151 Modifiers Jobs - Page 5

Selected Intern's Day-to-day Responsibilities Include Assist in creating, scheduling, and publishing content for Instagram, Facebook, LinkedIn, Twitter, etc. Research current social media trends and suggest improvements Engage with followers by responding to comments, DMs, and messages Help monitor and analyze performance using insights and analytics tools Support in running paid promotions or campaigns Assist with influencer outreach and collaborations Contribute ideas for improving brand presence and campaign effectiveness About Company: We are one of the most trusted wholesalers, traders, and suppliers in the market, supplying the best array of thermoplastic elastomers, TPO compounds, silicone masterbatches, thermoplastic vulcanizate, impact modifiers, mold release additives, and many more. Show more Show less

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.25 LPA TO 5.50 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-ins directly.

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: 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. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Role: AR Calling – Physician RCM Location: Hyderabad Experience: 1 - 4 Years Job Description: We are looking for candidates with 1–4 years of experience in Physician RCM (Revenue Cycle Management) for a voice-based AR Calling role. Key Requirements: Experience with claim form 1500 and provider-side RCM Knowledge of CPT codes, modifiers, and coding tools (CCI, McKesson) Familiar with specialties like Cardiology, Radiology, Ortho, etc. Understanding of clearinghouses (e.g., Waystar, eCommerce) Strong analytical and communication skills Willingness to work from office and learn new areas Job Type: Full-time Pay: ₹300,000.00 - ₹450,000.00 per year Schedule: Night shift Language: Hindi (Preferred) English (Preferred) Work Location: In person

💼 Job Opportunity: AR Calling / Physician RCM Specialist (Voice Process Only) 📍 Location: Manikonda| 💬 Process: Voice 🕒 Experience Required: 1–4 Years in Physician RCM / AR Calling / Denial Management ✨ Overall Summary we’re on the lookout for skilled AR Calling professionals with expertise in Physician Revenue Cycle Management (RCM) – NOT hospital billing. If you thrive on resolving denials, speaking with payers, and working on claim follow-ups, this is the perfect role for you! 🚫 Do NOT Apply If You Belong To: 🔴 HGS (not handling RCM AR services) 🔴 Overpayments-only background 🔴 Hospital AR / DME / Claims Adjudication experience ✅ We’re Looking for Candidates With: ✔️ Experience: 1–4 years in Physician RCM / AR Calling (Voice-based only) ✔️ Skills: – Strong verbal communication 🗣️ – Analytical thinking 🧠 – Adaptable to office setup 🏢 – Eagerness to learn & grow 🚀 📚 Knowledge You Must Have: 📄 Claim Form: CMS-1500 🔧 Coding Tools: CCI edits, McKesson 🧑‍⚕️ Specialties: Cardiology, Radiology, Ortho, Peds, Surgery 💻 Clearinghouse Platforms: Waystar, eCommerce 📌 CPT Codes & Modifiers (Voice AR Calling experience is a must!) 🎯 Your Responsibilities (L2 - AR Calling): 📞 Follow up on Accounts Receivable (AR) ❗ Denial management and resolution 📈 Achieve daily production & quality goals 🕘 Adhere to shift schedules and maintain productive hours

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, DIRECT WALKin ( Reference Name : NAUSHEEN HR / 9043004655) 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 Saturday ( 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 Begum H Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen Begum H nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

JOB DESCRIPTION: OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. Essential Criteria Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification. Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years’ experience as certified/credentialed coder coding/auditing Desirable Criteria Auditing experience on complex surgery coding. Knowledge in Microsoft outlook/excel/word. Additional And Essential Responsibilities Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends. Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Show more Show less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Show more Show less

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 Show more Show less

TCS is Hiring SAP CPI For Pune location Experience : 6 - 10 years Mode of interview : Virtual Location : Pune JOB DESCRIPTION: Must have: Understanding of SAP CPI Architecture: This includes knowledge of the platform's components, such as the integration runtime, design time, and monitoring tools. Integration Flows (iFlows): Proficiency in designing, developing, and deploying iFlows. Understanding of message processing steps, adapters, and routing. Message Mapping and Transformation: Expertise in different mapping techniques. Ability to handle various data formats (XML, JSON, IDoc). Knowledge of Content modifiers. Adapters: Knowledge of standard adapters (SOAP, REST, SFTP, IDoc, etc.). Understanding of adapter configuration and usage. Show more Show less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Show more Show less

Roles Responsibilities Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding and APC payments systems knowledge with minimum 3 years of experience in surgery. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. 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 Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment. Skill Requirements Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Understanding of US Healthcare industry. Must Have Skills Communication Calling Providers Good Communication Client Contact Client Issue Resolution Show more Show less

Roles Responsibilities 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 Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment. Skill Requirements Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Show more Show less

JOB DESCRIPTION: OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. Essential Criteria Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification (Musculo, cardio, IVR) Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years’ experience as certified/credentialed coder coding/auditing Desirable Criteria Auditing experience on complex surgery coding. Knowledge in Microsoft outlook/excel/word. Additional And Essential Responsibilities Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends. Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Show more Show less

Overview Build The Future At McGraw Hill, the Data Analyst teams drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Data Analyst - US Backend Process for our back-office customer support team. How can you make an impact? As our new Data Analyst , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviours, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What you will be doing: Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviours, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM - 3:00 AM IST, with flexibility to adjust to 5:30 PM - 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re looking for someone with: 1+ years of proven experience in Data Analysis with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 48709 Show more Show less

Back Data Analyst - US Backend Process JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Noida, India Operations Corporate On-Site 48709 McGraw Hill LLC. mail_outline Get future jobs matching this search or Transcript A typical day in my position as a pricing and territory representative is coming in in the morning, viewing any reports that were submitted overnight. These reports usually consist of previous day work that we just need to scan and make sure everything was submitted correctly and processed as we intended it to do. Once these reports are completed, they will get filed away. Then we will proceed to our daily queue of cases. Once in our queue, we will scan the queue for any priority requests that need immediate assistance. Once those cases have been completed, then we'll proceed to work the cases from the older to the newer ones. Cases usually come in throughout the day, so this will usually consists of our workday handling cases and requests throughout the day. At the end of our business day, we have end-of-day reports that we work and get those completed and submitted to get ran through the system overnight and process. % buffered00:00 00:00 What is a day in the life of your position? D Deshawn Data Quality Analyst 1 Overview Job Description Build The Future At McGraw Hill, the Data Analyst teams drive progress and help build the future of learning. If you have the passion and basic technical expertise to thrive in an innovative and agile environment, we want to learn more about you. We are seeking a dedicated, hard-working, and diligent Data Analyst – US Backend Process for our back-office customer support team. How can you make an impact? As our new Data Analyst , you’ll be responsible for maintaining the integrity of the item, pricing and territory structures for McGraw Hill. Based in our office in Noida, you will also be responsible for the solution, set-up and maintenance of item behaviours, territory structures, as well as advanced pricing modifiers to ensure customers receive accurate items and accurate pricing. What You Will Be Doing Analyse data and anticipate potential problems before they occur; review reports daily and correct any issues before the close of business to eliminate bad data. Review reports for internal errors to ensure data integrity. Run SQL queries or Business Intelligence reports established by the business and review and distribute the hold process. Analyse our product attributes, behaviours, pricing, territory structures, and revenue codes to ensure the integrity of each product. You will collaborate with higher-level business stakeholders to ensure data requests are completed and provide recommendations for alternative solutions based on business needs. Important Prerequisites! The candidate should be comfortable as this role requires working 6:30 PM – 3:00 AM IST, with flexibility to adjust to 5:30 PM – 2:00 AM IST during U.S. daylight savings time Ideal candidates will reside within 25 km of the office location in Noida. If suitable candidates are not found within this range, we may consider those within 40 km as an exception Cab facility for both pick up and drop off will be provided We’re Looking For Someone With 1+ years of proven experience in Data Analysis with prior experience of working in IT/ITES/BPO industry for US/UK process Proficiency in Microsoft Office applications Basic knowledge of SQL and query writing Strong written and verbal communication skills, coupled with excellent attention to detail and accuracy skills Ability to develop solutions through research and data-driven decision making Good knowledge of Oracle and Salesforce would be highly advantageous Why McGraw Hill? There has never been a better time to join McGraw Hill. In our culture of curiosity and innovation, you will be able to own your growth and develop as we do! 48709 McGraw Hill uses an automated employment decision tool (AEDT) to assist in the screening process by recommending candidates with “like skills” based on resume and job data. To request an alternative screening process, please select “Opt-Out” when asked to “Consent to use of Automated Employment Decision Tools” during the application. Apply JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML Show more Show less

Requisition ID: 58143 Position Type: FT Permanent About Kerry Kerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the world. Our vision is to be our customers' most valued partner, creating a world of sustainable nutrition. A career with Kerry offers you an opportunity to shape the future of food while providing you opportunities to explore and grow in a truly global environment. About The Role In the role as Key Accounts Manager – ProActive Health, you will be responsible for managing and growing our Proactive Health technologies into the IS market, in close collaboration with key stakeholders. This role will include working directly with leading Pharmaceutical, Nutritional Supplements & Wellness Industry players, drawing on your established networks and relationships to build a sutainable sales pipeline across market which includes Brands, Contract Manufacturers across this ever changing and evolving category. This is an exciting opportunity to further expand and grow our clinically backed Functional Ingredients including leading Probiotics, yeast beta glucan and Botanical Extracts combined with an extensive portfolio of ingredients (flavours, functional fats, modifiers and more) that work in synergy to support innovative and category leading products to deliver on great taste and nutrition. The ideal candidate should have strong insights into the Indian subcontinent nutritional supplements and wellness category Key accounts, with excellent industry knowledge and a genuine passion to grow this exciting space. Key responsibilities Own, build and execute an effective strategy to deliver a strong opportunity pipeline in the market for our Functional Ingredients and other newly acquired technologies. Lead cross functional teams to support selling initiatives with Key Accounts Managing the complete sales cycle & delivering on sales & margin targets Demonstrated ability to develop strategic projects, with strategic program execution and planning skills preferred. Aligned to defined strategic targets, build, and convert to sale, the opportunity pipeline which features Probiotics, Yeast Beta Glucan, Botanical Extracts and other newly acquired technologies including functional plant extracts (acquisitions) Build awareness in the market of Kerry’s emerging presence in the Functional Ingredients area by being a strong ambassador internally in Kerry and externally in the market- place. Working hand in hand with our creative R&D team, support in the development of industry leading, highly efficacious concepts to engage customers and further commercial engagements and project advancement. Developing strong customer alliances and promoting functional ingredients via participation in key Industry events (e.g. tradeshows, seminars, and conferences) Qualifications And Skills Minimum 8-12 years of experience working with Functional Ingredients (Probiotics, Botanicals, Lipids, Beta Glucan etc) with a developed knowledge of the Nutritional and Pharmaceutical supplements market. Tertiary qualifications in Applied Sciences, Nutrition and Health, Business, or other related disciplines with sound knowledge of working within the regulated environment, including a solid understanding of ingredient listings and permissible claims. Displays a passion for the Functional Ingredients & Nutritional supplements category and has a keen interest in the topics of nutrition and general wellness. A highly collaborative and team player who is an effective communicator and can deliver on the strategy with support from key internal stakeholders in the Kerry matrix structure. Strong execution skills, while displaying the ability to adopt a strategic approach. This position will require travel within the region and periodically to attend meetings at Kerry sites. Competencies Required Excellent Technical, & Functional Knowledge of Functional Ingredients Analytical & Data Oriented Excellent Communication & Presentation Skills Market Orientation Leadership skills Beware of scams online or from individuals claiming to represent us. A Kerry employee will not solicit candidates through a non-Kerry email address or phone number. In addition, Kerry does not currently utilise video chat rooms (e.g., Google Hangouts) to conduct interviews. Refuse any request that asks you to provide payment to participate in the hiring process (e.g., purchasing a “starter kit,” investing in training, or something similar). Kerry will not ask you to pay any money at any point in the hiring process with the exception of reimbursable travel expenses. In addition, any payments made by Kerry will be from official firm accounts bearing the Kerry name. Recruiter Posting Type: LI Show more Show less

Requisition ID: 58143 Position Type: FT Permanent Workplace Arrangement: #LI-Onsite About Kerry Kerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the world. Our vision is to be our customers' most valued partner, creating a world of sustainable nutrition. A career with Kerry offers you an opportunity to shape the future of food while providing you opportunities to explore and grow in a truly global environment. About the role In the role as Key Accounts Manager – ProActive Health, you will be responsible for managing and growing our Proactive Health technologies into the IS market, in close collaboration with key stakeholders. This role will include working directly with leading Pharmaceutical, Nutritional Supplements & Wellness Industry players, drawing on your established networks and relationships to build a sutainable sales pipeline across market which includes Brands, Contract Manufacturers across this ever changing and evolving category. This is an exciting opportunity to further expand and grow our clinically backed Functional Ingredients including leading Probiotics, yeast beta glucan and Botanical Extracts combined with an extensive portfolio of ingredients (flavours, functional fats, modifiers and more) that work in synergy to support innovative and category leading products to deliver on great taste and nutrition. The ideal candidate should have strong insights into the Indian subcontinent nutritional supplements and wellness category Key accounts, with excellent industry knowledge and a genuine passion to grow this exciting space. Key responsibilities Own, build and execute an effective strategy to deliver a strong opportunity pipeline in the market for our Functional Ingredients and other newly acquired technologies. Lead cross functional teams to support selling initiatives with Key Accounts Managing the complete sales cycle & delivering on sales & margin targets Demonstrated ability to develop strategic projects, with strategic program execution and planning skills preferred. Aligned to defined strategic targets, build, and convert to sale, the opportunity pipeline which features Probiotics, Yeast Beta Glucan, Botanical Extracts and other newly acquired technologies including functional plant extracts (acquisitions) Build awareness in the market of Kerry’s emerging presence in the Functional Ingredients area by being a strong ambassador internally in Kerry and externally in the market- place. Working hand in hand with our creative R&D team, support in the development of industry leading, highly efficacious concepts to engage customers and further commercial engagements and project advancement. Developing strong customer alliances and promoting functional ingredients via participation in key Industry events (e.g. tradeshows, seminars, and conferences) Qualifications and skills Minimum 8-12 years of experience working with Functional Ingredients (Probiotics, Botanicals, Lipids, Beta Glucan etc) with a developed knowledge of the Nutritional and Pharmaceutical supplements market. Tertiary qualifications in Applied Sciences, Nutrition and Health, Business, or other related disciplines with sound knowledge of working within the regulated environment, including a solid understanding of ingredient listings and permissible claims. Displays a passion for the Functional Ingredients & Nutritional supplements category and has a keen interest in the topics of nutrition and general wellness. A highly collaborative and team player who is an effective communicator and can deliver on the strategy with support from key internal stakeholders in the Kerry matrix structure. Strong execution skills, while displaying the ability to adopt a strategic approach. This position will require travel within the region and periodically to attend meetings at Kerry sites. Competencies Required: Excellent Technical, & Functional Knowledge of Functional Ingredients Analytical & Data Oriented Excellent Communication & Presentation Skills Market Orientation Leadership skills Beware of scams online or from individuals claiming to represent us. A Kerry employee will not solicit candidates through a non-Kerry email address or phone number. In addition, Kerry does not currently utilise video chat rooms (e.g., Google Hangouts) to conduct interviews. Refuse any request that asks you to provide payment to participate in the hiring process (e.g., purchasing a “starter kit,” investing in training, or something similar). Kerry will not ask you to pay any money at any point in the hiring process with the exception of reimbursable travel expenses. In addition, any payments made by Kerry will be from official firm accounts bearing the Kerry name. Recruiter: #LI-RG1 Posting Type: LI

The Charge Entry Specialist is responsible for accurately entering and reviewing patient charges into the billing system based on medical documentation and provider coding. This role ensures correct data entry to support timely and accurate medical claims processing, helping optimize revenue collection for the healthcare organization. Key Responsibilities: Review and enter charges based on patient encounters, documentation, and coding provided by healthcare providers. Ensure accuracy of CPT, ICD-10, and HCPCS codes, modifiers, and other billing data. Verify patient demographics, insurance details, and authorizations for charge entry. Communicate with coders or providers for any missing or unclear information. Ensure all charges are entered within the required timelines for billing submission. Assist in resolving claim rejections related to charge entry errors. Maintain compliance with HIPAA and all relevant federal and state billing regulations. Collaborate with billing, coding, and collections teams to optimize revenue cycle efficiency. Participate in audits and quality control activities related to charge capture. Qualifications: High School Diploma or equivalent required; Associate’s or Bachelor's degree in healthcare administration or related field preferred. 1–2 years of experience in medical billing, charge entry, or revenue cycle. Knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and billing guidelines. Proficiency with billing software (e.g., Epic, eClinicalWorks, Kareo, etc.). Strong attention to detail, organizational skills, and ability to meet deadlines. Excellent communication and teamwork skills. Preferred Qualifications: Certification in medical billing/coding (e.g., CPC, CCA) is a plus. Contact HR : 9566382195 Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Monday to Friday Work Location: In person

Requisition ID: 58143 Position Type: FT Permanent Workplace Arrangement About Kerry Kerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the world. Our vision is to be our customers' most valued partner, creating a world of sustainable nutrition. A career with Kerry offers you an opportunity to shape the future of food while providing you opportunities to explore and grow in a truly global environment. About The Role In the role as Key Accounts Manager – ProActive Health, you will be responsible for managing and growing our Proactive Health technologies into the IS market, in close collaboration with key stakeholders. This role will include working directly with leading Pharmaceutical, Nutritional Supplements & Wellness Industry players, drawing on your established networks and relationships to build a sutainable sales pipeline across market which includes Brands, Contract Manufacturers across this ever changing and evolving category. This is an exciting opportunity to further expand and grow our clinically backed Functional Ingredients including leading Probiotics, yeast beta glucan and Botanical Extracts combined with an extensive portfolio of ingredients (flavours, functional fats, modifiers and more) that work in synergy to support innovative and category leading products to deliver on great taste and nutrition. The ideal candidate should have strong insights into the Indian subcontinent nutritional supplements and wellness category Key accounts, with excellent industry knowledge and a genuine passion to grow this exciting space. Key Responsibilities Own, build and execute an effective strategy to deliver a strong opportunity pipeline in the market for our Functional Ingredients and other newly acquired technologies. Lead cross functional teams to support selling initiatives with Key Accounts Managing the complete sales cycle & delivering on sales & margin targets Demonstrated ability to develop strategic projects, with strategic program execution and planning skills preferred. Aligned to defined strategic targets, build, and convert to sale, the opportunity pipeline which features Probiotics, Yeast Beta Glucan, Botanical Extracts and other newly acquired technologies including functional plant extracts (acquisitions) Build awareness in the market of Kerry’s emerging presence in the Functional Ingredients area by being a strong ambassador internally in Kerry and externally in the market- place. Working hand in hand with our creative R&D team, support in the development of industry leading, highly efficacious concepts to engage customers and further commercial engagements and project advancement. Developing strong customer alliances and promoting functional ingredients via participation in key Industry events (e.g. tradeshows, seminars, and conferences) Qualifications And Skills Minimum 8-12 years of experience working with Functional Ingredients (Probiotics, Botanicals, Lipids, Beta Glucan etc) with a developed knowledge of the Nutritional and Pharmaceutical supplements market. Tertiary qualifications in Applied Sciences, Nutrition and Health, Business, or other related disciplines with sound knowledge of working within the regulated environment, including a solid understanding of ingredient listings and permissible claims. Displays a passion for the Functional Ingredients & Nutritional supplements category and has a keen interest in the topics of nutrition and general wellness. A highly collaborative and team player who is an effective communicator and can deliver on the strategy with support from key internal stakeholders in the Kerry matrix structure. Strong execution skills, while displaying the ability to adopt a strategic approach. This position will require travel within the region and periodically to attend meetings at Kerry sites. Competencies Required Excellent Technical, & Functional Knowledge of Functional Ingredients Analytical & Data Oriented Excellent Communication & Presentation Skills Market Orientation Leadership skills Beware of scams online or from individuals claiming to represent us. A Kerry employee will not solicit candidates through a non-Kerry email address or phone number. In addition, Kerry does not currently utilise video chat rooms (e.g., Google Hangouts) to conduct interviews. Refuse any request that asks you to provide payment to participate in the hiring process (e.g., purchasing a “starter kit,” investing in training, or something similar). Kerry will not ask you to pay any money at any point in the hiring process with the exception of reimbursable travel expenses. In addition, any payments made by Kerry will be from official firm accounts bearing the Kerry name. Recruiter Posting Type: LI Show more Show less

Responsibilities: Accurately code physician practitioner services through review of medical record documentation and encounter forms. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/NCCI policies. Working knowledge of E/M (Inpatient & Outpatient setting), CPT coding - Medicare 1995/1997 Documentation Guidelines. Convert document into numeric format \ Enter Logs Should be aware of entire (All range of E/M codes) Should have knowledge of minor CPT codes along E/M section with E/M Should know to handle trauma charts as well. Should be aware of all E/M modifiers. Excellence in ICD10-CM and CPT coding principles and guidelines. Knowledge of medical terminology, abbreviations, techniques, and surgical procedures; anatomy and physiology; major disease processes; pharmacology . Desired Candidate Profile: Graduation, life science background preferably Biochemistry, Microbiology, Physiotherapist, Pharmacy and Nursing. Minimum of 1 years of experience in EM IP/OP Coding Should be CCS certified from AHIMA or CPC certified Strong anatomy & physiology knowledge Interested candidate can share your resume on whatsapp 8448999197/8448999198 Act Fast!!! Regards, HR Team

❗️Please note that relocation to Cyprus is required. ❗️BrainRocket takes care of Visa and other administration related costs. Embark on an exhilarating journey with BrainRocket as we amplify our IT hub in Cyprus. We're looking for an experienced Frontend Developer (Angular) to join our development team! ✅ Responsibilities: ✔️ Develop a complex iGaming platform using Angular 15 and Typescript; ✔️ Write high-quality, scalable, testable, and high-performant code; ✔️ Participate in software system testing and validation procedures, programming, and documentation; ✔️ Potentially lead assigned projects, including assigning tasks, coordinating efforts, and monitoring performance; ✔️ Provide technical advice and assist in solving programming problems; ✔️ Perform code reviews and provide feedback to ensure code quality. ✅ Requirements: ✔️ A minimum of 5 years commercial experience in web development; ✔️ At least 4 years of commercial experience with Angular 2+ (we are using Angular 17); ✔️ Proficiency with Typescript; ✔️ Familiarity with testing frameworks and test runner frameworks such as Jest; ✔️ Experience consuming REST APIs; ✔️ Clear understanding of SOLID/GRASP principles, client-side architecture, and design patterns; ✔️ Awareness of cross-browser compatibility issues and client-side performance considerations; ✔️ Awareness of cross-browser compatibility issues and client-side performance considerations; ✔️ Exceptional learning skills, problem-solving, and ability to work independently; ✔️ Solid understanding and extensive experience with tools like Git, npm, Webpack, Babel, and Linters; ✔️ Intermediate level of English. ✅ Would be a plus: ✔️ Experience in working with Nx framework; ✔️ Experience in working with TypeScript AST and writing code modifiers; ✔️ Experience with GitLab CI; ✔️ Experience in working with Docker, NGINX, and NodeJS; ✔️ Strong product eye & understanding of typical web UX. ✅ Why BrainRocket ? ✔️Official employment and full medical insurance with the highest limits in the country (including in-patient and out-patient care, maternity, dental, and annual health check-ups); ✔️ Working with a brand new MacBookPro; ✔️Competitive salary; ✔️Working in a dynamic international company; ✔️Birthday celebration present; ✔️Possibility for career and professional growth within the company; ✔️Sportscard (Multisport); ✔️Team-building events and activities; ✔️Sunny, spacious office; ✔️Wedding and newborn gifts; ✔️Up to 25 vacation days, starting from 20; Join BrainRocket and rock with us! 🚀 Show more Show less

About the Company Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. About the Role Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Responsibilities Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. Abstract additional data elements during the Chart Review process when coding, as needed. Adhere to the ethical standards of coding as established by AAPC and / or AHIMA. Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AHA guidelines. Provide documentation feedback to providers and query physicians when appropriate. Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events. Review and maintain a record of charts coded, held, and / or missing. An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records. Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so. Qualifications Life Science or Allied Medicine Graduates. Certification from AAPC or AHIMA. CIC certification preferred. 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.). Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding. ICD - 10 (CM & PCS) and DRG coding experience. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Show more Show less