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1 - 6 years

1 - 5 Lacs

Noida, Gurugram

Work from Office

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R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 10-May-25 (Saturday) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners & Candidates having relevant experience US Healthcare AR Caller/Follow UP can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

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1 - 4 years

1 - 4 Lacs

Coimbatore

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In this Role you will be Responsible for The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include 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 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 basis business requirements. Need to return to office when NTT Data provides communication related to that.During training you will be asked to work from office * Career Arch Job code Overview and General duties and tasks For Internal Reference Only

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1 - 4 years

3 - 7 Lacs

Coimbatore

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In these roles, you will be responsible for The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Following strict coding guidelines within established productivity standards. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include 4 + years of experience working with CPT and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. Coding certification is Mandatory, should have exposure in Radiology Should have experience in auditing and should play an mentor role for freshers 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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1 - 4 years

1 - 4 Lacs

Coimbatore

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In this Role you will be Responsible For The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes 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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1 - 4 years

3 - 5 Lacs

Coimbatore

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In these roles, you will be responsible for The coder reads the documentation to understand the patient's diagnoses assigned Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders Medical coding allows for Uniform documentation between medical facilities The main task of a medical coders is to review clinical statements and assign standard Codes Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Following strict coding guidelines within established productivity standards. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include 5 + years of experience working with CPT and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. Coding certification is Mandatory, should have exposure in Anesthesia Should have experience in auditing and should play an mentor role for freshers 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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1 - 4 years

2 - 6 Lacs

Coimbatore

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In this Role you will be Responsible for Should have experience in Radiology coding The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include 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 basis business requirements. It is Mandatory to return to office based on client or business requirement.

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1 - 6 years

1 - 5 Lacs

Salem, Chennai, Tiruchirapalli

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Job description Senior Medical coder Specality : Ed profee &Facility , Surgery Coding , Radiology Both certified and Non Certified Work Location: Chennai , Trichy , Salem Experience Required: 1 to 6 years Job Responsibilities: We are looking for a Medical Coder to join our team to assist us in coding for insurance claims and databases. The Medical Coder will display motivation, be detail-oriented and have outstanding people skills that help them navigate any situation with ease. Responsibilities Account for coding and abstracting of patient encounters Research and analyze data needs for reimbursement Make sure that codes are sequenced according to government and insurance regulations Ensure all medical records are filed and processed correctly Analyze medical records and identify documentation deficiencies Serve as resource and subject matter expert to other coding staff Review and verify documentation for diagnoses, procedures and treatment results Identify diagnostic and procedural information Required Skills & Qualifications: Coding Knowledge Familiarity with CPT, ICD-10, and HCPCS codes. Experience in RCM (Revenue Cycle Management) Perks and Benefits: Competitive salary and incentives Training and career growth opportunities Supportive work environment Apply Now! Don't Miss This Exciting Opportunity! Please share your updated Resume to Nivetha HR @ 7200450038 or Aashwiny HR @ 7200152078

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1 - 6 years

1 - 5 Lacs

Noida, Gurugram, Delhi / NCR

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Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Days : Saturday ( 10th May 25 ) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 9, 7th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

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1 - 5 years

0 - 3 Lacs

Chennai

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Note: ONLY Certified medical coders can apply. (AAPC- CRC, CPC, CIC, COC OR AHIMA-CCS certified ) Location: Chennai Mode: Work from office only Essential Duties and Responsibilities : The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Education and/or Work experience : Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified. Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.

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1 - 5 years

3 - 6 Lacs

Chennai

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Greetings from Shearwater Health !!!! Job Title: Senior Medical Coder (CPC/CCS Certified) Experience Level: 1-5 Years Industry: Healthcare Job Type : On-site Location: Shearwater Health - 3rd Floor, We works, Olympia cyberspace, Arulayiammanpet, SIDCO Industrial Estate, Guindy, Chennai, Tamil Nadu 600032. Walk-in date : 12-05-2025 to 14-05-2025 Time: 12 PM TO 4 PM CONTACT HR : Sunil/ Deepthi Job Summary: We are seeking a detail-oriented and CPC-certified Medical Coding Specialist to join our healthcare team. The ideal candidate will have 1-5 years of experience in medical coding, a strong understanding of healthcare documentation, and the ability to work efficiently in a fast-paced environment. This role involves assigning accurate medical codes for diagnoses, procedures, and services performed by healthcare providers. Key Responsibilities: Review clinical documents and assign appropriate CPT, ICD-10-CM, and HCPCS codes. Ensure compliance with federal regulations and coding guidelines. Collaborate with healthcare providers and billing teams to clarify documentation. Maintain up-to-date knowledge of coding standards and industry regulations. Meet daily/weekly productivity and accuracy targets. Participate in audits and quality assurance reviews. Qualifications: CPC /CCS certification is mandatory. 1-5 years of hands-on experience in medical coding. Strong analytical and communication skills. Ability to work independently and maintain confidentiality. Preferred Skills: Experience with Profee coding. Knowledge of payer-specific requirements. For more Queries reach out to sunilkumarr@swhealth.com/ dsai@swhealth.com & Whatsapp- 9944611974 / 9944611634

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3 - 5 years

10 - 12 Lacs

Bengaluru

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Review denied and underpaid claims using EOBs (Explanation of Benefits) and Remittance Advice (RA) Identify the reason for denial—coding errors, authorization issues, eligibility, timely filing, etc. Document all actions taken in the billing software Required Candidate profile 3-5 yrs of exp in U.S. Healthcare AR / Denial Mgmt Knowledge of U.S. insurance types: Medicare, Medicaid & commercial payers CPT, ICD 10, HCPCS codes RCM tools & billing platforms HIPAA compliance.

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