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0.0 - 1.0 years

2 - 5 Lacs

Chennai

Work from Office

Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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0.0 - 1.0 years

1 - 4 Lacs

Hyderabad

Work from Office

Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

3 - 8 Lacs

Hyderabad, Bengaluru

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About R1 RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role- Medical Coder We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

3 - 8 Lacs

Hyderabad, Bengaluru

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About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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4.0 - 7.0 years

3 - 7 Lacs

Hyderabad

Work from Office

Medical Coding Certified Fresher Certifications (CPC/CPC-A/CCS/ COC) About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active.:Education Any Graduate.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Familiarity with ICD-10 & CPT codes and procedures.Solid oral and written communication skills.Able to work independently. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

1 - 5 Lacs

Chennai

Work from Office

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. : Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

2 - 6 Lacs

Hyderabad

Work from Office

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. : Education Any Graduate. 1 to 7 Years experience in Medical Coding. Successful completion of a certification program from AHIMA or AAPC. Strong knowledge of anatomy, physiology, and medical terminology. Skilled in assigning ICD-10 & CPT codes. Solid oral and written communication skills. Able to work independently. Flexible to work from office and home as required by the business. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

3 - 7 Lacs

Noida, Hyderabad, Chennai

Work from Office

About the roleReview patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.Responsibilities:Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly.Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claimsAdhered to coding clinics and guidelines, and queried physicians for clarification as needed.Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.:1 to 7+ Years experience in IP DRG medical CodingEducation Any Graduate (preferable life Science Graduate)Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified.Strong knowledge of anatomy, physiology, and medical terminologyEffective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)Able to work independently and willing to adapt and change as per business/process requirement. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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1.0 - 6.0 years

3 - 7 Lacs

Hyderabad

Work from Office

About US: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of Indias Top 50 Best Workplaces for Women 2024, amongst Indias Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. Assigned and sequenced codes accurately based on medical record documentation. Assigned POA indicators correctly. Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visitr1rcm.com Visit us on Facebook

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0.0 - 1.0 years

3 - 6 Lacs

Hyderabad

Work from Office

We are looking for a highly motivated and talented individual to join our team as a Trainee in Imaging Services at Vijaya Diagnostic Centre. The ideal candidate will have a strong foundation in healthcare and imaging services, with excellent communication skills. Roles and Responsibility Assist in the operation of medical imaging equipment such as X-ray machines and CT scanners. Prepare patients for procedures and ensure their safety during imaging processes. Collaborate with radiologists and other healthcare professionals to interpret images and provide diagnoses. Maintain accurate records of patient information and imaging results. Stay updated with the latest advancements in medical imaging technology and techniques. Participate in quality improvement initiatives to enhance patient care and outcomes. Job Requirements Strong understanding of medical imaging principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment. Basic knowledge of medical terminology and anatomy. Familiarity with medical imaging software and equipment. Strong attention to detail and organizational skills. Ability to maintain confidentiality and handle sensitive information. Industry: Healthcare. Company name: Vijaya Diagnostic Centre. Reference number: 3661654d8e5a4f64.

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0.0 - 2.0 years

2 - 4 Lacs

Hyderabad

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We are looking for a highly motivated and enthusiastic individual to join our team as a Trainee in X-Ray at Vijaya Diagnostic Centre. The ideal candidate will have a strong foundation in healthcare and be eager to learn and grow with our organization. Roles and Responsibility Assist the senior staff in performing various medical procedures, including X-ray examinations. Maintain accurate records of patient information and procedure details. Ensure proper patient preparation and positioning for X-ray procedures. Collaborate with other departments to ensure seamless patient care. Participate in ongoing education and training to enhance skills and knowledge. Contribute to the development and implementation of new protocols and procedures. Job Requirements Strong understanding of medical terminology and imaging principles. Ability to work effectively in a fast-paced environment and prioritize tasks. Excellent communication and interpersonal skills. Basic knowledge of medical equipment and instruments. Ability to maintain confidentiality and handle sensitive information. Strong attention to detail and organizational skills. Additional Info For more information, please contact us at 9630724ea8fa4ee5 or email us at [insert email ID].

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1.0 - 3.0 years

3 - 6 Lacs

Chennai

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We are looking for a highly skilled and experienced Medical Data Abstractor to join our team at Omega Healthcare Management Services Pvt. Ltd., located in Chennai I. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Accurately and efficiently abstract medical data from various sources. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive information. Collaborate with team members to achieve project goals and objectives. Develop and implement effective data abstraction processes to improve quality and productivity. Identify and resolve data discrepancies or errors promptly. Participate in ongoing training and professional development to stay current with industry trends and best practices. Job Strong knowledge of medical terminology and concepts, including anatomy, physiology, and pharmacology. Excellent analytical and problem-solving skills, with attention to detail and accuracy. Ability to work independently and as part of a team, with strong communication and interpersonal skills. Proficiency in using computer software applications, including Microsoft Office and other relevant tools. Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines. Commitment to delivering high-quality results and maintaining a focus on customer satisfaction.

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1.0 - 5.0 years

2 - 3 Lacs

Pune

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We are looking for a highly skilled and experienced Assistant to join our Imaging Services team at Vijaya Diagnostic Centre. The ideal candidate will have 0 to 5 years of experience in the healthcare industry. Roles and Responsibility Assist in planning and implementing imaging services, including patient preparation and explaining procedures. Operate various medical imaging equipment, such as X-ray machines and CT scanners, under the direction of senior staff. Maintain accurate records of patient information, imaging results, and treatment plans. Collaborate with other healthcare professionals to provide comprehensive care to patients. Stay updated on the latest developments in medical imaging technology and techniques. Participate in quality improvement initiatives to enhance patient care and outcomes. Job Requirements Strong understanding of medical imaging principles and practices. Ability to work effectively in a fast-paced environment with attention to detail. Excellent communication and interpersonal skills. Ability to maintain confidentiality and handle sensitive information. Basic knowledge of medical terminology and anatomy. Familiarity with hospital policies and procedures related to patient care and safety.

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3.0 - 5.0 years

5 - 8 Lacs

Hyderabad

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You Get To Collaborate On Work closely with discovery specialists, disease area scientists and in vivo team members. Handling of laboratory animals like rat, mice, Guniea Pig and Rabbits. Dose administration to experimental animals by different routes and small animals surgery (like cannulations, CSF fluid collection) and handling, followed by compound dose preparation, administration to experimental animals. Contributing to the ongoing drug discovery programs by conducting in vivo DMPK studies for NCEs with a good knowledge of in vivo animal models. Data generation, analysis, compilation, report preparation. Regular uploading of the data. Conduct statistically supported data (analysis using win online) and deliver results in a timely manner to enable informed decision-making Understanding systems, processes, and compliance. Prepare, review, and deliver scientific presentations for internal/external use. Participate in cross-functional team activities, add value to research projects through creative ideas. Learn from top-notch drug discovery scientists across the world and opportunity to get trained in people skills. PK-PD studies in rat and mice of NCE. Who will thrive in this role M.Pharm / M.S in Pharmacology with 3-5 years of research experience in either academic or industrial R&D setting. Deep understanding in pharmacokinetics, physiology along with in vivo disease model development and testing. Prior experience in small animal handling, dosing through different routes of administration, dissections and tissue harvesting, tissue processing Fair understanding about the drug discovery process. Excellent organizational, interpersonal, and problem-solving skills Experience of working with different cross functional teams. Excellent oral and written communication skills Strong work ethic; scientific curiosity; can-do, will-do attitude. Experience in using electronic lab notebook system. If you don't meet all of the requirements listed here, we still encourage you to apply. No job description is perfect, and we might find an even more suitable opportunity that matches your experience.

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0.0 - 2.0 years

1 - 3 Lacs

Bengaluru

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We are looking for a skilled Typist to join our team at Vijaya Diagnostic Centre in the healthcare industry. The ideal candidate will have excellent documentation skills and be able to work efficiently in a fast-paced environment. Roles and Responsibility Prepare and maintain accurate and up-to-date records and documents. Develop and implement effective filing systems, both physical and digital. Provide administrative support to ensure smooth operations. Coordinate with various departments to ensure seamless communication. Maintain confidentiality and handle sensitive information with discretion. Perform other related duties as assigned by management. Job Requirements Proficient in typing with high accuracy and speed. Excellent knowledge of Microsoft Office and other productivity software. Strong organizational and time management skills. Ability to work independently and as part of a team. Good communication and interpersonal skills. Familiarity with medical terminology and healthcare procedures is an advantage.

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3.0 - 8.0 years

6 - 16 Lacs

Hyderabad

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You Get To Collaborate On Work closely with discovery specialists, disease area scientists and in vivo team members. Handling of laboratory animals like rat, mice, Guniea Pig and Rabbits. Dose administration to experimental animals by different routes and small animals surgery (like cannulations, CSF fluid collection) and handling, followed by compound dose preparation, administration to experimental animals. Contributing to the ongoing drug discovery programs by conducting in vivo DMPK studies for NCEs with a good knowledge of in vivo animal models. Data generation, analysis, compilation, report preparation. Regular uploading of the data. Conduct statistically supported data (analysis using win online) and deliver results in a timely manner to enable informed decision-making Understanding systems, processes, and compliance. Prepare, review, and deliver scientific presentations for internal/external use. Participate in cross-functional team activities, add value to research projects through creative ideas. Learn from top-notch drug discovery scientists across the world and opportunity to get trained in people skills. PK-PD studies in rat and mice of NCE. Who will thrive in this role M.Pharm / M.S in Pharmacology with 3-5 years of research experience in either academic or industrial R&D setting. Deep understanding in pharmacokinetics, physiology along with in vivo disease model development and testing. Prior experience in small animal handling, dosing through different routes of administration, dissections and tissue harvesting, tissue processing Fair understanding about the drug discovery process. Excellent organizational, interpersonal, and problem-solving skills Experience of working with different cross functional teamsExcellent oral and written communication skillsStrong work ethic; scientific curiosity; can-do, will-do attitude. Experience in using electronic lab notebook system. If you don't meet all of the requirements listed here, we still encourage you to apply. No job description is perfect, and we might find an even more suitable opportunity that matches your experience.

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2.0 - 3.0 years

3 - 4 Lacs

Gangtok

On-site

Designation: Assistant Professor- Human Physiology Key Responsibilities: Using a practical, applied approach, teaches Anatomy and Physiology courses that are in line with course and program goals to meet the needs and aspirations of the students and the community. Delivering course curriculum in classroom and/or online, which includes ensuring student awareness of course objectives, approach and evaluation techniques and planning lectures pertaining to core aspects of discipline with industrial relevance. Developing e-learning content for the LMS incorporating technology into the learning process. Encouraging students to actively participate throughout the class, field activity and on job training/apprenticeships. Facilitate, evaluate and monitor the students’ performance during field project, awareness programmes, and On Job Training at Industry. Qualifications & Skills Required : Master's Degree in Medical Anatomy/ Human Physiology/Medical Physiology/MPT. Minimum of 2-3 years of experience in the area of Human Anatomy and Physiology or related fields (equivalent combination of teaching experience in other settings may be considered). Experience in the allocation of students to the clinical environment, rotation of students, correlation of theory to practice. Experience in developing course curriculum as per international standards. Excellent verbal and written communication skills and a demonstrated competency to interact with people at all levels of the organization. Job Location: Singtam, Sikkim About Medhavi Skills University: Medhavi Skills University (MSU) is a government notified and UGC, DGT & NSDC recognized Skills University of North East India, which has been established with the passage of the Medhavi Skills University Act 2021 by the Sikkim State Government. MSU is promoted by a group of IIT / IIM Alumni with a vision to bring convergence of the skilling ecosystem with the higher education tracks by promoting in demand Skill Integrated Higher Education linked to Employability and career progression. MSU is the first of its kind pioneering university model where corporates/ industries are the stakeholders and influencers in curriculum design, programme delivery and for providing practical skills training via on-the-job training opportunities. Website: www.msu.edu.in Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹40,000.00 per month Schedule: Day shift Work Location: In person

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0.0 - 5.0 years

18 - 30 Lacs

Chennai, Bengaluru, Vellore

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Looking For Faculty Positions For below Requirements Professor/Assistant/ Professor /Associate Professor /Senior Resident in Forensic Medicine Professor/Assistant/ Professor /Associate Professor /Senior Resident in Anatomy Professor/Assistant/ Professor /Associate Professor /Senior Resident in Physiology Professor/Assistant/ Professor /Associate Professor /Senior Resident in biochemistry Location Chennai Salary Negotiable Accommodation will be Provided

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0.0 - 3.0 years

0 - 0 Lacs

Gangtok, Sikkim

On-site

Designation: Assistant Professor- Human Physiology Key Responsibilities: Using a practical, applied approach, teaches Anatomy and Physiology courses that are in line with course and program goals to meet the needs and aspirations of the students and the community. Delivering course curriculum in classroom and/or online, which includes ensuring student awareness of course objectives, approach and evaluation techniques and planning lectures pertaining to core aspects of discipline with industrial relevance. Developing e-learning content for the LMS incorporating technology into the learning process. Encouraging students to actively participate throughout the class, field activity and on job training/apprenticeships. Facilitate, evaluate and monitor the students’ performance during field project, awareness programmes, and On Job Training at Industry. Qualifications & Skills Required : Master's Degree in Medical Anatomy/ Human Physiology/Medical Physiology/MPT. Minimum of 2-3 years of experience in the area of Human Anatomy and Physiology or related fields (equivalent combination of teaching experience in other settings may be considered). Experience in the allocation of students to the clinical environment, rotation of students, correlation of theory to practice. Experience in developing course curriculum as per international standards. Excellent verbal and written communication skills and a demonstrated competency to interact with people at all levels of the organization. Job Location: Singtam, Sikkim About Medhavi Skills University: Medhavi Skills University (MSU) is a government notified and UGC, DGT & NSDC recognized Skills University of North East India, which has been established with the passage of the Medhavi Skills University Act 2021 by the Sikkim State Government. MSU is promoted by a group of IIT / IIM Alumni with a vision to bring convergence of the skilling ecosystem with the higher education tracks by promoting in demand Skill Integrated Higher Education linked to Employability and career progression. MSU is the first of its kind pioneering university model where corporates/ industries are the stakeholders and influencers in curriculum design, programme delivery and for providing practical skills training via on-the-job training opportunities. Website: www.msu.edu.in Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹40,000.00 per month Schedule: Day shift Work Location: In person

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1.0 - 3.0 years

4 - 4 Lacs

Ludhiana, Punjab, India

On-site

Contact Mr Manoj Thenua WhatsApp 639865 2832 Industry: Healthcare & Hospital Services — Obstetrics, Gynaecology, Women’s Health Operating in the tertiary-care hospital & women’s health sector, our organisation delivers comprehensive obstetrics, gynaecology, and neonatal services across India. Backed by state-of-the-art OT suites, diagnostics, and emergency units, we uphold NABH standards and patient-centric protocols. To expand our evening coverage, we seek a proactive Resident Medical Officer (RMO) with a Bachelor of Ayurvedic Medicine & Surgery (BAMS) background to support our Obstetrics & Gynaecology (OB-GYN) department. Role & Responsibilities Provide first-line clinical care to obstetric and gynaecology in-patients and walk-ins during evening shift (4 pm-11 pm), ensuring timely assessment, treatment, and escalation. Assist consultants in labour room, OT and emergency C-section preparation: pre-operative assessments, catheterisation, intravenous line insertion, and post-operative monitoring. Conduct regular rounds to record vitals, fetal heart rate, and progress notes in EMR, maintaining accurate and compliant documentation. Coordinate antenatal counselling, medication administration, and discharge instructions in alignment with hospital protocols and AYUSH guidelines where appropriate. Initiate emergency response for obstetric complications—PPH, eclampsia, foetal distress—stabilising patients until specialist arrival. Liaise with nursing staff, laboratory, radiology, and pharmacy to expedite investigations and ensure continuity of care. Skills & Qualifications Must-Have BAMS degree recognised by CCIM plus valid state medical registration. 1-3 years RMO or Junior Resident experience in obstetrics & gynaecology ward or maternity hospital. Sound knowledge of labour physiology, antenatal protocols, and postpartum management. Ability to perform basic procedures: IV cannulation, suturing, NVD assistance, neonatal resuscitation. Proficiency in EMR systems, clinical documentation, and medical terminology. Willingness to work fixed evening shift, weekends, and on-call rotation. Preferred Certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). Exposure to laparoscopic OT assistance and ultrasound basics. Fluency in regional language(s) alongside English and Hindi. Benefits & Culture Highlights Competitive salary with shift allowance and performance bonus. In-house CME sessions, PG entrance mentorship, and sponsored certifications. Collaborative, clinician-led culture committed to evidence-based women’s healthcare. Ready to elevate your OB-GYN career? Apply now to join our evening duty roster and deliver compassionate, high-quality care to women and newborns across India. Skills: nvd assistance,clinical documentation,labour physiology,postpartum management,documentation,antenatal protocols,suturing,iv cannulation,fluency in regional language(s), english, and hindi,bams degree,neonatal resuscitation,teamwork,emr systems proficiency,basic,health,basic life support (bls),art,medical terminology,laparoscopic ot assistance,healthcare,valid state medical registration,obstetrics,rmo or junior resident experience in obstetrics & gynaecology,bonus,patient care,life support,advanced cardiac life support (acls),assessment,ultrasound basics,advanced

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3.0 - 8.0 years

14 - 24 Lacs

Moradabad

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Job Title: Associate Professor – General Medicine / Ophthalmology / Dermatology / Biochemistry Location: Medical college in Moradabad Uttar Pradesh Academic Qualification: MBBS / MD/MS Contact no -96671 64071 Email Id -hrleomnoida008@gmail.com

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2.0 - 7.0 years

1 - 4 Lacs

Kochi, Bengaluru

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Designation : Medical Coder Full Time Opportunity Location : Multiple Job Description : Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatomy, Physiology and, Medical terminology - 2-4 Years- experience in Medical Coding - Certification is preferred - Fluent verbal communication abilities - Knowledge of Healthcare terminology and ICD/CPT codes - Strong reporting skills - Familiar with Microsoft Excel - Excellent typing and accuracy Location-Bangalore/Cochin/Kochi/Karnataka/Kerala

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10.0 - 15.0 years

6 - 11 Lacs

Hyderabad

Work from Office

Primary Responsibilities: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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: Graduate or Postgraduate inLife Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P 10+ years of coding experience with about 3-4 yr experience as a Team Lead Knowledge of organizational structure, workflow, and operating procedures Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Proficient in healthcare reimbursement methodologies Proven ability to manage and enable teams to reach their goals Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness 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. #njp #NTRQ

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4.0 - 9.0 years

7 - 12 Lacs

Noida

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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 settingsMultispecialty 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. External Candidate Application Internal Employee Application

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0 years

0 Lacs

Aurangabad, Maharashtra, India

On-site

Knowledge Excellent domain expertise and process knowledge about RCM for Hospital facility/Physician. Understanding of Facility hospital verses Physician coding with indepth knowledge of the specialties - E&M-IP/OP. Knowledge of EM – IP/OP, APC for optimizing the reimbursement and element of UHDDS and guidelines, Level of service determination with emphasis on Physical Examination & Medical Decision Making in Documentation guidelines, hospital E&M coding - initial/subsequent visit Good knowledge of Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments. Understanding of Operative Reports and other report types with documentation requirements. Aware of consequences of risky practices like up-coding and down-coding, Fraud and abuse, inflated documentation, HIPAA and CLIA rules mandating claim transmission. Responsibilities Will be responsible for supervising and managing a team of 100+ QAs Create an inspiring team environment with an open communication culture Design QA capacity planning as per project requirement Delegate tasks and set deadlines Manage Quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects Quality control as per client SLA Ensure effective implementation of organization’s Quality Management System Monitor team performance and report on metrics Performing random audit of auditor Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers Discover training needs and provide coaching to QAs Listen to team members’ feedback and resolve any issues or conflicts Recognize high performance and reward accomplishments Encourage creativity and business improvement ideas Suggest and organize team building activities Identify improvement opportunities and initiate action plans for improvement

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