4 Hipaa Guidelines Jobs

Position: Quality Analyst AR (US Healthcare RCM) Location: Onsite Sector 18, Gurugram Shift: Night Shift (US Hours) Company: Neolytix About Neolytix Neolytix is a trusted provider of business solutions for healthcare organizations across the United States. We specialize in revenue cycle management (RCM), compliance, and business support, helping our clients drive growth, operational efficiency, and financial health. With a 4.7? rating on Google and 4.2? on Glassdoor, we take pride in fostering a workplace that values transparency, learning, and results. Position Overview We are looking for a detail-oriented Quality Analyst AR (Accounts Receivable) to join our RCM team. This role focuses on auditing and evaluating the accuracy and effectiveness of AR functions including claim follow-ups, denial resolution, and collections. Your insights will directly support the operations team in maintaining process integrity and achieving client KPIs. Key Responsibilities Audit AR-related activities such as insurance follow-ups, aging buckets, denial handling, and collections Review claim resolution workflows to ensure adherence to client-specific guidelines and compliance standards Identify quality gaps and provide actionable feedback to AR executives and team leads Track error trends, perform root cause analysis, and suggest corrective measures Maintain detailed documentation of audit results and participate in calibration sessions Collaborate with the Quality Team to ensure consistency in audit methodology Prepare and share quality reports with internal stakeholders on a regular basis Stay updated on US payer rules, coding norms, and RCM industry practices Qualifications & Experience Bachelors degree (Commerce, Business, or related field) 1 to 2 years of experience as a Quality Analyst in US healthcare RCM, specifically in AR follow-up Strong knowledge of denial types, AR workflows, payer communication, and appeals process Hands-on experience with tools like Cerner, Athena, Epic, AdvancedMD or similar billing platforms Proficiency in Excel and audit tracking templates Strong analytical, documentation, and communication skills Knowledge of HIPAA guidelines and RCM compliance standards Lean Six Sigma Yellow Belt certification is a plus Why Join Neolytix Complimentary medical coverage for your family Retirement savings and insurance benefits Transparent performance reviews and growth support Employee rewards through the Pixel Workplace Recognition Program Work-life balance with a supportive, collaborative culture Apply Now Be part of a team that values quality, precision, and real healthcare impact. Join Neolytix. Powered by JazzHR yWomlskjpv Show more Show less

As a Medical Coder, your primary responsibility will be to analyze medical records and documentation to identify the services provided during patient evaluations and management. You will need to assign appropriate E&M codes based on the level of service rendered, following coding guidelines such as CPT, ICD-10-CM, and HCPCS. Ensuring coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels, will be crucial in this role. It is essential to stay up-to-date with relevant coding guidelines and updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association. Adherence to coding regulations, including HIPAA guidelines, is necessary to maintain patient privacy and confidentiality. You will also need to follow coding best practices, maintain a thorough understanding of coding conventions and principles, and collaborate with healthcare professionals to obtain necessary information for coding purposes. Your role will involve communicating with providers to address coding-related queries, clarify documentation discrepancies, and work closely with billing and revenue cycle teams to ensure accurate claims submission for timely reimbursement. Regular audits and quality checks on coded medical records will be conducted to identify errors, inconsistencies, or opportunities for improvement. Participation in coding compliance programs and initiatives is required to maintain accuracy and quality standards. Job Requirements: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficiency in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes If you meet the above requirements and are interested in this position, please send your reference to mamatha.bandisawsare@eclathealth.com. Regards, Mamatha Bandisawsare 8121006466,

As a Dental Claims Processor at MetLife, you will be responsible for scrutinizing dental claim documents and settlements, ensuring accurate processing of claims according to healthcare guidelines and HIPAA regulations. Your role will involve handling escalations, meeting quality and productivity targets, and complying with internal policies, external regulations, and information security standards. You will need to have a good understanding of claims adjudication fundamentals, ICT & CPT Codes, and be able to learn, adapt, and implement process guidelines effectively. To qualify for this position, you should hold a Bachelor's degree in any stream or a diploma with a minimum of 15 years of education. Additionally, you should have at least 2 years of work experience in US Health Claims processing, preferably in claims adjudication. Proficiency in computer navigation, keyboarding, data entry, MS Excel, and MS Word is required. Knowledge of insurance principles related to the US Insurance industry, US culture, and dental claims terminologies will be advantageous. As a successful candidate, you must possess strong organizational and communication skills, demonstrate the ability to work independently and in a team environment, be self-disciplined, results-oriented, and have the ability to multitask. Attention to detail, a positive attitude, and being a team player are essential soft skills for this role. Joining MetLife, a globally recognized financial services company, will provide you with the opportunity to contribute to creating a more confident future for colleagues, customers, communities, and the world at large. If you are motivated by purpose and empathy, and aspire to transform the next century in financial services, MetLife welcomes you to be #AllTogetherPossible. Join us in making a difference!,

You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, such as HIPAA guidelines, is necessary to ensure patient privacy and confidentiality. Following coding best practices and maintaining a thorough understanding of coding conventions and principles are also key aspects of the role. Collaboration with healthcare professionals, including physicians, nurses, and other staff members, is required to obtain necessary information for coding purposes. You will need to communicate with providers to address coding-related queries and clarify documentation discrepancies. Working closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement is part of the job responsibilities. Conducting regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement is also a key aspect of the role. Participation in coding compliance programs and initiatives to maintain accuracy and quality standards is expected. To be considered for this position, applicants need to meet the following qualification criteria: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficient in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes,