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1.0 - 6.0 years

2 - 7 Lacs

Chennai

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Hi All interview Started For CODERS & QA and offer Release also Started EM IP - 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 Ranjitha 8807618852 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

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2.0 - 7.0 years

2 - 7 Lacs

Chennai

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Hi All interview Started For CODERS & QA and offer Release also Started Coding Denials (Multispeciality) - 1 year Above To JOIN WATSAPP GROUP PING TO 9655581000 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 Watsapp 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 9655581000 Kinldy share this to all friends who in need of jobs in Coding

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2.0 - 7.0 years

2 - 7 Lacs

Chennai

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Hi All Interview Started For CODERS & QA and Offer Release also Started *Coding Denials (Multispeciality) - 1+ yrs and 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 Available Timing : 10.30 am to 6.30 pm (Monday to Saturday) Hashrithaa HR - 9894654083 (Watsapp and Call) Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled To JOIN WATSAPP GROUP PING TO 9655581000 *Referrals are most welcome*

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1.0 - 6.0 years

1 - 6 Lacs

Noida, Bengaluru

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Corro Health is Hiring for Certified Medical Coders..! Designation: Executive / Sr. Executive Specialties: Radiology / ED Facility Location: Bangalore Specialties: Surgery Location: Hyderabad/Bangalore/ Noida Specialties: E&M OP , IP And ED facility Location: Noida Experience: 1 to 9 Years Certification: AAPC/AHIMA ( Mandatory ) Salary: Best in the industry Interested candidates please send your resume to ashrafara.j@corrohealth.com and Ashraf HR 8015364150

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6.0 - 9.0 years

3 - 4 Lacs

Chennai

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Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for Surgery @ Vepery Location !!! JOB DETAILS : Experience : 6 Years of experience in Surgery Trainer Notice : Immediate Work Mode : Office Salary : Best in Market RESPONSIBILITIES : Exceeds the productivity standards for Radiology Medical Coding Perform coding for Radiology charts including contrast and enhancing drugs with a minimum of 98% accuracy and as per the turnaround time requirements. Maintains high degree of professional and ethical standards. COMPETENCIES / SKILL SET : *Minimum 6 years of Surgery coding Trainer *Analytical and problem-solving skills *Good multitasking, time management and organisational skills. *Problem-solving ability *Team working *Organization, time management, prioritizing and the ability to handle a complex, varied workload *Certification is Optional. QUALIFICATIONS & WORK EXPERIENCE : *Human science with bachelor or Master Degree / Life science graduates / Paramedical. *Knowledge in Anatomy and Physiology *6+ Years of experience in Surgery *Knowledge of MS Office (especially Excel and Word) Interested candidate contact to 9150064772 Regards Global HR Team 9150064772

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2.0 - 7.0 years

3 - 7 Lacs

Chennai

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Hi All Access Health Care is hiring HCC Coders: Experience - 2+ years exp Location - Chennai Specialty - HCC Coder *Certified only* (Any Certification) Work From Office *Immediate joiners Preferred* NOTICE Period Acceptable Designation - HCC Coder / QA / QC Shift: Day shift Contact Name : Hashrithaa ( HR ) Contact Number : 9894654083 (Call/ Whatsapp) Mail Id : hashrithaa.b@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 9894654083

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2.0 - 7.0 years

5 - 10 Lacs

Hyderabad, Chennai, Bengaluru

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We are Hiring Experienced Certified Medical Coders || Hyderabad , chennai || Open Positions: Multispecialty Denial Coding Radiology Coding IPDRG Coding Surgery Coding Requirements: Minimum 1 year of experience in the relevant specialty Certification is mandatory Relieving letter is mandatory Notice period: 0-60 days of notice will be acceptable Package: As per market standards Location : Hyderabad , chennai Interested candidates can share your updated resume to HR SWETHA 9030360584 (share resume via WhatsApp ) Refer your friend's / Colleagues

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0.0 - 1.0 years

2 - 4 Lacs

Hyderabad, Bengaluru

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Should have Strong Knowledge in medical review of ICSRs and Pharmacovigilance Knowledge of safety databases, such as Argus, ARISg. Familiarity with medical coding dictionaries (e.g., MedDRA) and adverse event reporting standards (e.g., ICH E2B). Required Candidate profile Conduct thorough and objective medical review of ICSRs received from various sources, including clinical trials, spontaneous reports, and literature. BDS and MBBS Are eligible to apply

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0.0 years

2 - 3 Lacs

Chennai

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Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Self Supportive Training ll be provided for Fresher Required Candidate profile UG / PG in Life Science, Medical, Paramedical Dental, Pharmacy, Physiotherapy, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Zoology, Bioinformatics, Nutrition & Dietetics Perks and benefits 12700/- to 14600/- PM excluding Allowances

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1.0 - 6.0 years

2 - 7 Lacs

Chennai, Bengaluru

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SURGERY CODING DENIAL CODING ED PROFEE & FACILITY EM IP/OP CERTIFICATION / NON CERTIED BOTH FINE Location: CHENNAI / BANGALORE WORK FROM OFFICE IMMEDIATE JOINER Reach me@7305386499 MAIL - SHARMILA.SHRISHAAHRSOLUTIONS@GMAIL.COM

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2.0 - 4.0 years

5 - 8 Lacs

Coimbatore

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We are HIRING for Certified Medical Coders (E&M Specialty) Job location : Coimbatore Position : Coder/Sr Coder Category : Medical Coding Work Mode : Work From Office Role : E&M Medical Coder Shift Timing : 8.30 AM - 5.30 PM Eligibility Criteria:' Candidates should have experience in Evaluation & Management (OP / IP) Must have strong knowledge of ICD-10 CM/PCS and CPT coding Based in or willing to relocate to Coimbatore, Tamil Nadu . Demonstrated expertise in E/M guidelines and coding compliance . Ability to work in a team environment and meet deadlines consistently. Anesthesia coding & Sugery Coding is an added advantage Must have Minimum 1 years of experience in E&M Coding Looking for Certified Medical Coders - CPC/CCS Roles & Responsibilities:- Review clinical documents and accurately assign Evaluation and Management (E/M) CPT, ICD-10, and HCPCS codes. Ensure coding quality and compliance with industry regulations (CMS, AMA, etc.). Collaborate with physicians and billing teams to resolve coding-related queries. Maintain a minimum of 95% accuracy and productivity benchmarks. Stay updated with payer policies, NCCI edits, and coding guidelines. Participate in internal audits and training sessions. ABOUT US: Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL:IN), is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other industries. The Company's Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US including over a dozen offices, and multiple sites in the UK, India, the Philippines and Mexico, we act as a trusted growth partner for over 150 leading global brands, including several Fortune 500 and FTSE 100 companies. Website: http://www.firstsource.com Contact Person: HR Recruiter - Joe/9791615499 Interested candidates share your resume to priyanka.narayanamoorthy@firstsource.com Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or emmanuel.joachim@firstsource.com

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1.0 - 4.0 years

1 - 3 Lacs

Chennai

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Job Title: RCM AR Caller (1-4 Years Experience) Job Location: Chennai, (Thoraipakkam) Job Type: Full-time Shift: Night Requirement : Immediate Joiners Job Description: We are looking for 3 AR Callers with analytical knowledge of 1 to 4 years of experience in US healthcare billing. The ideal candidates should be client-centric , goal-oriented, and committed to delivering high-quality work and resolutions. Key Responsibilities: Manage End-to-End medical billing, accounts receivable (AR), and claims processing Work towards both office goals and self-improvement objectives Ensure timely and accurate claim submissions, follow-ups, and appeals Address and resolve denials and rejections effectively Maintain compliance with HIPAA regulations and payer policies Required Skills & Qualifications: Experience: 1 to 4 years in US healthcare medical billing Knowledge of EHR/PMS systems : Tebra is an added advantage Strong analytical and problem-solving skills Excellent communication skills to handle client interactions and resolve queries Ability to work in a night shift with flexibility What We Offer: Competitive salary and performance-based incentives Career growth opportunities A collaborative and professional work environment If you are passionate about medical billing and revenue cycle management and are committed to delivering results, we would love to hear from you! How to Apply? Apply below or Call: Mario (6381472178 ) Email us: Hrm@arcrcm.com

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0.0 years

0 Lacs

Chennai, Tamil Nadu, India

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. 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

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1.0 - 3.0 years

0 Lacs

Coimbatore, Tamil Nadu, India

On-site

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In this Role you will be Responsible for: Should have experience in E&M coding 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.

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0.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

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In this Role you will be Responsible For : . 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: . 0 -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's basis business requirement. . Ability to communicate (oral/written) effectively in English to exchange information with our client

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0.0 - 1.0 years

4 - 6 Lacs

Kadapa, Tirupati, Nellore

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Greetings From Sri Sai Medicode Clinical Data Management Freshers Location - Tirupati Only.. Offline Training With Placement Qualification - Any Life sciences Graduates Only CV's On Mail - srisaimedicode@gmail.com Clinical Research Also

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1.0 - 6.0 years

3 - 8 Lacs

Coimbatore, Bengaluru

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Department: Coding Location: Bangalore / Coimbatore Job Type: Full-Time Experience Required: 6 months 4+ years Purpose of the Role As a Junior Specialist or Specialist Medical Coding , you will play a key role in translating patient medical records into standardized medical codes (ICD, CPT, HCPCS). Your attention to detail and understanding of clinical documentation will contribute to accurate claim processing, compliance, and overall revenue integrity. Key Responsibilities 1. Medical Coding Review and interpret patient medical records accurately Assign appropriate codes using ICD, CPT, HCPCS based on client/facility standards and project guidelines Utilize approved coding tools and references as instructed by supervisors 2. Productivity & Quality Maintain 100% of assigned daily/weekly/monthly productivity targets Achieve a minimum of 95% accuracy in quality audits Analyze audit feedback and submit corrective action plans when below target 3. Record Management & Coding Review Recode or finalize reports returned post-management review (RMR/Uncoded UAC/Code As-Is) Ensure timely completion of recoding tasks on a daily basis 4. Process Adherence & Documentation Refer to relevant documentation via SharePoint as needed Stay updated with project-specific coding protocols 5. Additional Duties & Flexibility Be available to support urgent business needs outside standard working hours or on holidays/weekends Participate in business meetings, training sessions, assessments, and external seminars when required Mentor and guide new team members as needed 6. Communication Respond promptly and appropriately to business-critical emails Maintain professionalism in all email communications in line with company etiquette Qualifications Education: Graduate / Postgraduate / Diploma from a recognized institution AAPC or AHIMA coding certification is preferred Experience: 6 months to 4+ years in medical coding Experience with ED (Emergency Department) Skills & Abilities: Strong knowledge of CMS-1500 form and denial types Familiarity with coding software and tools (e.g., Allscripts, ECW, Medisoft preferred) Solid understanding of healthcare terminology and coding guidelines Proficiency in basic math, report writing, and email etiquette Ability to work independently, meet deadlines, and handle high-pressure scenarios Effective communication and interpersonal skills

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5.0 - 8.0 years

4 - 7 Lacs

Chennai

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Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for Medical Coding Trainer with minimum 5 Years of experience into Medical Coding!!!. Position :Medical Coding Trainer Location: Velachery Salary : Best in industry Work Mode: WFO Qualification: Any Degree Requirements: Minimum of 5 years of hands-on coding experience, with expertise in Evaluation & Management (E&M) , Denial Coding,Radiology . Lead training sessions for new and existing coders, with a primary focus on E&M , and Radiology coding (ICD-10, CPT, HCPCS). Prior experience training medical coding batches in a classroom or group setting is required. Strong background in ICD-10 , CPT , and HCPCS coding systems, along with payer-specific requirements and compliance guidelines. Proven ability to design and lead group training sessions, including interactive learning activities and performance evaluations. CPC (Certified Professional Coder) certification required. Interested candidate contact or share your updated resume to 8925808597 [Whatsapp] Regards, Kayal HR 8925808597

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1.0 - 6.0 years

2 - 7 Lacs

Chennai

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Hi All interview Started For CODERS & QA and offer Relesing also Started EM IP - 1 Year Above EM OP - 1 year Above Denial Coder - 1 year Above ED profee with facility-1 year above ED Profee Facility + Ancillary - 1 year Above Anesthesia -1 year Above EM IP +OP + Hospitalist - 1 year Above Coding Denials (Multispeciality) - 1 year Above Surgery Coding -1 year Above IPDRG - 1 Year Above HCC Coders - 2 year Above HCC QA - 3.5 Year Above 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 Surendaran HR 9600183612 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 9600183612 Kinldy share this to all friends who in need of jobs in Coding

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5.0 - 7.0 years

5 - 8 Lacs

Chennai

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We are HIRING for Certified Medical Coders (E&M Specialty) - TEAM LEADER HR SPOC - Priyanka Job location : RMZ Perungudi, Chennai Position : Senior Certified Coding Associate Industry : ITES/BPO Category : Medical Coding Work Mode : Work From Office Role : E&M Medical Coder Shift Timing : 8 AM - 6 PM Eligibility Criteria:' Candidates should have experience in Evaluation & Management (OP / IP) as a Team Leader Must have strong knowledge of ICD-10 CM/PCS and CPT coding Anesthesia coding & Sugery Coding is an added advantage Must have Minimum 2 years of experience in E&M Coding Looking for Certified Medical Coders - Any Certification Roles & Responsibilities:- Creates update tracker and responsible for updating the team on trends and changes. Provides feedback & coaching on common error scenarios Performs review of claims denied/rejected for coding, documentation and clinical validation. Prepares reports for management review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual coders. Creates update tracker and responsible for updating the team on trends and changes. In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff. ABOUT US: Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL:IN), is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other industries. The Company's Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US including over a dozen offices, and multiple sites in the UK, India, the Philippines and Mexico, we act as a trusted growth partner for over 150 leading global brands, including several Fortune 500 and FTSE 100 companies. Website: http://www.firstsource.com Contact Person: HR Recruiter - Priyanka N / 9884022260 Interested candidates share your resume to priyanka.narayanamoorthy@firstsource.com Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or priyanka.narayanamoorthy@firstsource.com

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2.0 - 7.0 years

2 - 7 Lacs

Chennai

Work from Office

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Hi All interview Started For CODERS & QA and offer Relese also Started EM IP - 1 Year Above EM OP - 1 year Above Denial Coder - 1 year Above ED Facility - 1 year Above EM IP +OP - 1 year Above Coding Denials (Multispecialty) - 1 year Above Surgery Coding -1 year Above To JOIN WATSAPP GROUP PING TO 9344964267 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 Lavanya HR 9344964267 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 9344964267 Kindly share this to all friends who in need of jobs in Coding Reference Most welcome Freshers Not Eligible

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1.0 - 6.0 years

0 - 3 Lacs

Noida, Gurugram, Bengaluru

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We are seeking experienced certified professionals for the following positions: -EM IP/OP - Noida - Denials coders & Surgery coders - Noida - Radiology coders - Bangalore - Mode: Work from office - Immediate - 1 Month notice Period accepted -AAPC/AAHIMA Certification Mandatory - Salary best in industry - Refer to your friends Contact: - Uday Kiran Neralla, HR - Email: Udaykiran.Neralla@corrohealth.com - Phone: 7780640992.

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10.0 - 13.0 years

12 - 14 Lacs

Mumbai

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Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - EM-IP/OP. Knowledge of EM - IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination Medical Decision Making in Documentation guidelines, hospital EM coding - initial/subsequent visit Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities Will be responsible for supervising and managing a team of 100+ QAs Create an inspiring team environment with an open communication culture Design QA capacity planning as per project requirement Delegate tasks and set deadlines Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery EM, and IP DRG projects Quality control as per client SLA Ensure effective implementation of organization s Quality Management System Monitor team performance and report on metrics Performing random audit of auditor Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers Discover training needs and provide coaching to QAs Listen to team members feedback and resolve any issues or conflicts Recognize high performance and reward accomplishments Encourage creativity and business improvement ideas Suggest and organize team building activities Identify improvement opportunities and initiate action plans for improvement

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10.0 - 13.0 years

12 - 14 Lacs

Mumbai

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Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - EM-IP/OP. Knowledge of EM - IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination Medical Decision Making in Documentation guidelines, hospital EM coding - initial/subsequent visit Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities Will be responsible for supervising and managing a team of 100+ QAs Create an inspiring team environment with an open communication culture Design QA capacity planning as per project requirement Delegate tasks and set deadlines Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery EM, and IP DRG projects Quality control as per client SLA Ensure effective implementation of organization s Quality Management System Monitor team performance and report on metrics Performing random audit of auditor Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers Discover training needs and provide coaching to QAs Listen to team members feedback and resolve any issues or conflicts Recognize high performance and reward accomplishments Encourage creativity and business improvement ideas Suggest and organize team building activities Identify improvement opportunities and initiate action plans for improvement

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10.0 - 13.0 years

12 - 14 Lacs

Aurangabad

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Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - EM-IP/OP. Knowledge of EM - IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination Medical Decision Making in Documentation guidelines, hospital EM coding - initial/subsequent visit Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities Will be responsible for supervising and managing a team of 100+ QAs Create an inspiring team environment with an open communication culture Design QA capacity planning as per project requirement Delegate tasks and set deadlines Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery EM, and IP DRG projects Quality control as per client SLA Ensure effective implementation of organization s Quality Management System Monitor team performance and report on metrics Performing random audit of auditor Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers Discover training needs and provide coaching to QAs Listen to team members feedback and resolve any issues or conflicts Recognize high performance and reward accomplishments Encourage creativity and business improvement ideas Suggest and organize team building activities Identify improvement opportunities and initiate action plans for improvement

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