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2.0 - 6.0 years
0 Lacs
gautam buddha nagar, uttar pradesh
On-site
As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participa...
Posted 2 months ago
1.0 - 5.0 years
0 - 0 Lacs
thiruvananthapuram, kerala
On-site
As a Certified Medical Coder specializing in Hierarchical Condition Category (HCC) coding, you will be instrumental in maintaining the precision and reliability of our home healthcare data. Your main duty involves reviewing medical records and assigning the appropriate codes for diagnoses and procedures. Collaborating closely with healthcare providers is essential to ensure adherence to all coding standards and regulations. Your responsibilities will include meticulously reviewing and coding medical records according to ICD-10 and CPT guidelines, working with healthcare providers to address coding inconsistencies, staying abreast of coding and compliance updates, assisting in data analysis a...
Posted 2 months ago
1.0 - 8.0 years
0 Lacs
maharashtra
On-site
If you are looking to advance your healthcare career and gain a deeper understanding of healthcare revenue cycle management, it is essential to view your healthcare business processes through the lens of the customer. Access Healthcare offers you the opportunity to enhance your expertise in the business of healthcare, join a company that recognizes and values your contributions, and allows you to evolve into a trusted partner for your clients. You will be supported in your professional growth and empowered to focus on key performance indicators that are crucial for your clients. As a Client Partner for medical coding - Denial services at Access Healthcare in Mumbai, India, you will play a pi...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
If you are looking to advance your career in healthcare and deepen your expertise in healthcare revenue cycle management, it is essential to analyze your healthcare business processes through the lens of the customers. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and supports your professional growth. Become a valuable partner to your clients by focusing on key performance indicators that are crucial to their success. Embark on a rewarding career as a Medical Coder specializing in Surgery at Access Healthcare in Pune, India. We are seeking individuals who are passionate, skilled, and driven to excel in a dynamic work environme...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
gautam buddha nagar, uttar pradesh
On-site
If you want to advance in your healthcare career and enhance your expertise in healthcare revenue cycle management, it is essential to view your healthcare business operations through the perspective of the customer. Enhance your understanding of the healthcare industry by joining a company that appreciates your contributions and empowers you to establish genuine partnerships with clients. This company invests in your professional development and provides opportunities to directly impact the key performance indicators that are crucial to your clients. Embark on your professional journey as a Medical Coder - Surgery at Pacific BPO, an Access Healthcare company. We are eager to connect with in...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
hyderabad, telangana
On-site
The role of a Medical Coder specializing in Evaluation & Management (EM) and Inpatient (IP) services requires a minimum of 1 year of experience in Medical Coding. The ideal candidate must hold a CPC or CCS certification. This position involves working day shifts. Key Responsibilities: - Review and analyze patient medical records to ensure accurate coding of EM and IP services. - Assign appropriate ICD-10, CPT, and HCPCS codes based on the provided documentation. - Ensure adherence to coding guidelines and regulatory requirements. - Collaborate closely with physicians and billing teams to address any documentation discrepancies. - Conduct quality checks to maintain coding accuracy standards. ...
Posted 2 months ago
2.0 - 6.0 years
0 Lacs
gautam buddha nagar, uttar pradesh
On-site
If you want to advance your healthcare career and enhance your expertise in healthcare revenue cycle management, you must view your healthcare business processes through the eyes of the customer. Gain deeper insights into the healthcare industry by joining a company that appreciates your contributions and supports your development, allowing you to establish a genuine partnership with your clients. Embark on your professional journey as a Surgery Coding Auditor at Pacific BPO, an Access Healthcare company, which values inspired, talented, and driven individuals. Numerous opportunities await you in our dynamic and inclusive work environment. As a Surgery Coding Auditor, your responsibilities w...
Posted 2 months ago
2.0 - 6.0 years
0 Lacs
maharashtra
On-site
You will be working in the Mumbai office with a night shift timing from 8 pm to 5 am. As part of your role, you will be responsible for Claims Follow-Up & Collections which involves monitoring outstanding insurance claims, conducting timely follow-ups with insurance providers, reconciling daily AR reports, and identifying billing errors for resolution. Additionally, you will handle Denial Management & Appeals by analyzing denial trends, preparing and submitting appeals for denied claims, and maintaining records of appeal status. You will also be in charge of Reporting & Compliance tasks like generating aging reports, AR summaries, and maintaining accurate collection records. Your primary fun...
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
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 Worke...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
coimbatore, tamil nadu
On-site
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) ...
Posted 3 months ago
0.0 - 4.0 years
0 Lacs
kozhikode, kerala
On-site
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 a...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
hyderabad, telangana
On-site
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% ...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
pune, maharashtra
On-site
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 man...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
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 repor...
Posted 3 months ago
1.0 - 10.0 years
0 - 0 Lacs
chennai, tamil nadu
On-site
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 p...
Posted 3 months ago
8.0 - 12.0 years
0 Lacs
thane, maharashtra
On-site
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 envir...
Posted 3 months ago
12.0 - 16.0 years
0 Lacs
hyderabad, telangana
On-site
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...
Posted 3 months ago
11.0 - 15.0 years
0 Lacs
thane, maharashtra
On-site
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...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
thrissur, kerala
On-site
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 ...
Posted 3 months ago
0.0 - 4.0 years
0 Lacs
hisar, haryana
On-site
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 ac...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
ahmedabad, gujarat
On-site
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 ...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
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 ...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
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 healthc...
Posted 3 months ago
5.0 - 9.0 years
0 Lacs
kolkata, west bengal
On-site
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 c...
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
ahmedabad, gujarat
On-site
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 manag...
Posted 3 months ago
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