3603 Hipaa Jobs - Page 5

Providing support and consulting for Genesys Cloud developers through our on-line support forums and in-person consultation with internal teams and customers. Designing and constructing development tools, SDKs, our Terraform provider and CLIs for our network of internal and external developers who use the Genesys Cloud platform to deliver call center and telephony solutions. Working in the Developer Tooling involves a mix of front-end and back-end development with deployments being done to our AWS environments. The Developer Engagement team provides development support and tools across the Java, Go, Python, .NET, Java, Node, and Typescript. Skills Required: 3-5 years experience working with ...

Bachelors degree in Computer Science, Information Systems, Engineering, or a related field. Proven platform administration experience of cloud-based data and analytics infrastructure. Significant hands-on experience managing and optimizing Databricks environments, including cluster administration, workspace management, and platform integrations. Deep working knowledge of AWS data and analytics services (e.g. EC2, S3, IAM, Glue, Lambda), encompassing deployment, security, and resource management. Proven experience deploying and managing cloud platforms using infrastructure-as-code tools (e.g. Terraform, CloudFormation). Demonstrated experience working within an agile/scrum delivery model, col...

- Answering incoming calls and providing information to patients or directing them to the appropriate department - Registering patients in the system and verifying their insurance information - Handling patient inquiries and complaints in a professional and courteous manner - Assisting with scheduling appointments and managing the patient registration process

12 -15+ years of experience as a Lead Consultant/Business Architect/Program Manager/ Product Manager with Healthcare Payer domain. Excellent Communication Skill and managing client stakeholders Experience in creating Business solutions . Worked on consulting presales activities Experience in executing Consulting Assessment programs Ability Gather, analyse, and document business and technical requirements for healthcare Programs Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc ) Knowledge of CMS rating standards (STAR) and quality measures reporting Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) ...

We are seeking a Pega Lead System Architect LSA with healthcare expertise to lead the architecture and design of Pega applications This role involves defining technical solutions ensuring scalability and guiding the development team Design build and implement Pega solutions aligned with healthcare requirements Define architecture standards and best practices for Pega healthcare applications Mentor and guide Pega developers ensuring adherence to quality standards Collaborate with business stakeholders to define solution requirements Qualifications 8 years of experience in Pega development with healthcare project experience Certified Lead System Architect CLSA in Pega Strong understanding of h...

Role & responsibilitiesTitle: US Healthcare Recruiter We are hiring US Healthcare Recruiters with hands-on experience in healthcare staffing. Candidates must have recruiting experience in: Registered Nurses (RN), LPNs across ICU, ER, Med/Surg, OR, PACU, L&D, Home Health, Long Term Care. Allied roles like CNA, CMA, MRI Technician, X-Ray Technician, Physical Therapist, Pharmacy & CT Technician. Preferred candidate profile Title: US Healthcare Recruiter We are hiring US Healthcare Recruiters with hands-on experience in healthcare staffing. Candidates must have recruiting experience in: Registered Nurses (RN), LPNs across ICU, ER, Med/Surg, OR, PACU, L&D, Home Health, Long Term Care. Allied role...

Job Summary: RSM is looking for a detail-oriented and client-care focused Background Check & Pre Hire Specialist to join our offices in Gurugram or Bengaluru! Reporting to the Background Check & Pre-Hire Manager, you will use your investigative and organizational skills to support the Talent Operations Teams objective to provide and manage centralized, highly repeatable solutions that allow RSM to achieve business goals while balancing the needs of our employees. As an integral part of the TA Operations team, you will be responsible for centralized delivery of activities and processes related to pre-boarding, background check verification and compliance requirements. The Background Check & P...

Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding ...

Primary Responsibilities: Roles and Responsibilities post training: Coding the medical record using the ICD-10 and PCS with desired accuracy as per SLA Know and adhere to HIPAA regulations Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor Meet quality and productivity standards and deadlines/turnaround times Reports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations For inpatient encounters, applies coding conventions and official coding guidelines approved by t...

We’re Hiring – AR Caller (AR Analyst / Sr. Analyst) On-site (Sector 39, Gurgaon) To APPLY, Call/WhatsApp: Shayan - 6291864166 Required Candidate profile Min 1 yr experience in AR Calling (US Healthcare RCM – Provider side) Must not have absconded from any past company Perks and benefits Both side cabs Meals facility Added incentives

So, what’s the role all about? We’re looking for a highly skilled and proactive Specialist – Cloud Security Operations Engineer to join our team and help safeguard NiCE Actimize’s cloud infrastructure and applications. This role is pivotal in ensuring the confidentiality, integrity, and availability of cloud-based assets. You’ll work across teams to monitor security systems, respond to incidents, and implement best practices that strengthen our cloud security posture. How will you make an impact? You’ll be responsible for: Monitoring cloud security alerts and responding to incidents in real-time. Deploying and managing security tools including SIEM, IDS/IPS, and vulnerability scanners. Devel...

Process: *Retrieve the correct medical record of a patient, review validate completeness of documentation along with signatures, orders for diagnostic tests etc. Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. *Adhere to the standard operating procedures and instructions related to the process in coding.

REI Systems India | Reliable | Effective | Innovative Technical Architect- Low Code/No Code Job Description Lead platform evaluation and selection for new product development, considering factors like scalability, cost, speed, and security. Compare low-code/no-code platforms (e.g. Power Platform, Mendix, OutSystems, Retool, Appian, Salesforce Platform etc.) alongside traditional full-stack approaches. Develop decision frameworks for choosing the right technology mix for each product use case. Stay up to date with emerging platforms, AI-assisted builders, automation tools, and enterprise integration trends. Define end-to-end solution architectures across multi-platform environments low-code, ...

Role Overview: We are looking for a Solution Architect with strong expertise in Java technologies and Cloud platforms to design, develop, and implement scalable, high-performance solutions. The ideal candidate will possess a deep understanding of Spring Boot, microservices architecture, and modern cloud infrastructures . Experience in the Healthcare domain will be a plus. Key Responsibilities: Design and architect end-to-end solutions using Java, Spring Boot, and cloud technologies (AWS / Azure / GCP). Define solution architecture, integration patterns, and technical roadmaps aligned with business goals. Collaborate with product owners, developers, and stakeholders to translate business need...

Overview Now Hiring: Remote Coding Specialists in South India 100% remote in South India – Andhra Pradesh, Tamil Nadu, Telangana, Kerala, & Karnataka Full-time opportunity Competitive salaries plus incentive in INR Day shift hours, 5-day (M-F) work schedule, & collaborative team culture Day 1 - 3 orientation onsite and equipment pickup in Chennai Service Delivery Day 4 training will begin remotely (WFH) We offer the following benefits – PF, Gratuity, ESI or Group Insurance Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ens...

Desired Candidate profile We are looking for a dynamic and experienced Manager / Assistant Manager Anesthesia Coding to lead our anesthesia coding team. The ideal candidate will possess strong domain knowledge, proven leadership capabilities, and the ability to ensure delivery excellence, compliance, and continuous process improvement within the anesthesia coding vertical. Certification: CPC / COC / CCS (AAPC or AHIMA) mandatory. Experience: Minimum 9 years in medical coding, with at least 3 years in Anesthesia coding and 2+ years in a supervisory or managerial role. Strong understanding of ASA guidelines, time-based units, concurrency, and modifier usage. Excellent knowledge of payer rules ...

Desired Candidate profile We are seeking an experienced and motivated Team Lead Anesthesia Coding to manage day-to-day coding operations, ensure compliance with quality standards, and guide a team of coders to deliver accurate and timely output. The ideal candidate will have hands-on experience in Anesthesia coding, deep understanding of ASA and CPT guidelines, and strong leadership capabilities. Certification: CPC / COC / CCS (AAPC or AHIMA) mandatory. Experience: 7 9 years in medical coding with minimum 2 3 years of Anesthesia coding experience. Sound understanding of ASA guidelines, modifiers, concurrency, and time-based unit calculations. Exposure to facility and professional coding work...

Desired Candidate profile We are looking for a skilled and experienced Anesthesia Coding Trainer to join our team. The ideal candidate will have strong expertise in CPT, ICD-10-CM, and HCPCS Level II coding with specific proficiency in Anesthesia coding guidelines and modifiers. This role involves training, mentoring, and assessing coders to ensure quality, accuracy, and compliance with payer and industry standards. 5 7 years in Anesthesia Coding (including at least 1 2 years in a training or mentoring role) Prior experience as a trainer, mentor, or quality auditor preferred. Strong understanding of ASA Relative Value Guide (RVG) and anesthesia time/unit calculation. Excellent verbal and wri...

Data Architect Job Description: We are looking for a highly skilled Data Architect with over 10 years of experience in designing, implementing, and managing large-scale data architecture solutions. The ideal candidate will have deep expertise in data modeling, cloud data platforms (Azure/AWS), and data governance, with a proven ability to architect secure, scalable, and high-performance data ecosystems. Experience: 10+ Years Location: Hyderabad / Remote Key Responsibilities: Design and develop enterprise-grade data architectures to support analytics, AI, and business intelligence initiatives. Create and maintain data models (conceptual, logical, and physical) to align with organizational dat...

Care Management GE Centricity Perinatal CC1/CC2 Certification mandatory with Clinical background preferred. GE Centricity Perinatal DRM (report writing) certification/training. Wellsky CarePort Admin and Report Module certification/training. Symplr Midas 1 yr. minimum experience with monthly/quarterly/yearly updates and patch installs/upgrades. Experience with support and configuration in any of these applications such as Cardiovascular, Pulmonary and other specialty registries; GE Centricity Perinatal, Wellsky CarePort, Symplr Midas, Milliman Care Guidelines, Metriq Cancer Registry, V5 Trauma Registries, Neodata, OBIX , Intellispace, Interqual, and Optum Care Coordination (OCCP ). OCCP 2 yr...

AR CALLER (DENIAL MANAGEMENT) ACTIVE VACANCIES Hyderabad Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 5 Lpa+ Allowances + Incentives Qualification: Inter & above Chennai Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 40k TH + Allowances + Incentives Qualification: Inter & above Reliving Letter : Mandate (last company) Mumbai Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 40k TH + Allowances + Incentives Qualification: Inter & above Mohali Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 36k TH + Incentives Qualification: Inter & above Preferred Immediate Joiners - 15 days o...

Primary Responsibilities: Provide expert level security assessments and reviews across all domains and technology functions while consulting with business and IT projects to provide holistic security requirements Lead, mentor and advise services to Infosec, business, and project teams to ensure that solutions are in line with the architecture direction and business strategies Play a key role in defining the technology, software, and platform engineering lifecycle and providing requirements to project teams (tools, capabilities, processes, etc.) Develop architecture documents/standards and pattern artifacts to security advisement teams consulting in enterprise projects Influence key leaders i...

Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up) again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention.Analysis data to identify process gaps prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes resource utilization and overall constant cost manageme...

we're looking for Staff with expertise in Third-Party Risk Management to join the leadership group of our EY- NFS TPRM team . This is a fantastic opportunity to be part of a leading firm while being instrumental in the growth of a new service offering. Your key responsibilities Participate in the delivery of Third-Party Risk Management (TPRM) engagements. Participate in the design and implementation of TPRM operating models, identifying, evaluating, and providing solutions to evaluate complex business and technology risks. Follow policies and procedures that support the successful implementation of TPRM operating models. Participate in process walkthrough discussions to assist in documenting...

Role Proficiency: Manager - Consulting Mandatory skill-set required: 1.US Healthcare Payer / US Health Insurance experience 2. As a Healthcare Consultant, candidate should have experience with Assessments and Discoveries i. Current-state analysis (functional landscape (detailed), technical landscape (high-level)) and future-state definition (including study of Industry best practices, benchmarking, gap analysis) ii. Delivery of Recommendations and Implementation Roadmap - as outputs from the Assessment / Discovery exercise - for the actual Technical Remediation, next steps iii. Support to documentation work (including Statements of Work (SoWs)) for Discovery / Assessment phase, and for Imple...