1242 Medical Coding Jobs - Page 36

Greetings from Access healthcare !!!! We are hiring Group Leaders for coding Experience : - 4 years (Minimum 6 month as a Trainer) Designation : - Trainer Location:- Chennai Shift : - General shift Specialty : - HCC Role & responsibilities: Follow the training agenda and facilitate the training for Coding. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM, CPT conventions & HCPCS codes. Possess good knowledge in RCM cycle. Able to browse payer guidelines and collate the most accurate information with payer specifics. Be restructured on industry information with changing updates. Strong ability to interpret medical records of patients in different specialties and able to provide appropriate denial actions for the analysis done. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Provide continuous education for given set of Clients. Hands on experience in medical coding. Training and mentoring coders for developing capability on denial management in the organization. Auditing capabilities Focus and Compliance audits internally for all type of coders and auditors (ATA). Skillsets on enhancing their knowledge and keeping in pace with industry changes in domain etc. Reporting and Analysis of the trainees and making the client partners ramping up to the speed of the Client and SD/SQ teams. Training on certification programs is preferred. Interested candidates can share their resumes to mega.k@accesshealthcare.com WhatsApp no : 7305291728 Note :- Please share the above requirement with your friends and share the references.

Greeting from Access Healthcare!!! We are hiring for Medical Coders Speciality: E&M IP/OP, Multispeciality Denials, HCC, IPDRG, ED facility and Profee Experience 2 + Years Location: Chennai Work Type: Office Certification Mandatory (CPC, CRC, CCS, CIC, COC) Immediate Joiners to 30 days can apply Interested Candidates can fill this form: https://lnkd.in/gvi-eRbg Send Updated Resume , Recent Photo ,Aadhar card and Membership ID with the mentioned details your interview will be Scheduled Name - Contact Number - Current Company - Experience - Location - Work Location - Certification - Take home salary - Expected salary - Certification Name - Certification Number(Member ID)- Notice Period - Active Bond - Mail ID - For queries reach out / drop your resume to the below given contact details. Koperumdevi Recruiter - TA (Talent Acquisition) Ph- +91 9176207018 Email: koperumdevi.elu@accesshealthcare.com

OPENINGS FOR MEDICAL CODING Minimum 1 yr of exp Both Certified and Non certified SURGERY IPDRG E&M DENIAL Location : Chennai / Hyderabad / Bangalore Required Candidate profile For more details contact: Sindhuja - 7305158666 Rajitha - 9790878558 Varalakshmi - 6385161155 Nihila - 7305155582 Arshiya - 7305155583

Senior Associate : E/M Coding /Denial Coding/Surgery coding We are looking for " Medical Coder " who can join us immediately. Below is the job requirement. Job Title: Senior Associate : E/M Coding/Denial Coding/Surgery coding Years of Experience: 2-4 years Shift Timings: Day Shift (09:00 AM to 06:00 PM) Mode of operation: Work from office Mode of Interview: In-Person Location: Hyderabad, Telangana. Experience : 2-4 years experience in E/M and Denial coding. 2-3 years experience in surgery coding (Ortho, Genecology) CPC certification is Mandatory. Education: Graduation in any stream Expected Qualities: Integrity Attention to detail. Creative, out of the Box thinking. Challengers of the status quo Organized Passionate Contact Info: Ragini: 8341128386 Shivani: 8341128389

Job Title: Director / AVP Medical Coding Department: Medical Coding Reporting To: Vice President – Operations / Senior Leadership Job Summary: We are seeking an experienced and strategic leader for the role of Director / AVP – Medical Coding to oversee and manage multi-specialty coding operations. The ideal candidate will bring a deep understanding of the U.S. healthcare provider landscape, strong operational and financial acumen, and a proven track record in managing large teams (1000+ FTE). This is a critical leadership role, responsible for ensuring excellence in coding delivery, compliance, client satisfaction, and profitability. Key Responsibilities: Operational Leadership: Oversee day-to-day medical coding operations, ensuring accurate and timely coding delivery across multi-specialty verticals. Team Management: Lead and manage a large-scale team of over 1000+ FTEs including managers, supervisors, and coders. Drive performance, engagement, and capability building. Client & Stakeholder Management: Serve as the primary point of contact for client communication and satisfaction. Manage escalations and maintain high service levels. Financial Management & P&L Ownership: Take ownership of budgeting, cost control, and profitability. Provide inputs into strategic planning and ensure alignment with business goals. Compliance & Quality Assurance: Ensure adherence to regulatory standards, company policies, and coding accuracy benchmarks (CPT, ICD-10, HCPCS). Required Qualifications: Current role as an Associate Director / Director in a healthcare BPO/KPO or U.S. healthcare provider environment. Minimum 20 years of experience in Medical Coding, with at least 10 years in a senior leadership capacity. Strong exposure to multi-specialty coding (e.g., radiology, surgery, E&M, inpatient/outpatient). Proven experience managing large teams (1000+ FTE) . Hands-on experience in P&L management , budgeting, and cost optimization. Strong analytical, communication, and leadership skills. Certified Professional Coder (CPC) or equivalent AAPC/AHIMA certification preferred. Work Location: Noida – Sector 142 (Onsite) Contact -HR yedukondalu.yelavala@corrohealth.com

In this Role you will be Responsible for: Should have experience in Radiology/E&M/ED/Surgery/IVR The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes Creating uniform vocabulary for describing the causes of injury, illness & death is the role of medical coders. Medical coding allows for Uniform documentation between medical facilities. The main task of a medical coders is to review clinical statements and assign standard Codes Requirements of the role include: 1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies in Life science/BPT/Pharm/Nursing Good knowledge in human Anatomy/Physiology 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend basis business requirements. It is Mandatory to return to office based on client or business requirement. We dont have any openings for HCC only for E/M , ED, Surgery, Radiology and IVR. Interested please share resume to dharanipriya.subramanian@nttdata.com and only whatsapp to 9551149721

Hi All interview Started For CODERS & QA and offer Release also Started Anesthesia -1+ year & Above Location - Chennai only (Anyone willing to relocate to Chennai also can apply) ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Hashrithaa HR - 9894654083 (Watsapp and call) To JOIN WATSAPP GROUP PING TO 9655581000 *Referrals are most welcome*

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD - 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Junior Process Executive - MRR will be responsible for retrieving medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews. This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours. Primary Responsibilities Retrieve Medical Records, remotely, from healthcare providers and facilities ensuring all records are obtained in a timely and accurate manner Ensure compliance with all US federal and state regulations related to medical record retrieval Review medical records to ensure completeness and accuracy Utilize electronic health record systems to retrieve and store medical records Assists in team building and ensuring teamwork Maintain a detailed and accurate tracking system to monitor the progress of medical record retrieval requests Communicate with internal teams regarding the status of medical record retrieval requests Participate in the development and implementation of process improvements including software/hardware functionality, testing, and implementation to increase efficiency and accuracy Requires an individual to maintain the ability to work in an environment with PHI / PII data Performs Quality Assurance and Quality Control assessments on request Identifies areas of potential growth opportunity for the company and any process improvements to reduce issues May be assigned other duties, including supporting other departments Must maintain compliance with all company policies and procedures Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Any degree must be completed 6+ months of experience in BPO (Non voice process) with good communication skill Experience with Microsoft Word, Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management) Willing to work in different shifts / Saturdays and on Indian holidays Preferred Qualification Knowledge of US Healthcare Industry Soft Skills Solid attention to detail Problem solving skills, and attention to detail Excellent Verbal and written communication skills, including ability to effectively communicate with internal and external customers Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service Ability to work independently and as part of a team Ability to prioritize tasks and manage multiple projects simultaneously and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices High level of ethics, integrity, discretion, and confidentiality

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so#NTRQ Required Qualifications Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC - Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Process - Postpay Clinical Primary Responsibilities This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. Keen eye for detail. Knowledge of CPT/ diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Adherence to state and federal compliance policies and contract compliance Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Medical degree - BHMS/BAMS/BUMS/BPT/MPT/B.Sc. Nursing Knowledge of US Healthcare and coding desirable Proven attention to detail & Quality focused Proven good Analytical & comprehension skills Basic Computer Skills Preferred Qualifications 6+ months of clinical review experience Extensive knowledge on ISET/UNET/FACETS/COSMOS platform used to perform research as part of the clinical investigation process Claims processing experience Medical record familiarity Knowledge of ICD-10 Intermediate skill level with MS Office At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Lead, define and maintain product requirements for software solutions Create and maintain business logic specifications for business intelligence solutions, including complex analytic methodologies used in health care decision-support solutions and clinical groupers Actively collaborate with stakeholders (methodologists, research analysts, software development, clinicians, and quality engineers) to ensure correct implementation of business logic Consistently produce reliable, thorough, and accurate documentation Create user acceptance test plans, content validation test plans and support testing activities Work closely with clinical informatics team to maintain data mapping tables Respond to customer inquiries regarding questions about analytical concepts Conduct complex analyses, solve complex problems and proactively provide solutions Translate highly complex concepts in ways that can be understood by a variety of audiences Able to quickly become a product expert, with the expectation to serve as a liaison between stakeholders, users, product and software development teams on product methods and features Proactively recommend improvements to peers and managers using feedback (customers and internal teams) to support your recommendations Support ongoing operations/maintenance/enhancement of existing solutions, in partnership with applicable stakeholders (e.g., IT, business owners) Establish credibility and build relationships at all levels Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Undergraduate Degree in business management, information systems or healthcare-related field or 5+ years work experience in IT or Healthcare industry 4+ years of demonstrated experience as a Business Analyst in support of software development 4+ years healthcare claims data content experience. Must be familiar with claim structure data components and relationships Experience writing detailed functional specifications for software Solid working knowledge of administrative claims data and medical coding systems (i.e., CPT, HCPCS, ICD-9/10, NDC, etc.) Proficiency with MS Office tools, including Visio and Access Proven track record of successfully working with product management or other business function to analyze, define, and document software functional requirements for commercial software product development Proven business acumen and business domain knowledge in healthcare industry in general, and in the payer/insurance market segment in particular Preferred Qualification Product lifecycle knowledge

Optum is hiring Training Supervisor - RCM (Hospital Billing), Chennai/Hyderbad/Noida/Gurgaon Please find below details of the same Successful implementation and management of the training department Training fresher, existing and experienced colleagues for all scope of work in backend business of RCM Delivering training programs to employees using a variety of methods, including classroom instruction, e-learning and on-the-job training Review training needs and performance monthly basis and perform focus group, conduct feedback and monitor progress of the batches till they become productive as 100% Bottom quartile management Plan and implement an effective training curriculum, content and automation Collaborate with management to identify training needs (TNI/TNA) for all employees Regular connects with ops, quality and training to enhance the training and identify the area of improvement Maintaining up-to-date knowledge of best practices in training and development and making recommendations for changes to training programs as required Be able to raise/track new hire process credentials Be able to work on the accounts for the aligned process to have hands-on experience for better for experiential training Learn new / existing business as end to end and prepare / modifier the training curriculum Be able to align himself/herself with organization/ team / client culture and mission, vision and value Be well equipped in handling in-person and virtual training Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: 10+ years of experience in the US healthcare industry with experience in Hospital Billing 8+ years of experience in healthcare revenue cycle management services, with understanding on upstream and downstream Worked as AR representative and effectively implemented the experiential learning in the new hire batches Familiarity with insurance guidelines (Medicare, Medicaid, commercial payers) and their plans In-depth knowledge of denial management and appeal writing for both administrative and clinical denials Expertise in handling inpatient claims and understanding payment methodologies- DRG classifications, bundled payment models) Comprehensive knowledge of UB04 claim form component, including proper inpatient coding, revenue codes, procedure codes, and regulatory requirement In-depth knowledge of Acute and Ambulatory specialties with understanding of associated diagnosis, procedure and denials Proficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical record Demonstrated ability to analyze AR claim as end to end and identify the root cause and faster resolution Demonstrated ability to handle multiple geos- US/PR/PHL/IND Proven solid analytical and problem-solving skills Proven excellent communication and leadership abilities

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities Design and deliver comprehensive training programs for coding professionals on inpatient and outpatient coding practices, covering CPT, ICD-10-CM, HCPCS, PCS, NCCI edits Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into training materials and team communication Prepare training documentation, SOPs, reference guides, and maintain accurate training record Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance Participate in coding calibration meetings and contribute to coding related discussions Support coders with complex case resolution, documentation improvement education, and coding clarification Analyze coding data and provide feedback to management on individual and group training results, organize, coordinate and communicate training programs for the business Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications Bachelor’s degree in health information management, life science or a related field is preferred AAPC/AHIMA Certification is requiredCPC, CIC, CCS, COC 8+ years of hands-on outpatient E/M (IP-OP) medical coding experience, with at least 4+ years in training, mentoring or quality role In-depth understanding of 2021 E&M guideline changes and CMS documentation Familiarity with DRG assignment, MS-DRG, and APR-DRG methodologies Solid Knowledge of US healthcare RCM system Familiarity with EMR/EHR, compliance standards, auditing platforms Excellent attention to detail and accuracy in coding and documentation Proficiency in coding software and HER systems (EPIC. eCAC, 3M, Cerner etc.) Skills: Solid understanding of medical terminology, anatomy, and physiology Excellent communication and presentation skills Proficiency in using training software and tools Solid organizational and time management skills Analytical thinking At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Hello Folks, Corrohealth is Hiring for Executive / Senior Executive - HIM We're Hiring: Surgery Medical coders Position: Executive / Sr. Executive HIM Services Experience Required: Minimum 1 Years Specialization: Surgery Certifiaction : AAPC, AHIMA Notice Period: Immediate to 30 days Location: Hyderabad Interested Candidates Please reach out to Vinitha@9150046898 vinitha.panneer@corrohealth.com

Job description Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for EM Coders @ Velachery Location !!! JOB DETAILS : Experience : 7 Months to 4 Years of experience in EM Coding Notice : Immediate Work Mode : Office Salary : Best in Market COMPETENCIES / SKILL SET : *Analytical and problem-solving skills *Team working *Organization, time management, prioritizing and the ability to handle a complex, varied workload *Certification is Must & Active. QUALIFICATIONS & WORK EXPERIENCE : *Human science with bachelor or Master Degree / Life science graduates / Paramedical. *Knowledge in Anatomy and Physiology *Knowledge of MS Office (especially Excel and Word) Interested candidate contact to 9952075752 - POOJA HR Global Healthcare Billing Partners Pvt. Ltd. - 70, Ritherdon Rd, Vepery, Purasaiwakkam, Chennai, Tamil Nadu 600007 Walkin Time : 10 AM TO 5 PM Meet : POOJA Regards Pooja Pathak Global HR Team

Job description Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for EM Coders @ Vepery Location !!! JOB DETAILS : Experience : 6 Months to 4 Years of experience in EM Coding Notice : Immediate Work Mode : Office Salary : Best in Market COMPETENCIES / SKILL SET : *Analytical and problem-solving skills *Team working *Organization, time management, prioritizing and the ability to handle a complex, varied workload *Certification is Must & Active. QUALIFICATIONS & WORK EXPERIENCE : *Human science with bachelor or Master Degree / Life science graduates / Paramedical. *Knowledge in Anatomy and Physiology *Knowledge of MS Office (especially Excel and Word) Interested candidate contact to 9150064772 - HR Global Healthcare Billing Partners Pvt. Ltd. - 70, Ritherdon Rd, Vepery, Purasaiwakkam, Chennai, Tamil Nadu 600007 Walkin Time : 10 AM TO 5 PM Meet : POOJA Regards Global HR Team 9150064772

SUMMARY Opening for experience AR Caller / Denial Management experience candidates in Kolkata, Salary upto 3.60 lpa Job Title:** AR Caller / Denial Management Executive Location:** Salt Lake, Kolkata (Work from Office) Working Days:** 5 Days a Week Weekly Off:** 2 Rotational Offs Shift Timings:** Rotational Shifts Joining:** Immediate Joiners to Candidates with Max 15 Days’ Notice JOB DESCRIPTION: We are hiring for the position of **AR Caller / Denial Management Executive** for a reputed US healthcare BPO in **Salt Lake, Kolkata**. This is a **full-time, outbound calling process**, requiring follow-up with US-based insurance companies to resolve pending or denied claims. Requirements Good command of **spoken and written English**. Prior experience in **AR Calling** or **Denial Management** is preferred. Basic knowledge of US healthcare revenue cycle, CPT/ICD codes is an added advantage. Open to work in **rotational shifts**. Must be ready to **work from office** (Salt Lake, Kolkata). Only **immediate joiners or up to 15 days’ notice** candidates will be considered. Benefits Salary:** Up to 3.60 lpa annual CTC Drop Cab Facility** (as per shift timing and company policy) Work from Office (No WFH) Stable weekday schedule with 2 rotational offs

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Hi All interview Started For CODERS & QA and offer Release also Started EM OP - 1 year Above To JOIN WATSAPP GROUP PING TO 8807618852 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 WhatsApp and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 8807618852 Kindly share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Release also Started EM IP OP - 1+ year Above Location - Chennai only ( Any one willing to relocate to Chennai also can apply) ONLY WORK FROM OFFICE Certified Must (Any Certification) NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Hashrithaa HR - 9894654083 (Whatsapp and call) To JOIN WATSAPP GROUP PING TO 9655581000 *Referrals are most welcome*