2545 Hipaa Jobs - Page 30

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),...

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-...

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. Wh...

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. Wh...

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 provider...

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 prioritiz...

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,...

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 ti...

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 ti...

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 ...

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 shi...

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 prioritiz...

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 ...

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 t...

Strong knowledge of Data Privacy and designing & developing framework. Knowledge on the DPDP Act, GDPR, HIPPA. Frameworks such as ISO 27001, NIST DPF, GAPP & applicable privacy laws and regulation.

Job Title: Expert Cloud Engineer Location: [Chennai / Hybrid] Experience: 15+ years Job Summary: We are looking for a highly experienced Expert Cloud Engineer with 15+ years of extensive IT experience, including a strong background in cloud architecture, to lead the design, deployment, and management of scalable, secure, and cost-effective cloud solutions. The ideal candidate will play a critical role in driving the cloud strategy, collaborating with cross-functional teams, and ensuring alignment of cloud initiatives with business goals. Key Responsibilities: Lead the architecture and design of enterprise-grade cloud solutions on platforms such as Microsoft Azure. Develop and execute cloud s...

Role & responsibilities 1.Conduct audits and assessments of the organization's information security management system to ensure compliance with ISO 27001 standards and best practices. 2. Collaborate with the GRC team to identify risks and vulnerabilities and develop and implement strategies to mitigate them. 3. Develop and maintain policies, procedures, and documentation related to the organization's ISMS. 4. Provide guidance and support to other teams within the organization on information security matters. 5. Monitor and report on the effectiveness of the organization's ISMS and identify areas for improvement. 6. Maintain knowledge of industry trends and best practices related to informati...

IT Compliance & Audit Lead ZS Governance, Risk & Compliance (GRC) Team Location: Pune, India Function: ZS (IT) Governance, Risk & Compliance (GRC) Level: Lead / Specialist / Consultant Experience Required: 4+ years in technical Information Security and Compliance roles About ZS ZS is a global professional services firm that works shoulder-to-shoulder with companies to help them deliver products and solutions that drive customer value and business impact. With expertise spanning healthcare, life sciences, high-tech, and beyond, we apply cutting-edge analytics, strategy, operations, and digital technologies to real-world challenges. Our Governance, Risk & Compliance (GRC) team is instrumental ...

about our diversity, equity, and inclusion efforts and the networks ZS supports to assist our ZSers in cultivating community spaces, obtaining the resources they need to thrive, and sharing the messages they are passionate about. We are seeking a dynamic IT Compliance & Audit Lead to join our Governance, Risk & Compliance (GRC) team in Pune. This role will be pivotal in driving the implementation and evolution of ZSs Continuous Compliance Monitoring (CCM) program. The ideal candidate will bring hands-on technical security expertise, a strong audit and risk management mindset, and the ability to collaborate across technical and business stakeholders. What youll do: Lead the development and ex...

Key Responsibilities Incident Response and Management: Lead the incident response process, including identification, containment, eradication, and recovery. Analyze and respond to complex security incidents and breaches. Conduct post-incident analysis and develop reports with recommendations to prevent future incidents. Security Monitoring and Analysis: Oversee the continuous monitoring of security alerts and events. Analyze logs and data from various sources (e.g., SIEM, firewalls, EDR, IDS/IPS) to identify suspicious activity. Perform advanced threat hunting and forensic analysis. Vulnerability Management: Conduct regular vulnerability assessments. Identify, prioritize, and remediate secur...

The Technical Architect will have to be execution-focused, supporting the full implementation lifecycle, from scoping to deployment in an evolving ecosystem consisting of clients and partners. You will be responsible for successfully solutioning the enterprise application E2E, designing and building the Salesforce Industry-specific Life Sciences, Health industry solutions. As a Technical Architect, you will become a deep product expert with Industry Salesforce Life Sciences Cloud (including Health Cloud) applications, and work closely with our sales and delivery teams to ensure customer success. You will lead the technical design and implementation of Salesforce solutions, ensuring complianc...

You are a highly skilled Senior Python Developer who will be responsible for designing and developing scalable and efficient software applications using Python and AWS services. Your role involves collaborating with cross-functional teams to ensure high-quality software applications. Key Responsibilities: Design and develop scalable and efficient software applications using Python and AWS services, including the development of RESTful APIs using Flask or Django, data processing and analytics pipelines using AWS services (e.g. S3, Lambda, Glue), and cloud-based applications using AWS services (e.g. EC2, RDS, Elastic Beanstalk). Collaborate with cross-functional teams, including development te...

Key Responsibilities:Marketing Strategy & Execution Develop and implement marketing plans for cardiology services in alignment with overall hospital objectives. Plan campaigns (digital, print, outdoor, etc.) to promote cardiology screenings, events, and new procedures. Monitor market trends, competitor services, and patient feedback to identify opportunities for growth. Public Relations & Communications Act as the liaison between the cardiology department and media outlets, patients, and the general public. Prepare press releases, articles, patient success stories, and other PR materials. Organize press conferences, public health talks, and community outreach programs. Digital Marketing Mana...

You should have a minimum of 3 years of hands-on experience in C#/.NET development. It is required to have experience working in the healthcare/medical software domain with knowledge of HL7 or FHIR. Additionally, a strong understanding of data privacy and regulatory compliance in medical applications such as HIPAA/GDPR is necessary for this role.,

As a skilled and visionary Technical Manager specializing in Backup & Disaster Recovery (DR), you will be responsible for leading and modernizing the global data protection strategy at Siemens Healthineers. Your role will be crucial in ensuring the safeguarding of Healthineers data assets against ransomware threats, enhancing cyber resiliency, and implementing cutting-edge DR solutions across cloud and on-premise environments. You will drive the unification and standardization of backup solutions company-wide, while also overseeing IT service operations such as incident, request, change, knowledge management, and problem management. Your key tasks and responsibilities will include: - Leading...