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3.0 - 7.0 years

6 - 11 Lacs

Chennai

Work from Office

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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 to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Graduate or Postgraduate in Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P 8+ years of coding experience with 2+ years of experience as a Team Lead Knowledge of organizational structure, workflow, and operating procedures Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Proficient in healthcare reimbursement methodologies Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness Proven ability to manage and enable teams to reach their goals Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction

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1.0 - 3.0 years

4 - 8 Lacs

Noida

Work from Office

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 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 prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records 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 to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so#NTRQ Required Qualifications Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC - Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines

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1.0 - 3.0 years

0 Lacs

Coimbatore, Tamil Nadu, India

On-site

In this Role you will be Responsible for: Should have experience in E&M coding The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend basis business requirements. It is Mandatory to return to office based on client or business requirement.

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0.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

In this Role you will be Responsible For : . The coder reads the documentation to understand the patient's diagnoses assigned . Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes . Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders . Medical coding allows for Uniform documentation between medical facilities . The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: . 0 -1 Year of experience in any Healthcare BPO . University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing . Good knowledge in human Anatomy/Physiology . 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools . Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. . Flexibility to accommodate overtime and work on weekend's basis business requirement. . Ability to communicate (oral/written) effectively in English to exchange information with our client

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10.0 - 14.0 years

9 - 13 Lacs

Navi Mumbai

Work from Office

Knowledge: • Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. • Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - E&M-IP/OP. • Knowledge of EM – IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination & Medical Decision Making in Documentation guidelines, hospital E&M coding - initial/subsequent visit • Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. • Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities • Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects • Quality control as per client SLA • Ensure effective implementation of organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement

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8.0 - 12.0 years

7 - 11 Lacs

Navi Mumbai

Work from Office

Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. • Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - E&M-IP/OP. • Knowledge of EM – IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination & Medical Decision Making in Documentation guidelines, hospital E&M coding - initial/subsequent visit • Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. • Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities • Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects • Quality control as per client SLA • Ensure effective implementation of organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement

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6 - 10 years

13 - 23 Lacs

Navi Mumbai

Work from Office

Excellent domain expertise and process knowledge of RCM for Hospital facility. Understanding of Hospital Facility IP DRG coding concepts, MS DRG, APR DRG, reimbursement methodology, ICD-10-CM, ICD-10-PCS guidelines, elements of UHDDS guidelines, query processes, documentation guidelines. Strong knowledge in human anatomy, physiology, pathophysiology, pharmacology, diagnostic studies, conservative and surgical treatments. Understanding of all document types, Operative Reports, Discharge Summary, Progress Notes, ED Report and all other report formats used in hospital care setting. Understanding of CMS IPPS payment methodologies Aware of consequences of risky practices like up-coding and down-coding, fraud and abuse, inflated documentation, OIG guidelines, and HIPAA rules. Skills: Strong interpersonal skills, excellent communication skills, and ability to effectively work with and coach team members. Ability to communicate with other stakeholders and clients, MIS team, and training teams for driving quality management. Possess operational skills to manage team with better resource utilization. Should have an aptitude to learn new things. Ability to read, writes, and performs basic computer operations. Must be a self -starter, motivated, organized and able to prioritize tasks. Managing reports daily, weekly, monthly and monitoring and being active participant in client calls and maintaining good client relationship. Research, analyze and respond to inquiries regarding compliance,

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- 5 years

3 - 6 Lacs

Noida

Work from Office

The role of Full Time Academic Writer (WFO ONLY) would require candidates to work on academic deliverables from foreign curricula of higher educational institutions. Candidates must possess an avid interest in learning and writing as they would be required to work on academic tasks in various subject domains relating to Management, Social Sciences, Non Clinical Healthcare etc. This is a primarily OFFICE BASED ROLE in Noida PLEASE APPLY IN THIS opportunity ONLY IF YOU HAVE FLAWLESS ENGLISH WRITING SKILLS AND INTERESTED IN ACADEMIC RESEARCH & WRITING. Specific responsibilities include: 1. Working on Academic Assessments pertaining to different subject areas associated with the above mentioned domains. Also, the team members need to be ready to research and write on domains of Management and Social Sciences in addition to Healthcare. 2. Demonstrating strong comprehension skills and an ability to understand project/ client requirements. 3. Demonstrating strong research skills and an ability to undertake detailed research with respect to provided task requirements. 4. Demonstrating an ability to deliver non-plagiarised and professionally written Academic content. 5. Demonstrating an ability to comply with project deadlines, while tending to revision requirements based on client comments/ quality check. 6. Addressing urgent revision requirements received on assignments done by yourself and other experts as and when required. 7. Undertaking specific quality-check activities (checking quality of assignments done by other experts) as and when required. Qualification and Experience: Masters Degree in Management, Business Administration, Related Subjects and Masters Courses of Social Sciences, Healthcare etc. Above 65% throughout Academics Only experienced academic writers or ones with some exposure to academic writing and research can apply. Required Skills • Strong command over relevant discipline(s) of specialization • Flawless command over Written English. Please DO NOT apply if you are not sure of the same. • Ability to learn and solve problems. • Ability to handle pressure and work on tight deadlines. • Eagerness to learn & explore new things in new things across subject domains.

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years

2 - 2 Lacs

Chennai

Work from Office

Greetings from Savista!! Hiring Freshers for Medical Coding Requirements : Good knowledge in Human Anatomy and Physiology. Ensure deliverables to the client adhere to quality standards and productivity TAT. Eligibility : Any Life Science graduate (BPharm, BPT, BSc Nursing, Biochemistry, Biotechnology, Microbiology, BE Biotechnology, and Biomedical) can apply. Candidates from 2022 - 2024 pass out only are eligible. Only UG candidates are eligible. Candidates with arrears can also apply. Looking for immediate Joiners Only candidates residing in Chennai are eligible .. Benefits : Best platform to enhance your career. Transportation will be provided (Both pick up & drop) Interested candidates can walk-in directly to office for interview....Act fast Regards, TA - Team

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1 - 4 years

1 - 4 Lacs

Coimbatore

Work from Office

In this Role you will be Responsible for The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology Experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend basis business requirements. Need to return to office when NTT Data provides communication related to that.During training you will be asked to work from office * Career Arch Job code Overview and General duties and tasks For Internal Reference Only

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1 - 4 years

2 - 6 Lacs

Coimbatore

Work from Office

In this Role you will be Responsible for Should have experience in Radiology coding The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend basis business requirements. It is Mandatory to return to office based on client or business requirement.

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1 - 4 years

3 - 6 Lacs

Noida

Work from Office

Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Perform Coding for Radiology Charts with a minimum of 96% accuracy and as per turnaround time requirements Exceeds the productivity standards for Radiology Medical Coding - as per the productivity norms for inpatient and/or specialty specific outpatient coding standards Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years of experience in for Radiology speciality Experience in Radiology coding is required Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding CCS/CPC/ CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus Freshers with good knowledge in medical terminology, Human Anatomy and Physiology can apply Current certification with valid proof of certifications Good knowledge of medical and billing systems, regulatory requirements, auditing concepts, and principles.

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1 - 4 years

3 - 5 Lacs

Noida

Work from Office

Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Perform Coding for Outpatient medical encounters with a minimum of 96% accuracy and as per turnaround time requirements Exceeds the productivity standards for - as per the productivity norms for inpatient and/or specialty specific outpatient coding standards Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years of experience in Experience in specialties such as Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus Current certification with valid proof of certifications Good knowledge of medical and billing systems, regulatory requirements, auditing concepts, and principles Freshers with good knowledge in medical terminology, Human Anatomy and Physiology can apply

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1.0 - 3.0 years

4 - 8 Lacs

chennai

Work from Office

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 prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC - Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Fresher & 7+ months of experience in Medical coding Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines.

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2.0 - 5.0 years

3 - 7 Lacs

noida

Work from Office

Job Title: Medical Reviewer Human Anatomy Specialist About the Role: We are looking for a medically educated professional with a strong foundation in human anatomy to join our team as a Medical Reviewer . The ideal candidate will have 2-3 years of experience in medical research, teaching, or content review , and will be responsible for ensuring the clinical and anatomical accuracy of the medical visual content we create. This role also involves direct communication with clients to gather requirements, provide expert input, and discuss feedback. Key Responsibilities: Review medical illustrations and other visual content for accuracy and consistency. Provide expert guidance to creative teams during development and revision phases. Join client meetings to: Understand project goals and medical requirements. Offer clarification on content or review feedback. Ensure medical accuracy aligns with client expectations. Stay current with anatomical and clinical standards relevant to the content. Requirements: Degree in Medicine , Physiotherapy , Biomedical Sciences , Nursing , or a related field. 2-3 years of experience in: Teaching human anatomy or medical subjects, or Conducting research in relevant domains, or Reviewing/validating medical or educational content. Deep understanding of human anatomy and clinical terminology. Strong communication skills for both internal collaboration and client interaction. Preferred Qualifications: Experience with medical illustrations, animations, or digital health content is a plus. Eye for detail to catch subtle errors in medical representations. Comfortable engaging with cross-functional teams and non-medical stakeholders. Please share your resume at hemanti.sarkar@mpslimited.com

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10.0 - 15.0 years

7 - 12 Lacs

chennai

Work from Office

Primary Responsibilities: Roles and Responsibilities post training: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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 to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Education Background: Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certification: Should be a certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology 10+ years coding experience with about 3+ years experience as a Team Lead Should be able to manage and enable teams to reach their goals Knowledge of organizational structure, workflow, and operating procedures Proficient in healthcare reimbursement methodologies Good analytical and communication skills Solid interpersonal and communication skills Solid acumen towards employee engagements & driving customer satisfaction Should be able to work closely with SME, Auditor and Trainer and identify training needs for outliers Ability to effectively provide 1 on 1 coaching Ability to monitor absences and overall day to day operations Ability to identify areas of weakness and provide educational teaching to improve those areas of weakness

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