2.0 - 6.0 years

0 Lacs

hyderabad, telangana

On-site

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 ...

Posted 2 weeks ago

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Quality Assurance - Inpatient Diagnosis Related Groups Jobstronaut

3.0 - 7.0 years

0 Lacs

hyderabad, telangana

On-site

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.,

Posted 3 weeks ago

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Medical Coder Truhealth now

2.0 - 6.0 years

0 Lacs

punjab

On-site

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 ...

Posted 3 weeks ago

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Inpatient DRG Sr Reviewer Zelis

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

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...

Posted 3 weeks ago

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Dispute Resolution II Zelis

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

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...

Posted 3 weeks ago

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IPDRG Medical Coders/QA Medical Coders - Pacific An Access Healthcare Pacific Bpo

1.0 - 6.0 years

3 - 8 Lacs

mumbai, chennai, thiruvananthapuram

Work from Office

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...

Posted 1 month ago

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Quality Auditor IP-DRG - Pacific An Access Healthcare Pacific Bpo

4.0 - 9.0 years

6 - 11 Lacs

Pune, Chennai, Thiruvananthapuram

Work from Office

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...

Posted 3 months ago

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