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10.0 - 14.0 years

0 Lacs

noida, uttar pradesh

On-site

As a Radiology Coder at Jindal Healthcare, a part of the esteemed $100 Billion OP Jindal Group, located in Noida, you will play a crucial role in our Revenue Cycle Management (RCM) services. With our 10 years of experience, we specialize in offering end-to-end Revenue Cycle Management, Practice Management Solutions, Prior Authorizations, Coding and Billing Management, and A/R Management and Collections services. Our dedicated team of RCM experts is committed to delivering data-driven automation solutions that significantly enhance the efficiency and financial performance of healthcare practices. Your primary responsibility as a Radiology Coder will entail accurately assigning appropriate medical codes for radiology procedures, ensuring strict adherence to coding guidelines, and timely submission of claims. You will be entrusted with reviewing patient medical records, closely collaborating with healthcare providers, and working in coordination with the billing team to ensure seamless operations. To excel in this role, you should possess proficiency in ICD-10-CM and CPT coding systems, a sound understanding of radiology procedures and terminology, impeccable attention to detail and accuracy, relevant experience in medical coding and billing, exceptional analytical and problem-solving abilities, and a proven track record of effective teamwork. While certification in Medical Coding is highly desirable, a Bachelor's degree in Health Information Management or a related field would be advantageous for this position.,

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2.0 - 6.0 years

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noida, uttar pradesh

On-site

The responsibilities for this role include reviewing operative reports to abstract information and applying CPT, HCPCS, and ICD-10-CM codes. You will be required to verify LCD/NCD information as appropriate and utilize resources such as NCCI edits, AMA CPT Assistant, AHA Coding Clinic, and others. Initiating physician queries when necessary and escalating coding/documentation problems are also part of the responsibilities. Participation in ongoing coding education and performing other related duties as required or assigned is expected. Additionally, being open to assuming new tasks or assignments and working both independently and as part of a team are essential. The requirements for this position include having a coding certification, along with at least 2 years of outpatient surgical coding experience. Extensive knowledge of medical terminology, anatomy, and physiology is necessary. The ideal candidate should possess the ability to work independently and collaboratively with a team, as well as the flexibility to take on new tasks as needed. Preferred qualifications for this role include a university certificate in a healthcare-related field and at least 2 years of Ambulatory Surgical Center coding experience.,

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3.0 - 7.0 years

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karnataka

On-site

As a Quality Auditor in the healthcare industry, you will be responsible for conducting quality audits of coded medical records to ensure accuracy and compliance with regulatory standards. Your key responsibilities will include identifying errors in coding practices, providing constructive feedback to coders, and implementing strategies for quality improvement. Additionally, you will be expected to prepare detailed quality reports and analysis, as well as conduct training sessions for coders to enhance their skills. To excel in this role, you must possess a deep understanding of ICD-10-CM, CPT, and HCPCS coding systems, along with strong auditing and analytical abilities. Excellent communication and presentation skills are essential for effectively communicating audit findings and recommendations. Your ability to multitask efficiently will be crucial in managing various responsibilities in this position. A certification in medical coding such as CPC, CCS, or an equivalent qualification is mandatory for this role to ensure proficiency in coding practices. This full-time position offers attractive salary packages, career growth opportunities, and a flexible work environment. You will also have access to professional development programs to enhance your skills and knowledge in the field. Additionally, benefits such as health insurance and provident fund are provided to ensure your well-being and financial security. If you are seeking a challenging role that combines technical expertise in medical coding with quality assurance responsibilities, this position in Bangalore, Chennai, Salem, or Trichy could be the perfect fit for you. Your contribution as a Quality Auditor will play a crucial role in maintaining the highest standards of coding accuracy and compliance in the healthcare industry.,

Posted 4 days ago

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2.0 - 6.0 years

0 Lacs

haryana

On-site

Genpact is a global professional services and solutions firm dedicated to shaping the future by delivering impactful outcomes. With a workforce of over 125,000 professionals spread across 30+ countries, we are fueled by curiosity, agility, and the drive to create enduring value for our clients. Our mission revolves around the relentless pursuit of a world that functions better for people. We cater to and transform leading enterprises, including the Fortune Global 500, leveraging our profound business and industry expertise, digital operation services, and proficiency in data, technology, and AI. We are currently seeking applications for the position of Business Analyst - Medical Coding. As a part of this role, you will be responsible for working as a medical coder for Provider Coding. Responsibilities: - Analyze medical records, patient medical history, physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to ensure accurate CPT and ICD 10 CM code verification. - Code medical reports by assigning suitable CPT & ICD 10 CM codes based on documentation and client specifications. - Adhere to project-specific guidelines strictly. - Verify LCD policy according to insurance specifications. - Achieve assigned tasks and targets promptly and accurately within client SLAs. - Maintain compliance with client/project guidelines, business rules, and provided training in the company's quality system and policies. - Communicate issues promptly to supervisors when necessary. - Demonstrate willingness to learn and stay updated with the latest codes. - Collaborate effectively within a team environment and support team members in achieving common objectives. Qualifications: Minimum Qualifications: - Relevant experience in Inpatient Coding is essential. - Profound knowledge of CPT and ICD-10-CM/PCS, HCPCS Level II, Medicare, Medicaid, and Insurance guidelines. - Mandatory coding certification such as CIC (AAPC) and/or CCS (AHIMA). - Science graduate/BAMS/BHMS/BPT/BUMS or equivalent with relevant work experience. Preferred Qualifications/ Skills: - Preferred experience in general medical coding. - Proficiency in computer skills, including Word, Excel, and PowerPoint. - Experience with 3M and encoder is preferred. - Familiarity with EPIC is advantageous. - Ability to utilize the internet and electronic resources for research purposes. - Advanced understanding of Professional coding guidelines, medical terminology, pharmacology, body systems/anatomy, physiology, and disease processes concepts. Job Details: - Designation: Business Analyst - Location: India-Gurugram - Schedule: Full-time - Education Level: Bachelor's / Graduation / Equivalent - Job Posting Date: May 2, 2025, 8:27:22 AM - Unposting Date: Jun 1, 2025, 1:29:00 PM - Master Skills List: Operations - Job Category: Full Time,

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2.0 - 6.0 years

0 Lacs

kochi, kerala

On-site

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

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2.0 - 6.0 years

0 Lacs

andhra pradesh

On-site

You will be joining a reputable software company that specializes in the healthcare industry and has been serving clients since 1988. As part of our smart and driven team, you will have the opportunity to contribute significantly to various healthcare sectors by accurately assigning medical codes to diagnoses, procedures, and services performed by healthcare providers. Your responsibilities will include reviewing patient records to assign ICD-10-CM, CPT, and HCPCS codes, ensuring compliance with coding guidelines, collaborating with healthcare providers to resolve coding issues, auditing medical records for accuracy, and participating in training sessions to stay updated on coding regulations. Maintaining patient confidentiality and adhering to HIPAA regulations will be crucial aspects of your role. To qualify for this position, you should have a minimum of 2 years of experience as a medical coder, proficiency in assigning medical codes, knowledge of medical terminology, anatomy, and physiology, strong attention to detail, excellent communication skills, and the ability to work both independently and as part of a team. While certification from AAPC or AHIMA is preferred, a Bachelor's degree in Health Information Management or a related field is also desirable. In addition to the challenging and rewarding nature of the job, you can expect a fixed night shift, competitive salary, performance bonuses, allowances, insurance benefits, and cab facilities for female employees.,

Posted 6 days ago

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2.0 - 6.0 years

0 Lacs

karnataka

On-site

As a medical coder with 2-3 years of multispecialty, E&M-OP, and Surgery coding experience, your primary responsibility will be to accurately assign appropriate medical codes to diagnoses, procedures, and services conducted by healthcare providers. Your tasks will encompass reviewing patient medical records meticulously to assign correct ICD-10-CM, CPT, and HCPCS codes. It is imperative to ensure strict compliance with all coding guidelines, regulations, and standards, while also collaborating with healthcare providers and team members to address coding-related issues efficiently. Auditing medical records to guarantee the precision and completeness of coded data is another crucial aspect of the role. Additionally, active participation in coding-related training sessions and continuous education programs is essential to stay abreast of the latest coding guidelines and regulations. Upholding patient confidentiality and adherence to HIPAA regulations are paramount in this role. Qualifications should include a minimum of 2 years of experience as a medical coder in a healthcare environment. Proficiency in assigning ICD-10-CM, CPT, and HCPCS codes is a must, along with a sound understanding of medical terminology, anatomy, and physiology. Strong attention to detail and accuracy, coupled with excellent communication and interpersonal skills, are vital for success in this role. The ability to work both independently and collaboratively as part of a team is essential. A non-certified/certification from AAPC or AHIMA is preferred, and a Bachelor's degree in Health Information Management or a related field is advantageous. In addition to the job requirements, the role entails working fixed night shifts. The salary offered is competitive and considered the best in the industry, with the possibility of performance bonuses and allowances. Insurance benefits are provided, and there is a cab facility available for female employees.,

Posted 1 week ago

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2.0 - 6.0 years

0 Lacs

chandigarh

On-site

As a Certified Medical Coder (E/M Specialist) at BeeperMD in Chandigarh IT Park, you will play a crucial role in accurately assigning ICD-10-CM, CPT, and HCPCS codes for patient care. Your responsibility will include reviewing and analyzing medical records to ensure appropriate coding for diagnoses and procedures, collaborating with healthcare providers to clarify documentation, and staying updated with coding regulations and best practices. To excel in this role, you must hold a Certified Professional Coder (CPC) credential and demonstrate proven experience as an E/M coding specialist. A strong grasp of medical terminology, anatomy, and physiology is essential, along with excellent analytical skills and attention to detail. Proficiency in using coding software and electronic medical records systems is also required. Joining BeeperMD offers you a competitive salary and benefits package, along with the opportunity to work in a dynamic and supportive environment. You will have access to continuous learning and professional development opportunities while being part of a team dedicated to improving patient care and healthcare efficiency.,

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

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

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1.0 - 5.0 years

0 Lacs

ahmedabad, gujarat

On-site

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

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1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

You should have excellent domain expertise and process knowledge in Revenue Cycle Management (RCM) for Facility/Hospital settings. Your knowledge should include proficiency in ICD-10-CM, ICD-10-PCS coding guidelines, UHDDS guidelines, Principal Diagnosis, CCs and MCCs, DRG selection and validation, POS indicators, Query Process, MS DRG, APR DRG, SOI, ROM. Understanding of medical record documentation guidelines and federal compliance guidelines in Inpatient Hospital settings is crucial. Familiarity with quality processes in Coding is also required. Your skills should encompass strong interpersonal abilities, effective communication, impactful presentation skills, analytical mindset, quality focus, and a data-driven approach. You should have the capability to manage a team of 40-50 employees and possess an analytical approach to problem-solving. In terms of behavior, you are expected to be disciplined, maintain a positive attitude, demonstrate punctuality, exhibit teamwork, and embrace a collaborative approach. The ideal candidate must have experience in IP DRG Coding with at least one relevant certification from AAPC or AHIMA (CCS and CIC preferred). Additionally, you should have 1-2 years of experience in team management, exposure to coding audit functions, involvement in developing training contents, working on quality improvement projects, familiarity with coding workflows and prominent EMR(s) and CAC systems, and a strong understanding of CMS and industry guidelines for IP DRG coding. Your responsibilities will include supervising and managing a team of 40-50 QAs and QALs, creating an inspiring team environment with open communication culture, designing QA capacity planning according to project scope requirements, delegating tasks and setting deadlines, managing the quality of multiple IP DRG Coding projects, analyzing internal and client quality data, suggesting remedial action plans, implementing quality control mechanisms as per client quality processes, ensuring effective implementation of the organization's Quality Management System, monitoring team performance and reporting on metrics, performing random audits of auditors, conducting Root Cause Analysis (RCA) on audit observations, identifying knowledge gaps, developing action plans with quality leads and operation managers, providing regular feedback to the Training team to update content, discovering training needs, offering coaching to QAs and Trainers, listening to team members" feedback, resolving any issues or conflicts, and recognizing high performance while rewarding accomplishments.,

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2.0 - 6.0 years

0 Lacs

punjab

On-site

As a Medical Biller / Coder, you will be responsible for overseeing coding activities to ensure customer service and quality expectations are met. You will serve as the primary contact for coding questions related to Client Services and Operations. Your role will involve reviewing reports, identifying specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will proactively identify issues and plan for their resolution for clients and accounts. It will be your duty to maintain compliance with HIPAA and ISO standards, as well as adhere to company policies. You will review and report on process updates and team metrics with the management team. Furthermore, you will review provider claims that have not been paid by insurance companies and handle patients" billing queries while updating their account information. To excel in this role, you should have knowledge of Medicare, Medicaid, ICD, and CPT codes used on denials. Understanding the Revenue Cycle Management of US Health Care is essential, along with a good grasp of Denials and the ability to take immediate action to resolve them. You should possess in-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT and Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG, and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology, anatomy, and physiology. Strong analytical skills are a must for this role, including the ability to manage multiple tasks and create solutions from available information. Your key skills should include E/M, HCPCS, and Medical Coding. The job type is full-time and permanent, with the flexibility of working day, morning, or rotational shifts. This position requires a minimum of 2 years of experience in Medical Coding and a total work experience of 3 years. A valid AAPC certification is required for this role. The industry type is Medical Services / Hospital (Diagnostics), and the department is Healthcare & Life Sciences. The role category is Health Informatics, and the educational requirement is any graduate degree. The preferred location for employment is in Mohali, Punjab, with the ability to reliably commute or plan to relocate before starting work.,

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

The Quality Assurance Analyst for Medical Coding at LexiCode plays a crucial role in ensuring accuracy and compliance with coding guidelines. You will be responsible for reviewing medical records, verifying codes, and upholding coding standards. Your dedication to maintaining precision and confidentiality is essential for the success of our coding services. Key Responsibilities: - Thoroughly analyze medical records to identify relevant diagnoses and procedures. - Verify medical codes for accuracy and alignment with clinical documentation. - Maintain the integrity and accuracy of coded data. - Stay updated on coding guidelines and industry best practices through continuous research. - Participate in coding audits and quality improvement initiatives to enhance accuracy standards. - Ensure productivity levels while meeting coding quality and efficiency benchmarks. - Adhere to strict patient confidentiality and HIPAA regulations. Minimum Qualifications: - AHIMA credentials such as CCS or AAPC credentials like CPC or CIC. - Minimum of 1 year experience in coding or Quality Assurance for ED Facility and Profee. - Proficiency in ICD-10-CM and PCS coding systems, including guidelines and conventions. - Familiarity with coding software and electronic health record (EHR) systems. - Strong analytical skills to interpret complex medical documentation accurately. - Attention to detail to maintain precision in all coding tasks. - Excellent communication skills for effective collaboration with healthcare professionals. Join us at LexiCode and be a part of a dynamic team dedicated to delivering exceptional coding services to our clients. Your expertise and commitment to quality will contribute significantly to our mission.,

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2.0 - 6.0 years

0 Lacs

kochi, kerala

On-site

As a Medical Coder specializing in Surgery Coding (Series 1 to 6) based in Kochi, Kerala, you will be responsible for reviewing and analyzing medical records to accurately assign surgical procedure codes. Your role will involve applying ICD-10-CM, CPT, and HCPCS Level II coding guidelines to ensure correct reimbursement while maintaining coding accuracy and compliance. Collaboration with physicians, healthcare providers, and billing teams will be essential to resolve any coding discrepancies that may arise. You will conduct coding audits and quality reviews to uphold high accuracy and compliance standards. Additionally, you will assist in appeals and denials management by providing proper coding justifications. It is imperative to maintain confidentiality and adhere strictly to HIPAA regulations in all aspects of your work. To excel in this role, you must possess a CPC or equivalent coding certification along with a minimum of 2 years of experience in medical coding, particularly in surgery coding (Series 1-6). A strong understanding of surgical procedures and operative reports is crucial, along with proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems. Experience with EHR/EMR systems and medical coding software, preferably 3M, will be beneficial. Your role will require strong analytical and problem-solving skills, excellent communication and collaboration abilities, keen attention to detail, and the capacity to work independently. This is a full-time position based on a day shift schedule, with a hybrid work arrangement initially based in the office in Kochi for the first 3 months, eventually transitioning to a hybrid remote setup in Ernakulam, Kerala. In return for your dedication and expertise, we offer a comprehensive benefits package that includes health insurance, paid sick time, paid time off, and Provident Fund. This position provides an opportunity for professional growth and development in the dynamic field of medical coding.,

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2.0 - 6.0 years

0 Lacs

karnataka

On-site

You will be responsible for accurate and meticulous medical coding, particularly focusing on CPT, ICD-10-CM, and modifier assignments. Your role will involve ensuring that the coding is precise and compliant with regulations to safeguard revenue, minimize denial rates, and uphold our fundamental values of prioritizing customers, showing respect, fostering learning, and maintaining clarity. Your expertise should include proficiency in medical coding encompassing CPT, ICD-10-CM, Modifiers, and NCCI Edits. Possessing certifications such as CPC (AAPC), CCS, COC, and Specialty Certifications will be advantageous for this role. Familiarity with EHR Systems like Athena One, eClinicalWorks, and Epic, as well as coding platforms such as 3M Encoder, TruCode, and CAC, will be essential. Furthermore, you should be adept at data analysis utilizing tools like Excel Pivot Tables, VLOOKUP, and have a basic understanding of Power BI. Your responsibilities will also include maintaining revenue integrity through risk identification, identifying upcoding and under-coding instances, and generating relevant reports. Effective denial management, which includes tracking denials, conducting root cause analyses, and providing education to providers, will be part of your duties. In addition to the technical skills, you should possess soft skills such as a keen attention to detail, excellent written and verbal communication abilities, self-motivation, a team-oriented and collaborative mindset, and effective time management with a commitment to meeting deadlines. This is an in-office role with no remote work option, and the designated shift is the Night Shift.,

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1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

As a Medical Coder, your primary responsibility will be to analyze medical records and documentation to identify the services provided during patient evaluations and management. You will need to assign appropriate E&M codes based on the level of service rendered, following coding guidelines such as CPT, ICD-10-CM, and HCPCS. Ensuring coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels, will be crucial in this role. It is essential to stay up-to-date with relevant coding guidelines and updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association. Adherence to coding regulations, including HIPAA guidelines, is necessary to maintain patient privacy and confidentiality. You will also need to follow coding best practices, maintain a thorough understanding of coding conventions and principles, and collaborate with healthcare professionals to obtain necessary information for coding purposes. Your role will involve communicating with providers to address coding-related queries, clarify documentation discrepancies, and work closely with billing and revenue cycle teams to ensure accurate claims submission for timely reimbursement. Regular audits and quality checks on coded medical records will be conducted to identify errors, inconsistencies, or opportunities for improvement. Participation in coding compliance programs and initiatives is required to maintain accuracy and quality standards. Job Requirements: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficiency in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes If you meet the above requirements and are interested in this position, please send your reference to mamatha.bandisawsare@eclathealth.com. Regards, Mamatha Bandisawsare 8121006466,

Posted 2 weeks ago

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

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

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1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

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

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2.0 - 6.0 years

0 Lacs

thanjavur, tamil nadu

On-site

Exela Technologies is a global leader in business process automation (BPA) with a strong focus on digital transformation solutions to improve quality, productivity, and user experience. With a broad client base spanning across 50 countries and serving more than 4,000 customers, including a majority of the Fortune 100 companies, Exela is dedicated to delivering efficient and critical operations. The company's innovative software and services cater to various industries like finance, healthcare, and public sectors, all supported by cloud-based platforms and a workforce of over 17,500 employees worldwide. As an IP DRG - QA at Exela Technologies based in Thanjavur, you will play a vital role in ensuring the accuracy and quality of inpatient diagnosis-related group (DRG) coding. Your responsibilities will include reviewing medical records, validating coding assignments, identifying potential errors, and ensuring compliance with coding standards and guidelines. Collaboration with coding staff and healthcare professionals will be essential to enhance the quality and compliance of coding practices. To excel in this role, you should possess experience in DRG coding and validation, along with a strong familiarity with medical terminology, ICD-10-CM, and ICD-10-PCS coding systems. Strong analytical and problem-solving skills, keen attention to detail, and accuracy are crucial for success. Effective communication and interpersonal abilities are essential for collaborating with team members and healthcare professionals. The role requires the ability to work independently and on-site in Thanjavur. Possessing relevant certifications such as CCS, CCDS, or CPC would be advantageous. A Bachelor's degree in Health Information Management, Nursing, or a related field is preferred for this position.,

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10.0 - 14.0 years

0 Lacs

karnataka

On-site

As a Clinical Coding Specialist at Bengaluru Luxor North Tower, your primary responsibility will be to generate and maintain sets of medical and pharmacy codes for use in defining conditions, events, and treatments in studies using healthcare data. You will be required to drive stakeholder engagement by identifying coding needs for upcoming studies and providing expert consultation on code set selection. Additionally, you will maintain a coding library platform, support the re-use of defined code sets, and collaborate on automation in the code list generation process. Your role will also involve conducting effective literature reviews, documenting and archiving code lists, updating data dictionaries, and learning and delivering code lists of new coding systems. You should have knowledge of MedDRA and WHODrug dictionaries and be able to troubleshoot coding-related issues. Proficiency in using technical tools for code list creation, defining metrics and reports for senior management, and ensuring high-quality deliverables will be essential. To qualify for this role, you should hold a MSc/PhD in Life Science, B-Pharm/M-Pharm, or equivalent, with a minimum of 10 years of experience in clinical coding. You must have strong knowledge of coding systems and tools, familiarity with regulatory guidelines, and experience in working with AI/ML tools. Proficiency in programming languages such as R and SQL, excellent problem-solving skills, and the ability to collaborate effectively with cross-functional teams are also required. At Bengaluru Luxor North Tower, we aim to unite science, technology, and talent to stay ahead of disease and positively impact the health of billions of people. We offer a collaborative and innovative work environment where you can thrive and grow professionally. If you are dedicated to delivering high-quality work, open to feedback, and committed to continuous improvement, we invite you to join us on our journey to get Ahead Together.,

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0.0 - 4.0 years

0 Lacs

chennai, tamil nadu

On-site

At Clarus, we inspire you to explore your passions, nurture and cultivate your talent. We equip you to work with your clients and help them achieve outstanding results through superior quality of service. Innovate with Clarus, work on some of the most exciting projects in the industry and learn & grow with us. If you are looking to get into the field of medical coding, read on, and apply online: Location: Chennai, India Responsibilities Understand medical record and clinical documentation to ascribe medical diagnosis codes as per the ICD-10-CM standard, procedure codes as per the CPT-4 standard, and HCPCS codes. Achieve over 96% accuracy and deliver coded charts as per defined productivity standards. Acquire expertise in inpatient, outpatient (specialty-specific), emergency department, or HCC coding. Work towards becoming a certified coder by learning with peers and constantly updating coding knowledge & skills. Continuously improve quality and productivity by working on feedback provided by the quality and training team. Desired Skills/Traits Graduates/post-graduates in Life-Sciences - Biotechnology, Biochemistry, Microbiology, Pharma, Nursing, Zoology, Botany, Biology - may apply. Graduates in paramedical fields may also apply. Final Year students can also apply. Highly motivated to work in the Medical coding domain. Strong understanding of human anatomy and medical terminology. Benefits Attractive Salary package. Good opportunity to grow your career and become a certified coder. Other Benefits. Walk-in Venue: Clarus RCM, No. 134/62, Level 2, Greenways Rd, Raja Annamalai Puram, Kesavaperumalpuram, Gandhi Nagar, Adyar, Chennai, Tamil Nadu 600028.,

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2.0 - 6.0 years

0 Lacs

palakkad, kerala

On-site

The role of an IPDRG Coder/Auditor based in Palghat involves full-time on-site responsibilities of reviewing and accurately coding patient records with the appropriate DRG codes. As an IPDRG Coder/Auditor, your duties will include auditing medical records for compliance, validating procedures, diagnoses, and DRG assignment. It is crucial to ensure accurate coding to optimize revenue and compliance with healthcare regulations. Your daily tasks will revolve around collaborating with healthcare providers for clarification, maintaining coding principles knowledge, and staying updated with industry changes and standards. To excel in this role, you should possess proficiency in ICD-10-CM, ICD-10-PCS, and DRG coding, alongside a strong understanding of medical terminology, anatomy, and physiology. Previous experience in clinical documentation review and coding compliance is essential. Excellent auditing, analytical, and problem-solving skills are crucial, along with the ability to work independently with a keen eye for detail. Effective written and verbal communication skills are necessary for successful performance. Possessing relevant coding certifications such as CCS or CIC would be advantageous. Prior experience in a hospital or clinical setting is considered a plus. A Bachelor's degree in Health Information Management, Nursing, or a related field is preferred for this role.,

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8.0 - 12.0 years

0 Lacs

chennai, tamil nadu

On-site

As an integral member of our coding team, you will play a key role in ensuring the efficient and effective management of day-to-day operations. Your responsibilities will include overseeing coding activities across all facilities, including Inpatient/Outpatient and Nursing Home Services, to ensure that customer service and quality expectations are consistently met. You will serve as the primary point of contact for coding questions related to Client services and Operations, reviewing reports to identify specific issues, investigating them in accordance with coding guidelines, and implementing effective solutions. Your strong analytical skills will be essential in managing multiple tasks and generating solutions based on the available information. To qualify for this role, you must have supervisory experience and hold a coding certification, specifically a CPC certification. Additionally, a minimum of 8-10+ years of experience in multilevel coding management and multispecialty coding is required. Proficiency in icd-10-cm and cpt coding, along with a comprehensive understanding of medical terminology, is essential to excel in this position. If you are a seasoned coding professional looking to make a significant impact within a dynamic team, we invite you to submit your resume to our HR department via email or fax. We are always on the lookout for talented individuals like yourself and will reach out to you if a suitable position becomes available.,

Posted 1 month ago

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2.0 - 6.0 years

0 Lacs

noida, uttar pradesh

On-site

The job requires candidates to have the following qualifications and skills: - Any Graduates with HIMAA Certification Mandatory - Good knowledge of medical coding systems, medical terminologies, regulatory requirements, auditing concepts, and principles. Responsibilities include: - Assigning appropriate ICD-10-CM and ICD-10-PCS codes to inpatient records based on physician documentation. - Reviewing and coding all documents for inpatient encounters, including surgeries, tests, and diagnosis. - Applying codes to classify patient cases for reimbursement purposes. - Coding records in a timely manner to meet billing cycles and hospital deadlines. - Ensuring compliance with coding guidelines and regulations. This is a full-time position with the opportunity to work from the office. The salary offered is competitive and the job provides opportunities for professional growth and development. The selection process includes an assessment, technical round, and HR discussion. If you meet the prerequisites and agree to the terms and conditions, you are encouraged to register for the position.,

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2.0 - 6.0 years

0 Lacs

noida, uttar pradesh

On-site

You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, such as HIPAA guidelines, is necessary to ensure patient privacy and confidentiality. Following coding best practices and maintaining a thorough understanding of coding conventions and principles are also key aspects of the role. Collaboration with healthcare professionals, including physicians, nurses, and other staff members, is required to obtain necessary information for coding purposes. You will need to communicate with providers to address coding-related queries and clarify documentation discrepancies. Working closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement is part of the job responsibilities. Conducting regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement is also a key aspect of the role. Participation in coding compliance programs and initiatives to maintain accuracy and quality standards is expected. To be considered for this position, applicants need to meet the following qualification criteria: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficient in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes,

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