310 Hcpcs Jobs - Page 9

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines 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: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates 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, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information 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 #NTRQ Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment 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 everyone of every race, gender, sexuality, age, location and income deserves 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awareness: strives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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 fresher or experience in medical coding or with any other previous experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone If experience in Medical Coding G23 (0 to 1 year) 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awareness: strives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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 Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview or offer process 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

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing 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 Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems 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: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG 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 #NTRQ

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, 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 #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria: SG 22 can apply will move laterally Performance rating in the last common review cycle of Meets Expectations or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Lead a team of 25-30 certified coders. Maintains staff by recruiting, selecting, orienting, 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 of handling HCC team (QRAO) for 2+ years as assistant manager or working as deputy manager 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) 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

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing 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 Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems 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: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG 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

Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT && HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Qualification & Specifications : MBBS,BDS,BHMS,BAMS,BSMS,PHARMACYB.Sc/M.Sc (Life Sciences / Biology / Bio Chemistry / Micro Biology / Nursing / Bio Technology), B.P.T, B.E BIOMEDIAL, B.Tech (Biotechnology/Bio Chemistry). 2020 -2024 passed out Skills Required: * Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy). Role: To review US medical records Initial file review for identifying merits Subjective review and analysis to identify instances of negligence, factors contributing to it To review surgical procedures, pre and post-surgical care, nursing home negligence To prepare medical submissions To prepare the medical malpractice case Regards Kowshika 7200652461

to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Medical Coding and Billing Services Healthcare 7th Floor, Infra Futura, Seaport Airport Rd, Thrikkakara, Kakkanad, Kochi, Kerala, India 682030 9am 6pm, day / 9pm 6am, Night Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Collaborate with physicians and healthcare providers to clarify diagnoses and procedures. Assist in resolving coding-related denials and audits. Maintain current knowledge of coding guidelines and payer requirements. Support the revenue cycle team to maximize reimbursement and reduce claim rejections. Skills: Excellent analytical, communication, and organizational skills Ability to work independently in a fast-paced environment. Qualifications: Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Strong understanding of anatomy, physiology, and medical terminology. Familiarity with EHR systems (e.g., Epic, Cerner, Meditech). Experience in HCC Coding Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). 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

We are seeking a detail-oriented and certified Medical Coder to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Industry: Medical Coding and Billing Services Healthcare Location: Campus-10, 4th Floor Unit 401, RMZ One Paramount, Ponnamalle High Road, Porur, Chennai, Tamil N du, India 600116 Work Hours: 9am 6pm, day / 9pm 6am, Night Employment Type : Full Time Salary : Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Collaborate with physicians and healthcare providers to clarify diagnoses and procedures. Assist in resolving coding-related denials and audits. Maintain current knowledge of coding guidelines and payer requirements. Support the revenue cycle team to maximize reimbursement and reduce claim rejections. Skills: Excellent analytical, communication, and organizational skills Ability to work independently in a fast-paced environment. Qualifications: Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Strong understanding of anatomy, physiology, and medical terminology. Familiarity with EHR systems (e.g., Epic, Cerner, Meditech). Experience in HCC Coding Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). 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

As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions. Responsibilities: Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission. Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions. Track and document all claim rejections, resolutions, and resubmissions in the internal system. Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections. Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections. Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance. Requirements : A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes. Familiarity with payer-specific guidelines, policies, and procedures. Excellent communication, interpersonal, and problem-solving skills. Detail-oriented with strong organisational and time management abilities. Proficiency in using billing software and the Microsoft Office Suite. Ability to work effectively under pressure in a fast-paced company environment.as a result. At Commure, we build solutions that simplify providers lives and keep them connected to their patients so they can focus on doing what matters most: providing care.

Skills Skill Medical Coding Healthcare CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 HIPAA Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skills Skill Training Performance Management Employee Engagement Human Resources Talent Management Talent Acquisition Vendor Management Team Building Employee Relations Employee Training Business Development Education Qualification No data available CERTIFICATION No data available Job Summary The Senior Manager – Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. - Education Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience 13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset

Dear Aspirants, We are hiring for experienced IP DRG professionals to join our team at our Mohali location . Eligibility Criteria: Any graduate Mandatory certification in CIC / CCS Medical Coding Minimum 1 year of experience in IP DRG (Mandatory) Strong Communication Skills In-depth knowledge if In-Patient process Flexible to work in rotational shifts, including night shifts Looking for long term commitment If you meet the above requirement and are interested in this opportunity, please share your updated resume with us at: avinash.jeniga@cotiviti.com We look forward to hearing from you! Best regards, Cotiviti Talent Acquisition Team

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

Job Title : IP & OP Coder Qualification : Any Graduate Experience : 1-5 Years Must Have Skills : Strong knowledge of medical terminology, anatomy, and physiology. Proficient in electronic health records (EHR) and coding software . Knowledge of compliance regulations including HIPAA, CMS, and NCCI edits. Good to Have Skills : High attention to detail and analytical thinking. Ability to work independently and meet productivity/accuracy benchmarks. Roles and Responsibilities : Inpatient Coding Duties: l Review and analyze patient records for complete and accurate documentation. l Assign ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. l Ensure coding compliance with federal regulations, payer policies, and facility guidelines. l Apply knowledge of DRG (Diagnosis Related Group) assignment for accurate reimbursement. l Collaborate with clinical staff for clarification on documentation when needed. Outpatient Coding Duties: l Review outpatient clinical documentation (e.g., ER, same-day surgeries, clinic visits). l Assign ICD-10-CM, CPT, and HCPCS codes accurately. l Understand and apply Outpatient Prospective Payment System (OPPS) and APCs. l Ensure accurate coding for multiple service types including diagnostics, procedures, and therapy. Location : Chennai CTC Range : 20- 25% hike on current CTC Notice period : Immediate - 15 Days Shift Timings : Day Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Sanjana Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 8067432458| sanjana.b@blackwhite.in | www.blackwhite.in

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Medical Coding 2.Compliance & Accuracy Checks 3.Claim & Reimbursement Verification 4.Process Improvement & Training 5.CPC (Certified Professional Coder) AAPC 6.ICD-10 7.CPT 8.HCPCS codes 9.Surgery coder 10.Inpatient and Outpatient 11.Emgerency department 12.Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1.Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2.Verify medical necessity & documentation accuracy. 3.Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4.Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6.Work with billing teams to correct errors before submission. 7.Provide feedback to medical coders to improve E&M coding accuracy. 8.Suggest best practices to avoid claim rejections Location :Bangalore, Coimbatore CTC Range : 5 - 10 LPA (Lakhs Per Annum) Notice Period :30 Days Mode of Interview :Virtual Shift Timing :General Shift Mode of Work :Work From Office -- -- Thanks & Regards, HR Tanishaa.S Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 0867432405 /Whatsapp- 7899490271 | Tanishaa.s@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Job Title : IP & OP Coder Qualification : Any Graduate Experience : 1-5 Years Must Have Skills : Strong knowledge of medical terminology, anatomy, and physiology. Proficient in electronic health records (EHR) and coding software . Knowledge of compliance regulations including HIPAA, CMS, and NCCI edits. Good to Have Skills : High attention to detail and analytical thinking. Ability to work independently and meet productivity/accuracy benchmarks. Roles and Responsibilities : Inpatient Coding Duties: l Review and analyze patient records for complete and accurate documentation. l Assign ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures. l Ensure coding compliance with federal regulations, payer policies, and facility guidelines. l Apply knowledge of DRG (Diagnosis Related Group) assignment for accurate reimbursement. l Collaborate with clinical staff for clarification on documentation when needed. Outpatient Coding Duties: l Review outpatient clinical documentation (e.g., ER, same-day surgeries, clinic visits). l Assign ICD-10-CM, CPT, and HCPCS codes accurately. l Understand and apply Outpatient Prospective Payment System (OPPS) and APCs. l Ensure accurate coding for multiple service types including diagnostics, procedures, and therapy. Location : Chennai CTC Range : 20- 25% hike on current CTC Notice period : Immediate - 15 Days Shift Timings : Day Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Janhavi Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 8067432498| janhavi@blackwhite.in | www.blackwhite.in

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : Quality Assurance E&M (Inpatient and Outpatient) Quality Assurance E&M (Surgery , Emergency department) Quality Assurance E&M (Clinical Document ) Qualification : Any Graduate and Above Relevant Experience :4 10 years Must Have Skills : 1.Audit & Review Medical Coding 2.Compliance & Accuracy Checks 3.Claim & Reimbursement Verification 4.Process Improvement & Training 5.CPC (Certified Professional Coder) AAPC 6.ICD-10 7.CPT 8.HCPCS codes 9.Surgery coder 10.Inpatient and Outpatient 11.Emgerency department 12.Clinical document Good Have Skills : CPC (Certified Professional Coder) AAPC Roles and Responsibilities : 1.Ensure correct assignment of ICD-10, CPT, and HCPCS codes for doctor visits & patient evaluations. 2.Verify medical necessity & documentation accuracy. 3.Ensure coding follows CMS (Centers for Medicare & Medicaid Services) & insurance regulations. 4.Prevent upcoding (billing higher than required) or under coding (billing less than required). 5. Identify coding errors that can cause claim denials from insurance companies. 6.Work with billing teams to correct errors before submission. 7.Provide feedback to medical coders to improve E&M coding accuracy. 8.Suggest best practices to avoid claim rejections Location :Bangalore, Coimbatore CTC Range : 5 - 10 LPA (Lakhs Per Annum) Notice Period :30 Days Mode of Interview :Virtual Shift Timing :General Shift Mode of Work :Work From Office -- -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432407| deekshitha@blackwhite.in | www.blackwhite.in ****************************** DO REFER YOUR FRIENDS**********************************

Designation: Senior Manager Quality Department: Business Excellence – Coding Work Location: Airoli, Navi Mumbai Work from Office Job Description: Atleast 10 years- of experience of having worked in the Medical Coding business. Extremely knowledgeable about, Inpatient coding, Medical Coding guidelines and Coding Techniques (ICD-10, CPT) Also, must have strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology and Pharmacology. Efficient in using MS Office. Must have excellent communication and interpersonal skills Duties & Responsibilities : Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Quality control as per client SLA • Ensure effective implementation of the organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement Required Skills: 10+ years’ Experience in Medical Coding either in Operations or Quality team of outpatient / HCC+ Home Health medical Coding Should be at Leadership role to be eligible as per the role define The individual would have a high leadership stint in managing medium to Large sized teams for training & Quality teams preferably across multiple sites CPC/CIC/COC/CSS any certification

The role requires: * Retrieval and review of documentation in medical records from various client EMR systems. * Verify the completeness of the documentation and coding in accordance with the coding compliance guidelines. *Verify the assigned diagnoses, procedural codes, modifiers and HCPCS codes adhering to the general, payer and client specifications (in all forms of audits (prospective, retrospective, focused). * Identify errors related to compliance and coding including (provider/DOS/CPT/Mod/ICD) in alignment of the general coding guidelines, client and payer specifications as needed.

Role & responsibilities Job Summary The Accounts Officer RCM will be responsible for reconciling CPT codes for radiology studies and supporting the creation of accurate invoices for submission to client facilities. The role requires strong attention to detail, knowledge of radiology procedures and coding, and the ability to work collaboratively with internal clinical and billing teams. The officer will also assist in maintaining billing compliance, tracking receivables, and ensuring the overall efficiency of the revenue cycle process. Key Responsibilities - Review and reconcile CPT codes associated with radiology study reports for accuracy and completeness. - Coordinate with radiologists, technologists, and operations staff to resolve any discrepancies in study data or missing documentation. - Prepare and compile invoices to be submitted to partner facilities based on contracted billing schedules and fee structures. - Validate invoice line items against modality type, study volume, and applicable rates. - Track submission status and follow up on invoice approvals and payment receipts. - Maintain and update billing logs, reconciliation sheets, and monthly facility billing records. - Work with the finance team to ensure all billables are accounted for and revenue is recorded accurately. - Escalate and resolve issues related to underpayment, rejected invoices, or coding errors. - Generate periodic reports on invoice status, aging, collections, and reconciliation metrics. - Ensure compliance with HIPAA, payer-specific guidelines, and company billing protocols. Required Qualifications - Bachelors degree in Accounting, Finance, Business Administration, or a related field. - Minimum 3 years of experience in US medical billing, preferably with exposure to radiology practices. - Strong understanding of CPT, ICD-10, and HCPCS coding—especially for diagnostic imaging. - Experience working with billing/invoicing tools and RCM platforms (e.g., Kareo, AdvancedMD, eClinicalWorks). - Proficiency in Microsoft Excel (including VLOOKUP, pivot tables, basic formulas). - Familiarity with EDI formats (837P, 837I, 835) and US healthcare billing standards. - Strong analytical, organizational, and problem-solving skills. - Excellent written and verbal communication skills. - Ability to work independently and across time zones with a high degree of accuracy. Compensation & Benefits Benefits: As per policy - Includes Paid Time Off, Flexible Shift, Potential for long-term growth within the finance and RCM team Preferred candidate profile