12 Msdrg Jobs

Role Overview: Zelis India is on a mission to enhance the healthcare financial experience and you will play a crucial role in this by supporting various initiatives. You will be responsible for performing comprehensive inpatient DRG validation Quality Assurance reviews to ensure accuracy of the DRG billed, managing claims, serving as a Subject Matter Expert on DRG validation, and identifying new DRG coding concepts to expand the DRG product. Your role will involve implementing and conducting quality assurance programs, preparing and conducting training for new team members, and recommending efficiencies and process improvements. Key Responsibilities: - Perform comprehensive inpatient DRG val...

As a Medical Biller / Coder, your role involves overseeing coding activities to ensure customer service and quality expectations are met. You will be the primary contact for coding questions related to Client Services and Operations. Your responsibilities include reviewing reports to identify specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will need to proactively identify issues and plan for their resolution for clients and accounts. It is crucial to maintain compliance with HIPAA and ISO standards, adhere to company policies, and review and report on process updates and team metrics with the management team. You...

Role Overview: You will be responsible for reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your main tasks will include analyzing disputes, providing explanations based on findings, managing claim dispute volume, and ensuring adherence to client turnaround times and department procedures. Additionally, you will serve as a subject matter expert for the Expert Claim Review Team, creating educational materials, conducting research, and maintaining bill review content. Key Responsibilities: - Review provider disputes for DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review - Submit explanat...

Dear Job Aspirants, Greetings From Access Healthcare.!! We are looking to hire I P DRG coders & Quality Auditors, who has 1-9 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 1 - 9 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Salary: Best in the Industry. Shift: Day Shift ...

Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) We are looking for Experienced certified EM OP Medical coders to join us. Interested candidates please call us @ 91+ 8667765320 or mail to raghul.krishansamy@coronishealth.com to book interview slot. IPDRG Coder ( 2 to 10 yrs ) * Certified People only * Experience : 2 + yrs of experience in IPDRG is must * Location : Chennai , Hyderabad * Work from Office * Competitive Salary with Food and other Benefits. * Immediate Joiners preferred IPDRG Auditors ( 4 to 10 yrs ) * Certified People only * Experience : 3 + yrs of experience in IPDRG is must * Location : Chennai , Hyderabad * Work from Office * Competitive Salary with Food and ot...

As a Medical Coder, your primary responsibility will be to review medical records and accurately assign ICD-10, CPT, and HCPCS codes. You will collaborate closely with physicians to enhance documentation and assist in denial management and appeal processes. The ideal candidate for this role should possess a strong understanding of ICD-10-CM, CPT, and HCPCS coding guidelines. Proficiency in MS-DRG, APCs, and revenue cycle processes is preferred. Previous experience in coding for inpatient, outpatient, emergency department (ED), and surgery settings is valuable. You should be able to conduct audits and validate coded records to ensure compliance with regulations. Certification as a CPC or CCS ...

The client, a US HealthCare service provider, is seeking a Quality Assurance - Inpatient Diagnosis Related Groups for their team based in Hyderabad. The ideal candidate should have at least 3+ years of experience in Inpatient DRG QA with expertise in ICD-10-CM/PCS & MS-DRG. Possession of certifications such as CCS, CIC, or CPC is required for this role. Experience in EPIC, Cerner, and 3M encoder is preferred. The candidate should demonstrate a strong understanding of Official Coding.,

As a Medical Biller / Coder, you will be responsible for overseeing coding activities to ensure customer service and quality expectations are met. You will serve as the primary contact for coding questions related to Client Services and Operations. Your role will involve reviewing reports, identifying specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will proactively identify issues and plan for their resolution for clients and accounts. It will be your duty to maintain compliance with HIPAA and ISO standards, as well as adhere to company policies. You will review and report on process updates and team metrics with ...

About Us At Zelis India, our mission is to enhance the healthcare financial experience by developing and implementing innovative solutions. We are dedicated to optimizing technology and processes for efficiency and effectiveness. Our collaborative work culture, leadership development initiatives, and global exposure opportunities create a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we strive to provide a holistic workplace experience. Our team at Zelis India maintains high standards of service delivery and contributes to our award-winning culture. Position Overview As a m...

As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensu...

Dear Job Aspirants, Greetings From Pacific BPO Pvt. Ltd.!! We are looking to hire I P DRG coders & Quality Auditors, who has 1-9 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 1 - 9 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Salary: Best in the Industry. Shift: Day Shi...

Dear Job Aspirants, Greetings From Pacific BPO Pvt. Ltd.!! We are looking to hire Quality Auditors, who has 4-10 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 4 - 10 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Mode- Work from Office (5 Days) Salary: Best in the Industr...