313 Modifiers Jobs

Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues. This also includes outstate applications. Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients. Responsible for generating daily production or worksheet reports as assigned by management. Publishing regular credentialing status reports and metrics for customers. Required Candidate profile . . Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes. Basic knowledge of collection laws, rules, and regulations. Client Account Management/Client Interaction experience will be a big plus. Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar. Knowledge of medical billing and medical coding will be big plus. Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc. Competencies: Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients. Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team. Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab. Must have long term association with Chandigarh Tricity area. Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information. Must have very strong work ethic and excellent attention to detail. Job Types: Full-time, Permanent Pay: ₹21,000.00 - ₹25,000.00 per month Benefits: Provident Fund Work Location: In person

Job description: Credentialing Specialist Preferred Experience : 1-4years Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues. This also includes outstate applications. Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients. Responsible for generating daily production or worksheet reports as assigned by management. Publishing regular credentialing status reports and metrics for customers. Required Candidate profile . . Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes. Basic knowledge of collection laws, rules, and regulations. Client Account Management/Client Interaction experience will be a big plus. Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar. Knowledge of medical billing and medical coding will be big plus. Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc. Competencies: Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients. Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team. Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab. Must have long term association with Chandigarh Tricity area. Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information. Must have very strong work ethic and excellent attention to detail. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Provident Fund Work Location: In person

Job description: Credentialing Specialist Preferred Experience : 1-4years Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues. This also includes outstate applications. Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients. Responsible for generating daily production or worksheet reports as assigned by management. Publishing regular credentialing status reports and metrics for customers. Required Candidate profile . . Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes. Basic knowledge of collection laws, rules, and regulations. Client Account Management/Client Interaction experience will be a big plus. Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar. Knowledge of medical billing and medical coding will be big plus. Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc. Competencies: Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients. Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team. Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab. Must have long term association with Chandigarh Tricity area. Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information. Must have very strong work ethic and excellent attention to detail. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Provident Fund Work Location: In person

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Calpion Hiring AR Caller & Senior AR callers Experience: 1 to 4 Years Location: Bangalore Job Type: Work from office Interview: Direct & Teams video call Preferred Immediate joiner Shift: Night shift Travel allowance for Male employees (No cab) Should have knowledge in AR calling & denial management (Appels, rejections, correspondence, refilling, resubmitting) Different types of denials, non covered charges, Hospy, modifiers, MSP, MCO Difference between Inset & off set, capitation, HMO, PPO plans, MB limit, CO97, W9form Excellent communication skills in English Contact: 8904998635 vidya.doss@calpion.com Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹40,000.00 per month Benefits: Food provided Health insurance Ability to commute/relocate: Forum Mall, Koramangala, Bangalore, Karnataka: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Preferred) Experience: AR calling & denial management: 2 years (Preferred) Language: English (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

Job Title: Senior Associate - Account Receivables Years of Experience: 2+ Years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Excellent Communication Skills and Analytical Skills Job Description AR callers with 2+ Years of RCM Experience (Physician Billing). Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management. Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution. Ability to analyse complex payment and denial issues with attention to detail. Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals. Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues. Handle complex denial management by investigating rejection reasons and preparing appeals. Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues. This also includes outstate applications. Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients. Responsible for generating daily production or worksheet reports as assigned by management. Publishing regular credentialing status reports and metrics for customers. Required Candidate profile . . Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes. Basic knowledge of collection laws, rules, and regulations. Client Account Management/Client Interaction experience will be a big plus. Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar. Knowledge of medical billing and medical coding will be big plus. Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc. Competencies: Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients. Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team. Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab. Must have long term association with Chandigarh Tricity area. Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions. Willing to cross train and cross learn other areas of RCM. Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information. Must have very strong work ethic and excellent attention to detail. Job Types: Full-time, Permanent Pay: ₹21,000.00 - ₹25,000.00 per month Benefits: Provident Fund Work Location: In person

Job Title: Senior Associate - Account Receivables Years of Experience: 2+ Years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Excellent Communication Skills and Analytical Skills Job Description AR callers with 2+ Years of RCM Experience (Physician Billing). Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management. Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution. Ability to analyse complex payment and denial issues with attention to detail. Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals. Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues. Handle complex denial management by investigating rejection reasons and preparing appeals. Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Job Title: Senior Associate - Account Receivables Years of Experience: 2+ Years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Excellent Communication Skills and Analytical Skills Job Description AR callers with 2+ Years of RCM Experience (Physician Billing). Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management. Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution. Ability to analyse complex payment and denial issues with attention to detail. Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals. Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues. Handle complex denial management by investigating rejection reasons and preparing appeals. Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Job Title: Senior Associate - Account Receivables Years of Experience: 2+ Years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Excellent Communication Skills and Analytical Skills Job Description AR callers with 2+ Years of RCM Experience (Physician Billing). Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management. Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution. Ability to analyse complex payment and denial issues with attention to detail. Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals. Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues. Handle complex denial management by investigating rejection reasons and preparing appeals. Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Job Title: Interventional Radiology Medical Coder Work from Office Location Chennai Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Job Title: Interventional Radiology Medical Coder Work from Office Location Chennai Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. Those in SAP finance at PwC will specialise in providing consulting services for SAP finance applications. You will analyse client requirements, implement software solutions, and offer training and support for seamless integration and utilisation of SAP finance applications. Working in this area, you will enable clients to optimise financial processes, improve financial reporting, and achieve their strategic objectives. Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member’s unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same. Skills Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Analyse and identify the linkages and interactions between the component parts of an entire system. Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion. Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables. Develop skills outside your comfort zone, and encourage others to do the same. Effectively mentor others. Use the review of work as an opportunity to deepen the expertise of team members. Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate. Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements. Field CAN be edited Field CANNOT be edited ____________________________________________________________________________ Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Application Evolution Services team will provide you with the opportunity to help organizations harness the power of their enterprise applications by optimizing the technology while driving transformation and innovation to increase business performance. We assist our clients in capitalizing on technology improvements, implementing new capabilities, and achieving operational efficiencies by managing and maintaining their application ecosystems. We help our clients maximize the value of their SAP investment by managing the support and continuous transformation of their solutions in the areas of sales, finance, supply chain, engineering, manufacturing and human capital Minimum Degree Required (BQ) *: Bachelor’s Degree Required Field(s) Of Study (BQ) Preferred Field(s) of Study: Minimum Year(s) of Experience (BQ) *: US Minimum Of 10-16 Years Of Experience Preferred Skills/Certification(s) Preferred: SuccessFactors Employee Central Certification SuccessFactors Employee Central Payroll Certification SuccessFactors Replication Expert – (BIB/P2P) Preferred Knowledge As a manager, you’ll work as part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities include but are not limited to: Proactively assist in the management of a portfolio of clients, while reporting to Senior Managers and above. Be involved in the financial metrics. Be actively involved in business development activities to help identify and research opportunities on new/existing clients. Contribute to the development of your own and team’s technical acumen. Use data and insights to inform conclusions and support decision-making. Adherence to SLAs, experience in incident management, change management and problem management. Develop new skills and strategies to solve complex technical challenges. Assist in the management and delivering of large projects. Train, coach, and supervise staff to recognize their strengths and encourage them to take ownership of their personal development. Act to resolve issues which prevent the team working effectively. Keep up to date with local and national business and economic issues. Continue to develop internal relationships and the PwC brand. Build a strong team environment that includes client interactions, workstream management, and cross-team collaboration. Actively engage in cross competency work and contribute to COE activities. Demonstrating project management skills including the ability to manage multiple projects simultaneously while being detail oriented. Technical Skills Employee Central Payroll Expertise Provide expert-level technology consultation during implement design and development phase in the SAP ECP module utilizing the Success Factors Human Resource (HCM) framework. Configuration experience across the SAP Payroll/SuccessFactors ECP modules Expert knowledge of SAP PY/SuccessFactors ECP and related functionality, coupled with strong analytical skills and a good understanding of information technology concepts and processes. Drive the definition of standards during change request workshops. Drive the development of technology solutions which provides standardized, functional, maintaining, and cost-effective payroll solutions. Utilizing SuccessFactors ECP Framework modelling techniques to provide production support for payroll. Drive the development of technology solutions which provide standardized, functional, supportable, maintainable, secure, and cost-effective HR IT solutions. Develop HR processes and guidelines keeping in mind the continuous optimization of system functionality and performance. Drive the definition of ECP standards during requirements workshops and change requests. Provide clear and concise project status to project management team. Understand customer Statement of Work and identify complex areas that will require specific focus within the ECP framework. Good understanding of Payroll Business principles Design, configure and maintain all SAP payroll components including wage types, benefits integration, deductions, limit on deductions, off-cycle activity, accumulations, date and period modifiers, off-cycle activity, third-party remittance, posting to accounting, accruals, tax structure, BSI, garnishments and reporting. Configure and maintain all wage types and determine taxation rules, FI mapping, infotype association and permissibility rules. Experience working on Union Payroll Configuration Configure and support Payroll Control Center for both regular and off-cycle processing including creating and editing validations as needed. Design and configure and maintain multiple payroll schemas in an outsourced model Enable and configure payroll features in an outsourced model Create generic payroll functions/operations that can be used generally as needed Perform basic Employee Central provisioning settings in support of Employee Central Payroll Configure mapping of Employee Central Payroll fields and wage types originating from various Employee Central instances Configure posting integration for on-premises or third-party financial systems Configure Tax Reporter in an outsourced model Design and configure check forms to meet client requirements Configure and support garnishment remittance and deduction rules used to calculate amounts needed for garnishment calculations. Maintain configuration and integration for BSI SAAS and EFORMS Factory Review, analyze and test impact of payroll related changes included in support packages. SAP On Premise/SAP EC Payroll (ECP) mandatory BSI SAAS and EFORMS Factory Communicate clearly: both verbal and written with a professional demeanor US Payroll Experience in - SAP payroll configuration for Gross payroll and Net Payroll, Tax Reporter configuration, Experience with BSI tax factory, Third party remittance, Payroll catalog definition including but not limited to collective bargaining agreement wage type definition and configuration, Off-cycle payroll definition and processing, Levy management, Garnishments definition, reporting and management, Integration with Benefits, Integration with SAP FI and with Third party FI, Detailed knowledge and understanding of integration with Time Management. Experience in SAP Benefits configuration Experience in SAP Time Module Experience in creating and defining custom operations and rules Experience with Yearend activities, Open Enrollment, and support packs implementation, Replication Expertise Design, configure, and manage the replication of employee data between SAP SuccessFactors Employee Central and external systems (e.g., SAP ERP HCM, payroll, time management, benefits systems, and third-party applications). Configure the SuccessFactors Employee Central Replication interface (including EC-to-ECC and EC-to-Third Party systems) to ensure smooth and accurate data transfers. Define data mapping rules, transformation logic, and data synchronization processes between SuccessFactors and other integrated systems. Manage integration tools and services (e.g., SAP Cloud Platform Integration (CPI), SAP Data Services, OData APIs) to ensure smooth and timely replication of data across systems. Oversee and support HR data integration activities, ensuring that employee data is replicated accurately and consistently across all systems, such as SAP ERP HCM and payroll systems. Monitor replication jobs, handle errors, and provide troubleshooting support for integration issues, ensuring minimal disruptions to business operations. Provide timely support for replication errors, data mismatches, and failed data transfers by conducting root cause analysis and providing remediation solutions. Collaborate with technical teams, including SAP support and external vendors, to resolve replication issues and ensure the integrity of the data across all systems. Delivery Lead Experience Constantly looking to identify impediments early, actively working to resolve those impediments, and escalate when needed. Management and tracking of cross team/squad dependencies. Hands-on experience working on reporting and preparing presentations as part of WSR & MSR. Management and tracking of all high-integrity commitments. Provides proactive visibility and effectively communicates delivery targets, commitments and progress. Works to minimize meetings and ceremonies, but when they are needed, they are well-run and efficient. Encourages a culture of team-driven decision making and commitment. Encourages team trust and facilitates team building events. Where appropriate, coaches the teams to improve collaboration and outcomes (coaching is the primary responsibility of teams’ managers) Qualification Good knowledge of SAP S/4HANA architecture and functionality ITIL 4 Certification Soft Skills Self-driven with a can-do attitude, with an excellent communication and client-facing skills Problem-solving mindset and ability to work in a collaborative environment. Strong relationship builder within the organization and with external partners.

Senior Executive EXL/SE/1479015 Payment ServicesChennai Posted On 12 Sep 2025 End Date 27 Oct 2025 Required Experience 2 - 10 Years Basic Section Number Of Positions 1 Band A2 Band Name Senior Executive Cost Code D005223 Campus/Non Campus NON CAMPUS Employment Type Permanent Requisition Type Backfill Max CTC 600000.0000 - 1300000.0000 Complexity Level Not Applicable Work Type Hybrid – Working Partly From Home And Partly From Office Organisational Group Healthcare Sub Group Healthcare Organization Payment Services LOB EXL SCIO SBU Payment Integrity Country India City Chennai Center IN Chennai C51 Skills Skill MEDICAL CODING CALLING COMMUNICATION Minimum Qualification GRADUATE Certification No data available Job Description Senior Executive: Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge Must possess good communication skill with neutral accent Initiate telephone calls to provider office to communicate the outcome of the denial review Willing to work in Eastern shift. Must be spontaneous and have high energy level Minimum work experience in voice process will be an added advantage Manage claims with timely follow up Must be good with MS Office, especially Excel and PPT Understand the client requirements and specifications of the project Ensure that the deliverable to the client and adhere to the quality standards Mandatory CPC or CCS certification. Should not have Apprentice in credential Workflow Workflow Type L&S-DA-Consulting

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Life Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life. For more information, please explore Veradigm.com. What will your job look like: RCM Manager ***This is a fully onsite position in Baroda, Office-SHIFT 7:30PM IST – 4:30AM IST*** Support a Team of Go-Getters Our professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle. Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice. Job Summary: Manages an RCM team who are responsible for all related medical billing activities for the purpose of maximizing accounts receivable collections for clients. In addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable. Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. What you will contribute: Strong customer service skills for client satisfaction, health of client AR and management of RCM team members o answering client inquiries; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally o acts as primary point of contact for team members and provides guidance on work matters Track clients' AR productivity and health (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met Analyze reports to determine when, how and why decrease in clients' AR; includes denials, unbilled, credit issues, holds; determine corrective actions and communicate with client and staff to resolve. Follow up to ensure actions are taken that achieve the results needed and/or determine other resolution needed Responsible for staff productivity for follow-up of all unpaid, denied, and underpaid and overpaid claims. This includes but is not limited to contacting insurance companies for claim status, reviewing all insurance claims and patient documentation, reviewing and ensuring appropriate coding, handling correspondence, and making appropriate decisions for follow-up action. Must be effective at handling several accounts simultaneously and ensuring maximum accounts receivable and expedient collection turnaround for clients. Meets with Client representatives to review billing progress, status of accounts and review and resolve any issues presented by clients. Ensures that staff and/or vendor, as applicable, enters all charges into the medical billing system accurately and correctly for reimbursement. This includes but is not limited to: ensuring correct CPT codes, modifiers, and ICD codes, authorizations for services, patient demographics, and health insurance data. Responsible for staff who enter all patient, insurance, and third-party payments into the medical billing system. This includes a thorough knowledge and understanding of medical EOB's, patient deductibles and co pays, insurance or third-party correspondence, contractual payments and adjustments. Interact with clients and their patients, engage in proactive resolution of issues and timely response to questions and concerns. Deliver timely required reports to the RCM Management; initiates and communicates the resolution of issues Meet regularly with staff; in-person and as a group to confirm the status of client accounts and build/sustain staff engagement to drive business results and improvements Remain current with company's policies and procedures regarding AR activity such as, reviewing month end reports to ensure the AR and cash collections are meeting agreed upon benchmarks, identifying trends, reviewing denial reports Review work performed by outside vendors for accuracy and production. Determine changes/improvement needed and works promptly and appropriate with applicable individuals to bring about such changes/improvement Achieve goals set forth by management and compliance requirements Follows, enforces and models adherence to all policies, procedures and processes An Ideal Candidate will have: Bachelor's Degree or equivalent Technical / Business experience (Required) 8+ years relevant work experience; 2-3 years at the Expert level or equivalent experience (Preferred) Experience working with India associates or vendor relationships (Preferred) 2-4 years relevant leadership experience (Preferred) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Peer-based incentive "Cheer" awards "All in to Win" bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/ Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Location Chennai Guindy Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Job Title: Interventional Radiology Medical Coder Work from Office Location Chennai Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Work from Office Chennai Location Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology. Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies. Stay updated with coding guidelines, NCCI edits, and regulatory changes. Meet daily productivity and accuracy benchmarks as established by the department. Assist in internal and external audits as needed. Qualifications: Certified Professional Coder (CPC) Minimum of [1- 2] years of hands-on experience in radiology coding (IR preferred). MIPS Coding is Mandatory. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes Familiarity with payer-specific rules and LCD/NCD policies.

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Life Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life. For more information, please explore Veradigm.com. What Will Your Job Look Like RCM Manager ***This is a fully onsite position in Baroda, Office--SHIFT 7:30PM IST – 4:30AM IST*** Support a Team of Go-Getters Our professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle. Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice. Job Summary Manages an RCM team who are responsible for all related medical billing activities for the purpose of maximizing accounts receivable collections for clients. In addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable. Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. What You Will Contribute Strong customer service skills for client satisfaction, health of client AR and management of RCM team members answering client inquiries; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally acts as primary point of contact for team members and provides guidance on work matters Track clients’ AR productivity and health (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis as needed to ensure the client and company expectations are met Analyze reports to determine when, how and why decrease in clients’ AR; includes denials, unbilled, credit issues, holds; determine corrective actions and communicate with client and staff to resolve. Follow up to ensure actions are taken that achieve the results needed and/or determine other resolution needed Responsible for staff productivity for follow-up of all unpaid, denied, and underpaid and overpaid claims. This includes but is not limited to contacting insurance companies for claim status, reviewing all insurance claims and patient documentation, reviewing and ensuring appropriate coding, handling correspondence, and making appropriate decisions for follow-up action. Must be effective at handling several accounts simultaneously and ensuring maximum accounts receivable and expedient collection turnaround for clients. Meets with Client representatives to review billing progress, status of accounts and review and resolve any issues presented by clients. Ensures that staff and/or vendor, as applicable, enters all charges into the medical billing system accurately and correctly for reimbursement. This includes but is not limited to: ensuring correct CPT codes, modifiers, and ICD codes, authorizations for services, patient demographics, and health insurance data. Responsible for staff who enter all patient, insurance, and third-party payments into the medical billing system. This includes a thorough knowledge and understanding of medical EOB’s, patient deductibles and co pays, insurance or third-party correspondence, contractual payments and adjustments. Interact with clients and their patients, engage in proactive resolution of issues and timely response to questions and concerns. Deliver timely required reports to the RCM Management; initiates and communicates the resolution of issues Meet regularly with staff; in-person and as a group to confirm the status of client accounts and build/sustain staff engagement to drive business results and improvements Remain current with company’s policies and procedures regarding AR activity such as, reviewing month end reports to ensure the AR and cash collections are meeting agreed upon benchmarks, identifying trends, reviewing denial reports Review work performed by outside vendors for accuracy and production. Determine changes/improvement needed and works promptly and appropriate with applicable individuals to bring about such changes/improvement Achieve goals set forth by management and compliance requirements Follows, enforces and models adherence to all policies, procedures and processes An Ideal Candidate Will Have Bachelor's Degree or equivalent Technical / Business experience (Required) 8+ years relevant work experience; 2-3 years at the Expert level or equivalent Experience (Preferred) Experience working with India associates or vendor relationships (Preferred) Benefits 2-4 years relevant leadership experience (Preferred) Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Peer-based incentive “Cheer” awards “All in to Win” bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/ Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!

Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge Must possess good communication skill with neutral accent Initiate telephone calls to provider office to communicate the outcome of the denial review Willing to work in Eastern shift. Must be spontaneous and have high energy level Minimum work experience in voice process will be an added advantage Manage claims with timely follow up Must be good with MS Office, especially Excel and PPT Understand the client requirements and specifications of the project Ensure that the deliverable to the client and adhere to the quality standards Mandatory CPC or CCS certification. Should not have Apprentice in credential

About the job Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organization overall. Responsibilities Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented.