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5.0 - 10.0 years
10 - 17 Lacs
hyderabad
Work from Office
We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potentia...
Posted 1 month ago
5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensu...
Posted 1 month ago
18.0 - 28.0 years
55 - 90 Lacs
mumbai, hyderabad
Work from Office
Duties & Responsibilities : Financial Targets • Manage all aspects of delivery of operations for the assigned Line of Business (LOB). • Own financial performance and profitability for client accounts under the LOB. • Oversee P&L responsibility and sustain EBITDA margins. • Drive employee engagement, manageremployee relationships, retention, and overall satisfaction. Client Management • Maintain high levels of client satisfaction through exceptional service delivery. • Lead client onboarding for new assignments and programs. • Build and maintain strong client relationships through regular engagement. • Identify potential issues early and resolve them proactively. • Develop servicing and reten...
Posted 1 month ago
3.0 - 8.0 years
1 - 6 Lacs
Chennai
Work from Office
Role & responsibilities In hospitals, coding roles involve translating medical information into standardized codes for billing, record-keeping, and data analysis . Medical coders review patient records, assign appropriate codes, and ensure compliance with coding standards and regulations. Specific Roles and Responsibilities: Translating Medical Information: Medical coders examine patient charts, including physicians' notes, lab reports, and procedure documentation, to identify diagnoses and procedures. Assigning Codes: They assign alphanumeric codes based on national classification systems like ICD-10, CPT, and HCPCS. Ensuring Accuracy: They verify the accuracy and completeness of medical re...
Posted 4 months ago
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