 - 9 Lacs

Chennai, Thiruvananthapuram

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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 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. What You will need Minimum Qualification Any Life science, Paramedical Graduates and Postgraduates Minimum Experience and skills Minimum Experience: 1-2 years experience. A valid certification from AAPC or AHIMA 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 work types, E/M work types.

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1.0 - 5.0 years

2 - 6 Lacs

Noida, Bengaluru

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Specialty ED Facility Job Title Senior Coding Executive Job Description- Minimum 1 years of Medical Coding Experience. Strong Knowledge on coding appropriate ICDs, CPTs and HCPC Codes. Strong Knowledge to ensure in assign codes based on coding and customer guidelines. Hands – on Knowledge in CCI edits, LCD, NCD coverage determination etc. Strong Knowledge in Medical terminology, Human Anatomy and Physiology Knowledge of coding all CPT’s related to Simple Procedures - Both Pro/ Fac Laceration repair Incision and Drainage Foreign body removal Splint Fracture reduction Nail Procedures Epistaxis Cerumen Impaction removal Moderate Sedation Procedure Blood Transfusion Foley/ Straight Cath Placement Bladder Scan Fracture Care Intraosseous Line Placement TPA for Stroke PICC Lines Colposcopy Burn care Critical care guidelines for both Professional/Facility, Carve out time guidelines Critical Care drugs/ Procedures – Both Pro/ Fac CPR Intubation Central Line Placement Cardioversion Chest tube insertion Thoracotomy Tracheostomy Insertion Pacemaker Insertion ED Facility - Infusions + Injections: Hierarchy of injection, infusion, and Hydration guidelines Vaccination coding Drugs given for procedures like CPR, intubation cannot be captured separately Hydrations will be captured at any rate unless documented as TKO or KVO. Do not capture if listed as TKO or KVO Hydration given at the same time as a blood transfusion/ Infusion of any drug- The hydration charge will not be captured unless the documentation supports the administration of the hydration was in a different site. Dx to cover medical necessity of hydration Modifiers: Sound Knowledge on modifiers (XU, 52,53, 76, 77.) Location specific modifiers Strong in level of service determination with 1995 & 1997 documentation guidelines and should have proficiency in ED Profee/ Facility ACEP point calculation. Strong knowledge in Observation service coding Maintaining a quality threshold of 97% and meeting the client expectations. Maintaining 100% production from day 1 (per ramp) Note - Certification is Mandatory & Looking for immediate Joiner's Interested candidates can reach out to below mentioned details Manish.d@corrohealth.com 7989230180

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3.0 - 8.0 years

5 - 10 Lacs

Chennai

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Quality Analyst in HCC Medical Coding Chennai More Details Quality Analyst in HCC Medical Coding - Chennai Quality Analyst in HCC Medical Coding Chennai Job Description: We are seeking an experienced and detail-oriented Quality Analyst with strong expertise in HCC Medical Coding . The QA will be responsible for auditing coded charts, ensuring coding accuracy and compliance with CMS guidelines, and supporting coders to improve performance through feedback and education. Medical Coding and Billing Services Healthcare Campus-10, 4th FLoor Unit 402, RMZ One Paramount, Poonamallee High Road, Porur, Chennai 600116 9am 6pm, day / 9pm 6am, Night Based on Experience Responsibilities: Perform quality checks on HCC (Hierarchical Condition Category) medical coding processes to ensure accuracy, consistency, and compliance with industry standards. Review medical records and coding documentation to identify any discrepancies or errors. Provide feedback and training to coding professionals to improve their accuracy and efficiency. Conduct audits on medical coding, ensuring adherence to relevant coding guidelines (CMS, ICD-10-CM, etc.). Collaborate with coding teams to resolve coding discrepancies and ensure proper coding practices. Monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time. Work closely with the team to ensure consistent coding practices across all clients. Stay up to date with the latest HCC coding guidelines, updates, and industry standards. Generate reports and track metrics to highlight areas for improvement in coding practices. Skills: Good communication skills for providing feedback and training to coding professionals. Proficient in Microsoft Office tools (Excel, Word) and coding software. Ability to work independently and in a team environment. Qualifications: In-depth knowledge of ICD-10-CM, CPT, HCPCS, and HCC coding guidelines. Strong understanding of healthcare compliance regulations, including CMS guidelines. Attention to detail and ability to identify coding errors or inconsistencies. Analytical mindset with the ability to generate reports and analyze trends. Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum 3 years of experience in HCC Medical Coding. Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development and continuing education support Apply for this position Allowed Type(s): .pdf, .doc, .docx By using this form you agree with the storage and handling of your data by this website. *

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3.0 - 8.0 years

5 - 10 Lacs

Coimbatore

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Quality Analyst in HCC Medical Coding Coimbatore More Details Quality Analyst in HCC Medical Coding Quality Analyst in HCC Medical Coding Coimbatore Job Description: We are seeking an experienced and detail-oriented Quality Analyst with strong expertise in HCC Medical Coding . The QA will be responsible for auditing coded charts, ensuring coding accuracy and compliance with CMS guidelines, and supporting coders to improve performance through feedback and education. Industry: Medical Coding and Billing Services Healthcare Location: Office 1 & 2, Fourth Floor, Elcot Sez, Villangurichi Road, Civil Aerodrome Post, Coimbatore, Tamil Nadu, India 641004 Work Hours: 9am 6pm, day / 9pm 6am, Night Employment Type : Full Time Salary : Based on Experience Responsibilities: Perform quality checks on HCC (Hierarchical Condition Category) medical coding processes to ensure accuracy, consistency, and compliance with industry standards. Review medical records and coding documentation to identify any discrepancies or errors. Provide feedback and training to coding professionals to improve their accuracy and efficiency. Conduct audits on medical coding, ensuring adherence to relevant coding guidelines (CMS, ICD-10-CM, etc.). Collaborate with coding teams to resolve coding discrepancies and ensure proper coding practices. Monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time. Work closely with the team to ensure consistent coding practices across all clients. Stay up to date with the latest HCC coding guidelines, updates, and industry standards. Generate reports and track metrics to highlight areas for improvement in coding practices. Skills: Good communication skills for providing feedback and training to coding professionals. Proficient in Microsoft Office tools (Excel, Word) and coding software. Ability to work independently and in a team environment. Qualifications: In-depth knowledge of ICD-10-CM, CPT, HCPCS, and HCC coding guidelines. Strong understanding of healthcare compliance regulations, including CMS guidelines. Attention to detail and ability to identify coding errors or inconsistencies. Analytical mindset with the ability to generate reports and analyze trends. Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum 3 years of experience in HCC Medical Coding. Benefits: Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development and continuing education support To Apply: Submit your resume to recruitment@medcodeservices.com Include your certification and any relevant experience in the healthcare field. Job Category: QA Job Type: Full Time Job Location: Coimbatore Apply for this position Allowed Type(s): .pdf, .doc, .docx By using this form you agree with the storage and handling of your data by this website. *

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6.0 - 8.0 years

8 - 12 Lacs

Vellore

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As A Medical Coding Associate (MCA) at WWS you will be responsible for assigning the appropriate code to describe a particular type of service to a patient. Ensuring that the codes are appropriately applied during the insurance process of billing, including removing the information from documentation, assigning the appropriate codes, and creating a claim for reimbursement.. What We Expect. Any Life Science Graduate.. Proficient computer skills.. Ability to understand Medical Terminologies (Physiology and Anatomy) is a great advantage.. Good communication and analytical skills.. Should have 3+ years of experience in medical coding.. Flexibility in shifts is appreciated.. A Medical Coder’s Ideal Day at WWS. Review patient information.. Converging compliance.. Input medical codes.. Audit codes.. What You Can Expect. Full-time, salaried position creamed with welfare programs.. Competitive salary and module specific training in the core space with recognition potential and annual bonus.. Performance appraisals.. Attendance Incentives.. Working with the best talent in the industry. Conducive intangible environment with dynamic benefits.. Why Consider a Medical Coding Career With WWS?. With a very appealing work environment at WWS, our setting made it easier to build relationships with other staff members and clients. You may also have an opportunity to learn other aspects of medical office work on the job, which can enhance your experience and qualifications.. The U.S. Bureau of Labour Statistics (BLS) projects that employment of medical secretaries, including medical coders, will grow 34% between 2016 and 2026, which is much faster than the average for all professions. This strong job outlook can make it easier for qualified coders to find work.. Benefits. Competitive salary and benefits package. Opportunity to lead a team. Chance to make a real impact. Contact us on recruiter@wonderws.com / 9047477375.. Show more Show less

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2.0 - 5.0 years

3 - 4 Lacs

Gurugram

Remote

Oncology | Prior Authorisation | Eligibility Verification Oncology & 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 Job Summary Minimum 3-5 Years of experience in Pre Authorization and Eligibility Verification (Voice process). Should have worked in Verification of Eligibility and Benefits and also involved in Patient Authorization calling. Should have excellent communication Skill. Required Candidate Profile Prior Work Experience in Eligibility Verification and Pre Authorization is mandatory. Candidates serving a notice period or immediate joiners are preferred. Willing to work in Night Shifts. Job Specification The chosen candidate should have Candidate should have in-depth knowledge of doing Pre-Authorization and Patient Eligibility Verification. End-to-end RCM knowledge Experience working on PMS applications like EPIC, CERNER, NextGen and ECW would be an added advantage Candidate should have their laptop and Wi-Fi as this will be complete WFH. Desired Skills/Experience Excellent verbal and written communication skills Proficient in EV & PRior Auth with In-depth knowledge Graduate with any specialization To Apply - Interested candidates can get in touch on 9599552766 or can send CV on Simran HR- Sthapa@valerionhealth.in

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0.0 - 2.0 years

2 - 3 Lacs

Noida

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Savista is looking for Coder to join our dynamic team and embark on a rewarding career journey Plan, organize, and oversee daily operations and projects within a department or team Act as a liaison between internal teams, clients, or vendors to ensure effective communication and timely task execution Track project timelines, schedules, and resource allocation to maintain workflow efficiency Prepare reports, maintain documentation, and ensure compliance with organizational policies Resolve issues, address queries, and provide administrative support as needed Continuously evaluate processes and suggest improvements to enhance productivity and coordination

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1.0 - 3.0 years

2 - 5 Lacs

Pune

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Proven experience in training or mentoring others in medical coding Strong Knowledge of ICD-10, CPT, HCPCS Excellent verbal and written skills Ability to work independently and collaboratively within a team Minimum 6 months of experience as medical coding trainer Should be CPC certified. Responsibilities: Deliver engaging and interactive training sessions to individuals and groups Provide hands-on coding practice and real-world case studies to reinforce learning objective Stay updated with changes and updates in coding guidelines, regulations, and industry trends Train candidates for the CPC exam Evaluate training effectiveness through assessments and feedback mechanisms, and make continuous improvements to the training program Mentor and support participants in developing coding skills and problem-solving resources MedeXCode Solutions, 1st Floor, Amit Plaza, Subhash Nagar, Hadapsar, Pune 411028

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1.0 - 6.0 years

4 - 8 Lacs

Chennai

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Graduation, life science background preferably Bio Chemistry, Microbiology, Physiotherapist, Pharma and Nursing Minimum of 1 year performing Surgery coding Strong Anatomy/Physiology KnowledgeWilling to work for Rotational shifts Accurately code physician practitioner services/Ambulatory surgical centre/Same day surgery through review of medical record documentation and encounter formsAssign CPT procedure codes, ICD-10 diagnosis codes, modifiers based on documentation requirements and LCD/NCD/NCCI/MUE policiesWorking knowledge on Surgery Section of simple, moderate and complex procedures Experience in coding surgical modifiers and HCPCS codingShould possess good reading skills, to read and understand the operation reportUnderstand the client requirements and specifications of the projectEnsure that deliverable to the client is adhered to the quality standards

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6.0 - 10.0 years

9 - 10 Lacs

Chennai

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Minimum 6- 10 years of work experience in IPDRGMust be CPC Certified Good Typing speed and keyboard skills Good reasoning and analytical skillsTeam leader and SMEData analysis skills Good Root Cause Analysis capabilitiesExcel and MS Office skills Good Communication skills Adaptability to work in different shifts, teams and roles Disciplined and systematic approach to daily workStability Meticulously monitor the team s activities, ensuring adherence to coding guidelinesEnsure to maintain client SLA on productivity and quality by following the TATWorking knowledge on Surgery Section of simple, moderate and complex proceduresExperience in coding surgical modifiers and HCPCS coding Should possess good interpretation skills for both documents and client e mailsUnderstand and deliver the client requirements and specifications of the projectShould maintained streamlined workflow for the respective projectConduct regular dipstick audits and process related audits to ensure things are on right trackConduct ongoing education and training to coding staff, ensuring their coding accuracy and compliance proficienyConduct regular connect with the coders and provide constant feedbacks to improve their quality standardsOJT for new joiners specific to project and constant support during ramp phase to be providedHas to be compliant to HIPAA and CMS guidelines such as non disclosure of PHIEffectively collaborate with the stakeholders to clear any discrepancies in any coding accountShare the RCA and POA for any errors from the team mate and ensuring to adhere to the action planHandle excel, PPT and have proficiency to share reportsBe available for all client calls

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1.0 - 2.0 years

4 - 5 Lacs

Chennai, Thiruvananthapuram

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Job Family : Coding OP (India) Travel Required : None Clearance Required : None 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. 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. What You will need Minimum Qualification Any Life science, Paramedical Graduates and Postgraduates Minimum Experience and skills Minimum Experience: 1-2 years experience. A valid certification from AAPC or AHIMA 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 work types, Denial work types.

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3.0 - 7.0 years

6 - 7 Lacs

Chennai, Thiruvananthapuram

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Job Family : Coding OP (India) Travel Required : None Clearance Required : None 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. 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. What You will need Minimum Qualification Any Life science, Paramedical Graduates and Postgraduates Minimum Experience and skills Minimum Experience: 3-7 years experience. A valid certification from AAPC or AHIMA 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 work types, Denial work types.

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3.0 - 6.0 years

8 - 11 Lacs

Chennai, Thiruvananthapuram

Work from Office

Job Family : Coding OP (India) Travel Required : None Clearance Required : None 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. 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. What You will need Minimum Qualification Any Life science, Paramedical Graduates and Postgraduates Minimum Experience and skills Minimum Experience: 3-6 years experience. A valid certification from AAPC or AHIMA Basic Skill set: Strong ability to interpret medical records of the patients in different specialties.

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0.0 - 2.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Candidate We are looking for a highly experienced and dynamic IP DRG Coder /Senior Coder Job Title: IP DRG (Coder / Senior Coder Location: Chennai, India Experience: 1 To 10 Years (Minimum 1year in IP DRG specialization) Requirements:- Over 1 to 10 + years of experience in medical coding, exclusively in IP DRG coding. Seeking candidates with a minimum of 10 years of experience. Proven expertise in managing P&L and driving business outcomes in Inpatient market. Certification in medica coding ( AHIMA or AAPC) added advantage Join our team at Chennai location Work from Office Interested candidates, Get in touch 7397647886 (mobile and watsapp) for a further information. Contact Person: HR Rumal Sakthi - 7397647886 Email id - Rumal.Sakthi@omegahms.com Regards, Rumal Manager - TA

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