Med-Metrix - AR Credit Balance/Cash posting walk-in interview Preferred candidate profile : Credit Balance/Cash posting AR Analyst Overpayment & Refund Process HB/PB Experience Required Min 1-4 years Salary best in industry Interview day : (Monday - Friday) Walk-in time : 3 PM to 6 PM Interested Candidates reach out Subash HR-9791854171 Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

Med-Metrix - AR Caller -PB/HB walk-in interview Preferred candidate profile : AR Caller (1 to 2) Years Both Hospital Billing & Physician Billing Denial Management Notice - Immediate/30 days Cab - (2 way provided Surrounding 28km radius) Salary best in industry Interview day : (Monday - Friday) Walk-in time : 3 PM to 6 PM Interested Candidates reach out Subash HR-9791854171 Interview Address : 7th Floor , Millenia Business Park II, 4A Campus, 143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India

Med-Metrix - AR Caller -PB/HB walk-in interview on Med-Metrix - AR Caller -PB/HB walk-in interview on March(27th & 28th) Interview date : March(27th & 28th) Walk-in time : 3 PM to 6 PM Interview Address : 7th Floor , Millenia Business Park II, 4A Campus, 143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Contact Person : Prabakaran HR Preferred candidate profile : AR Caller (1 to 2) Years Hospital Billing Physician Billing With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Collections. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Hands on Experience with Software EPIC ,CERNER & ALLSCRIPTS is an added advantage Role & responsibilities Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Meets and maintains daily productivity/quality standards established in departmental policies. Use the workflow system, client host system and other tools available to them to collect payments and resolve accounts. Adheres to the policies and procedures established for the client/team. Knowledge of timely filing deadlines for each designated payer. Performs research regarding payer specific billing guidelines as needed. Ability to analyze, identify and resolve issues causing payer payment delays. Ability to analyze, identify and trend claims issues to proactively reduce denials. Communicatesto management any issues and/or trends identified. Initiate appeals when necessary. Ability to identify and correct medical billing errors. Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process. Understanding if under or over payments and credit balance processes. Assist with special A/R projects as needed. Analytical skills and the ability to communicate results are required.\ Act cooperatively and courteously with patients, visitors, co-workers, management and clients. Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Work independently from assigned work queues. Maintain confidentiality at all times. Maintain a professional attitude. Other duties as assigned by the management team Apply : https://jobs.dayforcehcm.com/en-US/medmetrix/CANDIDATEPORTAL/jobs/1310 Perks and benefits CAB Facility (Two way) Good Salary in the Industry

Certified Medical Coder (Inpatient/IPDRG) Job Type Full-time Chennai, Tamil Nadu Description Job Purpose Utilize coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQs to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Requirements CPC certification AAPC or CCS certification from AHIMA High School graduate or equivalent Minimum one years of coding experience Knowledge of Microsoft Word, Outlook, Excel Must be able to use job-related software

Job Purpose The Recruiter is responsible for implementing the recruitment strategy for all assigned open positions within Med-Metrix and plays a critical role is shaping the culture and success of the organization by sourcing, screening and recommending candidates for hire. The Recruiter plays an integral role in shaping a candidates first impression fo the company, impacting culture and brand of the company. The Recruiter will collaborate directly with hiring teams and leadership across the organization to find the best resources within reasonable time frames. Duties and Responsibilities Works with the Manager, Talent Acquisition and hiring managers to develop and execute recruitment strategies for all assigned vacant positions. Works with hiring managers and Human Resources to develop and create job descriptions Posts open positions on applicant tracking system and maintains the system to include accurate movement of candidates, appropriate dispositioning of candidates, and timely closing of filled roles Updates recruitment log/tracker precisely to reflect offer acceptances for accurate reporting Schedules interviews with candidates and interviewers via Microsoft Teams and Outlook Proactively source passive candidates for aged or priority openings, creatively leveraging available resources and tools to enhance pipeline Makes calculated recommendations to hiring managers on offer amounts and makes employment offers May attend recruitment functions both virtually and/or in-person May assist with vendor management, such as recruitment sites, agencies, or others Asissts in process documentation, including SLAs, SOPs, and various files to insure process compliance Recommends process improvement initiatives, including ways to save time, costs or better the candidate experience Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Qualifications Bachelors Degree preferred Minimum of 2 years recruitment experience in a health care or similar setting Working knowledge of Microsoft Office, including Excel Experience using ATS and HRIS systems Ability to navigate career websites including job boards and applicant tracking systems Strong verbal and written communication skills, including experience interfacing with senior leaders/executives Interviewing skills Highly organized and able to function accurately and efficiently in a fast-paced environment, easily shift priorities as needed Ability to work independently and maintain confidentiality

Job Purpose The Sourcing Specialist / Recruiter has direct responsibility for multiple sourcing channels including the Med-Metrix Careers website, ad hoc advertising, the Employee Referral Program, job boards, social media, marketing go to market campaigns and direct sourcing. The role will be part of the Human Resources Talent Acquisition Team and will conceptualize, strategize and implement sourcing activities to ensure delivery of the team’s hiring targets. Duties & Responsibilities Source qualified candidates to fill hiring demands. Ensure achievement of Sourcing Targets by implementing cost-effective strategies for Med-Metrix Recruitment. Coordinate interviews with Managers, negotiate salary and follow up with candidates till they join. Monitor market trends and innovative sourcing techniques to increase effectiveness in the role. Come up with channel-specific proposals to increase capability to source candidates. Respond to all queries from all sourcing channels. Maintain, track and analyze numbers and come up with action plans for encountered challenges. Track channel spend accordingly. Build and maintain a strong employer brand presence through social media campaigns and partnerships with online communities and job boards. Stay updated on industry trends, best practices, and market conditions to maintain a competitive edge in Talent Acquisition. Any other tasks that may be assigned in support of the organization’s goals and objectives. Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Understand and comply with Information Security and HIPAA policies and procedures at all times. Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties. Qualifications Must possess at least a Bachelor’s Degree in Marketing, Psychology, Human Resource Management, Business Management or equivalent Minimum of 2 years of experience in recruitment sourcing, specifically for healthcare roles and volume hiring in a BPO set-up Proven expertise in utilizing online job boards (e.g., Naukri, Indeed, LinkedIn etc.) and social media platforms for Talent Acquisition. Strong experience in employer branding and creating engaging content for sourcing campaigns. Analytical mindset with the ability to interpret sourcing data and metrics to optimize strategies. Ability to thrive in a fast-paced, dynamic environment with shifting priorities. Ability to work independently. Strong interpersonal skills, ability to communicate well at all levels of the organization. Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses. High level of integrity and dependability with a strong sense of urgency and results oriented. Excellent written and verbal communication skills required. Gracious and welcoming personality for customer service interaction

Med-Metrix - AR Caller - HB Direct- walk-in interview on May (6th To 8th) Interview date : May (5th to 8th) 2025 Walk-in time : 3 PM to 6 PM Interview Address : 7th Floor , Millenia Business Park II, 4A Campus, 143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Contact Person : Prabakaran HR Preferred candidate profile : AR Caller (1 to 3) Years - (Health care) Hospital Billing (HB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Collections. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Hands on Experience with Software EPIC ,CERNER & ALLSCRIPTS is an added advantage ! Perks and benefits CAB Facility (Two way) Good Salary in the Industry

Insurance verification/Eligibility Verification (EV/IV) Walk-in Interview on May (6th to 8th) 2025 Interview day : (May 6th to 8th) 2025 Walk-in time : 3 PM to 6 PM Contact person : Prabakaran E Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Preferred candidate profile : Insurance Verification/Eligibility Verification - (EV/IV) Looking for a candidate who has good experience in Insurance Verification Flexible to WFO Experience Required Min 1-4 years Salary best in industry Perks & Benefits Cab Facility (Two way) Captive Organization

Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQs to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications CPC certification AAPC or CCS certification from AHIMA High School graduate or equivalent Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.) Knowledge of Microsoft Word, Outlook, Excel Must be able to use job-related software Surgical coding experience a plus Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction

Eligibility Verification/Insurance verification (EV/IV) Walk-in Interview on May (14th to 16th) 2025 Preferred candidate profile : Insurance Verification/Eligibility Verification - (EV/IV) Looking for a candidate who has good experience in Eligibility Verification(Healthcare industry) Voice process Flexible to WFO Experience Required Min 1-4 years Salary best in industry Interview day : May (14th to 16th) 2025 ( Wednesday- Friday) Walk-in time : 3 PM to 6 PM Contact person : Subash HR (9791854171) Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Perks and Benefits Cab facility (2 way) Captive Company

Med-Metrix - AR Caller -HB walk-in interview Preferred candidate profile : AR Caller (1 to 2) Years Hospital Billing (UB04 forms) Denial Management Notice - Immediate/30 days Cab - (2 way provided Surrounding 28km radius) Salary best in industry Interview day : ( Wednesday- Friday) Walk-in time : 3:30 PM to 6 PM Interested Candidates reach out Subash HR-9791854171spalani@med-metrix.com Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

Med-Metrix walk_in Interview for HR Recruiter on May (20th to 22nd) 2025 Interview day :May (20th to 22nd) (Tuesday to Thursday) Walk-in time : 12 PM TO 3PM Contact person : Prabakaran E Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Job Summary: The HR Recruiter is responsible for sourcing, screening, and selecting qualified candidates to fill various positions within the organization. This role involves collaborating with hiring managers, managing the full-cycle recruitment process, and building a strong talent pipeline to support the companys strategic goals. Key Responsibilities: Healthcare Recruitment Manage end-to-end recruitment for multiple roles across departments. Partner with hiring managers to understand job requirements and develop job descriptions. Post job ads on relevant platforms (e.g., job boards, social media, internal systems). Source and attract candidates through various channels including job portals, social media, referrals, and networking. Conduct initial screening, interviews, and coordinate with hiring teams for further evaluation. Maintain candidate databases and applicant tracking systems (ATS). Schedule interviews and manage communication between candidates and hiring managers. Prepare offer letters and handle negotiation processes when necessary. Ensure a positive candidate experience throughout the recruitment process. Stay updated on employment laws, trends, and best practices in talent acquisition. Qualifications Bachelors Degree preferred Minimum of 2 years recruitment experience in a health care or similar setting Working knowledge of Microsoft Office, including Excel Experience using ATS and HRIS systems Ability to navigate career websites including job boards and applicant tracking systems Strong verbal and written communication skills, including experience interfacing with senior leaders/executives Interviewing skills Highly organized and able to function accurately and efficiently in a fast-paced environment, easily shift priorities as needed Ability to work independently and maintain confidentiality Perks and Benefits Captive Company

Job description Certified Medical Coder Anesthesia Type-WFO Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQs to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Requirements CPC certification AAPC or CCS certification from AHIMA High School graduate or equivalent Minimum one years of coding experience Knowledge of Microsoft Word, Outlook, Excel

Med-Metrix - AR caller Physician Billing PB walk_in interview on May (28th To 30th) 2025 Interview date : May (28th To 30th) 2025 (Wednesday to Friday) Walk-in time : 3 PM to 6 PM Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact Person : Subash HR : 9791854171 Preferred candidate profile : AR Caller (1 to 3) Years - (Health care) Physician Billing (PB) With minimum 1+ year's of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers) Experienced on medical billing/ AR Collections. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Perks and benefits CAB Facility (Two way) Good Salary in the Industry

Job Summary The Senior Software Engineer will be collaborating with cross-functional teams to define, design, and ship new features while simultaneously improving existing functionality, This role is responsible in fixing reported bugs and work towards improving application performance, as well as continuously discover, evaluate, and implement new technologies to maximize development efficiency, Duties And Responsibilities Implement all aspects of an application design high performance design, coding, caching mechanisms, security, encryption, state management, error logging, debugging, scalability, code reviews, development environment configuration, and testing, You're comfortable?working in an Agile environment, both collaboratively and independently, You have robust experience with Typescript (Angular 13+, NodeJs), Dot net Core, language SQL and NoSQL, APIs, and Service Oriented Architecture, You can design and implement REST API web services and scalable APIs, Experience programming for Serverless framework Expert experience in relational databases (SQL Server or MySQL), You have extensive experience with continuous delivery and deployment pipelines, You use your knowledge of computer science fundamentals (data structures,?algorithms,?and patterns) to?create an outstanding user experience, Develop framework and process for applications project using existing technologies that is implemented in a structured, maintainable fashion, Evaluate and Improve application performance Perform unit and system level testing on applications Work closely with product development teams, product management, design office, services, and helps in upgrade testing, analyzing and resolving upgrade issues, Develop automated unit test cases tied to each User Story, Bug, Use, protect and disclose patientsprotected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications Minimum of 5+ years of experience in Software Engineering Minimum of 5+ years of significant experience in full Stack application development using Angular, C#, Dot net Core, JavaScript, TypeScript & SQL Server Technologies, Able to demonstrate strong Object-oriented programming skills, Proficient with software development lifecycle (SDLC) methodologies like SAFe, Agile, Testdriven development, Excellent problem solving, analytical and technical troubleshooting skills, Strong expertise and knowledge in LINQ, Functional Programming, and multithreading, Experience implementing: Restful API/GraphQL development in Dot net Core, ASPDot net MVC, Web API, Dot net window services, and SQL Server, Should have good experience in writing efficient SQL queries A solid foundation in computer science, with strong competencies in data structures, algorithms and software design, Able to work well individually and with a team Good work ethic, self-starter, and results oriented, Ability to work independently, prioritize and efficiently execute tasks, Excellent organizational and follow-up skills with strong attention to detail, Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear, Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress, Work Environment: The noise level in the work environment is usually minimal, Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law,

Job Purpose At Med-Metrix, technology isnt just part of our business, its what drives us forward Operating as an agile team, we create transformative software and deliver solutions, We are looking for bright, energetic, and resourceful people to join our lively and dedicated team Work for us and youll learn, grow, and enjoy along the way, The Software Engineer will be collaborating with cross-functional teams to define, design, and ship new features while simultaneously improving existing functionality, Candidate should also be able to fix reported bugs and work towards improving application performance, as well as continuously discover, evaluate, and implement new technologies to maximize development efficiency, Required Working Hours: 6:30 PM-2:30 AM IST Duties and Responsibilities Implement all aspects of an application design high performance design, coding, caching mechanisms, security, encryption, state management, error logging, debugging, scalability, code reviews, development environment configuration, and testing, You're comfortable working in an Agile environment, both collaboratively and independently, You have robust experience with Typescript (Angular 13+, NodeJs), Dot net Core, language SQL and NoSQL, APIs, and Service Oriented Architecture, You can design and implement REST API web services and scalable APIs, Experience programming for Serverless framework Expert experience in relational databases (SQL Server or MySQL), You have extensive experience with continuous delivery and deployment pipelines, You use your knowledge of computer science fundamentals (data structures, algorithms, and patterns) to create an outstanding user experience, Develop framework and process for applications project using existing technologies that is implemented in a structured, maintainable fashion, Evaluate and Improve application performance Perform unit and system level testing on applications Work closely with product development teams, product management, design office, services, and helps in upgrade testing, analyzing and resolving upgrade issues, Develop automated unit test cases tied to each User Story, Bug, Use, protect and disclose patientsprotected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications A minimum of 5+ years of experience in software engineering A minimum of 5+ years of significant experience in full Stack application development using Angular, C#, Dot net Core, JavaScript, TypeScript & SQL Server Technologies, Able to demonstrate strong Object-oriented programming skills, Proficient with software development lifecycle (SDLC) methodologies like SAFe, Agile, Testdriven development, Excellent problem solving, analytical and technical troubleshooting skills, Strong expertise and knowledge in LINQ, Functional Programming, and multithreading, Experience implementing: Restful API/GraphQL development in Dot net Core, ASPDot net MVC, Web API, Dot net window services, and SQL Server, Should have good experience in writing efficient SQL queries A solid foundation in computer science, with strong competencies in data structures, algorithms and software design, Able to work well individually and with a team Good work ethic, self-starter, and results oriented, Ability to work independently, prioritize and efficiently execute tasks, Excellent organizational and follow-up skills with strong attention to detail, Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear, Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress, Work Environment: The noise level in the work environment is usually minimal, Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law,

QCA Coding:SDS Job Purpose The Quality Analyst supports quality auditing, analysis, reporting and the development of plans that lead to positive outcomes. The Quality Analyst will work on risk identification, diagnosing issues, identifying process improvement solutions and process improvement implementation methods utilizing sound principles. Continuous engagement and collaboration with the Operations and Training Team is essential. Duties & Responsibilities Ensure that project related quality processes are followed by denials analyst and client specific and internal metrics are achieved Prepare detailed reports on audit findings and understand the quality requirements both from process perspective and for targets. Deliver reports in a timely manner. Identify a method to achieve the quality targets and implement the same in consultation with QCA lead and/or managers. Assist with the Quality Assessment process to ensure all quality standards targets can be met. Participate in performance improvement activities and continuing education to maintain current credentials and enhance knowledge and skills Share all relevant information with the team and take initiative to ensure team members get projects completed Participate in client presentation of findings, when requested Adjust workloads as necessary to achieve successful completion of project Handle complaints, questions, and queries as necessary Disseminates changes in guidelines and rules; monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement to assure compliance Foster an environment of teamwork and service excellence within the department Participate in conference calls/meetings with management and staff to ensure all performance and training recommendations are addressed and improvement suggestions are implemented Assist in new hire training classes, transition periods and refresher trainings as needed Maintain knowledge, understanding of, and compliance with all Med-Metrix policies and procedures. Participate in presentations to educate staff on outcomes and plans of correction Perform other duties as necessary Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications At least 2 years previous work experience as a Quality Analyst in healthcare insurance collections, self-pay collections and customer service in a call center setting or compliance and/or training Experience with training new users Knowledge of EOBs, CPT & ICD-9 & 10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/ referrals. Strong understanding of the basic healthcare revenue cycle operational processes such as the functions of insurance, patient billing & collections, Managed Care, Medicare, Medicaid, and Commercial Practices Experience with practice management systems. EPIC PB, Allscripts and/or Cerner preferred Knowledge of the denied claims and appeals process Must have an experience in outbound transaction AR process (Payers) Ability to navigate through multiple software and computer applications Detail oriented and well organized Capacity to maintain a high level of objectivity when completing staff reviews Proficient computer skills including Microsoft Office Suite, intermediate Excel skills required Self-motivated and resourceful with the ability to multitask and successfully operate in a fast paced, team environment Ability to work well individually and in a team environment Strong analytical and organizational skills Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Ability to meet assigned deadlines and work under minimal supervision and with all levels of staff and management. Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction

Role- SDS Supervisor Job Purpose The Supervisor, Coding is responsible for the supervision activities and operations of the overall functions of the Coding department and staff. Duties and Responsibilities Organizes, directs, and monitors daily activities of Coding Associates as it relates to coding edits and denials Distributes workload to team; monitors and reviews performance Monitors and analyzes productivity of the coding department employees, completes employee evaluations Fields questions from Coding Associates and Auditors as well as clients Establishes procedures, prepares and coordinates schedules, and expedites workflow Prepares reports and correspondence as needed Compiles status and work-volume reports for management Interviews, trains, motivates, and rewards Coding department staff Manages disciplinary personnel issues and escalates accordingly Assists with the implementation of policies and procedures necessary to comply with federal, state, and third-party regulations which govern billing and collection activities for physician services Performs Coding Department duties as needed Performs other related duties as assigned by management Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications Bachelors degree equivalent combination of education and experience CPC or CCS Coding certification required from AHIMA or AAPC 1-3 years’ experience as a Supervisor Possess thorough knowledge of multispecialty coding, including CPT, ICD-10 and HCPCs codes Related training/experience (preferably within the past five years) Knowledge of Medicare, Medicaid and Managed Care guidelines Proficiency in the use of Excel Spreadsheets, PowerPoint, and various software programs Excellent interpersonal and organizational skills Strong leadership, independent thinking and decision-making skills Strong organizational, problem-solving, and analytical skills Excellent oral and written communication skills Ability to communicate with all members of the health care team Ability to prioritize assignments

Manager Coding: Job Purpose The Manager, Coding will provide leadership to Coding Department including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed national coding KPI benchmarks and client specific KPIs. Maintain or exceed team productivity and quality standards. Duties and Responsibilities Plan, organize and direct overall operations of the Coding Department as it relates to billing, payer and client policies and protocols Oversee the coding of all surgeries to ensure accuracy and timeliness with our co-source Ensure that team stays current with billing/coding regulations Audit all new providers according to client needs Ensure all federal and state audits are completed timely, such as Medicare prepayment, CERT and RAC audits Ensure work queues are worked timely and accurately Actively engage with and manage coding team, including routine productivity and quality reviews Provide management and supervisory duties related to educating and training staff, evaluating staff performance and monitoring productivity Interview, hire, train, evaluate, and develop subordinate staff, where applicable Develop and maintain quality control programs, including in-depth and individual performance reviews Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications Bachelor’s degree or equivalent combination of education and experience CPC / CCS certification 5+ years’ experience managing and leading a physician business office/professional services coding department Ability to work well individually and in a team environment Must be reliable, responsible, goal oriented and flexible Excellent interpersonal, communication and organizational skills High degree of integrity including ability to successfully deal with sensitive or confidential information Ability to exhibit poise, composure and confidence when confronting stressful or high-pressure situations

Job Summary: The Medical Coding Quality Analyst Manager is responsible for overseeing the quality and accuracy of medical coding operations. This role ensures compliance with industry standards, payer policies, and regulatory requirements, while also leading quality assurance initiatives, training programs, and process improvements to enhance coding accuracy and efficiency. Key Responsibilities: Quality Assurance & Compliance: Oversee and manage the coding quality review process to ensure compliance with ICD-10-CM, ICD-10 PCS, CPT, HCPCS, and HCC risk adjustment guidelines. Develop and implement auditing processes to monitor coder accuracy and adherence to regulatory and payer requirements. Conduct and oversee internal and external audits to assess coding accuracy and identify areas for improvement. Develop corrective action plans for coders who do not meet accuracy benchmarks. Maintain and analyze coding quality reports, identifying trends and areas requiring training. Training & Development: Provide feedback and coaching to improve coder performance. Collaborate with the Education and Training teams to enhance ongoing learning opportunities. Leadership & Team Management: Supervise a team of quality analysts, auditors, and medical coders. Conduct performance evaluations and provide professional development opportunities. Foster a culture of continuous improvement and compliance. Process Improvement & Documentation: Identify inefficiencies and implement strategies to enhance coding workflow and quality. Maintain detailed documentation of coding audits, quality control measures, and compliance reports. Work cross-functionally with HIM, Compliance, and Revenue Cycle teams to optimize coding accuracy. Stakeholder Collaboration: Serve as a key point of contact for providers, payers, and regulatory agencies on coding-related issues. Assist in the development of policies and procedures to ensure coding integrity. Communicate audit findings and best practices to leadership and stakeholders. Experience: 8+ years of experience in medical coding and auditing. 2+ years of experience in a leadership or managerial role. Strong knowledge of HCC, Risk Adjustment, DRG, CPT, HCPCS, and ICD-10 coding guidelines. Experience with EMR/EHR systems, coding software, and claims processing .