2545 Hipaa Jobs - Page 31

Genpact is a global professional services and solutions firm committed to delivering outcomes that shape the future. With a workforce of over 125,000 individuals spread across 30+ countries, we are fueled by curiosity, entrepreneurial agility, and a dedication to creating lasting value for our clients. Our purpose, the relentless pursuit of a world that works better for people, drives us to serve and transform leading enterprises, including the Fortune Global 500, leveraging our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. We are currently seeking applications for the position of Process Associate/Process Developer (Voice + Cla...

As an Executive in the US Medicare Process team, you will be responsible for managing healthcare claims, verifying medical eligibility, and ensuring compliance with Medicare guidelines. With 1-4 years of experience in the field, you will play a crucial role in processing Medicare claims accurately and resolving any discrepancies that may arise. Your role will involve handling inbound and outbound calls for claim inquiries, updating medical eligibility records as per Medicare regulations, and reviewing healthcare provider documentation in alignment with US Medicare standards. Your key responsibilities will include processing Medicare claims with precision, verifying and updating medical eligi...

You will be responsible for analyzing healthcare data in the U.S. healthcare industry to ensure compliance with regulations such as HIPAA, support population health initiatives, claims analysis, and operational efficiency. Your role as a Healthcare Data Analyst will involve analyzing clinical, claims, and operational data to uncover insights that improve patient outcomes, reduce costs, and enhance healthcare delivery. You should have experience working with healthcare datasets and a strong understanding of healthcare systems, compliance requirements, and performance metrics. Your key responsibilities will include analyzing claims, Electronic Health Records (EHR), and clinical data to identif...

FHRM is looking for Credentialing Specialist to join our dynamic team and embark on a rewarding career journey Credential Verification: Credentialing Specialists collect and verify all relevant documents and information from healthcare providers, including medical licenses, certifications, education, training, work history, and references. Provider Enrollment: They facilitate the enrollment of healthcare providers in insurance networks and government healthcare programs by ensuring that all necessary paperwork and credentials are in order. Compliance: Credentialing Specialists ensure that healthcare providers comply with legal and regulatory requirements, as well as with the organization's p...

We are looking for a highly skilled and experienced Security Analyst I to join our team at SteerLean, an IT Services & Consulting company. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Conduct thorough risk assessments and vulnerability testing to identify potential security threats. Develop and implement comprehensive security strategies to mitigate identified risks. Collaborate with cross-functional teams to ensure seamless integration of security measures. Monitor and analyze security event logs to detect anomalies and respond promptly to incidents. Stay up-to-date with emerging trends and technologies in cybersecurity. Provide expert guidanc...

Monitors, directs and evaluates coding production on a daily basis. Ensures that daily schedules are met and communicates with US Operational Manager and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay coding, implements measures/schedules to return to established coding schedules at the earliest possible time. Identifies day-to-day operational priorities and other workflow issues; adjusts coders, and other staff as necessary to ensure a constant flow of work so that delivery schedules are met, while respecting other parameters, such as login usage and quality/compliance considerations. Emphasizes productivity goals and takes a...

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...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical record...

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,...

Overview We are looking for a high-impact Product Manager who thrives at the intersection of technology and pharma/life sciences . This role demands a sharp strategic thinker with hands-on technical depth , product ownership mindset , and a solid grasp of pharma domain knowledge from primary market research (PMR) insights , competitive intelligence (CI) , to brand strategy . If you can translate brand/medical/commercial objectives into robust, scalable product solutions using AWS-native architectures , ML/GenAI models , and modern DevOps practices , you belong here. Key Responsibilities Product Leadership Own the end-to-end product lifecycle from discovery to launch across pharma/life scienc...

nitro-lazy"> Qualifications : Graduate in Lifesciences with Coding certifications : CPC, CCS. Highly experienced in surgical coding with an emphasis on orthopedic surgery. Years of Experience : Minimum 6 years of experience and overall 8 years of experience Job Summary The Coding Auditor and Educator is responsible for providing coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially orthopedic surgery, along with expertis...

"> Qualification & Desired Candidate Skills Intermediate or Bachelor s degree Candidate must have 4-6 years of experience in end to end AR process. Candidate with experience in Charge posting & Payment posting will get extra advantage. Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems. Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Ability to communicate effectively with insurance companies, patients, and other stakeholders. Ability to work independently and as part of a team. Proficient in Microsoft Office and other relevant software applications Shift Timings: 6:00 PM IST to 3:00 AM IST Responsibilites Mana...

nitro-lazy"> Qualifications: Graduate in Lifesciences with Coding certifications : CPC, CCS Years of Experience : Minimum 3 years of experience and overall 5 years of experience Position : Coding Analyst Job Summary The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education, and compliance. Their primary responsibility is to review medical records for complete and accurate documentation, then working with departments and providers on improvement opportunities. Qualifications . CPC Certification through AAPC or AHIMA, Required . In depth knowledge of clinical workflow . Expert in Microsoft Office products, includ...

India s impact on the global economy has increased at an exponential rate and Deloitte presents an opportunity to unleash and realize your potential amongst cutting edge leaders, and organizations 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 Technology & Transformation is about much more than just the numbers. It s about attesting to accomplishments and challenges and helping to assure strong foundations for future aspirations. Deloitte exemplifies what, how, and why...

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accent...

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing s...

Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce DevelopmentMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time educationDeep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences commercial processes...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Splunk Security Information and Event Management (SIEM), Security Information and Event Management (SIEM), Sentinal Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required Summary :As a Security Architect, you will define the cloud security framework...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : SailPoint IdentityIQ Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : Bachelor or college degree in related field or equivalent work experience Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve co...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : SailPoint IdentityNow Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various teams to document t...

Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colora...

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employ...

As a Privacy and Data Protection Manager at our professional services firm, you will play a crucial role in leading strategic consulting engagements, managing client relationships, and driving privacy program implementations. With a focus on data privacy and protection, you will navigate global regulatory frameworks such as GDPR, CCPA, HIPAA, and GLBA. Your responsibilities will include leading end-to-end delivery of data privacy engagements, conducting data inventory, compliance readiness assessments, and implementing privacy programs. Leveraging your deep regulatory knowledge, you will apply GDPR, CCPA, HIPAA, and other regulations to client-specific environments. In this role, you will ma...

TATA AIG General Insurance Company Limited is looking for Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business...

Job Summary Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance ...