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3.0 - 7.0 years

2 - 3 Lacs

Ghaziabad

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Maintain accurate and up-to-date patient medical records (in physical and/or digital format). Ensure timely collection, filing, and retrieval of patient files for internal departments. Provident fund

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2.0 - 4.0 years

0 Lacs

Hyderabad / Secunderabad, Telangana, Telangana, India

On-site

Job Details Description Underwriter Key Responsibilities Conducts risk assessments and follows NLG Underwriting philosophies by analyzing data, using tools (e.g. medical records, prescription databases, borrowing history, credit rating etc.), and third party information (e.g . medical records, prescription databases, borrowing history, credit rating etc.) to protect NLG bottom line and maintain profitability by avoiding fines and putting good risk on the books . Proactively seeks information (e.g. processes, philosophies, etc.), takes advantage of both formal and informal educational opportunities (e.g. medical and mentoring discussions, etc.) to build the foundations of a solid Underwriting career and continuously expand knowledge, skills, and abilities. Coordinates and communicates (verbal and written) with internal and external constituents to gather information, gain insights, and explain Underwriter decisioning and works to build relationships in a way that demonstrates seamless service excellence. Participates in interdepartmental presentations, helps with new hire training in various subjects. At the higher levels of Underwriting, will guide and educate others to improve Underwriting quality, capabilities, efficiencies, and output . Identifies, communicates, and resolves escalations to deliver on seamless service and protect the bottom line. Factors that lead to success in this role: You get excited, and feel rewarded, in helping people (Customer Focus) You bounce back from setbacks easily (Being Resilient) You tackle tough assignments, face difficult issues, and challenge the status quo with courage You readily and easily adapt to people and situations, using appropriate empathy (Situational Adaptability, Empathy) You relate comfortably with different types of people and easily build rapport and long-standing relationships (Interpersonal Savvy) You use a mixture of analysis, wisdom, experience, and judgement to make sound decisions (Decision Quality) You can clearly convey your message verbally and written (Communicates effectively), and demonstrates strong listening skills You use business knowledge and experience to guide actions (Business insights) You deal constructively with problems that do not have clear answers, appropriately handling risk (Manages Ambiguity) You are great at multi-tasking in a fast-paced, production environment and are technology savvy (web searches, MS Office, data bases, and Mainframes) Minimum Qualifications: Bachelor's degree preferred, and minimum 2 years Life Underwriting experience in production-oriented environment required Must be able to pass a background check

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0.0 - 3.0 years

2 - 5 Lacs

Noida

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Job Summary: Provide clinical support in the diagnosis and management of cardiac patients using non-invasive methods under consultant supervision. Key Responsibilities: Perform and interpret ECGs, TMTs, Holter monitoring, and echocardiography. Assist in outpatient/inpatient cardiac care and ward rounds. Monitor patient progress and update medical records. Participate in academic activities, case discussions, and teaching. Follow safety, documentation, and quality protocols. Skills & Competencies: Proficiency in ECG and echocardiography interpretation. Good clinical acumen and decision-making skills. Strong communication and patient counseling skills. Ability to work collaboratively in a team-based setting. Willingness to work in shifts and participate in on-call duties. Qualifications: MBBS with PGDCC (Cardiology experience preferred). State Medical Council registration. BLS/ACLS certification (preferred).

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2.0 - 3.0 years

4 - 5 Lacs

Kolkata

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DHR-ICMR Advanced Molecular Oncology Diagnostic Services (DIAMOnDS) PROJECT Conceptualised in the year 2004 as a philanthropic initiative for the Eastern and North- Eastern parts of India and the neighbouring countries, the Tata Medical Centre (TMC) started operations in Kolkata on May 16, 2011. The hospital is governed by a charitable trust Tata Medical Centre Trust. It is an integrated Oncology facility with well-trained professional staff and equipped with modern facilities and the most contemporary medical equipment. Set up at a cost of more than 500 crores, the Hospital, with a capacity of 450 beds, serves all sections of the society, with a proportion of the infrastructure earmarked for free/subsidized treatment for the underprivileged sections. The hospital provides a wide spectrum of services from diagnosis, therapy to rehabilitation and palliative support in cancer. The Institutions objective is to excel in service, education and research. TMC invites applications for the following positions under DHR-ICMR Advanced Molecular Oncology Diagnostic Services (DIAMOnDS) proposal to set up zonal Immuno- Histochemistry, Cytogenetics and Molecular Pathology labs to provide basic as well as high-end advance diagnostic services to cancer patients and research facilities for basic, translational and clinical research (https://dhr.gov.in/node/1533). DHR-ICMR Advanced Molecular Oncology Diagnostic Services (DIAMOnDS) Funding Agency: DHR-ICMR Qualification: - B.Sc in any science subject / B.C.A. Experience: Fresher. 2 to 3 years experience in computers and data management is desirable. Duration of the Employment: One years from the date of appointment, extendable yearly; maximum upto three years. Selected candidate will have to join at the earliest. The Project is likely to continue for three years with yearly extensions. Job Description: The candidate should be able to design and develop a data base for lung and breast cancer. Should be involved in data collecting, data entry, evaluating and drafting reports concerning data findings. Able to deal with data protection, different queries and implement quality control procedures and guidelines. Enter & update patient demographics, diagnosis, treatment & follow up information in the DIAMOnDS database. Maintain & manage electronic and paper based medical records related to the cancer care. Co-ordinate with OPD on regular basis for registering the patient s in the project as per the guideline. Co-ordinate with outside hospitals, receive the samples with proper labeling and upload it in database. Generate data report and submit it to the NCDIR as required. Follow standard operating procedures (SOPs) for data entry & data quality control. *For more details and application forms, please log on to our website today: www.tmckolkata.com. Last date of receiving application: 20/6/2025 You may also Email or Post applications to : Mr. Suvasish Mukherjee, Head- Human Resources, Tata Medical Center, 14 MAR (EW), New Town, Kolkata 700156.

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2.0 - 7.0 years

4 - 9 Lacs

Kolkata, Mumbai, New Delhi

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ResMed has always applied the best of technology to improve peoples lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it. Responsibilities: Coding levels exceed (or at minimum perform at required productivity levels equivalent of 18 completed coding events per day for FT employees). Extracts clinical information from OASIS Assessment as well as a variety of medical records. Assigns appropriate ICD-10 Code(s) based on medical records according to established procedures and coding guidelines. Works with external coding databases and industry accepted tools. Communicate with agencies effectively and provide excellent customer service. Work is completed and documented accurately and timely. Conducts peer audits as needed/assigned. Regularly provides feedback for processes and performance improvement. Quickly ascertains customer needs through research and communication and provide quality solutions. Qualifications : 2 years of home health coding experience. 5 years experience in home health and/or hospice preferred A thorough education in EMR systems, coding regulations, PDGM and medical terminology with proven coding capabilities. Certification in home health coding (HCS-D or BCHH-C in ICD-10) Ability to communicate effectively with agency staff, management, and other members of the team. The ability to make clear, decisive clinical decisions. Must understand the impact of clinical decisions as it relates to agency operations and financial impact. Must have the ability to justify and at times, defend clinical decisions and documentation. Exceptional computer, software and typing skills Must have the ability to work independently, with dynamic and changing priorities while meeting or exceeding targeted event quota. Skilled in dealing with a high volume of competing tasks in a fast-paced environment. Strong focus on problem-solving initiatives and quick resolution. Detail-oriented as proper billing and reimbursement depend on coding expertise. Must comprehend the basics of medicine, such as anatomy, physiology, diseases, and diagnoses. This knowledge is essential for coders as they will be required to accurately translate medical jargon into code. Organized, efficient and precise with strong communication and liaison skills, dependable and hard working with extensive background in quality customer support. Must comprehend the basics of home health and hospice business operations, insurance claims processes, and basic office procedures. #LI-India We commit to respond to every applicant.

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0.0 - 3.0 years

0 - 2 Lacs

Ahmedabad

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Role & responsibilities : Maintain the integrity and confidentiality of all patient medical records. Manage the efficient storage and retrieval of medical records for clinical, legal, and administrative purposes. Ensure accurate documentation and record-keeping practices are followed. Implement and maintain effective record management systems. Collaborate with clinical and administrative staff to address record-related inquiries. Comply with all relevant HIPAA regulations and other applicable laws. Preferred candidate profile

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1.0 - 2.0 years

1 - 2 Lacs

Bengaluru

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CJN- 365/2025 - Vacancy for HCC Medical Coder - Fresher Vacancy published date: 29/05/2025 Last date of application: 10/06/2025 Job Requirements: Fresher Only Qualification : Any Graduation Certification : CPC or Equivalent Good knowledge in ICD, CPT & HCPCS, medical coding systems, medical terminologies, regulatory requirements, auditing concepts and principles. A solid understanding of anatomy, medical procedures, diseases, and medications is essential. Job Descriptions: Assign accurate ICD-10-CM codes to medical diagnoses based on physician documentation, ensuring the use of appropriate codes for risk adjustment and the health of the patient. Review patient charts, documentation, and medical records to ensure that all relevant diagnoses are captured and coded. Conduct audits of medical records and claims to ensure accuracy and compliance with coding standards and regulations. Support the billing department by ensuring accurate diagnosis codes are included in claims to avoid denials and ensure proper reimbursement. Ensuring compliance with coding guidelines and regulations. Salary: 27K CTC Job Type: Full Time Mode of Work: Work from Office Number of Vacancies: 200 Process: HCC Age: 40 & Below Bond: Not Applicable Interview Mode: Online Ability to commute/relocate: Bangalore Selection process: 1. Assessment 2. Technical Round 3. HR Discussion Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions, please register for the post published. Register Now

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1.0 - 5.0 years

22 - 25 Lacs

Noida

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Associate/Attending Consultant Accident & Emergency Department: Accident & Emergency Location: Max Super Speciality Hospital, Noida Job Summary: Responsible for providing high-quality emergency care, including assessment, stabilization, and treatment of acute medical, surgical, and trauma cases. The role includes supervising junior staff, managing critical patients, and participating in academic and training activities. Key Responsibilities: Manage emergency cases and perform life-saving procedures. Supervise junior residents and interns. Coordinate with specialists for referrals and patient care. Maintain accurate medical records and follow hospital protocols. Participate in teaching, clinical audits, and training sessions. Qualifications: MBBS with MD/DNB/MEM in Emergency Medicine or related specialty. Registered with State Medical Council. 1 5 years post-PG experience preferred.

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4.0 - 9.0 years

2 - 6 Lacs

Kurukshetra

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About the Role Are you searching Medical Officer Job to grow your career in healthcareJoin our team and build a rewarding future in Medical Officer! Experience Required 4 yrs Responsibilities Assist fertility specialists in patient consultations and treatment planning Monitor patient responses to IVF protocols and medications Perform or assist in minor procedures (e.g., ultrasounds, follicular monitoring) Provide pre- and post-procedure counseling to patients Ensure accurate documentation and maintenance of medical records Coordinate with lab and nursing staff for smooth workflow Support patient education about fertility, treatment options, and

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2.0 - 4.0 years

0 Lacs

Hyderabad / Secunderabad, Telangana, Telangana, India

On-site

Job Details Description Underwriter Key Responsibilities Conducts risk assessments and follows NLG Underwriting philosophies by analyzing data, using tools (e.g. medical records, prescription databases, borrowing history, credit rating etc.), and third party information (e.g . medical records, prescription databases, borrowing history, credit rating etc.) to protect NLG bottom line and maintain profitability by avoiding fines and putting good risk on the books . Proactively seeks information (e.g. processes, philosophies, etc.), takes advantage of both formal and informal educational opportunities (e.g. medical and mentoring discussions, etc.) to build the foundations of a solid Underwriting career and continuously expand knowledge, skills, and abilities. Coordinates and communicates (verbal and written) with internal and external constituents to gather information, gain insights, and explain Underwriter decisioning and works to build relationships in a way that demonstrates seamless service excellence. Participates in interdepartmental presentations, helps with new hire training in various subjects. At the higher levels of Underwriting, will guide and educate others to improve Underwriting quality, capabilities, efficiencies, and output . Identifies, communicates, and resolves escalations to deliver on seamless service and protect the bottom line. Factors that lead to success in this role: You get excited, and feel rewarded, in helping people (Customer Focus) You bounce back from setbacks easily (Being Resilient) You tackle tough assignments, face difficult issues, and challenge the status quo with courage You readily and easily adapt to people and situations, using appropriate empathy (Situational Adaptability, Empathy) You relate comfortably with different types of people and easily build rapport and long-standing relationships (Interpersonal Savvy) You use a mixture of analysis, wisdom, experience, and judgement to make sound decisions (Decision Quality) You can clearly convey your message verbally and written (Communicates effectively), and demonstrates strong listening skills You use business knowledge and experience to guide actions (Business insights) You deal constructively with problems that do not have clear answers, appropriately handling risk (Manages Ambiguity) You are great at multi-tasking in a fast-paced, production environment and are technology savvy (web searches, MS Office, data bases, and Mainframes) Minimum Qualifications: Bachelor's degree preferred, and minimum 2 years Life Underwriting experience in production-oriented environment required Must be able to pass a background check

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0.0 - 2.0 years

1 - 2 Lacs

Ahmedabad

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Roles and Responsibilities Greeting patients. Proper Patient care and coordination. Verifies patient information by interviewing patient. Recording medical history. Prepare patients for examination by performing preliminary physical tests. Taking blood pressure, weight, and temperature etc. Reporting patient history, summary. Updating and filing patients' medical records. Answering telephones, scheduling appointments. Arranging for hospital admission and laboratory services and other services Desired Candidate Profile Must be polite Good communication Male Candidate Required Interested candidates mail your resume along with the below details to Contact -8875029935. Total Experience - Current CTC - Expected CTC - Notice Period - Current Location - Preferred Location - Contact Person Simran HR Executive 8875029935

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1.0 - 5.0 years

2 - 3 Lacs

Noida, Greater Noida

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Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance ( Call or Whatsapp -9650506346) Sufiya

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1.0 - 4.0 years

3 - 7 Lacs

Kota, Bhopal, Ujjain

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Foundation for Reproductive Health Services India is looking for Medical Officer to join our dynamic team and embark on a rewarding career journey Diagnosing and treating patients' illnesses and injuries Creating and maintaining patient medical records Prescribing medication and therapies Ordering and interpreting diagnostic tests Referring patients to specialists as needed Developing and implementing treatment plans Educating patients about their health conditions and treatment options Working closely with patients and their families, as well as other healthcare professionals

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0.0 - 1.0 years

2 - 3 Lacs

Jamshedpur

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BSc MRD Technicians/BSc HIM for Clinical Material Collection Requirement: 03 professionals. Purpose: To collect clinical material from all specialties and prepare detailed clinical material reports for the last three years and future data, as required for PG applications. They will also help generate statistics and propose inpatient requirement if short . Experience - 0-1 year

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0.0 - 4.0 years

2 - 6 Lacs

Mohali

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Avillion Biogenics Pvt. Ltd. is looking for Clinical Executive to join our dynamic team and embark on a rewarding career journey. Take vital signs and record medical histories of patients, and update electronic medical records as needed. Assist physicians or other medical professionals in clinical procedures such as physical exams, immunizations, and specimen collection. Prepare patients for exams, procedures, and treatment, and provide instructions on post-treatment care. Answer patient inquiries and provide education on medical conditions and treatments. Assist with scheduling patient appointments and follow-up visits, and maintain medical records. Administer medications and treatments as directed by physicians or medical professionals. Communicate with patients, physicians, and other healthcare professionals to ensure the efficient operation of the medical office or clinic. Knowledge of medical terminology and procedures. Strong communication and interpersonal skills.

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2.0 - 7.0 years

4 - 9 Lacs

Jammu, Katwa

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Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as we'll as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACTIVITIES Assisting in Managing Recruitment and Hiring Process Assists in the interviewing and hiring of Human Resource employee team members with the appropriate skills, as needed. Assists in establishing and maintains contact with external recruitment sources. Attends job fairs and ensures documentation of outreach efforts in accordance with Human Resource Standard Operating Procedures. Networks with local organizations (eg, Hotel Association and peers) to source candidates for current or future openings. Assists in monitoring candidate identification and selection process. Performs quality control on candidate identification/selection. Assisting in Administering and Educating Employee Benefits Works with the unemployment services provider to respond to unemployment claims; reviews provider reports for accuracy and corrects errors. Assists with unemployment claim activity reports. Attends unemployment hearings and ensures property is properly represented, as needed. Assisting in Managing Employee Development Assists with departmental orientation program for employees to receive the appropriate new hire training to successfully perform their job. Ensures employees are cross-trained to support successful daily operations. Assists with coordination and facilitation of new hire orientation program to generate a positive first impression for employees and emphasize the importance of guest service in company culture. Ensures attendance by all new hires and participation of the leadership team in training programs Assists with ensuring departmental orientation processes are in place and employees receive the appropriate new hire training to successfully perform their job. Assisting in Maintaining Employee Relations Assists in maintaining effective employee communication channels in the property (eg, develops daily communications and assists with regularly scheduled property-wide meetings). Reviews progressive discipline documentation for accuracy and consistency, and checks for supportive documentation and is accountable for determining appropriate action. Utilizes an open door policy to acknowledge employee problems or concerns in a timely manner Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of Human Resources/Multi-Property Director of Human Resources. Partners with Loss Prevention to conduct employee accident investigations, as necessary. Communicates performance expectations in accordance with job descriptions for each position. Assisting in Managing Legal and Compliance Practices Assists with ensuring employee files contain required employment paperwork, proper performance management and compensation documentation, are properly maintained and secured for the required length of time. Assists with ensuring compliance with procedure for accessing, reviewing, and auditing employee files and ensure compliance with the Privacy Act. Assists with ensuring medical records are maintained in a separate, secure and confidential medical file. Facilitates random, reasonable belief and post accident drug testing process (in properties where applicable). Communicates property rules and regulations via the employee handbook. Assists with ensuring all safety and security policies (eg, property removal, lost and found items, blood borne pathogens, accident reporting, and hygiene) are communicated to employees on a regular basis through orientation, property meetings, bulletin boards, etc Assists with periodic claims reviews with Regional Claims office to ensure claims are closed in a timely manner and reserve levels are appropriate for open claims. Assists with managing Workers Compensation claims to ensure appropriate employee care and manage costs.

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0.0 - 1.0 years

2 - 2 Lacs

Chennai

Work from Office

Job Title: Medical Reviewer (Non-Clinical Role) Location: On-site Only | No Work From Home Eligible Graduates: BPT, Nursing, Physician Assistant Passed in 2022, 2023, 2024 or 2025 Experience Required: Freshers Only Important Note: We are actively looking for fresh graduates who are passionate, quick learners, and have the right attitude to grow within a professional team. Please do not apply if: You have multiple job commitments or don't genuinely need this opportunity. You tend to gossip or put down others for self-benefit. You lack accountability, rational thinking, or are resistant to feedback. You are egoistic, negative, or carry an entitled mindset. Who We Are Looking For: Positive-minded individuals who are eager to learn and grow . Strong team players who are supportive, respectful, and reliable. Professionals who can communicate assertively and think analytically . Someone who truly values this opportunity and wants to build a long-term career. Job Summary: As a Medical Reviewer , you will be responsible for reviewing, analyzing, and summarizing medical records to support clinical and legal documentation processes. This is a non-clinical desk role that demands attention to detail, commitment to quality, and willingness to upskill continuously. If you're someone who wants to build a meaningful career and grow in a nurturing yet disciplined environment, wed love to hear from you.

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1.0 - 6.0 years

1 - 4 Lacs

Sangli

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Nursing Staff Reporting to the District Coordinator, the Staff Nurse shall be responsible for supervising the beneficiary care at the Camp level and ensuring compliance with the guidelines on beneficiary physical health check up, utilization of services etc Key Roles and Responsibilities : 1. Conduct initial health screening like BP. Sugar, ECG of all Beneficiaries present in camp 2. Provide medical attention to Beneficiaries with general health concerns and document in Health Log. 3. Distribute and record Beneficiaries report 4. Supervise the Health Care assistant 5. Communicate with Camp Co Ordinator about camp documentation. 6. Be a - primary care giver- to beneficiaries and act as a liaison with doctors, hospitals, and pharmacies. 7. Be present at the registration of each camp session to check in and file the incoming health forms, record individual problems, and medications and help the physician with the initial screening.. 8. Stocking First Aid supplies in the Health camp and all areas of camp and controlling their outflow. 9. Participate in camp activities and events. 10. Communicate and cooperate with all staff. Express any concerns in a professional manner at an appropriate time. Maintain high standards of health indicators, quality, safety in all activities for beneficiaries and staff. 11. Comply with data integrity and security policies 12. Ensure proper use of office equipment and address any malfunctions 13. All other duties as assigned by the Management.

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4.0 - 8.0 years

2 - 4 Lacs

Hyderabad

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Experience : 4+ years Role : - Diagnose, assess, and treat hearing problems and balance disorders. - Fitting and dispensing hearing aids - Conducting research into various conditions - Maintaining medical records based on evaluations - Consulting with other medical practitioners about the patients' needs - All Audiologist Related work - Speech therapy related work - All Audiometric work - Impanometric - OAE.

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1.0 - 5.0 years

4 - 8 Lacs

Hyderabad

Work from Office

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 Abstracts patient charts and pull the information from the chart so it can be submitted to the NCQA during the PSV audit. This function is accomplished in a prompt and reasonable timeframe in accordance with productivity and accuracy standards Synopsize important information from patient records for accuracy Reviewing medical records and abstracting necessary information to close the gap on the quality measure Keep abreast of the guidelines and updates Update skill and knowledge levels in accordance with NCQA Complies with confidentiality standards and HIPAA privacy regulations Perform other tasks and projects as needed by chart operations 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 Graduation from Life science Background / Medical allied Proficient computer skills Proven attention to detail Proven good communication skills (both verbal and written) 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.

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2.0 - 6.0 years

4 - 9 Lacs

Chennai

Work from Office

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.

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1.0 - 5.0 years

4 - 8 Lacs

Chennai

Work from Office

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 IOA assists providers in targeting those patients that have gaps in HEDIS measures and/or have not been seen in the office within the last year. IOA also helps providers improve the accuracy of risk adjustment documentation and abstraction and maximize the health plan indicator scores in the Centers for Medicare & Medicaid Services (CMS) Five Star Quality Rating System. The provider can bring the patient in for a comprehensive exam while also offering treatment in alignment with the NCQA measurements. This information is then reported back to Optum for coding for risk adjustment and HEDIS reporting. Primary Responsibilities Abstracts patient charts and pull the information from the chart so it can be submitted to the NCQA during the PSV audit. This function is accomplished in a prompt and reasonable timeframe in accordance with productivity and accuracy standards Synopsize important information from patient records for accuracy Reviewing medical records and abstracting necessary information to close the gap on the quality measure Keep abreast of the guidelines and updates Update skill and knowledge levels in accordance with NCQA Complies with confidentiality standards and HIPAA privacy regulations Perform other tasks and projects as needed by chart operations 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 Graduation from Lifescience Background / Medical allied Proficient computer skills Proven attention to detail Proven good communication skills (both verbal and written)

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0.0 - 3.0 years

2 - 5 Lacs

Chennai

Work from Office

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

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1.0 - 3.0 years

4 - 8 Lacs

Noida

Work from Office

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

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0.0 - 4.0 years

3 - 7 Lacs

Hyderabad

Work from Office

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.

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