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1.0 - 5.0 years
0 - 0 Lacs
hyderabad, bangalore, tamil nadu
On-site
Dears Medical Coders, Greetings From Starworth Global Solutions! We are Hiring Medical Coders/ Senior Medical Coders/QA - WFO CERTIFIED CODERS SPECIALTY: 1. HCC Coder: Coimbatore, Chennai & Mumbai _ NON certified accepted Positions: Coder/Sr. Coder Experience: 1- 4 Years 2. IPDRG: Chennai, Bangalore, Trichy, Hyderabad Positions: Coder Experience: 1-5 Years 3. E/M: Chennai, Bangalore, Trichy, Hyderabad Positions: Coder/Sr Coder Experience: 1-2 Years 4. SURGERY: Chennai, Trichy, Bangalore, Hyderabad Positions: Coder/ Sr Coder Experience: 1 -5 Years 5. Denials: Chennai Positions: Coder/ Sr Coder Experience:1 -2years Call / WhatsApp: *Gayathri HR - Whats app: 7010900395
Posted 1 week ago
1.0 - 5.0 years
0 - 0 Lacs
bangalore, chennai
On-site
We are looking for an experienced AR Caller Denial Management professional to join our growing medical billing team. The ideal candidate will be responsible for handling denied claims, analyzing the reasons for denials, and taking appropriate action to ensure maximum reimbursement. Experience : 1 to 5 years Location : Chennai, Hyderabad, Bangalore Shift : Night Shift (US Shift) Notice Period : Immediate to 15 days preferred
Posted 2 weeks ago
5.0 - 9.0 years
0 Lacs
maharashtra
On-site
As an individual with excellent domain expertise and process knowledge in Revenue Cycle Management (RCM) for Hospital facilities and Physicians, you possess a deep understanding of the differences between Facility hospital and Physician coding, particularly in specialties such as E&M-IP/OP. Your knowledge extends to EM IP/OP, APC optimization for reimbursement, UHDDS and guidelines, Level of service determination, Physical Examination & Medical Decision Making in Documentation guidelines, as well as hospital E&M coding for initial and subsequent visits. Your proficiency also includes a solid grasp of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments, Operative Reports, and other report types with their respective documentation requirements. In addition, you are well-versed in the potential consequences of risky practices like up-coding, down-coding, Fraud and abuse, inflated documentation, as well as compliance with HIPAA and CLIA rules related to claim transmission. Your responsibilities will include supervising and managing a team of over 100 Quality Analysts, creating a motivating team environment with effective communication channels, designing QA capacity planning in alignment with project requirements, delegating tasks and establishing deadlines, overseeing the Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects, ensuring quality control compliance with client Service Level Agreements (SLA), implementing the organization's Quality Management System, monitoring team performance metrics, conducting random audits of auditors, performing Root Cause Analysis (RCA) on audit observations to identify knowledge gaps, developing action plans with quality leads and operation managers, identifying training needs and providing coaching to Quality Analysts, resolving team conflicts and issues based on feedback, acknowledging high performance and rewarding accomplishments, fostering creativity and business improvement ideas, suggesting and organizing team-building activities, as well as identifying improvement opportunities and initiating action plans for enhancement.,
Posted 1 month ago
0.0 - 4.0 years
0 - 0 Lacs
bangalore, bhubaneswar, tambaram
On-site
Medical Representative Responsibilities: send your resume directly to, info@bristolvitalityhospital.com Selling the company's medications to doctors, pharmacists, and other relevant healthcare professionals. Scheduling appointments with doctors, pharmacists, and other healthcare professionals to promote company medications. Developing an in-depth understanding of company medications. Building and maintaining good business relationships with customers to encourage repeat purchases. Following up on leads generated by the company. Preparing presentations for potential customers. Researching competitors medications and their respective market performances. Keeping abreast of new developments in the medical field to determine the effect of such developments on the company's business strategies.
Posted 1 month ago
10.0 - 20.0 years
30 - 45 Lacs
hyderabad
Work from Office
Job Description for Associate Director Physician Coding Driving Company Values & Vision: As Part of the Senior Leadership team need to make sure complete span is aligned with the end goals and values of the organization. Leadership/Coaching: Provides overall leadership to teams and day-to-day leadership to all DR and Non DRs but which in the span. Coach teams to be able to identify inquiries which are beyond scope of authority and take appropriate actions. Inspire all DRs to focus on adherence to policies and processes, Fosters a positive work environment. Develops and maintains productive working relationship with Sr. Manager & Ops Managers, setting a positive example for their working relationships with their teams Career Development/Performance & Dialogue : Set goals and standards of performance for DRs and their team members which are linked to business goals; use appropriate measurement methods to monitor progress; take suitable accountability for successful completion of assignments or tasks. Provide on-going dialogue to DRs about their performance. Coaches and helps establish individual development. Continuous Improvement: Identifies and Strategies & approves process changes to improve customer experience. Maintain in-depth knowledge of client needs. Promotes and maintains a positive, professional image. Knowledge Leadership Candidate is expected to be a CPC certified coder with an ability to provide knowledge leadership by displaying a high degree of domain expertise in coding operations. As an AD, Candidate is Responsible for: The Candidate will be responsible for a span in the range of 500-700 FTEs. The span can vary depending upon process complexity and stage of business P&L Management by keeping close watch on LLR Client relationship management Upselling capabilities and performance to add further business & scope of work Identify and lead projects of high impact within the business Manage delivery of client’s expectations outlined in the scope of work SOW. Manage Day to Day Operations by applying appropriate contractual provisions (scope of work), following quality & compliance guidelines, and leveraging expert resources. Ability to oversee and manage a team that will handle coding service delivery for multiple clients/sites/facility. This role is to ensure that the Middle management are managing their teams and meets all KRAs & SLAs. Understand Operations and Corporate Compliance, Policies and Procedures and best practices. Respond to all telephonic and email inquiries for clients & onsite team in a clear, concise and timely manner. Other duties as outlined by leadership Role & responsibilities Preferred candidate profile
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