Experience: 10+ years in medical coding, with at least 3-4 years in a leadership role Specialties Preferred: [E/M IP, OP, with Cardio and Ortho Surgery Experience] Job Summary: We are seeking a highly experienced and detail-oriented Medical Coding Manager to lead our coding operations team. The ideal candidate will be responsible for overseeing coding accuracy, compliance, team performance, and client satisfaction. This role requires strong leadership, analytical thinking, and a deep understanding of coding standards and healthcare regulations. Key Responsibilities: Operational Leadership: Manage day-to-day coding operations across multiple specialties. Ensure timely and accurate coding in compliance with ICD-10, CPT, HCPCS, and payer-specific guidelines. Monitor productivity and turnaround time (TAT) to meet SLAs. Quality & Compliance Oversee internal audits and implement corrective actions based on findings. Ensure adherence to HIPAA, CMS, LCD/NCD, and other regulatory standards. Collaborate with QA teams to maintain coding accuracy benchmarks. Team Management Lead, mentor, and manage a team of coders, team leads, and QA specialists. Conduct performance reviews, set SMART goals, and manage PIPs as needed. Facilitate ongoing training and upskilling programs. Client & Stakeholder Engagement Act as the primary point of contact for client escalations and updates. Participate in client calls to discuss quality trends and process improvements. Coordinate with billing, documentation, and provider education teams. Reporting & Analytics Generate reports on coding accuracy, denial trends, and team performance. Use data insights to drive strategic decisions and resource planning. Process Improvement Identify workflow inefficiencies and implement process enhancements. Standardize SOPs and coding protocols across teams. Qualifications: Certified Professional Coder CPC mandatory Bachelor's degree in healthcare, life sciences, or related field Minimum 10+ years of coding experience with 3-4 years in a managerial role Strong knowledge of ICD-10, CPT, HCPCS, and payer-specific rules Excellent leadership, communication, and analytical skills Job Type: Full-time Pay: ₹1,548,345.83 - ₹2,100,379.09 per year Benefits: Cell phone reimbursement Food provided Health insurance Internet reimbursement Leave encashment Paid sick time Provident Fund Work Location: In person
Role Overview: Aligned to specific customer accounts, the Sales Finance Analyst will play a critical role in supporting the opportunity lifecycle, quoting, contracting, forecasting, and compliance processes. This role requires a strong analytical mindset, attention to detail, and the ability to collaborate cross-functionally with Sales, Pricing Operations, Compliance, Legal, and Finance teams. Key Responsibilities: Monitor customer entitlement and usage data regularly to identify discrepancies or potential overages. Collaborate with Pricing Operations and Compliance to resolve entitlement or usage data issues. Send monthly entitlement and usage reports to customers and account executives. Analyze current customer licensing, product usage, and identify new revenue opportunities. Support customer renewals and transitions to new commercial models. Work closely with Compliance to onboard customers and validate subscription usage data. Ensure accuracy and completeness of Quotes and Order Forms. Ensure all Orders comply with pricing and discount policies. Interface with Deals Desk, Finance, Legal, and Use Verification teams for revenue recognition and special terms & conditions. Coordinate with Order Management to ensure accurate booking of sales opportunities in ServiceNow. Support Sales teams in ensuring customer licensing compliance. Follow up with customers for additional information and maintain strong relationships with Sales teams. Qualifications & Experience: MBA (Finance) from a top B-School / CA / ICWA with at least 2 years of relevant experience OR Engineering or Management degree from a top B-School Experience in Corporate Strategy, Development, or M&A roles is preferred. Proven experience supporting Sales Representatives and managing Sales Territories. Proficiency in Microsoft Office Suite (especially Excel, PowerPoint, Word). Experience with CRM systems; Salesforce experience is highly preferred. Familiarity with ServiceNow or similar sales automation tools. Skills & Competencies: Strong analytical, critical thinking, and problem-solving abilities. Excellent communication and presentation skills. Organized with high attention to detail. Ability to prioritize and manage multiple projects under tight deadlines. Effective written and verbal communication. Team player with a positive attitude and collaborative mindset. Results-driven with a desire to learn and grow. Ability to tactically execute and write effectively. Experience leveraging AI tools or insights to enhance decision-making or workflow automation is a plus. Why Join Us? This role offers a unique opportunity to work at the intersection of Sales, Finance, and Strategy, contributing directly to revenue growth and operational excellence. You’ll be part of a dynamic team that values innovation, collaboration, and continuous improvement. Job Type: Full-time Pay: Up to ₹2,026,000.00 per year Benefits: Flexible schedule Health insurance Internet reimbursement Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Application Question(s): Experience on Salesforce? Work Location: In person
Senior Associate – RCM Accounts Receivable (AR) Location: Turbhe, Department: Revenue Cycle Management Shift Timing: 6:00 PM to 3:00 AM IST Employment Type: Full-Time Role Overview: As a Senior Associate , you will be responsible for managing the end-to-end accounts receivable process within the healthcare revenue cycle. This includes following up on outstanding claims, resolving denials, and ensuring timely payments from insurance providers. The role demands strong communication skills, analytical thinking, and a thorough understanding of payer guidelines and denial management. Core Responsibilities: Call Insurance Companies: Make outbound calls to insurance providers to follow up on outstanding claims and expedite payments. Resolve Claim Issues: Investigate and resolve denied or underpaid claims by reviewing Explanation of Benefits (EOBs) and coordinating with internal teams. Ensure Timely Payment: Work proactively to ensure claims are paid on time, including correcting errors and appealing denials. Maintain Records: Accurately document all communications and claim statuses in the billing system. Collaborate Internally: Work closely with medical billing, coding, and other internal teams to resolve discrepancies and improve processes. Stay Updated: Keep current with insurance policies, payer guidelines, procedures, and regulatory changes. Meet Targets: Achieve daily and monthly AR collection goals and contribute to overall team performance. Required Skills & Qualifications: Graduate in any discipline. 1 to 5 years of experience in Accounts Receivable within the healthcare domain. Strong verbal and written communication skills. Sound knowledge of Denial Management and Payer Guidelines . Familiarity with medical billing , RCM processes , and healthcare software . Detail-oriented with strong follow-up and organizational skills. Ability to manage time effectively and work in a fast-paced environment. Analytical and problem-solving mindset. Preferred Skills: Knowledge of end-to-end Revenue Cycle Management. Experience working with US healthcare insurance providers. Exposure to AR tools and systems used in healthcare settings. Job Type: Full-time Pay: Up to ₹600,000.00 per year Benefits: Commuter assistance Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work Location: In person
Department: Medical Coding – Mahape Job Location: Hyderabad, Telangana, India Shift Timing: Morning Shift (Monday to Friday) Weekends Off: Saturday & Sunday Position: Senior Medical Coder Key Responsibilities: Accurately code medical records using ICD-10-CM, CPT & HCPCS conventions. Interpret and analyze patient medical records for appropriate coding. Ensure compliance with coding guidelines and client-specific requirements. Meet daily productivity and quality benchmarks. Collaborate with internal teams to resolve coding-related queries. Required Qualifications: Certification from AAPC or AHIMA is mandatory. Bachelor’s degree preferred or equivalent combination of education and experience. Minimum 3+ years of experience in medical coding (Home Health coding experience is a plus). Strong analytical and organizational skills. Excellent written and verbal communication skills. Proficiency in Microsoft Office Suite and coding software tools. Desired Attributes: Ability to work independently and manage multiple tasks. High level of accuracy and attention to detail. Resilience under pressure and adaptability to diverse client needs. Commitment to maintaining confidentiality and data integrity. Job Type: Full-time Pay: ₹832,699.61 - ₹932,699.61 per year Benefits: Commuter assistance Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Work Location: In person
Designation/ Role: Director Department: Pre-Authorization Work Timing: Night Shift Qualifications: Graduate (Any Stream) Location: Shamshabad, Hyderabad Skills required: Strong leadership and mentoring skills, Excellent verbal and written English language communication skills Should have training, coaching skills. Ability to absorb key learning's and apply to own project, should have analyzing and reasoning skills. Skilled and accomplished in all aspects of the RCM industry knowledge. Excellent verbal and written communication skills. Demonstrated organizational skills, analytical abilities and problem-solving skills. Ability to manage projects to accomplish all with within internally and externally imposed deadlines. Flexibility to perform functions effectively in a multiple deadline, changing environment. Ability to work independently as well as cooperatively with a wide variety of personalities. Ability to work on multiple projects simultaneously. PC and office machine skills, including Microsoft 2003 & 2007. Experience: 14+ years of healthcare experience in RCM – AR / Pre-Auth. Responsibilities: Owns the complete P&L for PRE AUTH process. Provide leadership and focus to the project teams. Responsible for the productivity, quality, regulatory compliance and overall performance of the projects. Helping the team in handling & resolution of work-related problems, understanding & interpretation of Issues and decision making. Resource planning: Ensuring optimum utilization of resources/capacity. Ensure zero revenue shortfall for all projects. Provide input and support to sales team/BD in putting together business proposals, RFI, RFQ etc. Help develop collaterals for the PRE AUTH team and co-ordinate with marketing team. Provides new ideas to the software team to help improve the PRE AUTH process. Help develop workflow, new products for the PRE AUTH team. Learn and implement new client systems. Co-ordinate and organize training for new joiner’s as well as for existing members of the team based on the project’s requirement. Manage risk/issues. Escalation of key issues to customers /Client service manager. Interaction with the clients & taking feedback from clients and formulating Strategies to meet the client’s specific needs and expectations. Identify training gaps in the team and develop a plan with dept. trainer for retraining sessions. Tracking and maintaining historic data of various reports including production, quality, Collection’s report, Operations report & other documentations etc. Develop processes to improve productivity and quality of the team. Monitoring and managing workflow or daily targets to assure timely delivery of agreed SLA’s. Be customer focused and always look for value additions in the process. Should have good people management skills to manage large teams. Compiles and distributes PRE AUTH focus reports to the Delivery council, Weekly and as needed. Works with the Operations Head to identify trends or patterns delaying Pre Auth approvals and then coordinates measures for process improvement. Assists in interviewing Pre Auth staff. Performs other tasks as assigned. Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Mandatory Requirement: - To work in night shift only. Multiple locations activity. 20-25% travelling between locations. Job Type: Full-time Pay: ₹1,026,000.00 - ₹2,026,000.00 per year Benefits: Cell phone reimbursement Flexible schedule Food provided Health insurance Internet reimbursement Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work Location: In person
Department: Medical Coding – Mahape Job Location: Hyderabad, Telangana, India Shift Timing: Morning Shift (Monday to Friday) Weekends Off: Saturday & Sunday Position: Senior Medical Coder Key Responsibilities: Accurately code medical records using ICD-10-CM, CPT & HCPCS conventions. Interpret and analyze patient medical records for appropriate coding. Ensure compliance with coding guidelines and client-specific requirements. Meet daily productivity and quality benchmarks. Collaborate with internal teams to resolve coding-related queries. Required Qualifications: Certification from AAPC or AHIMA is mandatory. Bachelor’s degree preferred or equivalent combination of education and experience. Minimum 3+ years of experience in medical coding (Home Health coding experience is a plus). Strong analytical and organizational skills. Excellent written and verbal communication skills. Proficiency in Microsoft Office Suite and coding software tools. Desired Attributes: Ability to work independently and manage multiple tasks. High level of accuracy and attention to detail. Resilience under pressure and adaptability to diverse client needs. Commitment to maintaining confidentiality and data integrity. Job Type: Full-time Pay: ₹832,699.61 - ₹932,699.61 per year Benefits: Commuter assistance Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Work Location: In person