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. Coding Audits & Performance Monitoring: 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 .

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

Med-Metrix - AR caller Physician Billing PB walk_in interview on June (3rd to 5th) 2025 Interview date : June (3rd to 5th) 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 : Subash HR 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

Company: MedMetrix Job Title: EM IP & OP / IPDRG(4 yrs) / SDS / IVR Interview Mode: Walk-In Minimum Exp : 1.5 years Requirements: Degree in Healthcare or related field. Experience with medical coding and data management. Proficiency in Excel and healthcare systems. Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Contact: Ranjitha (HR) - 8807618852

Roles and Responsibilities Accurately code medical records using CPT, ICD-10, and HCPCS codes. Conduct IVR testing and SDS (Systems Development Survey) certification as required. Ensure compliance with regulatory guidelines and industry standards for medical coding. Collaborate with healthcare providers to resolve any discrepancies or issues related to coding. Maintain confidentiality and adhere to HIPAA regulations.

We Are Hiring: Same Day Surgery Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 1+ Year Required Specialty: Same Day Surgery Joining: Immediate Joiners Preferred We are looking for experienced and certified medical coders with a background in Same Day Surgery to join our team. Mode of Interview: Walk-in Salary: As per market standards (Negotiable based on experience) Eligibility: Certified Coders only with a minimum of 1 year of experience in Same Day Surgery Work Mode: Work from Office only Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Interested candidates can call and schedule their interview with: Ranjitha (HR) 8807618852 ( Whatsapp and Call )

We Are Hiring: IP/DRG Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 4+ Years Required We are looking for experienced and certified IP/DRG Coders to join our team. Mode of Interview: Walk-in (5th June & 6th June) Salary: Negotiable based on experience and skills Eligibility: Certified Coders only with a minimum of 4 years of experience Location: 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi, Chennai, Tamil Nadu 600096, India Work From Office (No Remote Option) Interested candidates can call and schedule their interview with: Ranjitha (HR) - 8807618852 (Whatsapp & Call Only)

We Are Hiring: EM IP/OP Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 1+ Year Required Specialty: EM Inpatient (IP) / Outpatient (OP) Joining: Immediate Joiners Preferred We are looking for experienced and certified medical coders with a background in EM IP/OP to join our team. Mode of Interview: Walk-in Salary: As per market standards (Negotiable based on experience) Eligibility: Certified Coders only with a minimum of 1.5 year of experience in EM IP/OP Work Mode: Work from Office only Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Interested candidates can call and schedule their interview with: Ranjitha (HR) 8807618852

Med-Metrix is Hiring for Certified Medical Coders!!! Specialty: E/M OP & IP Designation: Executive - HIM Services Location: Chennai Work from Office Experience: 1.5 to 4 Yrs Certification: AAPC/AHIMA (Mandatory ) Salary: Best in the industry Interested candidates please send your resume to irajendran@med-metrix.com or what's app 9363327746

Med-Metrix - AR caller Physician Billing PB walk_in interview on June (10th Jun To 12th) Interview date : June (10th Jun To 12th) 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 : Indhumathi R 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

Eligibility Verification/Insurance verification (EV/IV) Walk-in Interview on June (10th & 11th) 2025 Preferred candidate profile : Insurance Verification/Eligibility Verification - (EV/IV) - (Healthcare) Looking for a candidate who has good experience in Eligibility Verification Flexible to WFO Experience Required Min 1-4 years Salary best in industry Interview day : June (10th 11th) 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 Perks and Benefits Cab facility (2 way) Captive Company

irajendran@med-metrix.com Position: Quality Manager Coding Department: HIM / Medical Coding Experience: 10+ Years in Medical Coding Location: Chennai. Work Type: [On-site] Job Summary: We are looking for an experienced Quality Manager in Medical Coding to lead multi-specialty audits and compliance checks across Inpatient (IP), Outpatient (OP), and professional coding services. The ideal candidate should have over 10 years of coding experience and a strong background in multi-specialty coding . Candidates with 34 years of experience as an Assistant Manager / Deputy Manager will be preferred. New managers with strong leadership skills and audit expertise may also apply. Key Responsibilities: Oversee quality assurance and audit functions for all medical coding specialties (IP, OP, E/M, Surgery, Radiology, etc.) Lead, manage, and mentor a team of coders and quality analysts. Ensure compliance with client-specific guidelines, CMS, and ICD/CPT/HCPCS standards. Conduct root cause analysis for audit errors and implement corrective action plans. Coordinate coding audits and report quality trends to senior leadership. Collaborate with training teams to develop upskilling modules and refreshers. Qualifications: CPC, CCS, or equivalent AAPC/AHIMA certification is mandatory . Minimum 10 years of experience in medical coding across multiple specialties. At least 3-4 years of leadership experience as AM/DM or strong individual contributor ready for managerial role. Strong analytical and communication skills. Experience with coding platforms and EMRs (e.g., Epic, Cerner, 3M). Preferred Skills: Exposure to global clients (US healthcare focus). Proven experience in audit planning and quality improvement. Strong knowledge of risk adjustment coding (HCC) is a plus. Interested please send your updated profile to irajendran@med-metrix.com or WhatsApp @9280098218.

Med-Metrix - AR caller PB&HB walk-in interview on June (3rd to 5th) 2025 Interview date : June (16th to 19th) 2025 Walk-in time : 3 PM to 6 PM Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Physician Billing (PB) 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 Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Contact Person : Subash HR(spalani@med-metrix.com, 9791854171) Perks and benefits CAB Facility (Two way) Salary good in the Industry Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

Position : AR Caller Hospital Billing (HB) Department : Revenue Cycle Management (RCM) Experience : 1 to 3 Years Location : [Specify Location] Work Mode : [On-site / Hybrid / Remote] Shift : Night Shift (US Shift) Job Summary : We are looking for experienced AR Callers with a background in Hospital Billing (HB) to join our growing RCM team. The ideal candidates will be responsible for resolving insurance denials, pending claims, and ensuring accurate follow-up on unpaid claims to drive revenue recovery. Key Responsibilities : Perform outbound calls to insurance companies (payers) to resolve outstanding accounts receivable. Analyze and understand Explanation of Benefits (EOBs), Claim Denials, and take appropriate action. Follow up with payers on claims for timely resolution and reimbursement. Identify and document claim issues, rejections, or denials accurately. Meet daily and weekly productivity and quality benchmarks. Update the billing system with claim status and action taken. Collaborate with the internal team to escalate complex issues and share payer updates. Required Skills & Qualifications : 1–3 years of hands-on experience in Hospital Billing AR follow-up (US healthcare). Good knowledge of US healthcare RCM cycle, insurance guidelines, CPT/ICD codes (basic level). Experience in working with different payers (Medicare, Medicaid, Commercial). Strong verbal communication and interpersonal skills. Proficient in using billing software and MS Office tools. Willingness to work in night shifts (US time zones). Please reach out us @9280098218 or irajendran@med-metrix.com

Med-Metrix - AR caller PB&HB walk-in interview on June (16th to 19th) 2025 Interview date : June (16th to 19th) 2025 Walk-in time : 3 PM to 6 PM Preferred candidate profile : AR Caller (1 to 3) Years - (US Health care) Physician Billing (PB) 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 Calling. Background in calling insurance (Payer) to verify claim status and payment dispute. Must be amenable to work night shifts. Contact Person : Indhumathi HR (irajendran@med-metrix.com, 9280098218) Perks and benefits CAB Facility (Two way) Salary good in the Industry Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India

We are Hiring for AR callers with Cerner software experience from 1 to 3 years of experience. Immediate joiners preferred.