403 Medical Records Jobs - Page 15

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.

Job Summary The SPE-Medical Coding HC role involves ensuring accurate coding of healthcare products and services contributing to efficient billing and reimbursement processes. The candidate will work from the office during night shifts utilizing their expertise in medical coding to support healthcare operations. This position requires a minimum of 2 years and a maximum of 4 years of experience in Clinical Coding Revenue Cycle Management and Medical Coding. Responsibilities 1. Should be able to reach the 100% daily productivity target based on team/client requirement 2. Responsible for maintaining accuracy 98% in internal & client audit report 3. Should be able to score 95% in monthly assessment on coding protocols 4. Provide inputs on potential process improvements and automation opportunities 5. Should mentor any new/less tenured colleagues on any clarifications in coding domain 6. Should assist in resolving any escalations or technical challenges 7. Should be flexible in supporting client requirements and any crisis situations. Qualifications Possess a strong understanding of ICD-10 CPT and HCPCS coding systems. Demonstrate expertise in medical coding with a focus on accuracy and compliance. Have experience in using coding software and tools for efficient coding operations. Exhibit excellent analytical skills to interpret medical records and documentation. Show proficiency in communication to collaborate effectively with healthcare professionals. Display knowledge of coding guidelines and regulations to ensure industry compliance. Have a commitment to maintaining confidentiality and security of patient information. Certifications Required Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is required.

Job Description A Release of Information (ROI) Executive in US Healthcare is responsible for managing the disclosure of medical records and ensuring compliance with HIPAA (Health Insurance Portability and Accountability Act) and other regulations. This role is crucial in handling patient information requests while maintaining confidentiality and accuracy. Mandatory Skills: Indexing , US Healthcare Medical Records Roles & Responsibilities Process Medical Record Requests Handle patient record requests from patients, providers, insurers, and legal entities while ensuring accuracy. Ensure HIPAA Compliance Follow privacy laws to protect patient information and prevent unauthorized disclosures. Coordinate with Stakeholders Work with healthcare providers and requestors to facilitate smooth information release. Manage Data & Documentation – Use EPIC to retrieve, review, and securely release medical records. Maintain Quality & Accuracy – Verify records, track disclosures, and participate in audits for compliance. Day Shift - 11-8pm Drop you CV at naresh.arya@rsystems.com

Senior Software Engineer / Full Stack Developer Department: IT & Digital Transformation Role Summary: We are seeking a dynamic and skilled Senior Software Engineer / Full Stack Developer / Technical Lead to join our Digital Transformation team at Narayana Nethralaya s Rajajinagar branch. You will play a key role in designing, developing, and maintaining hospital applications and patient platforms, working on scalable web-based solutions that enhance clinical workflows and patient experience. Key Responsibilities: Design, develop, and maintain full-stack applications using Java (Spring Boot) and Angular. Lead and mentor a team of junior developers, ensuring code quality and best practices. Collaborate with doctors, operations, and IT teams to gather requirements and deliver robust healthcare solutions. Implement secure and scalable RESTful APIs and micro services. Work on cloud deployments (AWS) and ensure high availability of hospital IT applications. Perform code reviews, write test cases, and participate in continuous integration and delivery pipelines. Integrate applications with medical devices, third-party systems, and EMRs (Electronic Medical Records). Troubleshoot, debug, and upgrade software systems in a hospital environment. Skills & Qualifications: Bachelor s/Master s degree in Computer Science, Engineering, or related field. 7-10 years of experience in software development with a strong command of Java, Spring Boot, and Angular. Experience with RESTful API design, cloud platforms (preferably AWS), Docker, Kubernetes, and CI/CD tools (Jenkins, GitLab). Strong understanding of database systems like MySQL and MongoDB. Prior experience in healthcare domain or hospital-based software is a plus. Strong leadership, problem-solving, and communication skills. Job Experience: 10 7 8 9 Job Location: Rajaji Nagar No. of vacancies: 1

Key Responsibilities: Perform and interpret diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and other radiological examinations. Provide accurate and timely radiological reports to referring physicians. Collaborate with medical and surgical teams to determine imaging needs and support clinical decision-making. Ensure compliance with safety protocols and radiation safety guidelines. Maintain accurate medical records and documentation of findings. Participate in multidisciplinary case discussions and provide expert opinions. Stay updated with advancements in radiology techniques and technology. Provide mentorship and training to radiology technicians, students, and junior doctors. Proficiency in interpreting diagnostic imaging including X-rays, CT scans, MRIs, and ultrasounds.

Ajanta Pharma is looking for Officer/Sr. Officer/Executive to join our dynamic team and embark on a rewarding career journey Assisting with the preparation of operating budgets, financial statements, and reports Processing requisition and other business forms, checking account balances, and approving purchases Advising other departments on best practices related to fiscal procedures Managing account records, issuing invoices, and handling payments Collaborating with internal departments to reconcile any accounting discrepancies Analyzing financial data and assisting with audits, reviews, and tax preparations Updating financial spreadsheets and reports with the latest available data Reviewing existing financial policies and procedures to ensure regulatory compliance Providing assistance with payroll administration Keeping records and documenting financial processes

Ajanta Pharma is looking for Officer / Sr. Officer to join our dynamic team and embark on a rewarding career journey Officer: Entry-Level Position: An Officer role is often an entry-level position within an organization, suitable for individuals who are starting their careers or transitioning into a new field. Responsibilities: Officers typically perform tasks and duties assigned to them by their supervisors or managers. Responsibilities may include data entry, administrative tasks, basic analysis, customer service, and support functions depending on the department or team they are assigned to. Qualifications: Educational requirements for an Officer position can vary, but a bachelor's degree in a relevant field or equivalent experience may be required. Strong communication skills, attention to detail, and the ability to work collaboratively within a team are important qualities for Officers. Senior Officer: Mid-Level Position: A Senior Officer position is usually a mid-level role within the organization, indicating that the individual has gained more experience and expertise in their field compared to an Officer. Responsibilities: Senior Officers often have more autonomy and responsibility compared to Officers. They may be involved in decision-making processes, project management, and leading specific initiatives within their department or team. Responsibilities may include supervising and mentoring junior staff, managing projects, developing strategies, and representing the department in meetings or cross-functional teams. Qualifications: Senior Officers typically have several years of relevant work experience in their field, demonstrating proficiency in their area of expertise. They may hold a bachelor's or master's degree in a related field and may have pursued additional certifications or professional development opportunities to enhance their skills and knowledge

Ajanta Pharma is looking for Officer/Sr.Officer to join our dynamic team and embark on a rewarding career journey Manage daily operational and administrative tasks Monitor compliance and ensure process efficiency Coordinate with departments to achieve targets Prepare reports and assist in decision-making

Ajanta Pharma is looking for Officer/Sr.Officer to join our dynamic team and embark on a rewarding career journey Manage daily operational and administrative tasks Monitor compliance and ensure process efficiency Coordinate with departments to achieve targets Prepare reports and assist in decision-making

CPC Certified Medical Coders (Trivandrum) - Ecorgy Solutions CPC Certified Medical Coders (Trivandrum) CPC Certified Medical Coders (Trivandrum) 9:30 PM to 630 AM Job location: Elippode, Trivandrum Experience : 0 5 years of experience. Qualification: Any bachelors degree. Certified Professional Coder (CPC) certification is mandatory. Job Description : As the Medical Coder , you will play a crucial role in ensuring the accuracy and integrity of our home healthcare data. Your primary responsibility will be to review medical records and assign appropriate codes for diagnoses and procedures. You will work closely with healthcare providers to guarantee compliance with all coding guidelines and regulations. Key Responsibilities: Review and accurately code medical records using ICD-10 and CPT coding guidelines. Collaborate with healthcare providers to resolve coding discrepancies and ensure accurate documentation. Stay updated with the latest coding and compliance regulations and guidelines. Assist in data analysis and reporting as required. Willing to work in night shift from our office at Elippode, Trivandrum Qualifications: Education: Any bachelor s degree. Certified Professional Coder (CPC) certification is mandatory. Experience : 0 5 years of experience. Technical Proficiency: Proficiency in ICD-10 and CPT coding systems. Communication: Excellent English communication skills (written and verbal). Regulatory Compliance: Thorough understanding of HIPAA rules and healthcare regulations. Knowledge and Accuracy: Strong grasp of medical terminology and high accuracy in coding practices. Communication Skills: Good English communication skills and ability to work well in a team environment. Work Location: Must be willing to work in night shift from our office in Elippode, Trivandrum. Benefits of Joining: Join Ecorgy Solutions for

Join our team as the expert you are now and create your future. Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals. Plans, directs, supervises and evaluates feedback workflows and coordinates activities across all coding staff assigned to the team. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals. Plans, directs, supervises and evaluates feedback workflows and coordinates activities across all coding staff assigned to the team. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. JOB DETAILS: Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding Perform Coding for Outpatient and/or Inpatient records with a minimum of 96% accuracy and as per turnaround time requirements Exceeds the productivity standards for Medical Coding - as per the productivity norms for inpatient and/or speciality specific outpatient coding standards Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences Experience in specialties such as Inpatient, EM, Acute, Ambulatory, Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, and others Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding Understand the client requirements and specifications of the project and code the charts accordingly Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Ensure patient information are correct and appropriate signatures on all medical records Assign appropriate medical codes to all diagnosis and services Follow client specific guidelines wherever applicable working as per client updates and coding the charts accordingly Meet the productivity targets of clients within the stipulated time Ensure that the deliverables to the client adhere to the quality standards Prepare and maintain status reports QUALIFICATIONS: Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology discipline 2+ years of industry experience CPC - Certified Coding Professional or CCS - Certified Coding Specialist Position Level Senior Analyst Country India

Fresher Hiring 2023 - 2025 Passouts only - All India Qualification - B.Pharm, M.Pharm, B.SC, M.SC, Life Sciences Graduates & Post Graduates Medical - BDS, BHMS, BAMS, MBBS Role & responsibilities Perform data reconciliation between different data sources and study documents to ensure data integrity and consistency across datasets. Generate data queries to address discrepancies, inconsistencies, and missing data identified during data review, ensuring timely resolution and documentation of data queries Communicate data queries to investigative sites, data managers, and study personnel, following up on query responses and resolving discrepancies in collaboration with relevant stakeholders Identify deviations from protocol-specified procedures, eligibility criteria, and data collection guidelines, escalating issues to appropriate personnel for resolution Perform quality checks and data validation procedures to ensure accuracy, consistency, and reliability of clinical trial data, adhering to data management standards and industry best practices Assist in the development and implementation of data validation plans, data review guidelines, and quality control procedures to maintain high standards of data quality and integrity. Assist in a variety of specialties including but not limited to primary care, orthopedics, rheumatology, etc. Updates patient history, physical exam, and other pertinent health information in the document as required. Complies with Compliance standards of the Organization as laid by HIPAA. Performs other duties and tasks to improve provider productivity and workflow as assigned by supervisors. Assist documenting the patients, electronic health record (EHR). Fresher Hiring - Pharma / Life Sciences / Medical Qualification - B.Pharm, M.Pharm, B.SC, M.SC, Life Sciences Graduates & Post Graduates Medical - BDS, BHMS, BAMS, MBBS Location - All India - Delhi, Mumbai, Pune, Bangalore, Kochi, Chennai, Hyderabad, Ahmedabad, Bhopal, Indore, Kolkata, Chandigarh

MBBS BHMS with 2 yr of exp into Claim processing Knowledge in basic health Care data analysis, client review Sound knowledge medical terminology, Clinical Medicine, Patient evaluation. Health Insurance Probability,Accountability Act Mandatory

Responsibilities Flag relevant symptoms and treatment Create footnotes with definitions of uncommon medical terms Create timelines and charts to highlight treatment from relevant period(s) of care Identify missing records and bills Adhere to production and quality milestones Summarize the case history of patients for deep analysis of medical records required Qualifications we seek in you! Minimum qualifications: M.Pharma / BDS / MDS / BPT / MPT / Pharma D. / BHMS / BAMS Preferred qualifications and skill sets: Preferred additional internship / corporate experience beyond patient care Knowledge of US Culture/ US Healthcare System Knowledge of disease conditions, treatments, tests, and medications Ability to provide root cause analysis Knowledge on personal injury, medical malpractice cases Ensuring accurate and documentation of medical history, suspect drugs and concomitant medications. Verify consistency between the source documents and the narrative summary Good command on MS office

Job Title : Talent Acquisition Associate ( Locums Recruiter) Location: Noida and Mohali Job Description: We are looking for a Medical Scriber based in Noida who is eager to transition into a career in US Healthcare Recruitment. If you're passionate about recruitment and have a keen interest in healthcare, this is the opportunity for you! What will you be doing day-to-day? Generate leads through sourcing initiatives, social media advertising, phone interviews, and a high-volume outbound call phone strategy Search Applicant Tracking System, social media and other platforms to find caregivers for our open physicians and doctors hiring . Establish relationships with Healthcare Providers and maintain a pipeline of providers to encourage a long-term working relationship Negotiate contract terms with candidates Partner with Account Managers to ensure candidate viability and arrange client interviews Benefits 5 Days Working (Fixed Shift) Recurring Incentives Free Night Meal Fast Career Growth Regards, Priyanka Verma Cynet Corp A: 21000 Atlantic Blvd, # 700, Sterling VA 20166 M: +91-9015097461 | E: priyanka.v@cynetcorp.com

Senior Associate - Medical Record Analyst Position Overview: The Medical Data Analyst will be responsible for analysing, sorting, and summarising complex medical records. The ideal candidate will bring strong expertise in medical records analysis, with a keen eye for detail and proficiency in medical data management tools. This role involves working on Med-Legal and life insurance projects, requiring accuracy and compliance with regulations like HIPAA and GDPR. Key Responsibilities: Medical Records Analysis: - Review, analyse, and summarise complex medical records and healthcare documentation. - Identify key medical events, diagnoses, and treatments relevant to legal or insurance purposes. Data Accuracy and Quality Control: - Ensure the accuracy and completeness of medical data by identifying inconsistencies, discrepancies, or missing information. - Perform quality checks and audits to ensure high standards are met across all data handling processes. Data Management and Software Proficiency: - Use data management software to handle, store, and organise medical records efficiently. - Familiarity with tools designed for medical records handling, such as Cased rive or similar systems. Analytical and Critical Thinking: - Apply critical thinking to interpret complex medical case histories and extract relevant data. - Analyse and summarise medical cases with attention to key details, timelines, and case relevance. Reporting and Communication: - Create detailed and concise reports that summarise medical data for internal teams and external clients. - Communicate complex medical information in a clear and understandable format. Time Management and Deadline Adherence: - Manage multiple projects simultaneously, meeting tight deadlines while ensuring high levels of accuracy. - Maintain consistent communication regarding project status and delivery timelines. Experience in Quality Assurance: - Conduct regular quality checks and audits to ensure that data accuracy and regulatory compliance are maintained. - Implement corrective measures to address any identified issues in the data. Adaptability and Learning Agility: - Quickly adapt to new software tools, processes, and changing project scopes. - Engage in continuous learning to stay up to date with the latest medical, legal, and technological developments. Med-Legal and Life Insurance Experience: - Apply experience from Med-Legal or life insurance projects, where the role of medical data is crucial for legal claims, settlements, or insurance adjudication. Regulatory Compliance Knowledge: - Ensure all work complies with relevant healthcare privacy regulations (HIPAA and GDPR). - Maintain strict confidentiality and security measures for handling sensitive medical data. Skills Required: - Strong proficiency in medical records analysis and healthcare documentation. - Exceptional attention to detail and commitment to accuracy. - Proficiency in data management systems and software tools. - Strong analytical and critical thinking skills. - Excellent communication and reporting skills. - Ability to work under tight deadlines without compromising quality. - Experience in quality assurance, auditing, and implementing corrective measures. - Ability to quickly adapt to new tools, processes, and workflows. - Experience in Med-Legal or life insurance projects. - In-depth knowledge of HIPAA/GDPR compliance and data privacy regulations. Education and Experience: A degree in healthcare, medical informatics, or a related field. Previous experience in medical data analysis, particularly in Med-Legal or insurance-based projects for at least 2 years. Role & responsibilities Preferred candidate profile

Urgent Job opening for NURSE for Chennai Location. No of Position - 2 Need to work on Contractual Role. Years of Experience: 02 TO 06 YEARS QUALIFICATION: BACHELOR OF NURSING (BSC NSG) Job Description: 1. Working knowledge of basic medical procedures(For e.g. First-Aid). 2. Hands on experience with any medical software and proficient in MS Office. 3. Schedule and coordinate appointments for employees periodical/new joiners Pre-employment medical checkup. 4. Strong communication skills. 5. Update and maintain employee's health records. 6. Excellent organizational and multitasking skills. 7. To handle sensitive information confidentially. 8. Prior experience in an administrative role would be advantageous. Tel: 022 41556173 Mob: 8879432044 recruiter5@kushalengineers.com

A recent bachelors degree in either life sciences or a paramedical field is required. AAPC or AHIMA certification (Mandatory/Recent) Strong understanding of anatomy and physiology Basic knowledge of medical coding principles Familiarity with ICD-10 and CPT coding systems Job Descriptions: Learn to translate medical documentation into accurate diagnostic and procedural codes Assign appropriate ICD-10 and CPT codes for patient encounters, procedures, and diagnoses Review medical records to ensure complete and accurate documentation Verify coding accuracy and compliance with regulatory requirements Participate in regular training to enhance coding skills and knowledge Collaborate with healthcare providers to resolve documentation discrepancies Stay current with coding guidelines and healthcare regulation changes

Position Overview: The Medical Record Analyst will be responsible for analyzing, sorting, and summarizing complex medical records. The ideal candidate will bring strong expertise in medical records analysis, with a keen eye for detail and proficiency in medical data management tools. This role involves working on Med-Legal and life insurance projects, requiring accuracy and compliance with regulations like HIPAA and GDPR. Key Responsibilities: Medical Records Analysis: - Review, analyze, and summarize complex medical records and healthcare documentation. - Identify key medical events, diagnoses, and treatments relevant to legal or insurance purposes. Data Accuracy and Quality Control: - Ensure the accuracy and completeness of medical data by identifying inconsistencies, discrepancies, or missing information. - Perform quality checks and audits to ensure high standards are met across all data handling processes. Data Management and Software Proficiency: - Use data management software to handle, store, and organize medical records efficiently. - Familiarity with tools designed for medical records handling, such as Casedrive or similar systems. Analytical and Critical Thinking: - Apply critical thinking to interpret complex medical case histories and extract relevant data. - Analyze and summarize medical cases with attention to key details, timelines, and case relevance. Reporting and Communication: - Create detailed and concise reports that summarize medical data for internal teams and external clients. - Communicate complex medical information in a clear and understandable format. Time Management and Deadline Adherence: - Manage multiple projects simultaneously, meeting tight deadlines while ensuring high levels of accuracy. - Maintain consistent communication regarding project status and delivery timelines. Experience in Quality Assurance: - Conduct regular quality checks and audits to ensure that data accuracy and regulatory compliance are maintained. - Implement corrective measures to address any identified issues in the data. Adaptability and Learning Agility: - Quickly adapt to new software tools, processes, and changing project scopes. - Engage in continuous learning to stay up to date with the latest medical, legal, and technological developments. Med-Legal and Life Insurance Experience: - Apply experience from Med-Legal or life insurance projects, where the role of medical data is crucial for legal claims, settlements, or insurance adjudication. Regulatory Compliance Knowledge: - Ensure all work complies with relevant healthcare privacy regulations (HIPAA and GDPR). - Maintain strict confidentiality and security measures for handling sensitive medical data. Skills Required: - Strong proficiency in medical records analysis and healthcare documentation. - Exceptional attention to detail and commitment to accuracy. - Proficiency in data management systems and software tools. - Strong analytical and critical thinking skills. - Excellent communication and reporting skills. - Ability to work under tight deadlines without compromising quality. - Experience in quality assurance, auditing, and implementing corrective measures. - Ability to quickly adapt to new tools, processes, and workflows. - Experience in Med-Legal or life insurance projects. - In-depth knowledge of HIPAA/GDPR compliance and data privacy regulations. Benefits we do offer for the candidates: Paid Sick leave, Casual leave and compensatory leave Statutory Benefits (PF) Paid Parental leaves based on the company norms (Maternity & Paternity) To help Employees Children Education support Holidays based on Indian & US Week offs on Saturdays and Sundays Health Insurance

Position Overview: The Medical Record Analyst will be responsible for analyzing, sorting, and summarizing complex medical records. The ideal candidate will bring strong expertise in medical records analysis, with a keen eye for detail and proficiency in medical data management tools. This role involves working on Med-Legal and life insurance projects, requiring accuracy and compliance with regulations like HIPAA and GDPR. Key Responsibilities: Medical Records Analysis: - Review, analyze, and summarize complex medical records and healthcare documentation. - Identify key medical events, diagnoses, and treatments relevant to legal or insurance purposes. Data Accuracy and Quality Control: - Ensure the accuracy and completeness of medical data by identifying inconsistencies, discrepancies, or missing information. - Perform quality checks and audits to ensure high standards are met across all data handling processes. Data Management and Software Proficiency: - Use data management software to handle, store, and organise medical records efficiently. - Familiarity with tools designed for medical records handling, such as CaseDrive or similar systems. Analytical and Critical Thinking: - Apply critical thinking to interpret complex medical case histories and extract relevant data. - Analyze and summarize medical cases with attention to key details, timelines, and case relevance. Reporting and Communication: - Create detailed and concise reports that summarize medical data for internal teams and external clients. - Communicate complex medical information in a clear and understandable format. Time Management and Deadline Adherence: - Manage multiple projects simultaneously, meeting tight deadlines while ensuring high levels of accuracy. - Maintain consistent communication regarding project status and delivery timelines. Experience in Quality Assurance: - Conduct regular quality checks and audits to ensure that data accuracy and regulatory compliance are maintained. - Implement corrective measures to address any identified issues in the data. Adaptability and Learning Agility: - Quickly adapt to new software tools, processes, and changing project scopes. - Engage in continuous learning to stay up to date with the latest medical, legal, and technological developments. Med-Legal and Life Insurance Experience: - Apply experience from Med-Legal or life insurance projects, where the role of medical data is crucial for legal claims, settlements, or insurance adjudication. Regulatory Compliance Knowledge: - Ensure all work complies with relevant healthcare privacy regulations (HIPAA and GDPR). - Maintain strict confidentiality and security measures for handling sensitive medical data. Skills Required: - Strong proficiency in medical records analysis and healthcare documentation. - Exceptional attention to detail and commitment to accuracy. - Proficiency in data management systems and software tools. - Strong analytical and critical thinking skills. - Excellent communication and reporting skills. - Ability to work under tight deadlines without compromising quality. - Experience in quality assurance, auditing, and implementing corrective measures. - Ability to quickly adapt to new tools, processes, and workflows. - Experience in Med-Legal or life insurance projects. - In-depth knowledge of HIPAA/GDPR compliance and data privacy regulations. Education and Experience: A degree in healthcare, medical informatics, or a related field. Previous experience in medical data analysis, particularly in Med-Legal or insurance-based projects for at least 2 years. Benefits we do offer for the candidates: Paid Sick leave, Casual leave and compensatory leave Statutory Benefits (PF) Paid Parental leaves based on the company norms (Maternity & Paternity) To help Employees Children Education support Holidays based on Indian & US Week offs on Saturdays and Sundays Health Insurance Employee Reward Program Night shift Allowance

Executive - Medical Data Analyst Position Overview: The Medical Data Analyst will be responsible for analysing, sorting, and summarising complex medical records. The ideal candidate will bring strong expertise in medical records analysis, with a keen eye for detail and proficiency in medical data management tools. This role involves working on Med-Legal and life insurance projects, requiring accuracy and compliance with regulations like HIPAA and GDPR. Key Responsibilities: Medical Records Analysis: - Review, analyse, and summarise complex medical records and healthcare documentation. - Identify key medical events, diagnoses, and treatments relevant to legal or insurance purposes. Data Accuracy and Quality Control: - Ensure the accuracy and completeness of medical data by identifying inconsistencies, discrepancies, or missing information. - Perform quality checks and audits to ensure high standards are met across all data handling processes. Data Management and Software Proficiency: - Use data management software to handle, store, and organise medical records efficiently. - Familiarity with tools designed for medical records handling, such as Cased rive or similar systems. Analytical and Critical Thinking: - Apply critical thinking to interpret complex medical case histories and extract relevant data. - Analyse and summarise medical cases with attention to key details, timelines, and case relevance. Reporting and Communication: - Create detailed and concise reports that summarise medical data for internal teams and external clients. - Communicate complex medical information in a clear and understandable format. Time Management and Deadline Adherence: - Manage multiple projects simultaneously, meeting tight deadlines while ensuring high levels of accuracy. - Maintain consistent communication regarding project status and delivery timelines. Experience in Quality Assurance: - Conduct regular quality checks and audits to ensure that data accuracy and regulatory compliance are maintained. - Implement corrective measures to address any identified issues in the data. Adaptability and Learning Agility: - Quickly adapt to new software tools, processes, and changing project scopes. - Engage in continuous learning to stay up to date with the latest medical, legal, and technological developments. Med-Legal and Life Insurance Experience: - Apply experience from Med-Legal or life insurance projects, where the role of medical data is crucial for legal claims, settlements, or insurance adjudication. Regulatory Compliance Knowledge: - Ensure all work complies with relevant healthcare privacy regulations (HIPAA and GDPR). - Maintain strict confidentiality and security measures for handling sensitive medical data. Skills Required: - Strong proficiency in medical records analysis and healthcare documentation. - Exceptional attention to detail and commitment to accuracy. - Proficiency in data management systems and software tools. - Strong analytical and critical thinking skills. - Excellent communication and reporting skills. - Ability to work under tight deadlines without compromising quality. - Experience in quality assurance, auditing, and implementing corrective measures. - Ability to quickly adapt to new tools, processes, and workflows. - Experience in Med-Legal or life insurance projects. - In-depth knowledge of HIPAA/GDPR compliance and data privacy regulations. Education and Experience: A degree in healthcare, medical informatics, or a related field. Previous experience in medical data analysis, particularly in Med-Legal or insurance-based projects for at least 3 years. Role & responsibilities Preferred candidate profile

Executive - Medical Data Analyst Position Overview: The Medical Data Analyst will be responsible for analysing, sorting, and summarising complex medical records. The ideal candidate will bring strong expertise in medical records analysis, with a keen eye for detail and proficiency in medical data management tools. This role involves working on Med-Legal and life insurance projects, requiring accuracy and compliance with regulations like HIPAA and GDPR. Key Responsibilities: Medical Records Analysis: - Review, analyse, and summarise complex medical records and healthcare documentation. - Identify key medical events, diagnoses, and treatments relevant to legal or insurance purposes. Data Accuracy and Quality Control: - Ensure the accuracy and completeness of medical data by identifying inconsistencies, discrepancies, or missing information. - Perform quality checks and audits to ensure high standards are met across all data handling processes. Data Management and Software Proficiency: - Use data management software to handle, store, and organise medical records efficiently. - Familiarity with tools designed for medical records handling, such as Cased rive or similar systems. Analytical and Critical Thinking: - Apply critical thinking to interpret complex medical case histories and extract relevant data. - Analyse and summarise medical cases with attention to key details, timelines, and case relevance. Reporting and Communication: - Create detailed and concise reports that summarise medical data for internal teams and external clients. - Communicate complex medical information in a clear and understandable format. Time Management and Deadline Adherence: - Manage multiple projects simultaneously, meeting tight deadlines while ensuring high levels of accuracy. - Maintain consistent communication regarding project status and delivery timelines. Experience in Quality Assurance: - Conduct regular quality checks and audits to ensure that data accuracy and regulatory compliance are maintained. - Implement corrective measures to address any identified issues in the data. Adaptability and Learning Agility: - Quickly adapt to new software tools, processes, and changing project scopes. - Engage in continuous learning to stay up to date with the latest medical, legal, and technological developments. Med-Legal and Life Insurance Experience: - Apply experience from Med-Legal or life insurance projects, where the role of medical data is crucial for legal claims, settlements, or insurance adjudication. Regulatory Compliance Knowledge: - Ensure all work complies with relevant healthcare privacy regulations (HIPAA and GDPR). - Maintain strict confidentiality and security measures for handling sensitive medical data. Skills Required: - Strong proficiency in medical records analysis and healthcare documentation. - Exceptional attention to detail and commitment to accuracy. - Proficiency in data management systems and software tools. - Strong analytical and critical thinking skills. - Excellent communication and reporting skills. - Ability to work under tight deadlines without compromising quality. - Experience in quality assurance, auditing, and implementing corrective measures. - Ability to quickly adapt to new tools, processes, and workflows. - Experience in Med-Legal or life insurance projects. - In-depth knowledge of HIPAA/GDPR compliance and data privacy regulations. Education and Experience: A degree in healthcare, medical informatics, or a related field. Previous experience in medical data analysis, particularly in Med-Legal or insurance-based projects for at least 3 years. Role & responsibilities Preferred candidate profile

Vacancy published date: 22nd September 2023 Last date for accepting application: 25th September 2023 Job Requirements Any graduation ICD10-AM Certified Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles Job Description The employee should assign appropriate ICD-10 AM codes to diagnoses, procedures and medical services based on medical records and documentation, Ensure the accuracy of the coded data, Complying with the coding guidelines, Review the patientsmedical records, Enter the given data accurately into the healthcare information system, Communicating and collaborating with the healthcare providers, Willing to continuously learn new regulation and guidelines, Maintaining confidentiality of the patient records and complying with data security rules, Take quality improvement efforts to ensure accuracy and consistency of the coded data, Provide training and guidance to other employees, Salary: Best in industry Job Type: Full Time Work from Office Ability to commute/relocate: Chennai Specialty: AM Coding Number of Vacancies: 10 Interview Mode: Virtual Interview Date: Immediate Selection Process Technical Round HR Round 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

About Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services We also offer automated bot-driven medical billing services Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal, Along With Being SOC-certified And HIPPA-compliant, We Have Certified experts in deep learning & machine learning to provide intelligent solutions for your business, Helped Fortune 500 companies build custom enterprise-level applications, Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services, Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc Partnered with UiPath to provide RPA solutions, We are headquartered in Dallas with multiple global Centers of Excellence around the industry, Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines, ? Life at Calpion Inc, Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence, At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients, Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals, ? Job Title: Medical Coder Report To: Team Leader Experience: 1 5 Years Qualification: Any Degree (Life Science Background) Location: Bangalore / Coimbatore Shift Time: 09:00 AM 06:00 PM Day Shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time ? Job Summary As a medical coder, You need to translate details from a patient's medical documents, such as physician's notes, lab reports, procedures, and diagnoses, into universal medical codes to maintain accurate medical records Healthcare providers and insurance companies use these standardized codes for billing and record-keeping, ? Key Responsibilities Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications, Researches and analyzes data needs for reimbursement, Analyzes medical records and identifies documentation deficiencies, Serves as a resource and subject matter expert to other coding staff, Reviews and verifies documentation supporting diagnoses, procedures, and treatment results, Identifies diagnostic and procedural information, Audits clinical documentation and coded data to validate documentation support services rendered for reimbursement and reporting purposes, Assign codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines, Mandatory Skills Follows coding conventions Serves as coding consultant to care providers, Identifies discrepancies, potential quality of care, and billing issues, Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors, Identifies reportable elements, complications, and other procedures, Serves as a resource and subject matter expert to other coding staff, Assists lead or supervisor in orienting, training, and mentoring staff, Provides ongoing training to staff as needed, Handles special projects as requested, Desired Skills Should be a certified coder Experience in Orthopedics, Surgery, EnM, and ED specialties would be an added advantage Talk about our culture and values At Calpion, we're not just a company?we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate These values drive our every move: Agile: We thrive on change, adapting swiftly to new challenges, Collaborative: Together, we achieve greatness through teamwork and diverse perspectives, Innovative: We push boundaries, constantly exploring new ideas and solutions, Fun: Laughter and camaraderie make our workplace a joyous one, Inclusive: Diversity is our strength, ensuring every voice is heard and valued, Passionate: We approach every task with dedication and enthusiasm, Join us at Calpion and be part of a culture that's not just about work?it's about innovation, growth, and making an impact,

Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay QA, an implement measures/schedules to return to established schedules at the earliest possible time. This should be done closely with each quality specialist to ensure the needs are met and that satisfy our client requirements. Responsible for ensuring that the QA communicates a valid, workable schedule for his or her client each week. Accurate, sensible & on-time.**If this doesn t happen properly, it s the responsibility of the Lead QA Specialist to make it happen promptly. Review medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnosis and procedures using coding guidelines. When applicable, ensure MS-DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal/complaint reimbursement for hospital and/or professional charges. This involves reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Answers queries from the quality staff on a day to day basis and escalating to the Director of Coding as necessary. Meets agreed sampling targets and accuracy. Keeps abreast of coding guidelines and reimbursement reporting requirements. Documents QA data on teams of QA/coders and records findings in the QA system (GuideAudit), which will be for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization. This also involves guidance and mentorship of coders. Helps to ensure that continuing education is planned, scheduled and completed for all coding/QA teams through the coordination of the US. Coordinates scheduled quality meetings with the QA and production staff. Brings identified concerns to Guidehouses coding compliance management for discussion. Project Launch - Active involvement in project launch sessions along with team leaders to understand the coding process. Have a rotational arrangement and is flexible to work with any given team as assigned. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. - Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply ICD-9-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Assist with research and development and presentation of continuing education programs on areas of specialization. Assist with special projects as required. Example: Focused audits; client launches, etc. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Key Skills: Medical Coding Exp in Denial Coding Qualifications: Accredited medical coders (CCA, CCS, CPC, CPC-H) with at least 5+ years experience.