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3.0 years
4 - 6 Lacs
Malad, Mumbai, Maharashtra
On-site
Job Title: Certified Medical Coder Location: Malad West, Mumbai US Shift: 5:30 PM – 2:30 AM (Night Shift) Job Overview: We are looking for a skilled and detail-driven Medical Coder to join our growing US Healthcare TPA operations. This role involves auditing and coding medical claims to ensure accuracy, benefit alignment, and compliance with federal and state healthcare regulations. The ideal candidate will play a critical part in maintaining claims processing quality, minimizing errors, and supporting the financial integrity of our third-party administration (TPA) services. Key Responsibilities: Conduct pre-payment and concurrent audits of medical claims for self-funded and level-funded healthcare plans. Verify the accuracy of medical coding (ICD-10, CPT, HCPCS) and ensure correct application of plan benefits. Cross-reference claim codes with plan documents to determine appropriate benefit adjudication. Collaborate with claims examiners, supervisors, and compliance teams to identify and resolve discrepancies. Document and report audit findings with clarity and detail for internal review. Ensure all claims processing complies with HIPAA, ERISA, ACA, and other federal/state regulations. Participate in internal quality assurance programs and continuous process improvement initiatives. Maintain strict confidentiality of member and provider information. Required Qualifications: Minimum 3 years of experience in medical claims coding and auditing within a US healthcare TPA or insurance environment. In-depth knowledge of medical coding systems (ICD-10, CPT, HCPCS) and healthcare claim forms (CMS-1500, UB-04). Solid understanding of regulatory compliance frameworks including HIPAA, ERISA, and ACA. Proficiency with auditing tools, claim processing systems, and Microsoft Office applications. Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) certification is mandatory! Strong analytical, problem-solving, organizational, and communication skills. Preferred Qualifications: Hands-on experience with claims adjudication platforms like Trizetto, VBA, Plexis. Prior experience in medical claims processing will be considered an added advantage. Job Type: Full-time Pay: ₹400,000.00 - ₹600,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Application Question(s): What is your current location? Experience: Medical coding: 3 years (Preferred) Medical Auditing: 2 years (Preferred) License/Certification: Medical Coding (Preferred) Location: Malad, Mumbai, Maharashtra (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person
Posted 1 day ago
2.0 - 7.0 years
0 Lacs
haryana
On-site
As an Operation Manager & Team Lead in Healthcare Process, you will be responsible for leading a high-performing team dedicated to maintaining service quality and compliance in healthcare support operations. Your role will involve overseeing QA and training functions to ensure that customer interactions align with TELUS's standards of care, privacy, and professionalism. Your primary responsibilities as an Operation Manager will include managing end-to-end healthcare operations such as claims, eligibility, RCM, and prior authorizations. You will be tasked with driving performance to meet SLAs, collaborating with US healthcare clients, ensuring compliance with HIPAA and data security standards, forecasting staffing needs, implementing process improvements, and mentoring team leads and supervisors. As a Team Lead, you will supervise a team of associates handling US healthcare processes, monitor team performance against KPIs, provide coaching and feedback, manage daily workflows and client expectations, ensure adherence to HIPAA guidelines, support process training and onboarding, and report team metrics to Operations Managers. To be successful in this role, you must have a minimum of 3-7 years of experience as an Operations Manager or 2 or more years as a Team Lead in the Health and Welfare domain. You should possess a strong understanding of US healthcare benefits, insurance plans, and regulatory compliance, along with excellent presentation, facilitation, and communication skills. Proficiency in MS Office tools is essential, and experience in a BPO/KPO setup, virtual training tools, instructional design knowledge, and training certifications are preferred. If you are a dynamic and compassionate leader with a passion for continuous improvement and a focus on quality and compliance in healthcare operations, we encourage you to apply for this challenging and rewarding role.,
Posted 1 day ago
2.0 - 6.0 years
0 Lacs
tiruppur, tamil nadu
On-site
As a Medical Records Auditor, you will play a crucial role in ensuring the accuracy of coding and documentation within patient medical records. Your responsibilities will include conducting audits of both inpatient and outpatient records to verify proper documentation and billing practices. It will be essential for you to uphold compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying any errors in coding, billing, or documentation and providing constructive feedback to the relevant departments. You will be expected to prepare detailed audit reports that outline findings, trends, and recommendations for corrective action. Collaboration with coding, billing, clinical, and compliance teams will be necessary to address audit findings effectively. In addition, you will monitor the implementation of corrective actions and perform follow-up audits as required. Your support in identifying education opportunities for clinical and billing staff will contribute to ongoing training initiatives within the organization. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are passionate about ensuring coding accuracy and documentation compliance in the healthcare industry, we encourage you to apply for this opportunity. Your expertise as a Medical Records Auditor will be instrumental in maintaining quality standards and regulatory compliance within our organization.,
Posted 2 days ago
5.0 years
4 - 0 Lacs
Pune, Maharashtra
Remote
Job Title: Graphic Designer & Content Writer – Healthcare & Construction Location: Pune ( Baner ) Job Type: Full-time Industry: Healthcare | Construction | B2B Marketing Job Summary: We’re hiring a Graphic Designer & Content Writer who can think both visually and strategically. This dual-role position supports branding, marketing, and campaign execution across the healthcare and construction sectors. The ideal candidate will have a strong creative eye for design along with the ability to craft high-impact, B2B-focused written content. Key Responsibilities: 1. Content Creation Write high-quality content for websites, blogs, case studies, brochures, and whitepapers Develop engaging messaging for digital campaigns, ads, product/service descriptions Adapt complex healthcare or construction information into easy-to-understand copy Maintain brand tone and voice across all channels 2. Graphic Design Design high-impact graphics for print and digital use (brochures, flyers, reports, social posts, presentations, ads) Create visual assets for brand marketing, campaigns, proposals, and events Ensure consistent branding across all visual communications (color, typography, logo usage) Support website layout and UX flow through basic wireframing or mockup design Design infographics that simplify data or process-heavy concepts Work on packaging, signage, trade show materials, and internal visual templates Adapt visuals for different platforms (web, mobile, print, social media) 3. Campaign Support Collaborate with marketing and sales teams to create visually engaging campaign assets Contribute copy and design for email marketing, social media, and lead-generation campaigns Support product launches and service communications with both written and visual materials 4. SEO & Research Perform keyword research and optimize written content for search engines Analyze design trends, audience engagement, and competitor visuals Use tools like Google Analytics, Ahrefs, or SEMrush to inform content and design direction 5. Content & Asset Management Maintain a digital asset library (images, icons, templates, past designs) Upload and manage content using CMS tools (WordPress, Webflow, etc.) Ensure all content (visual and written) is delivered on schedule and aligns with brand standards Required Qualifications: Bachelor’s degree in Graphic Design, Communications, Marketing, or related field 2–5 years of experience in both content writing and graphic design (B2B preferred) Strong portfolio demonstrating both copywriting and visual design work Proficiency in Adobe Creative Suite (Illustrator, Photoshop, InDesign), Canva, or Figma Excellent English writing and editing skills Familiarity with healthcare or construction-related content is a strong plus Bonus Skills: Experience with basic video editing (Premiere Pro, After Effects, CapCut) UI/UX knowledge and ability to work with website mockups Understanding of healthcare compliance (HIPAA) or construction regulations (OSHA) What We Offer: Remote flexibility and a collaborative work environment Opportunity to work across two high-impact industries Competitive compensation based on experience Career development and portfolio growth opportunities Job Types: Full-time, Permanent Pay: From ₹35,000.00 per month Benefits: Provident Fund Work Location: In person
Posted 2 days ago
5.0 years
3 - 0 Lacs
Baner, Pune, Maharashtra
Remote
Job Title: Graphic Designer & Content Writer – Healthcare & Construction Location: Pune ( Baner ) Job Type: Full-time Industry: Healthcare | Construction | B2B Marketing Job Summary: We’re hiring a Graphic Designer & Content Writer who can think both visually and strategically. This dual-role position supports branding, marketing, and campaign execution across the healthcare and construction sectors. The ideal candidate will have a strong creative eye for design along with the ability to craft high-impact, B2B-focused written content. Key Responsibilities:1. Content Creation Write high-quality content for websites, blogs, case studies, brochures, and whitepapers Develop engaging messaging for digital campaigns, ads, product/service descriptions Adapt complex healthcare or construction information into easy-to-understand copy Maintain brand tone and voice across all channels 2. Graphic Design Design high-impact graphics for print and digital use (brochures, flyers, reports, social posts, presentations, ads) Create visual assets for brand marketing, campaigns, proposals, and events Ensure consistent branding across all visual communications (color, typography, logo usage) Support website layout and UX flow through basic wireframing or mockup design Design infographics that simplify data or process-heavy concepts Work on packaging, signage, trade show materials, and internal visual templates Adapt visuals for different platforms (web, mobile, print, social media) 3. Campaign Support Collaborate with marketing and sales teams to create visually engaging campaign assets Contribute copy and design for email marketing, social media, and lead-generation campaigns Support product launches and service communications with both written and visual materials 4. SEO & Research Perform keyword research and optimize written content for search engines Analyze design trends, audience engagement, and competitor visuals Use tools like Google Analytics, Ahrefs, or SEMrush to inform content and design direction 5. Content & Asset Management Maintain a digital asset library (images, icons, templates, past designs) Upload and manage content using CMS tools (WordPress, Webflow, etc.) Ensure all content (visual and written) is delivered on schedule and aligns with brand standards Required Qualifications: Bachelor’s degree in Graphic Design, Communications, Marketing, or related field 2–5 years of experience in both content writing and graphic design (B2B preferred) Strong portfolio demonstrating both copywriting and visual design work Proficiency in Adobe Creative Suite (Illustrator, Photoshop, InDesign), Canva, or Figma Excellent English writing and editing skills Familiarity with healthcare or construction-related content is a strong plus Bonus Skills: Experience with basic video editing (Premiere Pro, After Effects, CapCut) UI/UX knowledge and ability to work with website mockups Understanding of healthcare compliance (HIPAA) or construction regulations (OSHA) What We Offer: Remote flexibility and a collaborative work environment Opportunity to work across two high-impact industries Competitive compensation based on experience Career development and portfolio growth opportunities Job Type: Full-time Pay: From ₹25,000.00 per month Language: Hindi (Preferred) English (Preferred) Work Location: In person
Posted 2 days ago
5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
At Broadridge, we have created a culture that aims to empower individuals to achieve more. If you are enthusiastic about advancing your career while supporting others in their journey, we invite you to become a part of the Broadridge team. Your role involves providing expert guidance for the implementation and advancement of secure cloud and container architectures, controls, and best practices across various cloud services such as IaaS, PaaS, SaaS, and hybrid configurations. You will collaborate closely with developers, system administrators, and IT management to drive proactive solutions. Additionally, you will be responsible for identifying, suggesting, and assessing new technology options to enhance process efficiency, automation, security, visibility, developer support, and operational streamlining in cloud and container environments. Furthermore, you will contribute to the enhancement of continuous monitoring solutions to verify systems against security standards and address policy breaches. Analyzing the latest attacker tactics and implementing strategies to mitigate associated risks is also a key aspect of your role. You will provide insights into the design and implementation of automated security solutions and work closely with product and development teams to ensure alignment with company directives and objectives. In terms of technical skills, you should have demonstrated expertise in cloud-native architectures, microservices, and operational best practices related to cloud and container orchestration. Experience in integrating enterprise-scale security solutions in AWS and/or Azure, including user, security, and networking configurations, is essential. Proficiency in full-stack cloud automation using tools like Git, Terraform, Ansible, and Jenkins is required. Previous programming experience is necessary, with a preference for familiarity with Python. A Bachelor's degree or higher in Computer Science, Engineering, or a related field, or equivalent certifications and practical experience, is expected. You should have at least 5 years of experience in network, application, or infrastructure security. A solid understanding of IT Risk Management, Security Policies and Procedures, Internal Audit, and Compliance Standards is vital, along with familiarity with SOC, FFIEC, CSA, and FedRAMP. Experience in aligning security programs with benchmarks and standards such as NIST, CIS, FIPS, PCI DSS, HIPAA, and FIPS 140-2 is advantageous. Regarding soft skills, excellent communication skills in both oral and written English are crucial. You should be able to articulate complex ideas effectively to ensure clear direction and outcomes. Adaptability to changing technology landscapes and requirements is also a key attribute for this role.,
Posted 2 days ago
3.0 - 7.0 years
0 Lacs
hyderabad, telangana
On-site
As a Developer Support Engineer, you will be responsible for designing and deploying microservices using C# and Azure Service Fabric. Your role will involve implementing Healthcare APIs such as FHIR and DICOM, ensuring compliance with healthcare standards. Additionally, you will create CI/CD pipelines using YAML and Azure DevOps and set up real-time metrics using Azure Monitor, Application Insights, or Geneva Monitoring. Developing dashboards using Geneva Monitoring to visualize system performance and health will also be a key part of your responsibilities. Ensuring security and compliance (HIPAA, GDPR) across all cloud-based solutions and troubleshooting and optimizing Azure Service Fabric clusters for scalability and performance are crucial aspects of the role. To qualify for this position, you should have at least 5 years of experience in C# development and a minimum of 3 years of experience with Azure Service Fabric and microservices architecture. Hands-on experience in developing code, fixing bugs, providing support, and managing tickets, as well as interacting with customers, will be beneficial for this role.,
Posted 3 days ago
8.0 - 14.0 years
30 - 35 Lacs
Bengaluru
Work from Office
Do you want to shape the future of fintech and healthtech Energized by challenges and inspired by bold goalsReady to elevate your career alongside driven and talented colleaguesIf that sounds like you, explore a career at Alegeus today. Opportunity Happens Here . Director, Data Science Join our team at Alegeus, where you ll experience unmatched opportunity and a culture that cares deeply about succeeding together. As a Director, Data Science, you ll drive our technology vision forward and push the boundaries of innovation with cutting-edge solutions. This is your opportunity to work with groundbreaking technology and tackle complex challenges, shaping of future of our tech landscape. If you are passionate about innovation and eager to make a difference, we would love to have you as a part of our dynamic and forward-thinking team. OPPORTUNITY HAPPENS HERE REALIZE YOURS Alongside the best and the brightest, you will regularly: Define and drive AI strategy in collaboration with cross-functional leaders, aligning AI and data science initiatives with business objectives and healthcare regulatory standards (HIPAA, GDPR, etc.). Build and lead high-performing AI and data teams across geographies (US and Bangalore), scaling from the ground up and managing organizations of 10 100+ people including Data Scientists, ML Engineers, and AI Engineers. Develop and deploy AI-powered products such as agentic AI systems, conversational agents, and decision-support tools that enhance personalization, automation, and business efficiency in healthcare payments. Identify and deliver high-impact AI use cases including predictive analytics, fraud detection, intelligent financial tools, and automated customer service capabilities. Establish an AI-ready enterprise data platform, overseeing Data Engineering functions to ensure high-quality data integration, transformation, and optimization in support of AI innovation. Promote AI literacy and a culture of innovation, enabling cross-functional teams to effectively integrate AI into core offerings and championing an AI-first mindset throughout the organization. Implement MLOps and governance best practices to ensure secure, scalable, and continuously improving AI systems, while maintaining responsible AI principles and compliance. Drive thought leadership and innovation, representing Alegeus in industry forums, fostering external partnerships, and staying ahead of emerging AI trends in healthcare and fintech. ESSENTIAL SKILLS FOR CREATING A LASTING IMPACT Alegeus colleagues are known as problem-solvers, risk-takers, and innovative thinkers. As a Director, Data Science, these skills are essential for success: Abilities: Expertise in AI strategy, MLOps, and responsible AI governance, with a strong ability to design and deploy agentic AI systems, conversational agents, and decision-support tools. Skilled at identifying high-impact use cases such as fraud detection, predictive analytics, and intelligent financial automation. Adept at fostering AI literacy, promoting innovation, and aligning solutions with healthcare compliance standards (HIPAA, GDPR). Experience: Proven track record of building and scaling high-performing AI and data science teams (10 100+ members) across geographies, including the US and Bangalore. Extensive leadership experience in cross-functional collaboration, AI product development, enterprise data platform management, and deploying scalable AI solutions in regulated environments. Education: Bachelor s or Master s degree in Computer Science, Artificial Intelligence, Data Science, Engineering, or a related technical field. Location : Bangalore. BECAUSE WE CARE, WE OFFER: A flexible work environment Competitive salaries, paid vacation, and holidays Robust professional development programs Comprehensive health, wellness, and financial packages SHARED AMBITION. INSPIRED FUTURE. At Alegeus, our success is guided by our aligned vision and values it is how we work together and collaborate to achieve our goals. People First . We pride ourselves in bringing talented people together and treating one another with care. Partner Powered . We are committed to empowering our partners, knowing our success is shared and we win as one. Always Advancing . We are driven by potential and relentlessly determined to achieve our goals.
Posted 3 days ago
3.0 - 10.0 years
5 - 12 Lacs
Noida
Work from Office
Provide general administrative support including handling emails, filing, and organizing claim-related materials. Maintain accurate and up-to-date information in the claims database. Assist with bill processing, documentation production, and data entry. Use the Claims System for inquiries and to generate correspondence. Resolve routine administrative inquiries and ensure timely responses. Proofread and edit materials to uphold accuracy, thoroughness, and professionalism. Maintain confidentiality and comply with HIPAA regulations in managing sensitive information. Support the team in delivering exceptional service to our customers, reflecting MetLife s value of putting customers first
Posted 3 days ago
3.0 - 8.0 years
12 - 13 Lacs
Kolkata
Work from Office
Location: Kolkata Designation: Consultant Your potential, unleashed. India s impact on the global economy has increased at an exponential rate and Deloitte presents an opportunity to unleash and realise your potential amongst cutting edge leaders, and organisations shaping the future of the region, and indeed, the world beyond. At Deloitte, your whole self to work, every day. Combine that with our drive to propel with purpose and you have the perfect playground to collaborate, innovate, grow, and make an impact that matters. The team As a member of the Operation, Industry and domain solutions team you will embark on an exciting and fulfilling journey with a group of intelligent and innovative globally aware individuals. We work in conjuncture with various institutions solving key business problems across a broad-spectrum roles and functions, all set against the backdrop of constant industry change. Your work profile We are seeking a skilled Database Developer to design, develop, and optimize database systems that ensure efficient data storage, retrieval, and management. The ideal candidate will have expertise in database design, SQL programming, and performance tuning to support business applications and data-driven decision-making. You will collaborate with software developers, data analysts, and system administrators to deliver scalable and secure database solutions. Key Responsibilities Database Design & Development : Design and implement database structures, including tables, schemas, indexes, and stored procedures, to meet application requirements. Query Optimization : Write and optimize complex SQL queries to ensure high performance and scalability of database operations. Data Modeling : Create and maintain conceptual, logical, and physical data models to support business processes. Data Integration : Develop and manage ETL (Extract, Transform, Load) processes to integrate data from multiple sources. Performance Tuning : Monitor and fine-tune database performance, identifying and resolving bottlenecks to ensure efficient data access. Security & Compliance : Implement database security measures, including user access controls, encryption, and compliance with data privacy regulations (e.g., GDPR, HIPAA). Maintenance & Support : Perform routine database maintenance tasks, such as backups, restores, and updates, to ensure system reliability and availability. Collaboration : Work closely with application developers, data analysts, and business stakeholders to understand data requirements and deliver solutions. Troubleshooting : Diagnose and resolve database-related issues, including errors, performance degradation, and data integrity problems. Documentation : Maintain detailed documentation of database structures, processes, and configurations. How you ll grow Connect for impact Our exceptional team of professionals across the globe are solving some of the world s most complex business problems, as well as directly supporting our communities, the planet, and each other. Know more in our Global Impact Report and our India Impact Report . Empower to lead You can be a leader irrespective of your career level. Our colleagues are characterised by their ability to inspire, support, and provide opportunities for people to deliver their best and grow both as professionals and human beings. Know more about Deloitte and our One Young World partnership. Inclusion for all At Deloitte, people are valued and respected for who they are and are trusted to add value to their clients, teams and communities in a way that reflects their own unique capabilities. Know more about everyday steps that you can take to be more inclusive. At Deloitte, we believe in the unique skills, attitude and potential each and every one of us brings to the table to make an impact that matters. Drive your career At Deloitte, you are encouraged to take ownership of your career. We recognise there is no one size fits all career path, and global, cross-business mobility and up / re-skilling are all within the range of possibilities to shape a unique and fulfilling career. Know more about Life at Deloitte. Everyone s welcome entrust your happiness to us Our workspaces and initiatives are geared towards your 360-degree happiness. This includes specific needs you may have in terms of accessibility, flexibility, safety and security, and caregiving. Here s a glimpse of things that are in store for you. Interview tips We want job seekers exploring opportunities at Deloitte to feel prepared, confident and comfortable. To help you with your interview, we suggest that you do your research, know some background about the organisation and the business area you re applying to. Check out recruiting tips from Deloitte professionals.
Posted 3 days ago
5.0 - 10.0 years
9 - 13 Lacs
Bengaluru
Work from Office
Redefine the future of customer experiences. One conversation at a time. We re changing the game with a first-of-its-kind, conversation-centric platform that unifies team collaboration and customer experience in one place. Powered by AI, built by amazing humans. Our culture is forward-thinking, customer-obsessed and built on an unwavering belief that connection fuels business and life; connections to our customers with our signature Amazing Service , our products and services, and most importantly, each other. Since 2008, 100,000+ companies and 1M+ users rely on Nextiva for customer and team communication. If you re ready to collaborate and create with amazing people, let your personality shine and be on the frontlines of helping businesses deliver amazing experiences, you re in the right place. Build Amazing - Deliver Amazing - Live Amazing - Be Amazing Nextiva is building a next-generation voice and video platform to power our Unified Communications (UCaaS) and Contact Center (CCaaS) products. This platform blends open-source components with in-house innovation to deliver carrier-grade quality and 99.999% uptime. We need a Software Engineer to drive development of real-time voice/video services, enhancing call quality and reliability and enabling AI-powered voice features on our unified customer experience (UCXM) platform. You will work on everything from media servers and audio processing to cloud deployment, ensuring our system is scalable, secure, and high performing. We operate with a DevOps culture engineers own their code from development through production. Key Responsibilities Develop Core Communication Services: Build and maintain backend services for voice/video calling (signaling servers, call routing logic, media gateways) using SIP and WebRTC. Implement features like call setup, conferencing, transfers, and recording with a focus on efficiency and reliability. Enhance Audio Quality (DSP): Implement and tune digital signal processing algorithms for superior call audio. This includes noise suppression, echo cancellation, jitter buffer optimization, and voice activity detection to ensure crystal-clear , uninterrupted communication even on poor networks. Optimize Media & Codecs: Work with real-time media streaming (RTP) and various codecs (Opus, G.711, H.264, etc.). Optimize codec configurations and adapt bitrates on the fly based on network conditions to balance quality and bandwidth. Integrate Voice AI Features: Embed speech-to-text (ASR) and text-to-speech (TTS) capabilities into the platform. Enable AI voice agents to participate in calls by streaming audio to AI services and injecting synthesized speech responses. Manage conversation flow between humans and AI (handling interruptions, timing responses) to make interactions feel natural. Ensure Scalability & Resilience: Design services with a cloud-native approach (microservices, containers) for deployment on Kubernetes. Implement high-availability strategies (clustering, failover) across global data centers so that the platform achieves five-9s uptime with no downtime for maintenance. Performance & Reliability Tuning: Continuously profile and improve system performance end-to-end. Minimize call setup times and audio latency through efficient coding (C/C++ for media processing) and system optimizations. DevOps & Support: Use CI/CD pipelines to deploy updates safely with zero downtime. Write comprehensive automated tests (unit, integration, load) for your features. Participate in on-call rotation to troubleshoot and resolve production issues in real time, and implement lasting solutions to prevent recurrence. Collaboration: Work closely with Product Managers , front-end teams , AI/ML team and with network engineers . Qualifications Real-Time Communications: 5+ years of experience developing VoIP or real-time communication systems. Strong knowledge of SIP protocol, WebRTC, and related networking (RTP, NAT traversal). Proven ability to implement call logic and troubleshoot signaling and media issues. Audio/DSP Expertise: Hands-on experience with audio processing in real time. Familiarity with noise reduction, echo cancellation, jitter buffers, and other voice QoS techniques. Comfort optimizing or using audio codecs (Opus, G.711, etc.) and improving call quality under varying network conditions. Strong Coding Skills: Proficiency in C/C++ for high-performance, multi-threaded systems programming. Experience writing efficient, low-latency code (lock-free structures, memory management). Additionally, skilled with a higher-level language like Go or Java for building microservices and control logic. Cloud & Scalability: Experience building and deploying services in a cloud-native environment (Docker, Kubernetes). Knowledge of designing scalable microservices and using cloud infrastructure (AWS, GCP, or Azure) for load balancing, monitoring, and fault tolerance. Voice AI Familiarity: Exposure to integrating speech recognition and text-to-speech in applications. You ve perhaps worked with voice assistants, IVR systems, or call center AI you understand basic latency/accuracy trade-offs and how to interface with speech APIs/SDKs. Security & Compliance: Basic understanding of securing voice communications (TLS, SRTP) and safeguarding customer data (GDPR, HIPAA considerations for call recordings, etc.). Designs solutions with privacy and security best practices in mind. DevOps Mindset: Comfortable using CI/CD, infrastructure-as-code, and logging/monitoring tools. Willing to take ownership of code in production debugging live issues, optimizing resource usage, and responding to incidents. Team Player: Excellent collaboration and communication skills. Experience working in Agile teams. Ability to clearly document designs and mentor others. A proactive attitude to problem-solving and an enthusiasm for continuous learning in the fast-evolving communications and AI field. Nextiva DNA (Core Competencies) Nextiva s most successful team members share common traits and behaviors: Drives Results: Action-oriented with a passion for solving problems. They bring clarity and simplicity to ambiguous situations, challenge the status quo, and ask what can be done differently. They lead and drive change, celebrating success to build more success. Critical Thinker: Understands the "why" and identifies key drivers, learning from the past. They are fact-based and data-driven, forward-thinking , and see problems a few steps ahead. They provide options, recommendations, and actions, understanding risks and dependencies. Right Attitude : They are team-oriented, collaborative, competitive, and hate losing. They are resilient, able to bounce back from setbacks, zoom in and out, and get in the trenches to help solve important problems. They cultivate a culture of service, learning, support, and respect, caring for customers and teams. Total Rewards Our Total Rewards offerings are designed to allow our employees to take care of themselves and their families so they can be their best, in and out of the office. Our compensation packages are tailored to each role and candidates qualifications. We consider a wide range of factors, including skills, experience, training, and certifications, when determining compensation. We aim to offer competitive salaries or wages that reflect the value you bring to our team. Depending on the position, compensation may include base salary and/or hourly wages, incentives, or bonuses. Medical - Medical insurance coverage is available for employees, their spouse, and up to two dependent children with a limit of 500,000 INR, as well as their parents or in-laws for up to 300,000 INR. This comprehensive coverage ensures that essential healthcare needs are met for the entire family unit, providing peace of mind and security in times of medical necessity. Group Term & Group Personal Accident Insurance - Provides insurance coverage against the risk of death / injury during the policy period sustained due to an accident caused by violent, visible & external means. Coverage Type - Employee Only Sum Insured - 3 times of annual CTC with minimum cap of INR 10,00,000 Free Cover Limit - 1.5 Crore Work-Life Balance - 15 days of Privilege leaves per calendar year, 6 days of Paid Sick leave per calendar year, 6 days of Casual leave per calendar year. Paid 26 weeks of Maternity leaves, 1 week of Paternity leave, a day off on your Birthday, and paid holidays Financial Security - Provident Fund & Gratuity Wellness - Employee Assistance Program and comprehensive wellness initiatives Growth - Access to ongoing learning and development opportunities and career advancement At Nextiva, were committed to supporting our employees health, well-being, and professional growth. Join us and build a rewarding career! Established in 2008 and headquartered in Scottsdale, Arizona, Nextiva secured $200M from Goldman Sachs in late 2021, valuing the company at $2.7B.To check out what s going on at Nextiva, check us out on Instagram , Instagram (MX) , YouTube , LinkedIn , and the Nextiva blog . #LI-RP1 #LI-HYBRID
Posted 3 days ago
5.0 - 8.0 years
7 - 10 Lacs
Bengaluru
Work from Office
Job Summary The Vendor Qualification Manager is responsible for overseeing the qualification, monitoring, and ongoing assessment of vendors that support GxP systems and services. This role ensures that vendors are selected, assessed, and managed in accordance with applicable regulatory requirements (FDA, EMA, MHRA), GAMP 5 principles, and internal quality standards. Key Responsibilities Vendor Qualification & Assessment Lead and execute vendor qualification activities for GxP-relevant third-party providers (e.g., SaaS, IRT, eTMF, CROs, IT service providers). Develop and maintain the vendor qualification strategy and risk-based assessment framework. Conduct vendor audits (remote and on-site), prepare audit plans, reports, and CAPA follow-up. Maintain up-to-date documentation for vendor qualification including risk assessments, questionnaires, and technical agreements. Governance & Lifecycle Oversight Establish and maintain a centralized vendor inventory and qualification status. Collaborate with Procurement, IT, Validation, and Business Owners to ensure vendor compliance throughout lifecycle. Ensure appropriate contracts, Quality Technical Agreements (QTAs), and SLAs are in place. Participate in vendor onboarding and change control processes for qualified vendors. Compliance & Continuous Improvement Stay abreast of evolving regulatory expectations for third-party oversight. Support inspection readiness and represent vendor oversight during audits or regulatory inspections. Identify areas for improvement in vendor management processes and drive continuous improvement. Provide training and guidance on vendor qualification procedures across functions. Qualifications Education Bachelor s or Master s degree in Life Sciences, Computer Science, Quality, or a related field. Experience Minimum 5 8 years of experience in QA, compliance, or validation roles in the life sciences industry. 3+ years of direct experience in vendor qualification or third-party oversight for GxP systems. Experience conducting vendor audits and managing supplier CAPAs. Strong knowledge of GxP regulations (21 CFR Part 11, EU Annex 11), GAMP 5, and ICH Q10. Skills In-depth understanding of software development lifecycles and cloud vendor qualification (e.g., SaaS). Strong analytical, communication, and negotiation skills. Ability to manage multiple priorities in a fast-paced environment. Proficiency in quality systems and tools (e.g., eQMS, VMS, audit tracking tools). Preferred Qualifications Auditor certification (e.g., ISO 9001, ISO 27001, or equivalent). Knowledge of data integrity principles and AI/ML vendor oversight. Familiarity with privacy requirements (GDPR, HIPAA) for vendor assessment. Working Conditions Some travel required (~15 25%) for on-site vendor audits May require flexible hours to work with global teams
Posted 3 days ago
2.0 - 7.0 years
3 - 7 Lacs
Bengaluru
Work from Office
Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment.
Posted 3 days ago
5.0 - 10.0 years
12 - 16 Lacs
Bengaluru
Work from Office
Not Applicable Specialism SAP Management Level Senior Associate & Summary At PwC, our people in software and product innovation focus on developing cuttingedge software solutions and driving product innovation to meet the evolving needs of clients. These individuals combine technical experience with creative thinking to deliver innovative software products and solutions. Those in software engineering at PwC will focus on developing innovative software solutions to drive digital transformation and enhance business performance. In this field, you will use your knowledge to design, code, and test cuttingedge applications that revolutionise industries and deliver exceptional user experiences. Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purposeled and valuesdriven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . & Summary We are seeking a highly skilled and proactive Microsoft Security Specialist to lead the implementation, management, and optimization of Microsoft security solutions. The ideal candidate will have deep expertise in Microsoft Purview, Priva, Defender, and Data Loss Prevention (DLP), along with strong experience integrating these solutions with onpremises infrastructure and Azure environments. Responsibilities 1. Design, implement, and manage Microsoft 365 security features including Microsoft Purview (Information Protection, Insider Risk Management, Compliance Manager) Microsoft Priva (Privacy Risk Management, Subject Rights Requests) Microsoft Defender Suite (Defender for Endpoint, Office 365, Identity, Cloud Apps) Data Loss Prevention (DLP) policies across Exchange, SharePoint, OneDrive, and Teams 2. Integrate M365 security solutions with Onpremises Active Directory and hybrid environments Azure AD, Azure Security Center, and Sentinel 3. Monitor and respond to security incidents and alerts using Microsoft 365 Defender and Microsoft Sentinel 4. Develop and maintain security baselines, compliance policies, and governance frameworks 5. Collaborate with IT and compliance teams to ensure alignment with regulatory requirements (GDPR, HIPAA, etc.) 6. Conduct risk assessments, audits, and gap analysis for M365 security posture 7. Automate security operations using PowerShell, Logic Apps, and Microsoft Graph API 8. Provide training and documentation for internal teams and endusers Mandatory skill sets Proven experience with Microsoft 365 Security & Compliance Center Strong knowledge of Microsoft Purview, Priva, and Defender Experience with hybrid identity and infrastructure integration Handson experience with Azure AD, Conditional Access, and MFA Familiarity with Microsoft Sentinel, KQL, and threat hunting Proficiency in PowerShell scripting and automation Understanding of data governance, privacy, and compliance frameworks Excellent communication and stakeholder management skills Preferred skill sets Proficiency in PowerShell scripting Excellent problemsolving and troubleshooting skills. Excellent communication and collaboration skills. Years of experience required 5 + years of experience in designing and lead the implementation, management, and optimization of Microsoft security solutions. Education qualification Bachelor s degree in information technology Microsoft Certified Security Operations Analyst Associate Microsoft Certified Information Protection Administrator Associate Microsoft Certified Azure Security Engineer Associate Education Degrees/Field of Study required Master of Business Administration, Bachelor of Technology, Bachelor of Engineering Degrees/Field of Study preferred Required Skills Microsoft Windows 365 Structured Query Language (SQL) No
Posted 3 days ago
5.0 - 10.0 years
12 - 16 Lacs
Bengaluru
Work from Office
Not Applicable Specialism SAP Management Level Senior Associate & Summary At PwC, our people in software and product innovation focus on developing cuttingedge software solutions and driving product innovation to meet the evolving needs of clients. These individuals combine technical experience with creative thinking to deliver innovative software products and solutions. Those in software engineering at PwC will focus on developing innovative software solutions to drive digital transformation and enhance business performance. In this field, you will use your knowledge to design, code, and test cuttingedge applications that revolutionise industries and deliver exceptional user experiences. Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purposeled and valuesdriven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purposeled and valuesdriven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . & Summary We are seeking a highly skilled and proactive Microsoft Security Specialist to lead the implementation, management, and optimization of Microsoft security solutions. The ideal candidate will have deep expertise in Microsoft Purview, Priva, Defender, and Data Loss Prevention (DLP), along with strong experience integrating these solutions with onpremises infrastructure and Azure environments. Responsibilities 1. Design, implement, and manage Microsoft 365 security features including Microsoft Purview (Information Protection, Insider Risk Management, Compliance Manager) Microsoft Priva (Privacy Risk Management, Subject Rights Requests) Microsoft Defender Suite (Defender for Endpoint, Office 365, Identity, Cloud Apps) Data Loss Prevention (DLP) policies across Exchange, SharePoint, OneDrive, and Teams 2. Integrate M365 security solutions with Onpremises Active Directory and hybrid environments Azure AD, Azure Security Center, and Sentinel 3. Monitor and respond to security incidents and alerts using Microsoft 365 Defender and Microsoft Sentinel 4. Develop and maintain security baselines, compliance policies, and governance frameworks 5. Collaborate with IT and compliance teams to ensure alignment with regulatory requirements (GDPR, HIPAA, etc.) 6. Conduct risk assessments, audits, and gap analysis for M365 security posture 7. Automate security operations using PowerShell, Logic Apps, and Microsoft Graph API 8. Provide training and documentation for internal teams and endusers Mandatory skill sets Proven experience with Microsoft 365 Security & Compliance Center Strong knowledge of Microsoft Purview, Priva, and Defender Experience with hybrid identity and infrastructure integration Handson experience with Azure AD, Conditional Access, and MFA Familiarity with Microsoft Sentinel, KQL, and threat hunting Proficiency in PowerShell scripting and automation Understanding of data governance, privacy, and compliance frameworks Excellent communication and stakeholder management skills Preferred skill sets Proficiency in PowerShell scripting Excellent problemsolving and troubleshooting skills. Excellent communication and collaboration skills. Years of experience required 5 + years of experience in designing and lead the implementation, management, and optimization of Microsoft security solutions. Education qualification Bachelor s degree in information technology Microsoft Certified Security Operations Analyst Associate Microsoft Certified Information Protection Administrator Associate Microsoft Certified Azure Security Engineer Associate Education Degrees/Field of Study required Master of Business Administration, Bachelor of Engineering, Bachelor of Technology Degrees/Field of Study preferred Required Skills Microsoft Windows 365 Structured Query Language (SQL) No
Posted 3 days ago
5.0 - 10.0 years
6 - 10 Lacs
Chennai
Work from Office
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 #NTRQ 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. #NTRQ
Posted 3 days ago
5.0 - 6.0 years
4 - 8 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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. Apply Internal Employee Application
Posted 3 days ago
0.0 - 3.0 years
4 - 7 Lacs
Mumbai
Work from Office
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. #NJP External Candidate Application Internal Employee Application
Posted 3 days ago
0.0 - 3.0 years
2 - 6 Lacs
Bengaluru
Work from Office
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 awarenessstrives 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 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. #njp External Candidate Application Internal Employee Application
Posted 3 days ago
0.0 - 2.0 years
4 - 8 Lacs
Hyderabad
Work from Office
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 awarenessstrives 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: Should be a Graduate Certified coder through AAPC or AHIMA Certified Fresher or Experience in medical coding or with any other previous experience Certifications accepted include CPC, CCS, CIC and COC – Anyone G23 (0 to 2+ years), G24 ( 3 to 5 years) If experience in Medical Coding All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / 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 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. External Candidate Application Internal Employee Application
Posted 3 days ago
4.0 - 9.0 years
4 - 9 Lacs
Chennai
Work from Office
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 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 #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ 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 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. External Candidate Application Internal Employee Application
Posted 3 days ago
0.0 - 3.0 years
4 - 7 Lacs
Chennai
Work from Office
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: Bachelor’s degree or master’s 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. External Candidate Application Internal Employee Application
Posted 3 days ago
1.0 - 3.0 years
4 - 8 Lacs
Noida
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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. External Candidate Application Internal Employee Application
Posted 3 days ago
8.0 - 13.0 years
11 - 16 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Develop, Design, code and test the enterprise product changes and enhancements Contribute across the platform, or products in areas like technology, team skills, process, shared components and quality Demonstrate ability to decompose a feature request into actionable work items that can be sized correctly and delivered Demonstrate ability to set individual and team priorities and solve complex issues 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: Bachelor’s Degree in technical field OR equivalent work experience 8+ years of relevant professional work experience Experience on .NET Full Stack Developer with FHIR/HL7 and CQL(preferable). Should be familiar with C#, ASP.NET MVC alongside framework like Angular or React with a solid understanding of databases like SQL Server and Cloud knowledge Experience conducting design and code reviews Clear understanding of DevOps or CI/CD process, tools and its importance Working experience on Agile environment with focus on faster Deployment frequency, feature cycle time, test automation, scrum team handling, etc. Solution oriented and effective communicator Ability to expand existing knowledge to learn new technology and process 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. #NIC Apply Internal Employee Application
Posted 3 days ago
2.0 - 5.0 years
2 - 4 Lacs
Hyderabad
Work from Office
Hiring US Healthcare experience candidates at Hyderabad Location. Position: Audit Support Assistant Location: Hyderabad Employment Type: Full-time (Work from Office) Shift: Rotational Shifts (Including Night Shifts) Join Date: Immediate Joiners Preferred Eligibility Criteria: Education: Any Graduate or Postgraduate Experience: Minimum 2 years of experience in US Healthcare Voice process OR Experience in international voice process and willing to start a career in US Healthcare Excellent verbal and written communication skills are mandatory Willingness to work from office and in rotational shifts, including night shifts How to Apply: Interested and eligible candidates are requested to share their updated resume at avinash.jeniga@cotiviti.com Regards, Talent Acquisition Team
Posted 3 days ago
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The Health Insurance Portability and Accountability Act (HIPAA) has created a demand for professionals in India who are well-versed in maintaining the security and privacy of healthcare data. HIPAA jobs in India offer a range of opportunities for individuals looking to work in the healthcare industry and ensure compliance with data protection regulations.
The average salary range for HIPAA professionals in India varies based on experience levels. Entry-level positions may start around INR 3-5 lakhs per annum, while experienced professionals can earn upwards of INR 10-15 lakhs per annum.
A typical career path in HIPAA roles may involve starting as a Compliance Analyst, moving up to a HIPAA Specialist or Consultant, and eventually progressing to a HIPAA Compliance Manager or Director.
As you prepare for HIPAA job opportunities in India, remember to showcase your knowledge of healthcare data security and privacy regulations confidently during interviews. With the right skills and experience, you can excel in the growing field of HIPAA compliance and contribute to ensuring the confidentiality and integrity of healthcare information. Good luck!
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