Medical Auditor MD India Health Insurance TPA Pvt Ltd

2.0 - 3.0 years

0 - 2 Lacs

hyderabad

Work from Office

Urgent requirement for Hyderabad ( Begumpet ) Minimum 2-3 years of expereince required . Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com About the Role We are seeking a medically qualified professional to conduct desktop audits of health insurance claims (cashless and reimbursement), analyze provider (hospital) behavior and trends, and generate technical medical triggers to guide Provider Management and Claims teams. The role blends clinical judgment with data-driven analysis to strengthen fraud/waste/abuse (FWA) detection, ensure medical necessity, and optimize claim outcomes. Key Responsibilities Conduct comprehensive desktop audits of cash...

Posted 2 weeks ago

AI Match Score

Apply

Medical Coder Auditor || Urgent Hiring || Noida Collance Technologies

7.0 - 12.0 years

5 - 11 Lacs

noida

Hybrid

Position: Medical Coder Auditor Experience: 7+ years Location: Noida 62 Certifications: CPC / CRC / CCS (Mandatory) About Us: Collance Technology is a dynamic and innovative IT healthcare company located in Noida, India. We are dedicated to leveraging technology to enhance healthcare solutions.It is a subsidiary of Care Connectors of USA, engaged in solving unique healthcare delivery challenges for patients, providers, medical groups, and health plans across all 52 states of USA . Responsibilities: Conduct end-to-end coding audits (inpatient, outpatient, HCC, multi-specialty). Ensure 100% accuracy and compliance with ICD-10, CPT, HCPCS, and payer guidelines. Identify errors, trends, and prov...

Posted 2 months ago

AI Match Score

Apply

Biomedical Engineer Medipulse Hospital

2.0 - 6.0 years

0 Lacs

jodhpur, rajasthan

On-site

As a Maintenance and Repair Technician, your responsibilities will include attending regular training programs for equipment maintenance and repairs. You will be in charge of maintaining a bank of spare parts and crucial components, while also keeping detailed records of equipment purchase, procurement, and maintenance activities. Your role will involve conducting periodic checks and repairs, executing annual maintenance contracts for expensive and sophisticated equipment, and managing a Biomedical cell dedicated to maintenance and repair tasks. It will be essential to maintain effective communication between this cell and equipment suppliers, ensuring seamless follow-up of maintenance and r...

Posted 4 months ago

AI Match Score

Apply

Audit Manager Acme Services

3.0 - 8.0 years

4 - 6 Lacs

Mumbai, Maharashtra, India

On-site

Involved in Analyzing Medical Reports to Process Medical Claims. Processing/Approving Medical claim Scrutinizing medical documents Providing Medical opinions Medical Audit Checking the validation of Hospitalization.

Posted 4 months ago

AI Match Score

Apply

Medical officer opening in Assam - BDS,BHMS,BAMS & MBBS Vidal Health Insurance

0.0 - 3.0 years

0 - 3 Lacs

Guwahati, North Lakhimpur, Jorhat

Work from Office

Role & responsibilities Audit, Filed Audit & Medical officer Preferred candidate profile BDS,BHMS,BAMS,MBBS

Posted 4 months ago

AI Match Score

Apply

Hiring For Manager & Sr. Manager- Medical Audit Virtuoso Staffing Solutions

6.0 - 11.0 years

10 - 12 Lacs

New Delhi, Gurugram, Delhi / NCR

Work from Office

Roles and Responsibilities Conduct medical audits for high-value claims, including inpatient and outpatient services. Review NCCI guidelines to ensure accurate coding and compliance with US healthcare regulations. Analyze CPT codes to identify discrepancies and optimize claim processing. Collaborate with internal stakeholders to resolve issues related to claims adjudication. Develop expertise in dollar value claims handling, focusing on accuracy and efficiency. Desired Candidate Profile 6-11 years of experience in Medical Audit or Claims Auditing/Audition role. Strong understanding of CPT, ICD-10-CM/PCS, HCPCS Level II codes; knowledge of anesthesia codes (G0152) preferred. Experience workin...

Posted 4 months ago

AI Match Score

Apply

Sr. Assistant Vice President Vipsa Talent Solutions

15.0 - 19.0 years

20 - 35 Lacs

Chennai

Work from Office

Surgery-Ortho, IVR, GI and multispecialty.Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG

Posted 5 months ago

AI Match Score

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.