3603 Hipaa Jobs - Page 16

As the VP of Security Operations at EXL, global Data and AI company, youll be a pivotal leader, responsible for safeguarding our vast and complex data ecosystem and advanced AI solutions Youll lead our 24x7 Cyber Defense Center (CDC), a mission-critical function protecting sensitive data and intellectual property across our global footprint This role demands a visionary leader with deep technical expertise, exceptional stakeholder management skills, and a proven track record of building and scaling world-class security operations in a dynamic, data-intensive environment Strategic Operations Leadership: Lead, define, and execute the strategic vision for our global security operations, ensurin...

Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required Responsible for mentoring and training other coders Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists Review medical records to ensure accurate coding and billing practices in accordance with established guidelines and regulations Identify discrepancies, errors or potential fraud in coding and...

Job Description Position Title, Responsibility Level: Executive/Senior Executive Function: Operations Reports to - Assistant Manager/Lead Assistant Manager Permanent/ Temporary: Permanent Span of Control None Location: C 15, Noida Basic Function This position is responsible for reviewing, analyzing and interpreting medical Information to assess and determine appropriate next action steps which may lead to denial or payment of claims Work is performed under general supervision according to established guidelines This individual promotes capabilities from a customer perspective, aligning needs with the target offering by creating a customer self-service enabled platform for core customers Esse...

This role is primarily responsible for Design, Engineering and operations of EXL s Global Contact Center Technology that are built on heterogeneous platforms consist of Cloud contact center- Amazon connect, Genesys PureCloud, Verint, Calabrio etc AV related services like Skype room systems- Crestron, Polycom etc, Service owner of the Voice and Contact center technology services which is a global deployment of integrated and complex implementation of multiple heterogeneous platforms providing mission critical services across 30+ clients The list of core platforms include: Amazon Connect, Genesys Pure cloud etc Omni Channel platform consisting of chat, email, voice and related services Digital...

As a QA RCM, you will be responsible for auditing the work of RCM Callers to ensure the highest standards of service delivery. REQUIRED EDUCATION/EXPERIENCE: ;Should be Graduate Should have worked as a ;Quality Controller for AR for at least one year ;with medical billing service providers or should have minimum 5 years experience into AR Must have very good knowledge of medical billing and be confident in process knowledge. Experience in the end-to-end Healthcare process and AR team for the ; audit Adapting to new situation challenges whenever required.Adhere to all company policies and procedures POSITION RELATIONSHIPS: Reports directly to the Assistant Manager ; JOB RESPONSIBILITIES: Revi...

Job Description ;:The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections. ; Minimum 1-4 years of Experience in AR caller\collections or Patient calling. ; ; ;The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third-Party Administrators. ; ; ;The role is completely target oriented on the number of calls made on a daily basis. ; Should have good communication with neutral accent preferred. Follow every aspect of SOP without fail ; Complete received Audits with Quality ; To achieve Quality and production target. Follow project related protocols and instruction...

Job Description Claims Analyst ; ;Job Name:Claims Analyst ;Position Title: ;Senior Executive - Claims ; ;Band:A2 ;Domain:Healthcare ; ; ;Reporting to:Assistant Manager ;Location/Site:EXL India, Chennai ; ;Job Description:Reviewing medical records and producing an accurate summary, ;Ability to analyze, Look at each medical record to check for missing documentationsPriorities workloads to ensure expedited cases are processed within defined timelinesEnsures that medical records are up to compliance.Qualifications: ;Any ;Graduate/ PostgraduateWorking Hours: ;40 hours /week, Full Time EmployeeWork Model: Training from office for 2 - months and hybrid there afterTelecommuter/Internet requirements,...

Overview : CVIRCPC certification. ;Post CPC certification completion date, there should be 3+ years of coding experienceSpecialty worked: IVR Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery)Good communication, flexibility reliability ;Qualifications: ;Life science/Paramedical DegreeCPC/CPMAComputer skill sets ;Experience:4 years to 12 years experience in Medical coding IVR and General surgeryAuditing and denial management experience (Optional) ;Communication: ;Strong written (documentation) and oral communication skills ;Working Hours:40 hours per week as Full time employeeShift time: 08:00AM TO 05:00PM ISTWeekends Off ;Telecommuter/Interne...

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. ;Qualifications: Bachelors in nursing preferable / Bachelors in science.Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder ;Experience: Minim...

;OverviewCPC certification. ;Overall 3+ years of coding experienceSpecialty worked: Outpatient surgeryAPC Facility coding is an added advantageGood communication, flexibility reliability ;Qualifications:Life science/Paramedical DegreeCPC/CPMAComputer skill sets ;Experience:Overall 3+ years experience in Multi-specialty surgery coding including IVR, General surgeryAuditing and denial management experience (Optional) ;Communication: ;Strong written (documentation) and oral communication skills ;Working Hours:40 hours per week as Full time employeeShift time: 08:00AM TO 05:00PM ISTWeekends OffTraining from office - Mandatory ;Telecommuter/Internet requirements, if applicable:High Speed internet...

Overview - Sr. Executive - Quality - Surgery Quality auditing CPC certification. Post CPC certification completion date, there should be 3+ years of coding experience Specialty worked: IVR Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery) Good communication, flexibility reliability Qualifications: Life science/Paramedical Degree CPC/CPMA Computer skill sets Experience: 4 years to 12 years experience in Medical coding IVR and General surgery W orking in Quality team is an added advantage. Communication: Strong written (documentation) and oral communication skills Working Hours: 40 hours per week as Full time employee Shift time: 08:00AM TO 05...

;Overview ;- SCRCPCPC certification - Preferred3+ years of coding experience min.Specialty worked: Surgery and IVR Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery)Good communication, flexibility reliability ;Qualifications: ;Life science/Paramedical DegreeCPC/CPMAComputer skill sets ;Experience:4 years to 12 years experience in medical coding IVR and General surgeryAuditing and denial management experience (Optional) ;Communication: ;Strong written (documentation) and oral communication skills ;Working Hours:40 hours per week as Full time employeeShift time: 08:00AM TO 05:00PM ISTWeekends OffTraining from office - Mandatory ;Telecommuter/Int...

As a Senior AVP Contact Center & Cloud Technology, the incumbent will be responsible for the global strategy, architecture, engineering, and operations of EXL s voice and contact center platforms, supporting over 30+ enterprise clients. The role demands a deep hands-on and strategic leadership across a multi-vendor, cloud-first ecosystem, encompassing Amazon Connect, Genesys PureCloud, Verint, Calabrio, and modern collaboration tools (eg, Skype Room Systems, Crestron, Polycom). This position will act as the service owner for mission-critical, enterprise-grade voice and contact center services leading end-to-end lifecycle delivery across design, deployment, vendor governance, compliance, and ...

We are seeking a highly motivated Responsible and Secure AI Governance Specialist to join our Cyber team. The ideal candidate will be engaged in the design, implementation, and monitoring of governance frameworks that ensure the ethical, secure, and compliant deployment of AI technologies within our services. This role will collaborate closely with technology, security, compliance, legal, and business units to manage AI risks, uphold data privacy, and align AI systems with evolving regulatory standards Responsibilities: Develop, implement, and maintain AI governance policies, standards, and best practices tailored for ITES environments Conduct AI risk assessments focused on model bias, fairn...

Data Cataloging: Utilize IDMC to effectively catalog data assets, ensuring robust metadata management and enhancing data discoverability across the organization Data Classification: Support with necessary data classification (manual or automated) around sensitive, critical, confidential data Master Data Management: Develop, validate, and maintain detailed mappings and schemas in Excel to manage master data critical for analysis and reporting Data Quality Assurance: Regularly audit and refine data quality, collaborating with IT, Data Owners, Data Stewards, and other stakeholders to rectify discrepancies and maintain high data integrity Policy Implementation and Compliance: Adhere to and enfor...

Requirements :(LAM-B2)Life science/Paramedical DegreeCPC ; ; ;10 - 13 year of CodingSpecialty worked: IVR Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery5+ years of coding experience3+Years of Team lead role in Quality team is preferable2+ Years AM roleCPMA certification is added advantage Training from office - MandatoryResponsibilities and Essential Functions:Must be a subject matter expertTeam handling skill setInventory management and planningMotivate and guide team to achieve production and quality goal setFollow project related protocols ;and instructionsHandling team clarificationTo be proactive in handling team issuesProblem solving...

JOB DESCRIPTION The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA Provide ongoing feedback and education to coding staff ESSENTIAL CRITERIA: Bachelor s in science/ Bachelor s in nursing Certified - CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder, CPC - Certified Professional Minimum 5 years experience in IP DRG ...

We are looking for an experienced Microsoft Security Expert to lead the design, implementation, and management of enterprise data protection strategies using Microsoft Purview Data Loss Prevention (DLP), Microsoft Defender for Cloud Apps (CASB), and related security platforms. This role is critical in enforcing Zero Trust principles, safeguarding sensitive data, and ensuring compliance across cloud and on-premises environments. Key Responsibilities Data Loss Prevention (DLP) Strategy Design and implement DLP policies using Microsoft Purview to protect sensitive data across Microsoft 365 services (Exchange, SharePoint, OneDrive, Teams), endpoints, and non-Microsoft cloud apps. Configure sensi...

We are seeking a skilled Entra ID Identity and Access Management Specialist to strengthen our global IAM program with a focus on automated user lifecycle management . This role will design, implement, and optimize joiners, movers, and leavers (JML) processes, access certifications, and segregation of duties (SoD) controls, using Oracle HCM as the authoritative source of HR records . The position will play a key role in enforcing governance, streamlining provisioning/de-provisioning, and ensuring compliance with global regulatory requirements. Key Responsibilities Identity Lifecycle Management (JML): Design and implement automated provisioning and de-provisioning workflows in Entra ID, driven...

We are looking for an experienced Microsoft Security Expert to lead the design, implementation, and management of enterprise data protection strategies using Microsoft Purview Data Loss Prevention (DLP), Microsoft Defender for Cloud Apps (CASB), and related security platforms. This role is critical in enforcing Zero Trust principles, safeguarding sensitive data, and ensuring compliance across cloud and on-premises environments. Key Responsibilities Data Loss Prevention (DLP) Strategy Design and implement DLP policies using Microsoft Purview to protect sensitive data across Microsoft 365 services (Exchange, SharePoint, OneDrive, Teams), endpoints, and non-Microsoft cloud apps. Configure sensi...

We are looking for an experienced Microsoft Security Expert to lead the design, implementation, and management of enterprise data protection strategies using Microsoft Purview Data Loss Prevention (DLP), Microsoft Defender for Cloud Apps (CASB), and related security platforms. This role is critical in enforcing Zero Trust principles, safeguarding sensitive data, and ensuring compliance across cloud and on-premises environments. Key Responsibilities Data Loss Prevention (DLP) Strategy Design and implement DLP policies using Microsoft Purview to protect sensitive data across Microsoft 365 services (Exchange, SharePoint, OneDrive, Teams), endpoints, and non-Microsoft cloud apps. Configure sensi...

We are looking for an experienced Microsoft Security Expert to lead the design, implementation, and management of enterprise data protection strategies using Microsoft Purview Data Loss Prevention (DLP), Microsoft Defender for Cloud Apps (CASB), and related security platforms. This role is critical in enforcing Zero Trust principles, safeguarding sensitive data, and ensuring compliance across cloud and on-premises environments. Key Responsibilities Data Loss Prevention (DLP) Strategy Design and implement DLP policies using Microsoft Purview to protect sensitive data across Microsoft 365 services (Exchange, SharePoint, OneDrive, Teams), endpoints, and non-Microsoft cloud apps. Configure sensi...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Insurance Verification Executive for Patient Financial Services, India, this role is responsible for all aspects of insurance eligibility, and benefit verification, including customer service, with the objective of minimizing controllable denials and maximizing the clean claim rate within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they ...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Billing Senior Executive for Patient Financial Services, India, this role is responsible for ensuring the accuracy and completeness of billing and charges within the revenue cycle. This role involves reviewing, correcting, and processing billing errors, charge discrepancies, and claims denials within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ...

A Day in the Life Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Cash Posting Executive for Patient Financial Services, India, this role is responsible for accurately posting and reconciling all payments received from patients, insurance companies, and other third-party payers within Patient Financial Services. The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide cu...