41 Hipaa Regulations Jobs

As a Coding OP in India, your primary role will be to monitor, direct, and evaluate daily coding production. You will ensure that daily schedules are met, communicate with the US Operational Manager and Coding Operations in case of any hindrances in meeting deadlines, and implement measures to return to established coding schedules promptly. Your responsibilities will include identifying operational priorities, adjusting staff as necessary to ensure a constant workflow, emphasizing productivity goals, tracking performance, and ensuring timely responses to client mails. Key Responsibilities: - Monitor, direct, and evaluate daily coding production - Communicate effectively with the US Operational Manager and Coding Operations - Adjust staff as necessary to maintain a constant flow of work - Track performance and ensure alignment with client expectations - Respond promptly to client mails and ensure acknowledgment mail on daily updates is sent to the US - Code actively alongside your team to stay updated on coding guidelines and processes Qualifications Required: - Any Life science, Paramedical Graduates and Postgraduates - 6+ Years of Experience in HCC coding - Valid certification from AAPC or AHIMA - Experience leading support professionals with independence in assignments - Familiarity with compliance and HIPAA regulations Additional Company Details: Guidehouse offers a comprehensive total rewards package, including competitive compensation and flexible benefits, to create a diverse and supportive workplace. Guidehouse is an Equal Opportunity Employer that considers qualified applicants with criminal histories in compliance with applicable laws. If you have the desired experience in HCC coding and leadership skills, along with a strong understanding of compliance regulations and a commitment to quality work, this position offers an opportunity to thrive in a dynamic and rewarding environment.,

You should have basic knowledge of the entire Revenue Cycle Management (RCM). It is essential to have a good understanding of the current Medicare Compliance and HIPAA regulations. You must be able to prioritize the follow-up claims and check the appropriateness of the follow-up dates. Additionally, you should be capable of initiating appropriate action, including preparing and sending appeal packages. This is a full-time, permanent position with benefits such as cell phone reimbursement and Provident Fund. The schedule for this role is during the night shift. There are also performance bonuses and yearly bonuses offered. The work location for this position is in person.,

Clinical Excel Computech is hiring for the role of AR Executive (Insurance/Billing/Credentialing) Location: Ahmedabad Shift Timings: Night Shifts; Fixed off on Saturday and Sunday Key Responsibilities: Handle Accounts Receivable activities related to insurance claims, billing, and credentialing processes for dental practices. Review and analyze claims for accuracy and compliance with insurance requirements. Follow up on unpaid claims and ensure timely resolution. Work with dental RCM software such as Dentrix, Open Dental, Curve Hero, and Denticon. Ensure compliance with HIPAA regulations and maintain patient confidentiality. Communicate effectively with internal teams and external stakeholders to resolve issues promptly. Maintain accurate and up-to-date documentation of all transactions and communications. Qualifications: 6 months to 1 year of hands-on experience as an AR Executive specifically in Insurance, Billing, and Credentialing within the Dental RCM domain Working knowledge of Dentrix, Open Dental, Curve Hero, and Denticon is mandatory. Familiarity with HIPAA regulations and standard healthcare documentation practices. Strong communication and interpersonal skills; excellent attention to detail and analytical ability. Benefits: Comprehensive training and mentorship program. Opportunities for career advancement and professional development. Health Insurance Dinner Meal facility If you are interested and have relevant experience, please share your resumes at [HIDDEN TEXT] or WhatsApp at +91-8622065918 / +91-9924119905? Show more Show less

As a Bilingual Customer Service Representative at Master Billing LLC, a specialized dermatology billing company, your primary responsibility will be to assist patients and providers with billing inquiries in both English and Spanish. You will play a crucial role in ensuring accurate and timely billing services while providing exceptional customer support. Your key responsibilities will include responding to incoming calls, emails, and messages from patients and providers, resolving billing questions and disputes, collaborating with the billing and coding team, documenting patient interactions accurately, and staying updated on insurance regulations and dermatology billing codes. Maintaining patient confidentiality and adhering to HIPAA guidelines at all times is essential in this role. To qualify for this position, you must be fluent in both English and Spanish (spoken and written), possess a high school diploma or equivalent (associate degree or higher is a plus), have at least 1 year of customer service experience (medical billing experience, especially in dermatology, is strongly preferred), demonstrate strong interpersonal and communication skills, be proficient with Microsoft Office and billing software, and have the ability to multitask, stay organized, and work independently in a remote environment. Familiarity with HIPAA regulations and medical terminology is considered a bonus.,

As an AR caller or Senior AR caller at Shiash Info Solutions, you will be responsible for managing accounts receivable in the US healthcare domain. Your role will involve handling billing for physicians and hospitals in the Chennai office (Work From Office). We are looking for candidates with 1 to 3.5 years of experience in this field, and immediate joiners are preferred. To excel in this role, you must have a minimum of 1 year of experience as an AR caller. Your responsibilities will include understanding medical billing processes, communicating effectively, and negotiating with clients. Attention to detail is crucial, especially in handling denials, revenue cycle management, and the end-to-end billing process. The ideal candidate should be able to work well under pressure, meet deadlines, and demonstrate proficiency in using billing software and Microsoft Office tools. A good understanding of insurance claim procedures, denial management, and appeals processes is essential. Knowledge of HIPAA regulations and patient privacy guidelines is also required. Candidates with certification in medical billing and coding will have an added advantage. Freshers are not eligible for this position. If you have the necessary experience and skills, and are interested in joining our team, please contact Reena at 9994197362 or reena.shiash@gmail.com. We look forward to welcoming motivated individuals to our HR Team at Shiash Info Solutions.,

As a Cardiac Technologist, you will be responsible for performing various cardiac diagnostic tests such as electrocardiograms (ECGs), stress tests, and echocardiograms on patients. Your role involves preparing patients for procedures, monitoring their vital signs during tests, and operating specialized cardiac imaging equipment. It is crucial to maintain accurate patient records and adhere to strict safety protocols and quality standards at all times. Your key responsibilities will include patient preparation, where you will obtain patient medical history, explain procedures clearly, position patients correctly, and apply necessary electrodes. Monitoring vital signs before, during, and after procedures is essential to ensure the well-being of patients. In terms of performing cardiac diagnostic tests, you will conduct electrocardiograms to record the heart's electrical activity, stress tests by monitoring patient vitals during exercise, and echocardiograms to assess heart function and blood flow. Operating other specialized cardiac imaging equipment may also be required as part of your duties. Data acquisition and analysis are integral aspects of the role, involving accurately recording data from cardiac tests, analyzing results to identify abnormalities, and preparing detailed reports for cardiologists with findings and interpretations. Technical expertise is vital, including maintaining and calibrating cardiac imaging equipment, troubleshooting malfunctions, and staying updated on new cardiac diagnostic technologies and procedures. Patient care and communication are paramount, as you will provide emotional support to patients, communicate effectively with cardiologists and healthcare team members, maintain patient confidentiality, and adhere to HIPAA regulations. Required qualifications for this position include completion of an accredited Cardiovascular Technology program leading to certification as a Registered Cardiovascular Technologist (RCVT), current CPR certification, proficiency in operating cardiac imaging equipment, and excellent verbal and written communication skills. This is a full-time position with benefits such as health insurance and provident fund. The job entails a fixed shift schedule and offers a performance bonus. The ideal candidate should have a minimum of 2 years of relevant work experience and be willing to work in person at the designated work location.,

Your role will involve balancing daily batches as part of the key responsibilities. To excel in this position, a Bachelor's degree in finance, accounting, healthcare administration, or a related field is preferred. It is essential to have a strong knowledge of medical terminology, healthcare billing processes, and insurance guidelines. Proficiency in utilizing healthcare billing software and electronic medical records (EMR) systems is required. The role demands excellent analytical and problem-solving skills with a keen attention to detail. Effective communication and interpersonal skills are crucial for successful collaboration with cross-functional teams. As part of the job, you will need the ability to manage multiple priorities in a fast-paced environment while meeting deadlines. Familiarity with HIPAA regulations and a commitment to maintaining patient confidentiality are essential for this role.,

You should have at least 2 years of medical coding experience in HCC Risk Adjustment. It is required to have an active coding certification under AAPC or AHIMA, with preference given to those with Certified Risk Adjustment Coding Certification (CRC). Your role will involve utilizing strong clinical knowledge pertaining to chronic illness diagnosis, treatment, and management. Additionally, you should be able to code using ICD-10-CM physical codebook or coding software. Proficiency in computer skills, including MS Office and internet usage, is essential for this position. Previous hands-on experience in BPO will be advantageous. A good understanding of HIPAA regulations and compliance requirements is also necessary for this role.,

Job Description: As a Medical Coder at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations. Essential Job Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Accurately assign medical codes to precisely reflect clinical documentation. - Ensure the integrity and precision of coded data. - Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. - Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards. - Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks. - Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations. Minimum Qualifications: - Possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. - Minimum of 1 year of experience coding Pro Fee Primary Care / Urgent Care. - Proficiency in ICD-10-CM, ICD-10-CM, CPT and/or HCPCS codes as appropriate, and comprehensive knowledge of guidelines and conventions. - Competence in utilizing coding software and electronic health record (EHR) systems. - Strong analytical aptitude to interpret intricate medical documentation accurately. - Detail-oriented approach, ensuring precision and accuracy in all coding assignments. - Exceptional communication skills to facilitate effective collaboration with healthcare professionals.,

You will be responsible for coding medical reports by assigning appropriate CPT & ICD codes based on the documentation and client specifications. Your tasks will include working on medical reports to assign proper CPT, ICD, and modifiers accurately and efficiently within client SLAs. In case of any issues, you should communicate and escalate them to seniors promptly. It is essential to stay updated with the latest codes and medical knowledge, supporting your team members to achieve common objectives. You will need a good understanding of Anatomy, Physiology, and Medical Terminology to determine basic treatment protocols. Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM, and CPT is necessary. Certification as a Medical Coder (CPC, COC, CIC, CCS) with at least 1 year of experience in Workers Compensation Claims is preferred. You should be able to identify causes of claim denials and consistently enhance coding standards. Experience in using electronic medical records applications, especially PrognoCIS and Daisy Bill, will be an advantage. Familiarity with HIPAA regulations, medical codes, and billing terminology is crucial. Strong interpersonal, oral, and written communication skills are essential in this role. Proficiency in Microsoft Office tools is required. A minimum of 3 years of experience in US Healthcare is preferred for this position.,

As a Radiology and Imaging Technologist at our facility, you will be responsible for supporting radiologists in the analysis of various medical images such as X-rays, CT scans, MRIs, ultrasounds, and other imaging modalities. Your primary duties will include preparing patient medical records and imaging studies for interpretation, ensuring proper organization of images and patient data, and collaborating with radiologists to gather essential clinical information. You will be expected to communicate effectively with healthcare providers and facility staff to address any inquiries related to imaging studies. Additionally, you will utilize Tele Radiology software and tools to securely transmit images and reports between healthcare facilities and our team while maintaining strict confidentiality and adhering to HIPAA regulations. To excel in this role, you should have a minimum of 2 years of experience in a clinical or healthcare setting with exposure to radiology practices. Proficiency in medical terminology, anatomy, and physiology is essential, along with a keen attention to detail to accurately identify abnormalities in medical images. Strong written and verbal communication skills are crucial for effective interaction with multidisciplinary teams. Experience with Tele Radiology software and Picture Archiving and Communication Systems (PACS) is advantageous. You should be capable of working independently and collaboratively in a remote, virtual environment, demonstrating professionalism and confidentiality in handling sensitive patient information. Furthermore, you must be flexible to adapt to changing priorities and willing to work in shifts or weekends as required. Your commitment to ongoing training and professional development will contribute to quality improvement initiatives within the Tele Radiology team. If you are looking to join a dynamic team and contribute to advancements in radiology technology and practices, we encourage you to apply for this exciting opportunity.,

As the Urgent Care Front Desk Insurance & Billing Specialist at American Family Care, you will play a crucial role in ensuring seamless healthcare experiences for our patients. Your responsibilities include meticulously verifying insurance coverage, explaining costs clearly to patients, and proactively resolving billing issues to maximize revenue capture. Your attention to detail and ability to navigate insurance complexities will be key in maintaining high patient satisfaction and our clinic's financial health. In this role, you will act as the face of AFC, greeting patients with professionalism and warmth while upholding strict HIPAA regulations to protect patient information. Your expertise in insurance verification and medical billing, coupled with your problem-solving skills and positive attitude, will make you an invaluable asset to our team. You will receive specialized training in insurance verification and patient financial counseling, allowing you to develop highly marketable skills in medical billing and insurance, which are in high demand in the healthcare industry. Ideal candidates for this position have previous experience in insurance verification and medical billing, possess excellent communication skills to explain complex insurance concepts to patients, and are proficient in using medical billing software and EMR systems. Additionally, a positive attitude, strong problem-solving abilities, and the willingness to engage in challenging financial conversations are essential qualities for success in this role. As part of the AFC team, you will have the opportunity to grow professionally and advance your career within the organization. You can expect a competitive salary, comprehensive benefits package including medical, dental, and vision insurance, as well as opportunities for further career development and progression within the company. Join us in redefining urgent care across America and be a part of a healthcare innovation that is expanding nationwide. If you are ready to contribute to providing the best healthcare possible in a kind and caring environment, while respecting the rights of all patients, then we invite you to apply and be a part of our mission at American Family Care. Let's work together to help patients live life uninterrupted and make a positive impact in the healthcare industry. #JoinAFCMRTeam,

As a team member at InfoWryt Solutions LLP, you will play a pivotal role in delivering exceptional healthcare solutions and enhancing the patient experience. Your responsibilities will include greeting and assisting patients and visitors in a friendly manner, managing front desk operations, scheduling patient appointments, verifying insurance information, and ensuring the accuracy of patient records and documentation. Additionally, you will assist medical staff with administrative tasks, coordinate communication between patients and healthcare providers, handle patient complaints effectively, and maintain a clean and organized reception area. To succeed in this role, you should have a high school diploma or equivalent, with further education in healthcare administration being a plus. Proven experience in a front office or customer service role, preferably in a healthcare setting, is essential. Strong communication skills, both verbal and written, along with a basic knowledge of medical terminology and healthcare procedures are required. You should be able to multitask, manage time efficiently, and have familiarity with electronic health record systems. Excellent problem-solving skills, attention to detail, and the ability to work well under pressure are also important qualities for this position. Demonstrating strong interpersonal skills with a compassionate approach, proficiency in Microsoft Office Suite, and the ability to work both independently and as part of a team are key attributes we are looking for. Understanding patient confidentiality regulations, such as HIPAA, and experience handling sensitive information with discretion are crucial. A proactive attitude, willingness to work flexible hours, reliability, punctuality, and a strong work ethic are also important characteristics we value in our team members. Prior experience in front desk or customer service roles, knowledge of office management and administrative procedures, as well as organizational and time management skills will be beneficial for this role. If you possess the skills of interpersonal skills, problem-solving, customer service, medical terminology, administrative tasks, proficiency in Microsoft Office Suite, team collaboration, attention to detail, electronic health records (EHR), and strong organizational and communication skills, and if you have a desire to contribute to the healthcare field and help others, we invite you to join our team and make a difference in healthcare.,

As an Experienced Medical Biller at our healthcare facility, you will play a crucial role in ensuring accurate processing and timely reimbursement of medical claims. Your attention to detail and strong understanding of medical billing processes, insurance claims, and healthcare coding standards will be key in maintaining the financial health of our organization. Your responsibilities will include reviewing and processing medical claims with precision, submitting claims electronically to insurance companies, and resolving any claim denials, rejections, or appeals promptly. You will also be tasked with verifying patient insurance coverage, obtaining necessary authorizations, and communicating effectively with both patients and insurance companies to address billing inquiries and resolve outstanding balances. Collaboration with providers and clinical staff to ensure accurate documentation and coding will be essential, along with generating reports on billing activity, claim status, and outstanding accounts. To succeed in this role, you should possess a diploma or graduation in any field, along with 0-2 years of experience in medical billing. Excellent communication, analytical, and organizational skills are a must, as well as the ability to handle confidential information with discretion and comply with HIPAA regulations. In return for your expertise and dedication, we offer a competitive salary range of 2.58LPA to 4.5LPA, along with a range of benefits including a 5-day work week, health and accidental insurance, paid leaves, referral bonus, leave encashment, monthly performance-based incentives, and complimentary meals, tea/coffee, and snacks. Join our team and make a difference in the healthcare industry while enjoying a supportive work environment and valuable perks.,

You will be responsible for providing L1, L2, and L3 support as a support specialist. Your key responsibilities will include the configuration of Windows and Mac based computers, monitoring system issues through the RMM platform, managing and maintaining Active Directory, patching servers and critical systems during maintenance windows, identifying and resolving security and performance issues through system reviews, auditing systems for compliance with HIPAA and SEC regulations, creating scripting solutions for task automation, handling change requests for services and systems, optimizing network deployments, configuring and monitoring network firewall assets, maintaining Windows Server infrastructure, conducting BCDR verification and testing, documenting tasks and procedures, ensuring client uptime outside of standard business hours, and collaborating with the U.S based team to meet project timelines. To excel in this role, you should have 5 years or more experience in IT consulting, MSP, or similar environments beyond helpdesk support, proficiency in Mac, Windows, Linux, and Windows Server operating systems, knowledge of the NIST Cybersecurity Framework, familiarity with HIPPA, SEC, and PCI compliance, CCNA and MCSA certifications or actively working towards obtaining them, experience with PSA and RMM systems, Microsoft SQL administration skills, knowledge of Windows Server from 2008 onwards, experience with Azure and AWS, strong written and verbal communication skills, proficiency in task and project management without direct supervision. If this opportunity aligns with your skills and experience, please send your resume to senthil.kumar@rigpa.in.,

Job Description: As a Medical Coding Trainer at LexiCode, you will be part of a dynamic team of coding experts dedicated to providing exceptional coding services to our esteemed clients. Your main responsibility will involve training coders to accurately assign medical codes while ensuring compliance with coding guidelines and regulations. It is essential to stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. Additionally, active participation in coding audits and quality improvement initiatives is crucial to maintain and improve coding accuracy standards. Upholding strict patient confidentiality and privacy standards in full compliance with HIPAA regulations is also a key aspect of this role. Minimum Qualifications: To be considered for this position, you must possess one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. A minimum of 3 years of experience in coding inpatient medical records is required. Proficiency in both inpatient and outpatient medical coding, including a comprehensive understanding of guidelines and conventions, is essential. You should also demonstrate competence in using coding software and electronic health record (EHR) systems. Strong analytical skills are necessary to interpret complex medical documentation accurately. A detail-oriented approach is vital to ensure precision and accuracy in all coding assignments. Excellent communication skills are also important to facilitate effective collaboration with healthcare professionals. Disclaimer:,

Ready to shape the future of work At Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos AI Gigafactory, our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that&rsquos shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions - we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook. Welcome to the relentless pursuit of better. Inviting applications for the role of Management Trainee- Patient Billing Specialist - Home Care Pharmacy We are seeking a detail-oriented and experienced Patient Billing Specialist to join our team, supporting billing operations for our US-based Home Care Pharmacy services. The ideal candidate will have a strong understanding of healthcare billing practices, insurance verification, and patient account management, specifically within the home care pharmacy domain. Responsibilities . Process and manage patient billing for home care pharmacy services in compliance with US healthcare regulations. . Verify insurance coverage and eligibility for pharmacy services. . Submit claims to insurance providers and follow up on unpaid or denied claims. . Resolve billing discrepancies and respond to patient inquiries regarding account balances. . Collaborate with pharmacy staff, insurance companies, and patients to ensure accurate and timely billing. . Maintain up-to-date knowledge of payer requirements, billing codes, and reimbursement policies. . Generate and review billing reports to ensure accuracy and completeness. . Assist in audits and compliance reviews as needed. Qualifications we seek in you! Minimum Qualifications / Skills . Must have B.Com or M.Com degree Preferred Qualifications/ Skills . Experience in patient billing within a US-based Home Care Pharmacy or similar healthcare setting. . Familiarity with Medicare, Medicaid, and commercial insurance billing procedures. . Proficiency in billing software and electronic health record (EHR) systems. . Strong understanding of HIPAA regulations and patient confidentiality. . Excellent communication and problem-solving skills. . Ability to work independently and manage multiple tasks efficiently. . Experience with pharmacy billing platforms (e.g., QS/1, FrameworkLTC, or similar). . Knowledge of HCPCS, CPT, and ICD-10 coding. . Prior experience in a remote or hybrid work environment. . Work Environment o Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility Employment Type: Full-Time Shift: [US Shift/Night Shift EST/EDT hours] Why join Genpact . Be a transformation leader - Work at the cutting edge of AI, automation, and digital innovation . Make an impact - Drive change for global enterprises and solve business challenges that matter . Accelerate your career - Get hands-on experience, mentorship, and continuous learning opportunities . Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day . Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Let&rsquos build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a %27starter kit,%27 paying to apply, or purchasing equipment or training.

As a Quality Assurance Analyst and Trainer for Medical Coding at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be to review assigned medical codes for accuracy and ensure compliance with coding guidelines and regulations. You will thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. It is essential to review medical codes for accuracy to ensure they precisely reflect clinical documentation and maintain the integrity and precision of coded data. Staying updated with evolving coding guidelines, regulations, and industry best practices through continuous research is crucial. Active participation in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards is expected. You will also need to maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks and uphold strict patient confidentiality and privacy standards in compliance with HIPAA regulations. The minimum qualifications for this role include possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. Additionally, a minimum of 1 year of experience in coding or QA for an Inpatient facility is required. Proficiency in ICD-10-CM and PCS coding systems, along with comprehensive knowledge of guidelines and conventions, is essential. Competence in utilizing coding software and electronic health record (EHR) systems is also necessary. A strong analytical aptitude to interpret intricate medical documentation accurately, a detail-oriented approach to ensure precision and accuracy in all coding assignments, and exceptional communication skills to facilitate effective collaboration with healthcare professionals are qualities that are highly valued in this role.,

The Quality Assurance Auditor/Trainer for Outpatient Surgery Coding position at LexiCode involves reviewing and analyzing medical records to ensure accurate coding and compliance with guidelines. The role requires staying updated on coding regulations and participating in quality improvement initiatives. The ideal candidate should possess AHIMA or AAPC credentials, have at least 1 year of experience in outpatient surgery coding, and be proficient in ICD-10-CM and PCS coding systems. Strong analytical skills, attention to detail, and effective communication are essential for this role to maintain coding accuracy standards and patient confidentiality in line with HIPAA regulations.,

You should possess excellent written and verbal communication skills. Additionally, you must have an extensive working knowledge of managed care networks and insurance carriers. It is essential to have a good understanding of current Medicare Compliance and HIPAA regulations. Your role will also require excellent negotiation and relationship-building skills, along with strong leadership and mentoring abilities. You should be capable of driving changes and implementing process improvements effectively. Proficiency in working with the Internet, MS Office, and Excel would be advantageous. Please note that this position is based in Vadodara, Gujarat, and requires working from the office during night/US shift hours. Qualifacts is an equal opportunity employer that values diversity and is dedicated to fostering an inclusive environment for all employees.,

As a Certified CPC Coder specializing in radiology billing operations within the Revenue Cycle Management team, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while complying with US healthcare regulations. Your responsibilities will include reviewing and validating CPT, ICD-10, and HCPCS codes for radiology studies, conducting audits to maintain high-quality standards, and ensuring regulatory compliance with HIPAA, CMS regulations, and facility-specific billing protocols. You will be responsible for preparing and submitting accurate invoices to partner healthcare facilities based on contracted fee schedules, as well as validating invoice line items against study volumes, modality types, and applicable reimbursement rates. Effective collaboration with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation, along with clear communication with facility billing departments and insurance representatives, will be essential in this role. Additionally, you will be expected to generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics, maintain detailed billing logs and reconciliation spreadsheets, and identify opportunities to streamline billing processes and improve revenue cycle efficiency. Your technical skills should include advanced proficiency in Microsoft Excel, experience with billing software such as Kareo, AdvancedMD, and knowledge of electronic data interchange formats. To qualify for this role, you should possess a Bachelor's degree in a relevant field, CPC Certification from AAPC, additional certifications in radiology coding, and a minimum of 3 years of hands-on experience in US medical billing and coding, preferably with radiology billing expertise. Proficiency in analytical problem-solving, strong communication skills, time management abilities, and adaptability to changing healthcare regulations are key competencies required for success in this position. In return, we offer competitive compensation, comprehensive benefits including health insurance and paid time off, flexible work arrangements, professional development opportunities, and a clear career progression path within our growing RCM division. If you are ready to advance your career in healthcare revenue cycle management and contribute to our innovative and collaborative team, we encourage you to apply by submitting your updated resume, cover letter, CPC certification, and relevant credentials for consideration.,

As a Sr. Customer Support Associate in the Technical Support (Blended Process) team at our Rabale MIDC office in Navi Mumbai, you will play a crucial role in delivering exceptional customer service and technical support. We are seeking individuals with a minimum of 2 years of experience in Technical Support or Customer Service for International BPOs, particularly in voice and chat support roles. Experience in US Healthcare processes and EMR systems will be an added advantage. Your responsibilities will include providing top-notch technical support and customer service through various channels such as voice, email, and chat. You will be expected to troubleshoot and resolve customer issues with accuracy and professionalism, following SLAs and operational guidelines diligently. Collaborating with internal teams, managing cases end-to-end, and ensuring timely follow-ups will be key aspects of your role. To excel in this position, you must possess excellent verbal and written communication skills with a neutral accent suitable for interactions with US-based customers. You should be comfortable working in rotational shifts and managing your commute to the office as no transport facility will be provided. Strong problem-solving abilities, familiarity with EMR systems like Epic and Cerner, and knowledge of HIPAA regulations will be advantageous. Your success in this role will depend on your ability to handle multiple communication channels effectively while upholding service quality and professionalism. If you are a fast learner who thrives in a fast-paced support environment, adapts well to evolving business landscapes, and demonstrates exceptional organizational skills, we encourage you to apply. This is a full-time position with rotational shifts. Candidates must be willing to commute or relocate to Navi Mumbai, Maharashtra. If you are interested in joining our team and meet the qualifications mentioned above, we look forward to connecting with you soon.,

As an SME Project Manager at our company, you will bring 5-7 years of relevant experience in a client-facing role within IT services. Your primary responsibility will be to manage and lead medical data projects as a Project Manager (PM), collaborating with various medical data types to generate datasets for machine learning applications. Your role will involve overseeing annotation teams, designing annotation protocols with clinical significance, and ensuring effective communication with clients and colleagues across different locations. A key aspect of your position will be leveraging your expertise in people, processes, and technology to identify areas for quality and process improvement, aligning with our mission of delivering faster, cheaper, and better outcomes while upholding our social impact goals. You will need to navigate a fast-paced environment, handle multiple priorities, and demonstrate strong problem-solving skills. Additionally, you should have a track record of building and developing teams, fostering individual growth into leadership roles. Your role will also involve initiating and cultivating partnerships with customers and customer success managers to define and assess service performance metrics. You will play a crucial role in motivating your team, resolving conflicts, and making tough decisions when necessary. Collaboration with senior stakeholders from various functions and creating synergies for optimal client experience will be essential for success in this role. In terms of skills, you must possess a deep understanding of healthcare terminology and anatomy, along with familiarity with how annotated data supports machine learning models, particularly in healthcare settings. Knowledge of diverse medical data types such as radiology images, pathology reports, EMRs, and clinical workflows is crucial. Awareness of regulations like HIPAA to safeguard patient data privacy and security is a must. Your passion for technology, continuous learning, and effective communication with internal and external stakeholders will be instrumental in excelling in this role. Ideally, you should have experience in project management for healthcare services and hold a Physician/MBBS degree with relevant experience. A solid grasp of patient history, diagnosis, prescription writing, medical abbreviations, and related healthcare practices will further strengthen your candidacy for this position.,

Job Summary: Quality Analyst - Healthcare Voice Processes We are looking for a detail-oriented Quality Analyst (QA) with at least 1 year of QA experience in voice processes, preferably in the US healthcare domain. The ideal candidate will have strong analytical skills, a keen eye for detail, and the ability to evaluate and enhance service quality. This role focuses on monitoring agent performance, ensuring compliance with healthcare regulations, and driving continuous improvement in customer interactions. Night shift availability is required. In This Role You Will Monitor and evaluate outbound/inbound calls to ensure adherence to quality standards and compliance with HIPAA and other healthcare regulations. Analyse call recordings and provide detailed feedback to agents on communication, problem-solving, and compliance. Identify areas for improvement in agent performance and recommend actionable solutions to address gaps. Develop and maintain quality monitoring systems, checklists, and scorecards to track performance metrics. Collaborate with team leaders and trainers to design and implement improvement plans. Conduct calibration sessions to align quality standards across teams and ensure uniform evaluation practices. Prepare quality reports and dashboards, highlighting trends, common issues, and opportunities for improvement. Stay updated on industry standards, healthcare guidelines, and company policies to ensure ongoing compliance. Provide insights to enhance overall customer satisfaction and operational efficiency. We Are Looking For Someone Who Has At least 1 year of experience as a Quality Analyst in voice processes, preferably in the US healthcare sector. Strong understanding of quality assurance methodologies, call evaluation techniques, and compliance standards. Excellent verbal and written communication skills, with a focus on providing constructive feedback. Knowledge of healthcare processes, medical terminologies, and HIPAA regulations (preferred). Proficiency in using QA tools, CRM platforms, and reporting systems. Strong analytical and problem-solving skills, with attention to detail. Ability to multitask, prioritize, and meet deadlines in a fast-paced environment. Willingness to work night shifts. Educational Qualification Bachelors degree in any field (preferred: Healthcare Administration, Business Management, or related areas). Why join our ResultsCX team Frequent Employee events, games, parties, and all-around fun in the workplace Healthcare Benefits Opportunity to grow with ResultsCX if thats Your Greater About ResultsCX ResultsCX is a premier customer experience partner to Fortune 100 and 500 companies. We design, build, and deliver digitally influenced customer journeys that achieve the satisfaction and loyalty brands need to thrive and grow, while improving efficiency and reducing costs. ResultsCXs 30+-year track record for reimagining the customer experience to meet consumers evolving expectations has driven growth to more than 20 geographic hubs and approximately 20,000 colleagues worldwide. Our core expertise extends to actionable analytics, contact center as a service (CCaaS), and our own SupportPredict AI-powered digital experience platform. Our strength lies in exceptional individuals working together in a high-performing, fun culture to deliver next-generation customer experiences on behalf of our clients. ResultsCX is an equal opportunity and affirmative action employer and will consider all qualified applicants without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected factors under federal, state, or local law. Show more Show less

As the ideal candidate for this role, you will be responsible for serving as a primary knowledge source for the Revenue Cycle Management (RCM) process, offering guidance and direction to the RCM team. You will be tasked with analyzing revenue cycle trends, aiming to enhance and streamline processes effectively. Additionally, your role will involve training team members on updated RCM procedures and guidelines, ensuring their proficiency in the field. Your expertise will be crucial in participating in client meetings, offering expert insights into the RCM process and addressing escalated complex RCM issues. It will be your responsibility to develop and uphold documentation of RCM procedures and guidelines, staying updated on changes in healthcare regulations, medical coding, and billing practices. Collaboration with other departments is essential to maintain the integrity of the RCM process, where you will recommend process improvements to enhance accuracy, efficiency, and revenue. Compliance with state and federal regulations as well as company policies will be a key focus area in this role. To qualify for this position, you should hold a Bachelor's degree in Business, Healthcare Management, or a related field and possess a minimum of 5 years of experience in healthcare RCM, demonstrating a successful track record in a similar capacity. A comprehensive understanding of medical terminology, CPT, ICD-10, and HCPCS coding is essential, along with strong analytical and problem-solving skills. Excellent communication skills, both verbal and written, are required, as well as proficiency in MS Office Suite and medical billing software. Experience in providing training and mentoring to team members, an understanding of healthcare regulations including HIPAA, and the ability to work independently, manage time efficiently, and make informed decisions under pressure are all crucial for this role. Holding a certification in medical billing or coding, such as CPC, would be advantageous.,