151 Modifiers Jobs - Page 2

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties And Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place calls to various health plans to obtain appropriate precertification prior to the patient`s appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host system to scan and input data as per established procedures Verify medical insurance information and documents in scheduling/registration modules Review claim denials and rejections Accurately enter and update patient data, and other general data, into the computer system Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports Demonstrate knowledge of varied managed care insurance and regulatory guidelines Meet and maintain daily productivity/quality standards established in departmental policies Use the MPower workflow system, client host system and other tools available to collect payments and resolve accounts Adhere to the policies and procedures established for the client/team Communicate effectively with physician offices and patients Place outbound call to patients with precertification notification Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High school diploma or equivalent required Medical terminology knowledge required Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations Proficiency with MS Office. Must have basic Excel skillset Experience with GE Centricity, EPIC PB, Allscripts, Cerner, preferred Extensive knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes Ability to work well individually and in a team environment Strong organizational and task prioritization skills Strong communication skills/oral and written Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

1. Accurate review and post charges for medical services provided by healthcare providers. 2. Analyze patient encounter documentation such as super bills, operative reports and medical reports to ensure accurate charge capture and appropriate code assignment. 3. Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding related issues before charge posting. 4. Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulation (e.g., Medicare, Medicaid). 5. Maintain high accuracy in charge entry, minimizing errors and discrepancies. 6. Meet or exceed established productivity and timeliness targets for charge posting. 7. Prioritize workload effectively to ensure timely and accurate charge entry. 8. Maintain accurate records and metrics related to charge posting activities. 9. Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators. Skill Set Required: · Prior experience in charge posting or healthcare revenue cycle management. · Good understanding of medical billing, coding and reimbursement processes. · Knowledge of medical terminology, CPT, HCPCS and ICD coding system. · Familiarity with insurance payer guidelines, including Medicare and Medicaid. · Proficient in using healthcare billing systems and electronic medical record (EMR) software. · Strong attention to detail and accuracy. · Excellent analytical and problem solving skills. · Effective communication and interpersonal skills. · Familiarity with HIPAA regulations and compliance requirements. · Candidate with Bachelor’s degree or equivalent is preferred. Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Benefits: Food provided Schedule: Day shift Rotational shift US shift Supplemental Pay: Overtime pay Shift allowance Ability to commute/relocate: Saibaba Colony, Coimbatore, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Essential Functions and Tasks: Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Education and Experience Requirements: High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials. Knowledge, Skills, and Abilities: Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic touch 10 key skills. Basic Math skills. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly. Essential Functions and Tasks: Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. Perform MIPS review as needed. Perform Provider QA as needed. Document coding errors. Assist coding management. Assist with client/provider audits as needed. Assist with reviewing work product of new coders in training, as needed. Provides feedback to coders on coding discrepancies/deficiencies, as needed. Provides feedback to coding manager on documentation deficiencies in a timely manner. Respond to questions from designated coders. Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy. Education and Experience Requirements: High School diploma or equivalent. RHIT and/or CPC required. At least one (1) year of medical billing preferred. 2023 MDM Guidelines required. Knowledge, Skills, and Abilities: Understand the use and function of modifiers in CPT. In-depth knowledge of CPT/ICD-10 coding system. Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures. Ability to read, understand, and apply state/federal laws, regulations, and policies. Ability to remain flexible and work within collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Knowledge of the requirements of medical record documentation. Knowledge of medical terminology and anatomy. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic knowledge of Outlook, Word, and Excel. Become proficient in the use of billing software within 4 weeks and maintain proficiency. Understand and comply with company policies and procedures. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Job Category Job Type: Job Location: Jayanagar Bangalore Salary Years of Experience: Key Responsibilities Analyze and interpret concepts to ensure accurate configuration in line with medical coding, billing, and reimbursement guidelines. Analyze medical coding, reimbursement guidelines and configure logic to support accurate concept execution. Conduct in-depth reviews of contracts, policies, and federal/state regulations to formulate edit requirements. Apply industry coding guidelines to claims processes effectively. Demonstrate experience in analyzing and resolving coding issues for payment integrity purposes. Analyze, develop, and implement system configurations. Collaborate with subject matter experts (SMEs) and technical teams to translate regulatory and policy requirements into functional edit specifications. Translate editing logic into platform configurations with support from SMEs, and stakeholders to ensure clear understanding and configuration of concepts. Collaborate with cross-functional teams to assess configuration needs and implement appropriate solutions. Assist in developing and maintaining payment integrity policies and procedures. Review configurations to ensure completeness and accuracy based on the medical coding and billing guidelines. Troubleshoot and perform root-cause analysis for edit logics not functioning as intended. Effectively pinpoint configuration discrepancies and ensure concepts are deployed successfully and on schedule. Audit and validate concepts against healthcare guidelines; identify and address gaps with upstream teams. Conduct rigorous testing to verify concept accuracy and performance across outpatient, professional, and inpatient claim scenarios adhering to the coding guidelines. Perform acceptance testing to validate configuration accuracy. Stay updated with industry regulations and compliance requirements to ensure the configuration process adheres to relevant standards. Perform duties independently with a high level of accuracy and professionalism. Exhibit detail-oriented mindset with a focus on quality and accuracy in concept configuration & testing. Familiarity with AI tools and prompt engineering to support medical content development, automation of policy logic, and Concept generation: Design and optimize prompts for large language models (LLMs) to generate accurate and clinically relevant medical content. Experience in utilizing AI tools (e.g., Gemini, NotebookLLM, ChatGPT, Claude, Perplexity, Grok, Bard, or custom LLMs) to assist in ideation, content creation, review, summarization, and validation. Key Skills: Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines. Qualifications: Education & Certification (one Of The Following Required) Bachelor of Science in Nursing (B.Sc. Nursing) Pharmacist Degree (B.Pharm, M.Pharm or PharmD) Life Science Degree (Microbiology, Biotechnology, Biochemistry, etc.) Medical Degree (e.g., MBBS, BDS, BPT, BAMS, etc.) Other Bachelors Degree with relevant experience. Certification Requirements Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, CCS, or any specialty certifications from AHIMA or AAPC will be given preference. Additional weightage will be given for AAPC specialty coding certifications. Experience 0-1 years of experience in Payment Integrity, Medical Coding, Denial Management. Experience in payment integrity, claims processing, or related functions within the US healthcare system. Experience in denial management, retrospective payment audits, or medical coding. Familiarity with medical coding guidelines, such as ICD, CPT, Modifiers, Medicare, Medicaid, or commercial payer guidelines. Work Mode: Work from Office.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly. Essential Functions And Tasks Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. Perform MIPS review as needed. Perform Provider QA as needed. Document coding errors. Assist coding management. Assist with client/provider audits as needed. Assist with reviewing work product of new coders in training, as needed. Provides feedback to coders on coding discrepancies/deficiencies, as needed. Provides feedback to coding manager on documentation deficiencies in a timely manner. Respond to questions from designated coders. Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy. Education And Experience Requirements High School diploma or equivalent. RHIT and/or CPC required. At least one (1) year of medical billing preferred. 2023 MDM Guidelines required. Knowledge, Skills, And Abilities Understand the use and function of modifiers in CPT. In-depth knowledge of CPT/ICD-10 coding system. Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures. Ability to read, understand, and apply state/federal laws, regulations, and policies. Ability to remain flexible and work within collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Knowledge of the requirements of medical record documentation. Knowledge of medical terminology and anatomy. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic knowledge of Outlook, Word, and Excel. Become proficient in the use of billing software within 4 weeks and maintain proficiency. Understand and comply with company policies and procedures. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Essential Functions And Tasks Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Education And Experience Requirements High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials. Knowledge, Skills, And Abilities Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. Basic touch 10 key skills. Basic Math skills. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. Compensation Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons . This position is also eligible for a discretionary incentiv e bon us in accordance with company policies . Ventra Health Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Hyderabad Job Role: Reviewing and analyzing claim form 1500 to ensure accurate billing information. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. Familiarity with payer websites to verify claim status, eligibility, and coverage details. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. Proficiency in using CPT range and modifiers for precise coding and billing. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing. Desired Candidate Profile: Should be a complete Graduate. Comfortable signing a Retention Period. Minimum of 2 years of experience in physician revenue cycle management and AR calling. Basic knowledge of claim form 1500 and other healthcare billing forms. Proficiency in medical coding tools such as CCI and McKesson. Familiarity with payer websites and their processes. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery. Understanding of Clearing House systems like Waystar and e-commerce platforms. Excellent communication skills. Comfortable working in Night Shifts. Ready to join immediately or within a 15-day notice period. Timings & Transport: Candidates need to be within a radius of 25 km from Sutherland, Manikonda Lanco Hills. Two-way cab facility will be provided within the radius of 25 km from Sutherland, Manikonda Lanco Hills, with shifts from 6:30 PM to 3:30 AM IST. Complete night shifts (6:30 PM – 3:30 AM IST). Five days working (Monday – Friday) with Saturday and Sunday off. Need to be comfortable with Work From Office (WFO). Perks and Benefits: Provides Night Shift Allowance. Saturday and Sunday fixed week offs. 24 days of leave in a year with up to Rs. 5000 incentives. Self-transportation bonus up to Rs. 3500.

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days 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 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

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11am to 6pm ) Everyday Contact person VIBHA HR (9043585877) Interview time (11am to 6pm ) Bring 2 updated resumes Refer (HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- Vibha HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Job Title: Senior Associate - Account Receivables Years of Experience: 2- 4 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Communication Skills - Grade A Analytical Skills - Grade A Job Description AR callers with good experience of 2 to 4 Years RCM Experience (Physician Billing). Have PMS (Software) - Centricity G4/NG/ Other software is also eligible Understanding of Provider Information & Patient Information as it impacts claim resolution. 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 Looking for an Associate who is good with their Basic RCM and denials follow up. Having an Oncology Experience is a Plus. People who are interested to learn new things and worked within a company for greater than 1.5yrs.

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 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. We are an Equal Opportunity Employer. No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender, marital or family status, color, race, ethnic origin, religion, disability or age; nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law. For more information, please explore Veradigm.com. What Will Your Job Look Like The Billing Coordinator position is responsible for processing billing information within the appropriate software efficiently and accurately on a consistent basis to maximizing accounts receivable collections for clients. The position is additionally responsible for the coordination and oversight of data received by outside vendors, such as the India outsource. The position supports the company’s overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results. The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position. Main Duties Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally  Prepares charges for off shore operations and answers and resolves questions. Complete chargers and/or resolve charge and payment inquires for off-shore vendors. Prepares, assigns and reconciles batches; provides ongoing communication and reviews discrepancy process. Reviews source codes; tallies Hash totals. Maps ICD nine, CPT and modifiers as needed. Creates claim edit report for charge entries. Reconciles imputed payment postings and balances batch report. Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any hand written DX, procedure, etc., return any charges to the Doctors office that require clarification Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had and closing the batch. Import or enter Charges and post payments for Clients not placed with IHS. Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed. Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately. Complies and enforces all policies and procedures related to the position, the department and the company Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements  Other duties as assigned An Ideal Candidate Will Have Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts. Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment. Communication: Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations. Math & Reasoning Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems. Academic Qualifications High School Diploma or GED 1-3 years of experience in same/related field Work Arrangements: Work from Pune Office (US Shift - 7:30 PM IST to 4:30AM IST) 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 Flexible Work Environment (Remote/Hybrid Options) 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!

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

You are seeking experienced and certified Senior Same Day Surgery Medical Coders with a deep understanding of CPT, HCPCS, ICD-10-CM, modifiers, and units extracted from medical record documents. Your communication skills should be excellent to effectively carry out the responsibilities associated with this role. Your core responsibilities will include coding medical records related to Inpatient and Outpatient Surgical Specialties, such as Orthopedics, General Surgery, Cardiology, Spine, and Oral procedures. You must have a minimum of 5+ years of experience in this field and be adept at accurately assigning ICD-10-CM & PCS diagnoses and procedure codes. Additionally, you should have advanced technical knowledge in specific inpatient and outpatient surgical and medical specialties. It is essential for you to possess extensive knowledge of medical terminology, demonstrate proficiency in researching and applying coding rules and regulations, and have experience in data entry of codes into databases or software tools. Familiarity with Microsoft Excel, Word, and various EMR systems is necessary. Furthermore, exceptional oral and written communication skills are required, along with a positive and respectful attitude. To be eligible for this position, you must hold a Science Graduate or Postgraduate degree and possess current AHIMA/AAPC certificate(s). A high level of proficiency in English, both verbally and in writing, is essential. You should be willing to work from the office as per the work location requirement. If you meet these qualifications and are ready to contribute your expertise to our team, we look forward to receiving your application.,

Company Description Founded in 2017, USP Polymers LLP is a leading supplier in the Thermoplastic Elastomers industry. We specialise in high-quality products, including Thermoplastic Elastomer (TPE), Thermoplastic Vulcanizate (TPV), Silicone Masterbatches, and Impact Modifiers. We source materials from top global manufacturers, ensuring international standards and specifications. Our diverse portfolio caters to various industrial applications, delivering reliability and excellence. With a focus on innovation and customer satisfaction, we are committed to providing tailored solutions that meet industry needs. Role Description This is a full-time on-site role for an Executive Assistant located in Delhi, India. The Executive Assistant will be responsible for supporting executive staff with administrative tasks, including managing schedules, preparing expense reports, handling correspondence, and maintaining files. Daily tasks include organizing meetings, coordinating travel arrangements, and providing executive support to ensure smooth office operations. Qualifications Executive Administrative Assistance, Administrative Assistance, and Executive Support skills Proficiency in preparing and managing Expense Reports Strong Communication skills, both written and verbal Excellent organizational and time management skills Ability to work independently and in a team environment Proficiency in Microsoft Office Suite and other relevant software Bachelor's degree in Business Administration, Management, or related field is preferred

Company Description Sutherland is a global leader driving digital outcomes by combining advanced technologies with expertise in customer experience and business process transformation. By improving interactions and personalizing experiences, Sutherland helps clients build better customer relationships through its digital-first approach. Are you a fast thinker with strong typing skills and a passion for solving problems? Are you curious, detail-oriented, and excited to support global clients? If this sounds like you, we want you on our team! Job Description Sutherland is now hiring individuals who are passionate to start/ build their career in the BPO Industry. Job Title: Sr Associate Role & Responsibilities: Reviewing and analyzing claim form 1500 to ensure accurate billing information Utilizing coding tools like CCI and McKesson to validate and optimize medical codes Familiarity with payer websites to verify claim status, eligibility, and coverage details Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery Proficiency in using CPT range and modifiers for precise coding and billing Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing Qualifications Skills Required: Should be a complete Graduate Minimum of 2 years of experience in physician revenue cycle management and AR calling Basic knowledge of claim form 1500 and other healthcare billing forms Holding experience in medical coding tools such as CCI and McKesson is an added advantage Familiarity with payer websites and their processes Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is also an added advantage Understanding of Clearing House systems Excellent communication skills Comfortable to Work in Night Shifts. Ready to join immediately or within 15 days’ notice period Additional Information Timings & Transport: Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills. Two Way Cab Facility will be provided within in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am Complete Night Shifts (6:30 PM – 3:30 AM) IST. FIVE DAYS WORKING (MONDAY – FRIDAY) & SATURDAY, SUNDAY WEEK OFF. Need to be Comfortable with WFO-Work from office. Saturday and Sunday Fixed Week Offs. Additional Information: A fast-paced, global work environment where your voice matters. Skills for life: problem-solving, professionalism, adaptability, and communication. A team that feels like family and celebrates every win—big or small. A platform to grow quickly within a global MNC with learning and development opportunities. Recognition and rewards as you shape your career journey. Disclaimer Sutherland never asks for payments or favours for job opportunities. If you receive any suspicious request, please report it to: TAHelpdesk@Sutherlandglobal.com

As a Manager - Service Delivery at Sutherland, your primary responsibility will be to review and analyze claim form 1500 to ensure accurate billing information. You will be utilizing coding tools like CCI and McKesson to validate and optimize medical codes while demonstrating expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. Proficiency in using CPT range and modifiers for precise coding and billing will be essential, along with working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. To excel in this role, you should be a complete Graduate with a minimum of 2 years of experience in physician revenue cycle management and AR calling. A basic knowledge of claim form 1500 and other healthcare billing forms is required, while experience in medical coding tools such as CCI and McKesson is considered an added advantage. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery will be beneficial. Understanding Clearing House systems and excellent communication skills are also key qualifications. You should be comfortable working night shifts and ready to join immediately or within a 15-day notice period. Candidates need to reside within a 25 km radius from Sutherland, Manikonda Lanco hills, as two-way cab facility will be provided within this radius with the shift timing from 6:30 pm to 3:30 am IST. The role involves complete night shifts (6:30 PM - 3:30 AM IST) from Monday to Friday, with Saturday and Sunday as fixed week offs. Comfort with working from the office (WFO) is necessary. As part of the perks and benefits, the position offers night shift allowance and fixed week offs on Saturday and Sunday. Join Sutherland as a Manager - Service Delivery and contribute to our team of driven and hard-working individuals in the healthcare industry.,

Company Description Sutherland is seeking a goal-oriented and strategic-thinking person to join us as a Manager - Service Delivery. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you! Job Description JOB ROLE: - Reviewing and analyzing claim form 1500 to ensure accurate billing information Utilizing coding tools like CCI and McKesson to validate and optimize medical codes Familiarity with payer websites to verify claim status, eligibility, and coverage details Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery Proficiency in using CPT range and modifiers for precise coding and billing Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing Qualifications QUALIFICATIONS: - Should be a complete Graduate Minimum of 2 years of experience in physician revenue cycle management and AR calling Basic knowledge of claim form 1500 and other healthcare billing forms Holding experience in medical coding tools such as CCI and McKesson is an added advantage Familiarity with payer websites and their processes Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is also an added advantage Understanding of Clearing House systems Excellent communication skills Comfortable to Work in Night Shifts. Ready to join immediately or 15Days NP Additional Information TIMINGS & TRANSPORT: - Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills. Two Way Cab Facility will be provided within in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am Complete Night Shifts (6:30 PM – 3:30 AM) IST. FIVE DAYS WORKING (MONDAY – FRIDAY) & SATURDAY, SUNDAY WEEK OFF. Need to be Comfortable with WFO-Work from office. Saturday and Sunday Fixed Week Offs. PERKS & BENEFITS: - Provides Night shift Allowance Saturday and Sunday Fixed Week Offs. DISCLAIMER: “Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to “TAHelpdesk@Sutherlandglobal.com”

Company Description Sutherland is seeking a goal-oriented and strategic-thinking person to join us as a Manager - Service Delivery. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you! Job Description JOB ROLE: - Reviewing and analyzing claim form 1500 to ensure accurate billing information Utilizing coding tools like CCI and McKesson to validate and optimize medical codes Familiarity with payer websites to verify claim status, eligibility, and coverage details Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery Proficiency in using CPT range and modifiers for precise coding and billing Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing Qualifications QUALIFICATIONS: - Should be a complete Graduate Minimum of 2 years of experience in physician revenue cycle management and AR calling Basic knowledge of claim form 1500 and other healthcare billing forms Holding experience in medical coding tools such as CCI and McKesson is an added advantage Familiarity with payer websites and their processes Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is also an added advantage Understanding of Clearing House systems Excellent communication skills Comfortable to Work in Night Shifts. Ready to join immediately or 15Days NP Additional Information TIMINGS & TRANSPORT: - Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills. Two Way Cab Facility will be provided within in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am Complete Night Shifts (6:30 PM – 3:30 AM) IST. FIVE DAYS WORKING (MONDAY – FRIDAY) & SATURDAY, SUNDAY WEEK OFF. Need to be Comfortable with WFO-Work from office. Saturday and Sunday Fixed Week Offs. PERKS & BENEFITS: - Provides Night shift Allowance Saturday and Sunday Fixed Week Offs. DISCLAIMER: - “Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to “TAHelpdesk@Sutherlandglobal.com”

Role Summary: This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing. JOB SUMMARY This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills. Job Role : Medical Coder (Junior / Senior) Location : Chennai / Hyderabad Experience : 3-8 Years Work Model : Work from office HR SPOC : Rubhashree - 9566073753 ESSENTIAL RESPONSIBILITIES Review medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements. Review all documentation for compliance with quality standards and relevant policies. Prepare and provide information to west partners based on their expectation. Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency. Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data. Adhere to all company and department policies regarding security and confidentiality. EDUCATION Required Graduation/BSc. in life sciences – preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc. Certification - AAPC or AHIMA coding certifications required for all candidates EXPERIENCE Required Surgery with Multispecialty: 3 - 6 years of experience in E/M Coding (E/M OP/IP ED Professional/Facility) & Surgery Surgery with Cardiovascular: 3 – 6 years of experience in General Surgery (with Cardiovascular series) Should have exposure to multi-specialty and handled Hospital & Provider Coding Should be currently in an Auditor role and have exposure to reports related to quality. Preferred Preferred working knowledge in Epic and 3M 360. Having exposure to General and Cardiovascular Surgery coding. Having exposure to Multiple specialty and or working on Claims Edits. Must be extremely detail oriented and able to multitask. Should be strong in quality parameters. Possess a high level of Self-motivation and energy with minimal supervision. Highly developed oral and written communication skills. Ability to work both independently and in a team-oriented environment. Possess good organizational skills and strong attention to detail. Identify process improvement and communicate them through proper channel, follow up on the identified improvement until implementation. Work in a standard protocol/document to accurately complete the work assigned. Consistently document work assignments, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames. Should develop knowledge about payor policies. Develop the team's talent, drive employee retention and engagement.

Project Role : Software Development Engineer Project Role Description : Analyze, design, code and test multiple components of application code across one or more clients. Perform maintenance, enhancements and/or development work. Must have skills : SAP BTP Integration Suite Good to have skills : NA Minimum 5 Year(s) Of Experience Is Required Educational Qualification : 15 years full time education Job Summary: We are looking for an experienced SAP CPI Consultant (min 6 yrs) to design, develop, and support integration solutions using SAP Cloud Platform Integration. The ideal candidate will have hands-on experience with end-to-end integration processes between SAP and non-SAP systems, leveraging various protocols and adapters supported by SAP BTP. Key Responsibilities: Design and implement integration flows (iFlows) in SAP CPI to connect SAP S/4HANA, SuccessFactors, SAP Ariba, and third-party systems. Worked in ECC/S4HANA integration suite and Utilities project experience is preferred Analyze business requirements and translate them into scalable and secure integration solutions. Work with SOAP, REST, SFTP, IDoc, OData, JDBC, and other adapters for interface development. Manage and monitor integration scenarios, troubleshoot failures, and provide timely resolutions. Support migration from legacy middleware tools (e.g., PI/PO) to SAP CPI. Collaborate with functional teams, architects, and other stakeholders to ensure alignment with enterprise architecture standards. Maintain documentation for design, configurations, and technical specifications. Required Skills: Strong hands-on experience with SAP CPI (Cloud Platform Integration) and SAP Integration Suite. Knowledge of SAP PI/PO, BTP, and other SAP cloud solutions. Proficient in using message mappings, content modifiers, script steps (Groovy, JavaScript). Understanding of integration patterns (synchronous, asynchronous, pub-sub). Experience with security protocols like OAuth2, SAML, and certificate-based authentication. Familiarity with API Management and SAP API Business Hub. Strong problem-solving and analytical skills.

Job Category Job Type: Job Location: Salary Years of Experience: Position Overview This position plays a vital role within the Payment Integrity team by contributing to the development, enhancement, and maintenance of medical policy content. The role is responsible for converting healthcare guideline-driven concepts into system-readable configurations and performing comprehensive testing to ensure accuracy. Responsibilities include configuration and testing, ensuring adherence to industry standards, and collaborating with cross-functional teams to validate outputs and maintain quality. This role needs passionate people with good interpersonal, analytical & problem-solving skills. Having hands-on expertise in one or more of the following areas is an added advantage. Payment Integrity. Clinical Coding. Medical Coding. Denials Management. Key Responsibilities Analyze and interpret concepts to ensure accurate configuration in line with medical coding, billing, and reimbursement guidelines. Analyze medical coding, reimbursement guidelines and configure logic to support accurate concept execution. Conduct in-depth reviews of contracts, policies, and federal/state regulations to formulate edit requirements. Apply industry coding guidelines to claims processes effectively. Demonstrate experience in analyzing and resolving coding issues for payment integrity purposes. Analyze, develop, and implement system configurations. Collaborate with subject matter experts (SMEs) and technical teams to translate regulatory and policy requirements into functional edit specifications. Translate editing logic into platform configurations with support from SMEs, and stakeholders to ensure clear understanding and configuration of concepts. Collaborate with cross-functional teams to assess configuration needs and implement appropriate solutions. Assist in developing and maintaining payment integrity policies and procedures. Review configurations to ensure completeness and accuracy based on the medical coding and billing guidelines. Troubleshoot and perform root-cause analysis for edit logics not functioning as intended. Effectively pinpoint configuration discrepancies and ensure concepts are deployed successfully and on schedule. Audit and validate concepts against healthcare guidelines; identify and address gaps with upstream teams. Conduct rigorous testing to verify concept accuracy and performance across outpatient, professional, and inpatient claim scenarios adhering to the coding guidelines. Perform acceptance testing to validate configuration accuracy. Stay updated with industry regulations and compliance requirements to ensure the configuration process adheres to relevant standards. Perform duties independently with a high level of accuracy and professionalism. Exhibit detail-oriented mindset with a focus on quality and accuracy in concept configuration & testing. Familiarity with AI tools and prompt engineering to support medical content development, automation of policy logic, and Concept generation. Design and optimize prompts for large language models (LLMs) to generate accurate and clinically relevant medical content. Experience in utilizing AI tools (e.g., Gemini, NotebookLLM, ChatGPT, Claude, Perplexity, Grok, Bard, or custom LLMs) to assist in ideation, content creation, review, summarization, and validation. Key Skills Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines. Qualifications: Education & Certification (one of the following required): Bachelor of Science in Nursing (B.Sc. Nursing). Pharmacist Degree (B.Pharm, M.Pharm or PharmD). Life science Degree (Microbiology, Biotechnology, Biochemistry, etc). Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc). Other Bachelors Degree with relevant experience. Certification Requirements Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, CCS, or any specialty certifications from AHIMA or AAPC will be given preference. Additional weightage will be given for AAPC specialty coding certifications. Experience 0-1 years of experience in Payment Integrity, Medical Coding, Denial Management. Experience in payment integrity, claims processing, or related functions within the US healthcare system. Experience in denial management, retrospective payment audits, or medical coding. Familiarity with Medical coding guidelines, such as ICD, CPT, Modifiers, Medicare, Medicaid, or commercial payer guidelines. Work Location: Jayanagar Bangalore. Work Mode: Work from Office. Benefits Best-in-class compensation. Health insurance for Family. Personal Accident Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more!

You will be working as an EBS - SCM (O2C Solution Architect) at LTIMindtree with a required experience of 10 to 15 years. Your responsibilities will include extensive experience with multiple Oracle Sales modules such as OM Shipping Pricing. You should be proficient in gathering requirements, analyzing, and proposing solutions. Additionally, you will conduct Super user training and UAT, possess good business process knowledge, and system configuration knowledge. It is essential to have been involved in at least 3-4 full cycle implementation projects and have experience in R12 Implementation or R12 Upgrade projects. Your role will involve analyzing and resolving issues in Order Management Shipping areas, and you should be well-versed in Inventory concepts like Inventory Optimization Planning and Kanban. Hands-on experience with setup of Modifiers and Qualifiers is required. Furthermore, knowledge of Business Processes with Star Parts Model Configuration (ATO, CTO, PTO), Shipping Networks, Lead Times, and IR ISO Process is necessary. You will assist the functional team in documenting results in Test cases and supporting business during testing tasks. Your role will also include expediting UAT, supporting UAT issues, and resolving them to business satisfaction. Experience in Custom Developments and Integrations is an added advantage for this position.,

Job Title: Interventional Radiology Medical Coder 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