25 Icd10 Jobs

At Davies North America, you will be part of a team that prides itself on innovation and excellence by combining advanced technology with top-notch professional services. As a crucial member of the global Davies Group, your role will involve assisting businesses in managing risk, enhancing operations, and leading transformation within the insurance and regulated sectors. Currently, we are seeking a dedicated Medical Bill Reviewer to join our expanding team. Your responsibilities will include but are not limited to the following: - Entering compensation fee schedules and other relevant data into the system accurately and efficiently - Adjudicating provider bills in compliance with state Workers Compensation Fee Schedule rules - Ensuring accurate data entry and maintaining satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve cost savings - Reviewing medical bills based on medical necessity, treatment provided, adjuster authorizations, and other factors - Utilizing Fee Schedules, online documents, and client instructions for bill review - Researching usual and customary/Fee Schedule applications as needed - Handling provider and customer inquiries via phone calls - Continuous training to enhance knowledge in medical terminology, State Fee Schedule, and relevant reference materials - Performing additional duties as assigned To excel in this role, you should possess: - Minimum of one-year experience in medical terminology/medical office settings - Proficient typing skills (60+ wpm) and accurate numerical data entry - Ability to process 120 bills per day with a 95%+ accuracy rate - Previous experience with specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with various state WC programs, especially in FL, GA, CA, SC, NC, VA, AL, and TN - Proficiency in Microsoft Office Suite - Strong communication skills, both verbal and written - Excellent time management and organizational abilities - Capability to multitask, prioritize, and meet deadlines in a fast-paced environment - Team player with exceptional interpersonal skills - Attention to detail and problem-solving capabilities - Ability to work independently and collaboratively with minimal supervision - Discretion in handling sensitive and confidential information - Fluency in English About Davies: Davies is a specialized professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. Our mission is to assist clients in managing risk, improving core business processes, and driving growth. With a global team of over 8,000 professionals across ten countries, our services cover claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Over the past decade, Davies has experienced significant growth, focusing on research & development, innovation & automation, colleague development, and client service. We currently serve more than 1,500 insurance, financial services, public sector, and highly regulated clients.,

If you are looking to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must evaluate your healthcare business processes through the perspective of your customers. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and empowers you to become a trusted partner to your clients. This organization invests in your professional development and allows you to directly impact the key performance indicators that are significant to your clients. Embark on a fulfilling career journey as a Client Partner specializing in medical coding for Evaluation & Management (E&M) and Emergency Department (ED) services at Access Healthcare. We are constantly seeking individuals who are passionate, skilled, and driven to join our dynamic team. Multiple opportunities await you in our thriving work environment. As a Client Partner for medical coding, your responsibilities will include: - Conducting audits on medical record coding to assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems - Performing coding and audits for Outpatient and/or Inpatient records with a minimum accuracy rate of 96% and meeting turnaround time requirements - Exceeding productivity benchmarks for Medical Coding as per the specified norms for inpatient and/or specialty-specific outpatient coding - Upholding high standards of professionalism and ethics - Engaging in continuous improvement initiatives by undertaking projects that help clients prevent revenue loss while adhering to regulatory standards - Enhancing coding skills and knowledge through participation in coding team meetings and educational conferences Job Requirements: To be eligible for this role, candidates should possess the following qualifications: - 1 to 4 years of experience in Medical Coding - Familiarity with Coding Procedures and Medical Terminology in an ambulatory care setting - Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding - Possession of CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be advantageous - Certification is mandatory. - Sound understanding of medical coding and billing systems, regulatory requirements, auditing principles, and concepts.,

We are looking for a OP Medical Coder - Freshers to join our team in Calicut. This is a Hybrid job opportunity. The ideal candidate should be a CCS / CPC Certified coder from AAPC/AHIMA with a Medical Background. You should be ready to join immediately. It is essential for the candidate to possess an understanding of the coding principles and systems for ICD-10, CPT, and HCPCS. We are specifically looking for Non-Licensed medical professionals (Physician, nurse, or therapist) with a life science background. Please be informed that only short-listed candidates will be contacted. Kindly ensure that your email subject follows the format: Candidate name _ Location _ Graduation Name. Interested applicants are requested to share their updated resume to recruitment@greycodes.ae.,

The ideal candidate should have 1 - 3 years of experience in HCC Coding and hold certification in AAPC/AHIMA-CPC, CRC, CCS, COC. The work location for this position is in Hyderabad. Your responsibilities will include assigning codes to diagnoses and procedures utilizing ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. You will be required to review medical charts under the diagnosis and procedure to assign the related CPT and ICD-10 codes accurately. Ensuring that you assign codes based on coding and customer guidelines is essential. You should demonstrate proficiency in coding outpatient/inpatient charts across various specialties with over 97% accuracy and within the specified turnaround time. In cases of complex or unusual coding, you are responsible for searching for additional information. Additionally, receiving and reviewing patient charts and documents for accuracy, ensuring the currency and validity of all codes, and participating in coding meetings and educational conferences to maintain coding skills and accuracy are part of your duties. Compliance with medical coding policies and guidelines is crucial. Desired skills for this role include experience in HCC coding, knowledge of the US healthcare industry, understanding of client-specific process rules and regulatory requirements, strong knowledge of anatomy, physiology, and medical terminology, familiarity with ICD-10 codes and procedures, and excellent oral and written communication skills. The perks and benefits for this position include a competitive salary, incentives, and more. Tech-Intelleon specializes in designing, developing, and delivering innovative web and mobile applications to enhance business capabilities and accelerate growth. By leveraging advanced technology and software solutions, we assist clients in reducing customer acquisition lead times and improving brand positioning, enabling them to outperform the competition. Our focus is on delivering robust and scalable product solutions with rich user experience and advanced technologies. We collaborate with global startups and businesses of all sizes to build, enhance, digitalize, and scale products across all platforms. With a strong foundation built on extensive research and a client base spanning the United States, Qatar, and Europe, we offer optimized engagement and delivery models. Our accelerated application development frameworks simplify complex application designs, making them easy to deploy and scale. We are a team of young and experienced professionals working together to push the boundaries of technology. If you are ready to make a difference with us, visit www.techintelleon.com for more information.,

ParaData Software (PDS) is a prominent software and staffing solutions provider based in Pune, with a decade of industry experience. Specializing in customized solutions to enhance businesses in the digital era, our proficient team excels in software development, digital transformation, and IT consulting. By tackling intricate challenges and fostering growth for organizations of all magnitudes, we are committed to delivering exceptional services. We are currently seeking a full-time Medical Billing Expert to join ParaData Software Systems Inc. in Pune, offering a hybrid work model with the possibility of remote work. As a Medical Billing Expert, your primary responsibilities will include managing medical terminology, denials, ICD-10 coding, insurance claims, and Medicare billing. This role entails on-site work in Pune, with prospects for remote work as well. The ideal candidate should possess the following qualifications: - Proficiency in Medical Terminology, ICD-10, and Medicare knowledge - Previous experience in handling denials and insurance claims - Strong grasp of medical billing processes - Meticulous attention to detail and accuracy in billing practices - Familiarity with medical billing software - Exceptional communication and interpersonal skills - Ability to thrive in a hybrid remote work environment - Certification in Medical Billing or a related field would be advantageous If you are a skilled Medical Billing Expert looking to make a meaningful impact in the healthcare industry, we invite you to join our dynamic team at ParaData Software Systems Inc. and contribute to our mission of driving innovation and success for our clients.,

The position of RCM Quality Analyst in our Revenue Cycle Management (RCM) department in Visakhapatnam, India, is currently open for a detail-oriented and analytical individual. As an RCM Quality Analyst, you will play a crucial role in evaluating and enhancing the quality of revenue cycle processes to ensure accuracy, compliance, and efficiency in all operations. Your responsibilities will revolve around quality and process auditing, data analysis, reporting, feedback and training, continuous improvement, and documentation. Your main tasks will include conducting regular audits to identify discrepancies and areas for improvement, analyzing data to optimize processes, preparing detailed reports for management, providing feedback to the team, and assisting in training initiatives. Moreover, you will collaborate with the RCM team to implement process improvements, maintain accurate documentation, and uphold quality assurance standards. To qualify for this role, you should possess a bachelor's degree in healthcare administration, finance, business, or a related field, along with 2-4 years of experience in revenue cycle management focusing on quality assurance or auditing. Proficiency in RCM software, electronic health records (EHR), and medical billing systems is required, as well as a deep understanding of healthcare billing, coding, and reimbursement processes including ICD-10, CPT, and HCPCS codes. Strong analytical skills, attention to detail, communication skills, problem-solving abilities, and a collaborative approach to teamwork are also essential for success in this role. Additionally, this position offers a fixed night shift, competitive salary, allowances, and insurance benefits. If you are looking to make a meaningful impact in healthcare revenue cycle management and possess the necessary qualifications and skills, we encourage you to apply for the RCM Quality Analyst position and be part of our dynamic team in Visakhapatnam.,

As a Same Day Surgery Medical Coder, you will be responsible for handling the day-to-day operations of Same-day Surgery Coding. Your primary tasks will include coding records according to prescribed coding standards such as ICD-9/ICD-10 and CPT, assigning diagnosis and procedure codes for patient charts, and ensuring adherence to the company's Coding Compliance policy/plan. It is essential to have a minimum of two years of Same-day Surgery Coding experience and hold a CPC or COC certification. A graduation in Life Science or medical sciences is also required. Your role will involve working towards service levels to meet productivity and quality requirements. You will be expected to improve performance based on feedback provided by the reporting manager and prepare and maintain status reports. This position is based in Chennai and offers a salary ranging from 4 to 7.5 LPA Max. The work timings are during the day shift with Saturday and Sunday as fixed offs. The ideal candidate for this position must have CCS or CIC certification, with a preference for CPC or COC certification. The job falls under the Healthcare & Life Sciences functional area in the BPO/KPO Call Centre industry. This is a full-time, permanent employment opportunity. If you meet the qualifications and experience required for this role, please share your updated CV with raghu@starworthglobal.com or contact 9176668384 to express your interest.,

As a Manager Coding specializing in Outpatient Coding within the Quality department, you are expected to have a minimum of 8 years of experience in the Medical Coding industry. Your expertise should encompass Inpatient coding, Medical Coding guidelines, and Coding Techniques such as ICD-10 and CPT. It is essential to possess a strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology. Proficiency in using MS Office tools is required along with exceptional communication and interpersonal skills. Your primary responsibilities will involve supervising and managing a team of over 50 Quality Analysts. You are tasked with fostering a motivating team environment that promotes open communication. Capacity planning for the Quality Assurance team based on project requirements, task delegation, setting deadlines, and ensuring quality control in line with client Service Level Agreements (SLAs) are key aspects of your role. Furthermore, it is your duty to oversee the effective implementation of the organization's Quality Management System, monitor team performance metrics, conduct random audits, and perform Root Cause Analysis (RCA) on audit observations. Identifying knowledge gaps and collaborating with quality leads and operation managers to develop improvement action plans is crucial. Discovering training needs, offering coaching to Quality Analysts, resolving conflicts, recognizing achievements, promoting creativity, suggesting team-building activities, and initiating improvement plans are additional responsibilities. To excel in this role, you must possess a minimum of 8 years of experience in Medical Coding, either in Operations or Quality teams specializing in IP DRG or Outpatient medical Coding. Leadership experience managing medium to large teams, particularly across multiple sites, is essential. Holding certifications such as CPC, CIC, COC, or CSS would be advantageous. A successful candidate for this role should hold a Graduate or Post Graduate degree in any field, demonstrating a strong foundation for effective leadership and management within the Medical Coding domain.,

The role of overseeing the hospital's accounts receivable operations is crucial for ensuring efficient billing, collections, and follow-up on outstanding balances. As the Accounts Receivable Manager, you will be responsible for managing a team of billing specialists and other staff, overseeing their performance in accounts receivable functions. Your key duties will include developing and implementing processes to enhance billing and collections efficiency, analyzing accounts receivable reports and key performance indicators to identify trends and areas for improvement, and ensuring compliance with current US healthcare regulations and reimbursement policies. In this leadership role, you will be expected to implement effective policies and procedures for accounts receivable management, provide training and support to staff on billing procedures, policies, and regulations, as well as handle any other duties as assigned. The ideal candidate for this position should possess a Bachelor's degree in Healthcare Administration, Business Administration, or a related field, along with at least 12-15 years of experience in hospital billing and accounts receivable management. A thorough understanding of US healthcare regulations and reimbursement policies is essential, as well as knowledge of healthcare billing and coding systems, including ICD-10 and CPT coding. Additionally, the successful candidate should have experience in managing and leading teams, excellent communication, analytical, and problem-solving skills, and a strong attention to detail. Proficiency in Microsoft Office Suite, particularly Excel and Word, is required, along with the ability to adapt to changing priorities and handle multiple tasks simultaneously. If you meet the above qualifications and are excited about this opportunity, we encourage you to submit your resume to mvuyyala@primehealthcare.com.,

You are a Senior Manager of Medical Coding Operations specializing in Same Day Surgery, based in Airoli, Navi Mumbai. With over 11 years of experience in the medical coding field, you possess in-depth knowledge of Surgery Medical Coding guidelines, ICD-10, and CPT coding techniques. Your strong foundation in Anatomy & Physiology, Advanced Medical Terminology, Pharmacology, and Psychology, along with proficiency in MS Office, excellent communication, and interpersonal skills, make you an ideal candidate for this role. Your primary responsibilities include managing coding transitions, providing training and leadership to the coding team, understanding and exceeding client expectations, leading project transitions, making effective decisions, conducting research and analytics, mentoring coders, collaborating with stakeholders, overseeing client interactions, and managing a team of multispecialty coders. Additionally, you will assist in facility creation and team building as per project requirements. You must have at least 11 years of experience in Medical Coding, specializing in Surgery Coding, possess proficiency in MS Word and Excel, demonstrate strong organizational skills, attention to detail, multitasking abilities, and hold a graduation degree in any stream. Mandatory certifications such as CCS, CIC, COC, or CPC are required for this role.,

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting appeals with accurate documentation, and monitoring deadlines for timely submissions. The ideal candidate will possess a strong understanding of the US healthcare billing cycle, hands-on experience with EMR/EHR systems, in-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you are passionate about healthcare revenue management and proficient in resolving complex denials, we encourage you to apply and be a part of the Zapare team. #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity,

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services according to industry standards will be a crucial part of your job. Additionally, you will adjudicate claims based on established criteria like medical necessity and coverage limitations to ensure fair and accurate reimbursement. It will be your responsibility to process claims promptly and accurately using designated platforms. You will investigate and resolve discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams. Collaboration with billing, audit, and other staff to address complex claims issues and ensure proper documentation and justification for claim adjudication will be essential. To excel in this role, you should maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends to ensure compliance and best practices in claims processing. Providing courteous and professional customer service to policyholders, healthcare providers, and other stakeholders regarding claim status, inquiries, and appeals is also expected. Documenting all claims processing activities, decisions, and communications accurately and comprehensively in designated systems or databases is a key part of the job. Participation in training programs, team meetings, and quality improvement initiatives to enhance skills, productivity, and overall performance is encouraged. Ideally, you should have a Masters/Bachelors degree in Nursing, B.Pharma, M.Pharma, BPT, MPT, or a related field. Excellent analytical skills with attention to detail, accuracy in data entry, and claims adjudication are essential. Effective communication and interpersonal skills, the ability to collaborate across multidisciplinary teams, and interact professionally with external stakeholders are required. You should possess a problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed. A commitment to continuous learning and professional development in the field of healthcare claims processing is crucial for success in this role.,

As a Medical Billing Specialist, your primary responsibility will be to efficiently manage the end-to-end Account Receivable (AR) processes in medical billing. You will be required to follow up on claim approvals, denials, and appeals diligently to ensure timely reimbursements. Generating and analyzing AR reports will be crucial for tracking collection performance. In addition, you will need to communicate effectively with insurance companies and patients to address billing inquiries in a prompt manner. It is essential to reconcile accounts, process refunds, and resolve any billing discrepancies that may arise. Your expertise in CPT, ICD-10, and HCPCS coding is vital for this role. To excel in this position, you should possess 1-3 years of experience in medical billing and AR management. A strong understanding of healthcare insurance claims and billing processes is essential. Excellent communication and negotiation skills are a must, along with proficiency in billing software and MS Office. Previous experience in Revenue Cycle Management, specifically in Physician Billing, will be advantageous. Your ability to analyze insurance remittance advice, clearinghouse rejections, and denials will be critical for success. This is a full-time position that involves working night shifts from 5:30 PM to 2:30 AM at the office. The role offers benefits such as a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. Prior work experience of at least 1 year is preferred for this role. The job requires in-person work at the specified location. In summary, as a Medical Billing Specialist, you will play a pivotal role in ensuring efficient AR processes, timely reimbursements, and effective communication with stakeholders to optimize billing operations.,

Huron assists its clients in driving growth, enhancing performance, and maintaining leadership in their respective markets. Healthcare organizations are supported in fostering innovation capabilities and accelerating key growth initiatives, enabling them to shape the future rather than be disrupted by it. Collaboratively, clients are empowered to achieve sustainable growth, improve internal processes, and enhance consumer outcomes. Health systems, hospitals, and medical clinics face significant pressure to enhance clinical outcomes and reduce the cost of patient care. Merely investing in new partnerships, clinical services, and technology is insufficient to bring about meaningful change. To ensure long-term success, healthcare organizations must empower their leaders, clinicians, employees, affiliates, and communities to cultivate cultures that promote innovation for optimal patient outcomes. Joining the Huron team entails aiding clients in adapting to the rapidly evolving healthcare landscape, optimizing existing business operations, enhancing clinical outcomes, creating a more consumer-centric healthcare experience, and fostering engagement among physicians, patients, and employees throughout the enterprise. The role entails overseeing the day-to-day production and quality functions of a team of coders focused on achieving client production and coding accuracy goals. This includes planning, directing, supervising, evaluating feedback workflows, and coordinating activities among all coding staff within the team. Excellent communication skills, attention to detail, as well as strong technical and problem-solving abilities are crucial for success in this position. JOB DETAILS: - Assign accurate diagnosis and CPT codes in accordance with ICD-10 and CPT-4 coding systems for medical records - Code outpatient and/or inpatient records with a minimum accuracy of 96% and meeting turnaround time requirements - Exceed productivity standards for Medical Coding as per inpatient and/or specialty-specific outpatient coding norms - Uphold professional and ethical standards while focusing on continuous improvement to prevent revenue leakage and ensure compliance - Enhance coding skills, knowledge, and accuracy through participation in coding team meetings and educational conferences - Specialize in areas such as Inpatient, E&M, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, among others - Familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding - Interpret client requirements and project specifications to code charts accordingly - Adhere to prescribed coding standards like ICD-9/ICD-10 and CPT while ensuring accuracy and correctness of patient information - Assign appropriate medical codes to diagnoses and services, following client-specific guidelines and updates - Meet client productivity targets within specified timelines and deliver quality outputs - Prepare and maintain status reports QUALIFICATIONS: - Graduation in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology disciplines - Minimum of 2 years of industry experience - CPC (Certified Coding Professional) or CCS (Certified Coding Specialist) certification Position Level: Senior Analyst Country: India,

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

About iMerit: iMerit is a well-funded, rapidly expanding global leader in data services. Our dedicated Medical Division collaborates with the world's largest pharmaceutical companies, medical device manufacturers, and hospital networks to provide the data driving advancements in Artificial Intelligence. At iMerit, we have a successful track record of delivering services that support cutting-edge technologies like digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. We are in search of an enthusiastic professional to lead a team of healthcare professionals in standardizing a large volume of healthcare data into common medical ontologies. The ideal candidate will possess experience in managing large teams, setting and achieving Key Performance Indicators (KPIs), and fostering collaborative relationships with clients. Prior involvement in extensive healthcare data operations and services would be highly beneficial. This role involves close coordination with US stakeholders and requires full-time commitment during PM-Shift in India, with in-office presence mandatory. Role: As a full-time Project Manager (PM), you will be responsible for overseeing medical data projects, working with various types of medical data to generate datasets for machine learning applications. Responsibilities: - Ensure timely, within scope, and within budget delivery of all projects - Coordinate internal resources and external vendors for seamless project execution - Develop and monitor a detailed project plan - Report and escalate issues to management when necessary - Manage client relationships and engage with all stakeholders - Implement risk management strategies to mitigate project risks - Maintain thorough project documentation throughout the project lifecycle Experience/Education: - Prior experience in Project Management within Healthcare Services - Familiarity with medical ontologies like Snomed, LOINC, RxNORM, and ICD-10 - Medical background such as Physician/MBBS with relevant experience Skills: - Proficient in grasping medical concepts - Excellent English reading comprehension and communication skills - Strong computer literacy - Passion for enhancing healthcare outcomes and a strong work ethic - Willingness to work night shifts due to the project's requirement for IST night shifts - Full-time office-based work Benefits: - Competitive compensation package - Exposure to collaborating with leading healthcare and AI companies - Opportunities for personal and professional growth - Engage in an international, collaborative team environment,

The primary responsibility of this role is to manage various aspects of Accounts Receivable (AR) processes in medical billing. This includes following up on claim approvals, denials, and appeals to ensure timely reimbursements. You will also be responsible for generating and analyzing AR reports to track collection performance. Additionally, the role involves communicating with insurance companies and patients to address billing inquiries, reconciling accounts, processing refunds, and resolving billing discrepancies. A key requirement for this role is a strong understanding of CPT, ICD-10, HCPCS codes. The ideal candidate should possess 1-3 years of experience in medical billing and AR management, with a solid knowledge of healthcare insurance claims and billing processes. Excellent communication and negotiation skills are essential for effectively interacting with stakeholders. Proficiency in billing software and MS Office is also required. Experience in Revenue Cycle Management (Physician Billing) is preferred, along with the ability to analyze insurance remittance advice, clearinghouse rejections, and denials. This is a full-time position with a night shift schedule from 5:30 PM to 2:30 AM and requires on-site work. In terms of benefits, the role offers a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. The preferred candidate should have at least 1 year of total work experience. The work location is in person.,

About iMerit: iMerit is a well-funded, rapidly expanding global leader in data services. The dedicated Medical Division of iMerit collaborates with the world's largest pharmaceutical companies, medical device manufacturers, and hospital networks to provide data that drives advancements in Artificial Intelligence. iMerit has a successful track record of delivering services that support cutting-edge technologies like digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. We are looking for an enthusiastic professional to lead a team of healthcare professionals in normalizing a significant volume of healthcare data into standard medical ontologies. The ideal candidate should have experience in managing large teams, defining and achieving Key Performance Indicators (KPIs), and collaborating effectively with clients. Prior experience in large-scale healthcare data operations and services would be highly beneficial. This full-time role involves coordinating with stakeholders in the US and follows the PM-Shift India schedule, requiring in-office work exclusively. Role: As a full-time Project Manager (PM) for medical data projects, you will be responsible for handling various types of medical data to create datasets for machine learning applications. Responsibilities: - Ensure timely delivery of all projects within scope and budget - Coordinate internal resources and third-party vendors for project execution - Develop a detailed project plan to monitor progress - Report and escalate issues to management when necessary - Manage client relationships and engage with all stakeholders - Implement risk management strategies to reduce project risks - Maintain comprehensive project documentation Experience/Education: - Project Management experience in Healthcare Services - Familiarity with medical ontologies like Snomed, LOINC, RxNORM, and ICD-10 - Medical background such as a Physician/MBBS with relevant experience Skills: - Proficient in understanding medical concepts - Strong English reading comprehension and communication skills - Computer literacy - Passion for enhancing healthcare outcomes and a strong work ethic - Ability to work night shifts, as the project requires IST night shift work - Full-time office-based work required Benefits: - Competitive compensation package - Exposure to innovative companies in healthcare and AI - Opportunities for professional growth and leadership development - Collaborative international work environment with a teamwork focus,

You are seeking fresher to gain experience in Health Claims. You will be required to go through a few days of training and will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulations, and contractual agreements. Your responsibilities will include reviewing and analyzing medical claims submitted by healthcare providers for accuracy, completeness, and compliance with insurance policies and regulatory requirements. You will need to verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Additionally, you will be assigning appropriate medical codes (e.g. ICD-10, CPT) to diagnoses, procedures, and services according to industry standards and guidelines. Adjudicating claims based on established criteria including medical necessity and coverage limitations will be a crucial part of your role, ensuring fair and accurate reimbursement. You will be expected to process claims promptly and accurately using designated platforms, investigating and resolving discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams. Collaboration with billing, audit, and other staff to address complex claims issues and ensure proper documentation and justification for claim adjudication will also be essential. To excel in this role, you should maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends to ensure compliance and adherence to best practices in claims processing. Providing courteous and professional customer service to policyholders, healthcare providers, and other stakeholders regarding claim status, inquiries, and appeals is a key aspect of the position. Documenting all claims processing activities, decisions, and communications accurately and comprehensively in the designated systems or databases will be required. Ideal candidates for this position would hold a Masters/Bachelors degree in fields like Nursing, B.Pharma, M.Pharma, BPT, MPT, or a related field. Excellent analytical skills with attention to detail and accuracy in data entry and claims adjudication are essential. Effective communication and interpersonal skills, along with the ability to collaborate across multidisciplinary teams and interact professionally with external stakeholders, are highly valued. Demonstrated ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment is crucial. A problem-solving mindset with the ability to identify issues, propose solutions, and escalate complex problems as needed is also desired. A commitment to continuous learning and professional development in the field of healthcare claims processing is expected from all candidates.,

As a skilled Denial Coder with at least 1 year of experience in Denials and Radiology coding, your main responsibility will be to analyze denied claims, pinpoint root causes, and implement corrective actions to ensure accurate claim processing and reimbursement. You will review and analyze denied radiology claims, identifying denial reasons and applying correct CPT, ICD-10, and HCPCS codes. Collaboration with billing teams to resolve coding discrepancies will be essential, along with the submission of corrected claims and the appeal of denials when necessary. To qualify for this role, you must hold a certification as a medical coder (CPC, COC, CCS, or equivalent) and have a minimum of 1 year of experience in denial management and radiology coding. Proficiency with medical billing software and EHR systems is also required. In return for your expertise, we offer a competitive salary and incentives, along with health benefits and opportunities for professional growth. If you are interested in this position, please share your resume at saranya@intignizsolutions.com or call 8919956083.,

You will be joining CliniLaunch, an IAO, LSSSDC, and NSDC accredited institution specializing in healthcare upskilling and placement assistance. With headquarters in Bangalore and branch offices in Koramangala (Bangalore), Panjagutta (Hyderabad), and Guindy (Chennai), CliniLaunch offers industry-recognized training programs and career support to healthcare professionals. As a Medical Coding Specialist, your role will involve reviewing patient medical records, extracting relevant information, and assigning accurate medical codes (ICD-10, CPT, HCPCS) for diagnoses, procedures, and services. You will ensure compliance with coding guidelines, collaborate with healthcare professionals, and support maintaining coding accuracy to minimize claim denials. Additionally, you will participate in training sessions to stay updated on coding practices and assist the billing department with necessary coding information. The ideal candidate should have a Bachelor's degree in Health Information Management, Medical Coding, or a related field. While certification in medical coding (e.g., CPC, CCS, CCA) is a plus, it is not mandatory for freshers. Strong attention to detail, knowledge of medical terminology and anatomy, excellent communication, organizational skills, and proficiency in Microsoft Office and basic computer skills are essential for this role. This is a Full-time position suitable for recent graduates or individuals passionate about healthcare and coding, representing a great opportunity to kickstart your career in the dynamic field of medical coding.,

Position Details Designation: Associate Vice President Reporting To: Vice President Department: Clinical Support Solutions - Coding Location: Hyderabad IKS Overview IKS Health is a leading Provider Enablement Platform that empowers healthcare providers to deliver better, safer, and more efficient care through a strategic blend of technology and expertise. Our solutions support provider groups in creating a physician-led, patient-centric care delivery model, allowing providers to be co-navigators of the patient's care journey. We aim to restore joy and viability to the practice of medicine by equipping providers with the necessary tools and resources to focus on what truly matterspatient care. As an integrated Provider Enablement Platform, IKS Health is the go-to resource for providers and organizations looking to scale effectively, improve quality, and achieve cost savings through innovative technology and solutions. Our care delivery processes and business solutions are driven by four interrelated Feature Clusters: 1. Revenue Optimization Services: Comprehensive financial solutions maximizing revenue and minimizing collection costs. Key offerings include Revenue Cycle Management (RCM), Denial Prediction Engine, and Real-time Adjudication. 2. Clinical Support Solutions: A suite of services designed to improve clinical outcomes and patient satisfaction while lowering medical costs. Services include Synchronous & Asynchronous Scribes, IKS AssuRx, and Coding Solutions. 3. Value-Based Care: Solutions focused on achieving better outcomes and greater value, including Risk & Quality Optimization and Care Coordination. 4. Digital Health Solutions: Platforms that leverage technology for data-driven value across the care continuum, including IT asset management and bespoke solutions. IKS Health currently impacts over 35,000 physicians in leading U.S. health systems, with plans to expand further in the coming years. Profile Description The Associate Vice President of Coding will be responsible for ensuring that the operations of IKS Coding meet or exceed client requirements and operate efficiently. This role will lead the coding Line of Business, focusing on scalability and industry best practices. Key Responsibilities Operations Management: - Ensure operations deliver as per SLAs for all aligned accounts. - Manage end-to-end transitions and migrations of new accounts. - Collaborate with clients and internal teams for efficient operations execution. - Drive process improvements to bridge identified gaps. - Maintain budgeted headcount and manage invoicing accuracy. - Conduct data analysis and prepare dashboards for client calls. - Collaborate with sales to design new offerings and drive revenue. People Management: - Provide direction and support to the coding team. - Foster a meritocratic work environment and boost employee morale. - Identify training needs and ensure comprehensive employee development. - Oversee performance management, especially for bottom quartile employees. - Manage hiring decisions and attrition mitigation strategies. Client Engagement: - Prepare reports and dashboards for clients and senior management. - Partner in the implementation and transition of new accounts. - Maintain high customer satisfaction levels. Financial Accountability: - Oversee overall P&L for the coding vertical, including revenue forecasts and budgeting. Functional Competencies - Strong expertise in ICD-10 and CPT coding; familiarity with specialties preferred. - In-depth understanding of coding guidelines and RCM cycle in U.S. healthcare. - Proven ability to lead and mentor large delivery teams. - Strong client management and process improvement skills. - Knowledge of handling P&Ls and budgets at the account level. Education & Experience - Bachelor's degree in any field; AHIMA/AAPC certification required. - Preferred qualifications include BPT, MPT, nursing degrees, or relevant health sciences. - Minimum 12 years of experience in core coding operations, including coding audits and client management. - Experience managing P&L at the business or account level is essential. Join us at IKS Health and play a pivotal role in transforming healthcare delivery!,

Ortho Coders Assign ICD-10, CPT, HCPCS codes for orthopedic treatments, surgeries Review, validate clinical documentation for coding accuracy Ensure compliance, coding guidelines, payer policies Conduct coding quality audits, error correction Required Candidate profile E&M IP/OP Coders Assign E&M codes (CPT, ICD-10, HCPCS) for inpatient, outpatient Review physician documentation for medical necessity and compliance Adherence to CMS, AAPC, and AHIMA guidelines Perks and benefits Plus incentives and Perks Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate

Hiring a Certified Medical Coder with strong expertise in both coding and auditing. Responsible for accurate code assignment, compliance, and detailed audits to ensure proper billing. Must be well-versed in ICD, CPT, HCPCS, and healthcare regulations

Position Overview This role provides hands-on experience in analyzing the requirements from business users/analysts and build software solutions for the business users/analysts and their matrix partners. The focus of the work is to continue to enhance self-service capabilities for the users to do their job more effectively in the National Affordability and Clinical Analytics space. Specific focus will be on data work and legal/compliance/regulatory audits related to the No Surprises Act. In this role, you will have an opportunity to influence business direction through data-led insights to build and design solutions that support enterprise needs. This is a hands-on position with work being highly visible to the highest levels of Evernorth? management who are motivated to see the successful results of our efforts. The solutions you contribute to focuses on enabling analysts and users to perform analytics leveraging data-driven insights and strategies to drive affordability and enable growth. Responsibilities Understand business requirements from business leaders, users, and/or analystsUnderstand and analyse current systems and develop programs matching the requirementsUnit Test the developed/modified process to ensure the requirements are metAnalyze software programs and optimize (operational, performance, and cost) wherever possibleBuild automations on recurring jobs and schedule jobs to avoid manual intervention and to improve performanceTroubleshoot problems and arrive at resolutionWork with users to help them with system understandingReview the solution with users to make sure UAT criteria are metCoordinate with onshore for daily handover-takeoverIdentify opportunities and drive process improvementsTake accountability for the process/tasks owned by self Qualifications Someone who relates to the world, through data - without data, you feel lost Creative and naturally curious - you're constantly looking for ways to add value and can't help but get immersed in the challenge of uncovering insightful data patternsObjective, logical, and fact-oriented youre rationale in your data discovery Self-starter - you enjoy working with minimal supervision and thrive off independence to enable value in your own unique waysAbility to make sound decisions and piece together puzzles with limited direction youre your own leader Time management skillsTeam skills for collaboration to achieve common goalsaligned with the organizationFamiliarity with agile methodologyFamiliarity with modern delivery practices such as continuous integration, behavior/test driven development, and specification by example Required Education Bachelors degree in related technical areas either Business Analytics, Data Science, Mathematics/Statistics, Computer Science, or a related quantitative field 5-8 years of work experienceExperience working in an onshore/offshore model Proven experience with development of application solutionsTechnology/Domain certifications such as Python, SAS, AWS, PAHMDemonstrated ability to automate processes with quantifiable and measurable before/after results Technical Requirements Ability to hear and translate ideas into self-built functional designs with complementary technical details that support scale and require minimal maintenance 4+ years of experience building reports leveraging business intelligence reporting capabilities i.e. Tableau with demonstrated stories of how the business has acted against insightsStrong programming skills - SAS, Python, SQLFamiliarity with most of the following technologies- Tableau, Excel Macros, TOAD, Databricks Desired Experience and Skills US healthcare analytics and claims-related experience, reimbursement methodologies, and medical terminology (CPT, Dx, ICD10, HCPCS, Rev Codes, etc.)Exposure to Cloud technologies such as AWS, DatabricksHealthcare experience including Medical/Behavioral Claims and Cost ContainmentConstantly consider the, So What? and Now What? behind your work and ask the right questions to anticipate and gauge whether a team/project will deliver what is neededExercises extreme comfort with ambiguity with the humbleness to know when something isnt working and to Location & Hours of Work Full-time position, working 40 hours per week. Expected overlap with US hours as appropriatePrimarily based in the Innovation Hub in Hyderabad, India in a hybrid working model (3 days WFO and 2 days WAH)