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5.0 - 10.0 years

35 - 40 Lacs

Bengaluru

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Job Title Risk Management Engineer Job Description Risk Management Engineer In this role, you have the opportunity to make life better But it s not just what we do, it s who we are. We are 80,000, wonderfully unique individuals, with two things in common. An unwavering sense of purpose and a relentless determination to deliver on our customers needs. It s what inspires us to create meaningful solutions - the kind that make a real difference - when it matters most. Looking at the challenges the world is facing today Philips purpose has never been more relevant. So in this role of Complaint Investigator, you share our passion for helping others, you ll be working towards improving people s live by improving product and patient safety. You are responsible for: Responsibility #1: 5+ years working knowledge of ISO 14971 and product specific regulations and standards. 3+ years working experience in a regulated industry. Ensures product safety risk management deliverables are created, maintained, and stored in the Risk Management file during product development. Ensures the appropriate safety risk assessments are performed when triggers are met and conducts product risk assessments as needed after product launch. Defend Risk Management and design quality activities during external and internal audits. Perform periodic reviews of Risk Management Files and ensure those are performed according to schedule. Evaluate process and product changes for their impact on the current Risk Management Files. Responsibility #2: Monitor post product data (e.g. Complaints, Corrective and Preventive Actions (CAPA), Non-conformance Reports (NCRs), Customer Feedback information, etc.) for impact to the Risk Management Files Coordinates with a cross functional team including Engineering and Medical Affairs in the creation and maintenance of the deliverables listed above. Introduce and implement the quality processes and tools required to ensure product quality and customer satisfaction. Ensures that all products to be released comply with all the relevant safety and environmental policies and regulations by implementing requirements, conditions and enablers in the Business. Responsibility #3: Introduce and implement complaint handling processes and tools required to ensure global regulatory compliance, quality, and patient safety. Manages compliance to FDA regulations and other Regulatory Agencies as required. Manages the oversight and review of complaint handling files, adverse event reports, regulatory inquiry responses, and safety escalations. Actively participates in inspections and questions relating to the operation of complaint handling operations, processes, and procedures in coordination with all other applicable company groups. Responsibility #4: Communicates performance feedback to individuals performing complaint handling activities, ensuring consistency, quality, and adherence to defined processes related to complaint handling, adverse event reporting, and safety escalations. Provides expert consultation to individuals responsible for the coordination and preparation of responses to regulators and competent authority inquiries when needed. Provides expert consultation and communicates decision making related to escalated issues for complaint handling activities, regulatory reporting decisions, requirements for additional investigation, and subject matter expert engagement. Engages with individuals within the Businesses, Markets, and Services organization to ensure the required information for complaint handling, regulatory reporting, and/or escalations for further investigation or action are communicated and acted upon. Responsibility #5: Develops and presents materials describing complaint handling and regulatory reporting KPIs, metrics, and/or daily management information to business, market, and leadership. Facilitates conversations with technical experts to ensure timely completion of escalations. (Technical investigations, IIAs, CAPAs) Support audits for complaint handling You will be part of You will be part of the Quality Team in Electronic Medical Records & Care Management Business. You will be able to partner with other experienced Quality team members and Leadership that will support you in the upcoming challenges and goals, and you will be able to join a very organized area where the teamwork is very much valued. To succeed in this position, you need to have the following expertise and experience: Bachelor degree in bio-medical, engineering, healthcare, or related technical degree with 8+ years of experience; OR Bachelor degree with 8+ years of experience in a medical device or regulated industry. Working knowledge of appropriate global medical device regulations, requirements, and standards, such as 21 CFR Parts 803, 806, and 820, ISO13485, ISO14971, European Medical Device Directive (93/42/EEC), EUMDR, Canadian Medical Devices Regulation (SOR/98- 282), Japanese MHLW Ordinance 169, and ISO 9001. ISO14971 Risk Management, CAPA, Previous experience in Medical device. Product Knowledge is preferred. Project Management certificates(preferred). Mandatory: Working Knowledge in the area of Complaint Handling, Vigilance reporting and its global timelines and Post Market Surveillance (PMS) for medical products. Preferable: Knowledge of software product development, knowledge in Trackwise tool and/or Service tools. Knowledge of analytics tool/KPI trackers/Daily managements etc.. Detailed oriented, work allocation and monitoring, good communication skills, mentoring, team management, conflict management, team dynamics, self-starter, results, and targets oriented, resilience. A dvanced English required (Oral and Writing)

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1.0 - 2.0 years

4 - 7 Lacs

Mumbai

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Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. To partner us in this mission, we are looking for a talented Pre-Underwriter located at Mumbai. Executive / Sr Executive Pre-underwriting As a Pre-underwriter, your typical week might include the following. Tele/Video Underwriting Calls: Medical history questionnaire extraction precisely and comprehensively through conversation on a recorded line in an Audio or Video tools Medical Record Follow-Up: Proactively contact customers to follow up on the submission of past medical records. Drive timely and complete submission of all required documentation. Medical Summarization: Data entry of the medical records, test values and create summary of the case (like case history summarization) Portability Proposal & Document Review: Review portability proposals and associated documents for completeness and accuracy, identifying any discrepancies or missing information that needs to be addressed with the customer. Counter-Offer Management: Clearly explain counter offers to customers, addressing any queries or concerns they may have. Persuade customers to accept counter offers through effective communication and follow-up. Proposal Decline Handling: Compassionately and clearly explain the reasons for proposal declines to customers. Provide detailed explanations and, where possible, offer alternative solutions or guidance. You could be the right candidate if you Graduates from paramedical background (Nursing/pharmacy or Sciences background) Basic Understanding of Medical Terminology and interpreting medical records Basic understanding of medical codes ICD and Procedure (Good to have) Have excellent verbal communication skills Having basic computer knowledge Proficiency in English and Hindi is a must (additionally 1 or more regional language is preferrable) 1-2yrs of experience in insurance Underwriting / Tele MER calling (good to have) This could be the gig for you if you Are passionate about consumer behavior and culture; enjoy spending time with customers to understand what they want. Have an attentive ear to listen to new ideas. Like working in a culture where everyone can see what others are doing. Take help from others when they are stuck and encourage others when there are setbacks. Take full responsibility for your team s contribution output while thinking wing-to-wing across the organization. Have Medium to high medical terminology and knowledge with great collaborative and summarization skills Passionate about building something best-in-class processes from scratch Are passionate about leveraging digital tools to transform customer experience Location: Mumbai Title: Executive-Pre-Underwriting Reporting to: Manager - Underwriting

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1.0 - 4.0 years

3 - 6 Lacs

Coimbatore

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Description for Internal Candidates Demonstrate understanding of medical terminology to accurately interpret and summarize medical records. Maintain strict confidentiality and adhere to HIPAA regulations while handling sensitive claimant information. On successful completion of training, the executive has to clear quality benchmarks in order to deliver work directly to the Customer, within stipulated timelines. Review and analyze medical records to extract relevant information. Create concise and accurate summaries of medical history, treatment, and outcomes. Ensure summaries are clear, comprehensive, and free of errors. Be thorough with client profile, references, and author specific instructions. Adhere to the schedule provided by Team Manager/Director to ensure Customer deliverables are met. Prioritize workload to ensure that reports are completed within defined timelines. Diligently adhere to standard summarization rules to ensure Customer satisfaction. Review correction reports on a daily basis to avoid repetitive errors. Be open to learning and adapting to changes in processes, software, and healthcare standards to ensure that medical summaries are correct and complete. Same Posting Description for Internal and External Candidates

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3.0 - 8.0 years

5 - 10 Lacs

Bareilly

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Ganga Sheel Advanced Medical Research Institue is looking for Nursing Staff to join our dynamic team and embark on a rewarding career journeyWe are seeking dedicated and compassionate individuals to join our nursing staff. As a member of our nursing team, you will play a critical role in providing high-quality patient care, promoting a safe and healing environment, and supporting the overall functioning of our healthcare facility.Key Responsibilities:Patient Care: Provide direct patient care and assist with activities of daily living, including bathing, feeding, mobility, and medication administration. Monitor and record vital signs, assess patients' conditions, and report any changes or concerns to the appropriate healthcare professionals. Ensure patients' comfort and well-being while respecting their privacy and dignity.Nursing Procedures: Perform various nursing procedures, such as wound care, IV therapy, catheterization, and administration of medications as prescribed by physicians. Follow established protocols and standards of practice to ensure patient safety and infection control. Adhere to medication administration guidelines and maintain accurate medication records.Care Planning and Documentation: Participate in the development and implementation of patient care plans in collaboration with the healthcare team. Document patient assessments, interventions, and outcomes accurately and timely in electronic medical records or other designated systems. Maintain confidentiality of patient information and adhere to HIPAA regulations.Collaboration and Communication: Collaborate with interdisciplinary healthcare professionals, including physicians, therapists, and support staff, to ensure effective coordination of patient care. Communicate pertinent information to the healthcare team during shift handovers and report any significant changes or incidents promptly. Engage in open and respectful communication with patients, their families, and caregivers.Patient Education: Provide education to patients and their families regarding their healthcare needs, treatments, and medications. Offer guidance on disease prevention, health promotion, and self-care techniques. Ensure patients understand their treatment plans, discharge instructions, and follow-up care requirements.Safety and Compliance: Adhere to safety protocols and infection control measures to maintain a safe and clean environment for patients, staff, and visitors. Comply with all regulatory standards, policies, and procedures relevant to nursing practice. Identify and report any safety hazards or equipment malfunctions.Professional Development: Stay updated on current nursing practices, evidence-based guidelines, and industry trends through continuing education and professional development activities. Seek opportunities to enhance clinical skills and knowledge, contributing to the delivery of high-quality patient care.Qualifications and Requirements:Valid nursing license or registration in the relevant jurisdiction.Completion of an accredited nursing program (e.g., Bachelor of Science in Nursing, Associate Degree in Nursing, Diploma in Nursing).Strong knowledge of nursing principles, practices, and procedures.Ability to demonstrate clinical competency and critical thinking skills.Excellent interpersonal and communication skills.Ability to work effectively in a team environment and collaborate with interdisciplinary healthcare professionals.Compassion, empathy, and a patient-centered approach to care.Ability to prioritize and manage multiple tasks in a fast-paced environment.Strong attention to detail and accuracy in documentation.Willingness to work in shifts, including weekends and holidays, as required by the facility.

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0.0 - 2.0 years

1 - 2 Lacs

Agra

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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 Aarchi HR Executive 8875022129

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1.0 - 3.0 years

4 - 8 Lacs

Chennai

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Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze 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 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 Fresher & 7+ months of experience in Medical coding 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 Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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

2 - 4 Lacs

Bhuj

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K.K. Patel Super Speciality Hospital is looking for Nursing (Staff Nurse /Senior Staff Nurse) to join our dynamic team and embark on a rewarding career journey Patient Care: Provide direct patient care and assist with activities of daily living, including bathing, feeding, mobility, and medication administration Monitor and record vital signs, assess patients' conditions, and report any changes or concerns to the appropriate healthcare professionals Ensure patients' comfort and well-being while respecting their privacy and dignity Nursing Procedures: Perform various nursing procedures, such as wound care, IV therapy, catheterization, and administration of medications as prescribed by physicians Follow established protocols and standards of practice to ensure patient safety and infection control Adhere to medication administration guidelines and maintain accurate medication records Care Planning and Documentation: Participate in the development and implementation of patient care plans in collaboration with the healthcare team Document patient assessments, interventions, and outcomes accurately and timely in electronic medical records or other designated systems Maintain confidentiality of patient information and adhere to HIPAA regulations Collaboration and Communication: Collaborate with interdisciplinary healthcare professionals, including physicians, therapists, and support staff, to ensure effective coordination of patient care Communicate pertinent information to the healthcare team during shift handovers and report any significant changes or incidents promptly Engage in open and respectful communication with patients, their families, and caregivers Patient Education: Provide education to patients and their families regarding their healthcare needs, treatments, and medications Offer guidance on disease prevention, health promotion, and self-care techniques Ensure patients understand their treatment plans, discharge instructions, and follow-up care requirements Safety and Compliance: Adhere to safety protocols and infection control measures to maintain a safe and clean environment for patients, staff, and visitors Comply with all regulatory standards, policies, and procedures relevant to nursing practice Identify and report any safety hazards or equipment malfunctions Professional Development: Stay updated on current nursing practices, evidence-based guidelines, and industry trends through continuing education and professional development activities Seek opportunities to enhance clinical skills and knowledge, contributing to the delivery of high-quality patient care

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1.0 - 3.0 years

2 - 4 Lacs

Bhuj

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K.K. Patel Super Speciality Hospital is looking for Medical Administration (Medical Officer /Clinical Assistant) 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 - 2.0 years

1 - 2 Lacs

Jamshedpur

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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 Aarchi HR Executive 8875022129

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1.0 - 3.0 years

4 - 5 Lacs

Gurugram, Delhi / NCR

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Preferred Experience: Data Generation and analysis: Daily, Monthly, and Annual reports regarding number of admission, discharges, complete and incomplete health record charts are generated, manipulated, analyzed and sent to Deputy Medical Superintendent. Mortality Statistics: Statistics of mortality are generated which include consultant- wise data, postoperative death rate, procedure wise data, MSH mortality data, month-wise data, Cardio/CTVS mortality data, gross death rate, net death rate, average discharge per day data and the same is sent to Deputy Medical Superintendent as and when required. Comparative analysis of file completion rate of current month with previous months is done. Pending file status of incomplete health record charts is generated and intimated to Nursing Department and Medical Superintendent. File Completion data is updated weekly and list of major defaulter physicians is sent to Deputy Medical Superintendent Death register is maintained and updated daily and the information regarding the same is intimated to Municipal Corporation with in a timeframe of 7 days. Liaising with legal authorities, accepting summons, and attending court evidence cases in Consumer forums, Motor vehicle Accident Claims Tribunals, etc. Liaising with physicians to ensure completion of medical records Coding and indexing of patient diagnosis. Liaising with insurance companies, Health authorities, Municipal Corporation To make budget of Medical Record and raising Capex for procuring assets of Delhi Responsible for preparing duty roasters on monthly basis Maintenance of documentary record of CDs, File borrowing, CD borrowing. Performing computerized deficiency checklist of health record charts received from various nursing stations and wards. Preferred Education: Graduation/Medical Transcription Training/ Post Graduate Diploma in Health Management) Knowledge & Specific Skills: Sound Knowledge of protocols, rules, and processes. Knowledge of hospital policies, patient rights, law and insurance investigation procedures. Domain Knowledge Honesty in preserving confidential treatment information of patients Interested candidates can share their CV's on shreya.chauhan@fortishealthcare.com

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0.0 - 4.0 years

2 - 4 Lacs

Chennai

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Role & responsibilities To review and coordinate patient care for US Medical group and ensure the clinical protocols are met Need to Review Clinical notes, documents Assist with Clinical Guidelines Review Care Management plans Monitor Clinical protocols Patient Care Co-ordination Medication reconciliation Preferred candidate profile Clinical/Nursing experience preferred Freshers also are welcome Good Verbal and Written Communication skills Experience in US Healthcare & on EMR a plus Experience reviewing Medical records B Sc Nursing, B Sc Physician Asst, BDS, BAMS, BHMS, B Pharm, D Pharm, B Sc other Health Science, MBBS Immediate joiner preferred

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1.0 - 3.0 years

2 - 4 Lacs

Pune

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Roles and Responsibility: Review medical records, including clinical notes, reports, and other relevant documents to ensure accuracy and completeness. Conduct thorough summaries of patient medical history, diagnoses, treatments, and outcomes using standardized templates. Collaborate with healthcare providers to clarify discrepancies or missing information in the record. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive patient data. Ensure timely completion of tasks within designated timeframes. Desired Candidate Profile: 1 year of experience in medical summarization or related field (e.g., transcription). Strong understanding of medical terminology, anatomy, physiology, and pharmacology. Excellent English writing skills for clear documentation of complex medical information. Ability to work independently with minimal supervision while maintaining attention to detail. Timings: Fixed Morning Shift ( 8 AM to 5 PM ) Fixed weekend off Work from office If interested, please share your resume at vedanti.mhasade@aminfoweb.co.in Call/WhatsApp: HR Vedanti - 9175991457

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5.0 - 10.0 years

7 - 12 Lacs

Raipur

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Job Purpose Ensure smooth functioning of the nursing team in the ward. To assess patient health problems and needsdevelop and implement nursing care plansand maintain medical records. Administer nursing care to illinjuredconvalescentor disabled patients. Job Responsibilities General Responsibility Adhere and comply with Organization Regulations and Administrative Policies. Adhere and comply with policies and procedure related to patient careinfection controlpatient safety and accreditation standard Care Delivery Demonstrate clinical competence in all aspects of patient care. Monitoring of patient care delivery process for the staff posted in the area. Verify and ensure patient care documentation are completed as per policies and standards for assigned shift. Ensure timely execution of all drug and non-drug order for the patients for the assigned shift. Always maintain privacy and confidentiality of patient information and records. Ensure compliance with all policies and procedures for medication management especially for high alert medicinesLASA and Narcotics. Ensure the involvement of the patientfamily and significant others in the patients care. Contribute to interdisciplinary planning and provisioning of patient care. Collaborative Responsibility Communicate all necessary information to the team in timely and constructive manner. Ensure proper allocation and deployment of nursing staff as per the requirement to maintain patient safety and quality of care. Monitor clinical and other established performance indicators to ensure ongoing quality Improvement. Evaluate the quality and appropriateness of care and assess the impact of nursing intervention as appropriate. Work Environment Management Enhance the working environment through teamwork and mutual respect for others. Resolve conflicts and patient care problems / issues and take decisions accordingly or in consultation with the NS whenever required. Quality Management Undertake Clinical / Nursing audit whenever required. Follow international patient safety goals. Report all near misssentinel events and any other incidents. Comply with all quality standards as decided by organization for patient safety and quality of care. Inventory Management Ensure proper inventory management of their allocated Units. Manage all medical equipment in their respective area and inform clinical engineering team in case of any issues. Training and Development Participate and contribute in scheduled in-service training programs like ACLSBLSPALSNALS (if applicable) CNEsconferences etc., Identify training needs for the staffs in the team. Ensure staff working in the area attend the required clinical & non-clinical training programs. Functional Area Responsibility Knowledge on the blood drawing protocols and collection of reports. Alert the on-call physician/surgeon/ consultant in case of any deteriorating sings or abnormal lab results (Panic Value). Demonstrate knowledge on nursing care plan and its documentation. Ability to facilitate patient education. Knowledge on betadine/chlorhexidine (antiseptic)scrub bath prior to surgery. Administration of intra venousintra muscularintra dermal and subcutaneous injection. Perform steam inhalationnebulisation and restrain policy. Assist / perform tracheostomy care and suctioning procedure. Ability to operate a Defibrillator. Ability to explain the discharge criteria as per policy. Management of blood and body fluidsHAZMAT spills. Handle central venous catheters and peripheral line. Knowledge on Anticoagulants and Urinary catheter care. Candidate Requirements Education: Diploma / Bachelor s degree in nursing Registration: Valid registration in the State Nursing Council from where B.Sc. Nursing/GNM was completed. Experience: Minimum 5 years of clinical experience.

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2.0 - 7.0 years

3 - 4 Lacs

Navi Mumbai

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MRM Executive will be responsible for analyzing medical information of US patients on various Electronic Health Record (EHR) platforms. Using predefined rules, they will perform various roles including creating & updating patient charts and orders. Required Candidate profile The role includes data entry tasks, extracting patient medical information from Zoho CRM, and uploads to various EHRs. Assist with billing, accounting, report generation, and maintaining trackers.

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4.0 - 8.0 years

5 - 8 Lacs

Noida

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Analyzing & summarizing medical records to support case evaluations, ensuring accuracy& adherence to timeline Identify key data points & compile concise summaries Maintain confidentiality & comply with medical record handling standard Call 9318431991 Required Candidate profile Graduate BDS, MPT, B Pharma with 4+ years of experience in US Healthcare medical records review or summarization Familiarity with medical terminology Comfortable with Night Shift Noida Location WFO

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2.0 - 8.0 years

4 - 8 Lacs

Hyderabad

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Apply Job Type Full-time Description Surgery Coder (MC) - Surgery Coding Hyderabad, Telangana Medical Coding Description nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. In the role of Medical Coder, this individual will be responsible for the following: 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 c oding Perform Coding for records pertaining to surgeries performed with a minimum of 96% accuracy and as per turnaround time requirements Exceeds the productivity standards for Medical Coding for Surgery - as per the productivity norms for inpatient and/or specialty 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 Requirements To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 2 - 8 years of experience in Medical Coding for Surgery specialty Experience in Surgery coding is required Exposure to CPT-4, ICD-9 and ICD-10 Certification is not mandatory Good knowledge of medical c oding systems and regulatory requirements

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0.0 - 2.0 years

4 - 8 Lacs

Thiruvalla

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Resident Medical Officer As a Resident Medical Officer (RMO), candidates should hold a medical degree and be registered with the appropriate medical council. Responsibilities include providing round-the-clock medical care to patients, managing emergencies coordinating with specialists for patient treatment, conducting regular patient assessments, and maintaining accurate medical records. RMOs are often the first point of contact for patients and play a crucial role in delivering high-quality healthcar services in hospitals or clinical settings. Strong communication skills, clinical acumen, and the ability to work effectively in a team are essential for this role. Apply Now JOB PROFILE Are you a recent medical graduate looking to kickstart your career in healthcare? Join us as a Resident Medical Officer (RMO) and become an integral part of our medical team. MBBS with TCMC 0 to 2 YEARS RESPONSIBILITIES Provide round-the-clock medical care to patients under supervision. Manage medical emergencies and coordinate with specialists for patient treatment. Conduct regular patient assessments and develop appropriate treatment plans. Maintain accurate medical records and documentation. Serve as the first point of contact for patients and their families, addressing their concerns and providing reassurance. Collaborate with healthcare professionals to ensure comprehensive patient care ADDITIONAL REQUIREMENTS MBBS degree from a recognized institution. Registration with the appropriate medical council (e.g., TCMC). 0 to 2 years of relevant experience Strong clinical acumen and ability to make informed decisions under pressure. Excellent communication and interpersonal skills. Ability to work effectively within a multidisciplinary team.

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0.0 - 2.0 years

2 - 4 Lacs

Kochi

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We are seeking highly motivated individuals to join our medical coding team. The ideal candidate will be responsible for reviewing and accurately coding diagnoses using ICD-10-CM for risk adjustment purposes in compliance with CMS guidelines. Industry: Medical Coding and Billing Services Healthcare Location: 3rd Floor, Indian Express Building, Banerji Rd, Kaloor, Ernakulam, Kerala 682017 Work Hours: Day Shift: 9am 6pm / Night Shift: 9pm 6am Employment Type: Full Time Salary: Best in the Industry Responsibilities: Review and analyze patient medical records to assign accurate ICD-10-CM codes for for this position Allowed Type(s): .pdf, .doc, .docx By using this form you agree with the storage and handling of your data by this website. *

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1.0 - 4.0 years

2 - 5 Lacs

Guntur

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Overview: We are seeking a dedicated and compassionate Behavioral Therapist specializing in Pediatrics with a focus on Speech Therapy and Special Education. In this role, you will work closely with children who require tailored behavioral interventions to enhance their communication abilities and overall developmental outcomes. If you are passionate about making a positive change in children s lives and are eager to adopt innovative methods, we encourage you to apply. Key Responsibilities: Pediatric Behavioral Therapy: Develop and implement individualized therapeutic plans for children focusing on speech development and special education interventions. Conduct comprehensive behavioral assessments to determine each patient s unique needs and potential. Collaborate with multidisciplinary teams including pediatricians, speech therapists, and special educators to ensure a cohesive treatment plan. Documentation & Communication: Maintain detailed documentation in the Electronic Medical Records (EMR) system, recording patient history, therapy sessions, progress updates, and any significant observations. Prepare regular progress reports for parents, caregivers, and the healthcare team. Communicate effectively with families to explain treatment plans and provide support throughout the therapeutic process. Innovation & Professional Development: Stay updated with the latest research and innovative behavioral therapy methods. Be open to implementing new methods and techniques to enhance therapy outcomes. Participate in professional development activities and training sessions to remain at the forefront of pediatric behavioral therapy. Qualifications: Certification in Behavioral Therapy. Demonstrable experience or training in pediatric behavioral interventions, speech therapy, or special education is highly desirable. Key Requirements: Must be fluent in Telugu and proficient in English. Strong interpersonal and communication skills. A proactive approach to continuous learning and adapting new techniques in therapy. Benefits: Competitive Salary: Pay commensurate with experience. Health & Financial Security: Health insurance and Provident Fund (*after successful completion of probation). Accommodation: Temporary accommodation support. Professional Growth: Numerous opportunities for professional advancement and skill enhancement. Application Procedure:

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1.0 - 6.0 years

3 - 8 Lacs

Coimbatore

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In these roles, you will be responsible for: Coding and abstracting information from provider patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: 2 + years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols and third party requirements regarding medical billing. Coding certificaion is Mandatory, should have exposure in Radiology coding 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. Flexibility to accommodate overtime and work on weekend s basis business requirement. Ability to communicate (oral/written) effectively in English to exchange information with our client

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1.0 - 4.0 years

3 - 6 Lacs

Hyderabad

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Examines the medical records, including physician notes, operative reports, and other relevant documents, to ensure that the services billed match the services provided. Assign appropriate procedural and diagnostic codes to reflect the services rendered accurately. This involves understanding the procedures performed, diagnoses made, and any exceptional circumstances that may affect coding. Ensuring that the codes assigned comply with coding guidelines, regulations, and payer requirements.Examines the medical records, including physician notes, operative reports, and other relevant documents, to ensure that the services billed match the services provided. Assign appropriate procedural and diagnostic codes to reflect the services rendered accurately. This involves understanding the procedures performed, diagnoses made, and any exceptional circumstances that may affect coding. Ensuring that the codes assigned comply with coding guidelines, regulations, and payer requirements.

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3.0 - 8.0 years

5 - 10 Lacs

Chennai

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Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

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5.0 - 10.0 years

7 - 12 Lacs

Chennai

Work from Office

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

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5.0 - 10.0 years

7 - 12 Lacs

Chennai, Thiruvananthapuram

Work from Office

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 (Guide Audit), 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 Guidehouse s 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. What You Will Need : Key Skills: Medical Coding Exp. Level: 5+years Qualifications: Accredited medical coders (CCA, CCS, CPC, CPC-H) with at least 5+ years experience. What Would Be Nice To Have : Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and ICD-10-PCS conventions especially adhering to Inpatient guidelines ,ED indicators and regulatory requirements. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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3.0 - 4.0 years

6 - 7 Lacs

Chennai, Thiruvananthapuram

Work from Office

Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM and ICD-10-PCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. 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. 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. What You Will Need : Any Life science, Paramedical Graduates and Post Graduates Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and ICD-10-PCS conventions especially adhering to Inpatient guidelines ,MS DRG ,POA indicators and regulatory requirements. What Would Be Nice To Have : Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and ICD-10-PCS conventions especially adhering to Inpatient guidelines ,ED ,POA indicators and regulatory requirements. What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

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