T3Cogno

Lead – Delivery IPDRG Location: Chennai Experience: 5+ years Certification: Any coding certification Eligibility: QA, SME Shift: Day Salary: ₹14–15 LPA Process Coach – IPDRG Location: Chennai Experience: 3+ years Certification: CCS only Eligibility: Senior Medical Coders can apply Shift: Day Salary: ₹14–15 LPA Trainer – Training IPDRG Locations: Chennai & Bengaluru Experience: 3+ years Certification: CCS only Eligibility: Senior Medical Coders can apply Shift: Day Salary: ₹12–13 LPA Show more Show less

Hi Hiring for Manager Quality, RCM Experience- 10+years Budget- As per market Location- Hyderabad Assistant Manager Quality with +2 years can apply Night Shift Interested candidates can drop their resume to Harini.c@t3cogno.com or watsapp- 9573201680

Job Title: Business Analyst – US Healthcare (RCM AR & Workflow Tools) Location: Bangalore, Chennai or Hyderabad Experience: 4–8 years Employment Type: Full-Time Job Summary: We are looking for a highly analytical and result-oriented Business Analyst with deep expertise in US Healthcare Revenue Cycle Management (RCM) – especially Accounts Receivable (AR). The ideal candidate will play a pivotal role in driving requirement analysis, workflow optimization, sprint planning, and stakeholder engagement. Experience with workflow tools and agile ceremonies is essential. Key Responsibilities: • Analyze and document end-to-end AR workflows and identify improvement opportunities • Gather, validate, and translate business requirements into clear, actionable user stories and functional specs • Facilitate and participate in sprint planning, backlog grooming, daily stand-ups, and sprint retrospectives • Collaborate closely with Operations team to align business goals with delivery timelines • Drive and coordinate User Acceptance Testing (UAT), including test case preparation and defect tracking • Create reports, dashboards, and KPIs to support product process usage monitoring • Build strong relationships with internal/external stakeholders and communicate insights and recommendations clearly • Ensure compliance with HIPAA and all relevant data protection standards Required Skills & Experience: • 4–8 years of hands-on experience in US healthcare RCM, with strong focus on AR (denials, appeals, cash posting, and collections) • Proven track record with workflow automation tools • Strong Agile experience, including sprint planning, backlog management, and delivery tracking • Experience coordinating with PMG and supporting UAT lifecycle • Exceptional communication and stakeholder management skills • Highly analytical, outcome-focused, and capable of translating business challenges into solutions Preferred Qualifications: Knowledge of healthcare EDI formats (835/837), clearinghouses, or EHR systems like Epic/Cerner

Senior Manager – Solutions (RCM) role profile that emphasizes expertise in solutions, pricing, presales, and RFPs in the Revenue Cycle Management (RCM) space: 🧠 Senior Manager – Solutions (RCM) Location: [Bangalore, Hyderabad, Chennai] Experience: 8–12+ years in RCM, presales, and solutioning 🧩 Role Overview As a Senior Manager in the Solutions team, you’ll lead end-to-end solutioning efforts for U.S. healthcare clients, especially in the RCM (Revenue Cycle Management) domain. Your core focus will be shaping value-driven solutions, responding to complex RFPs, owning pricing strategies, and partnering with sales teams during presales engagements. ✅ Key Responsibilities 🔍 Solutions & Strategy Design comprehensive end-to-end RCM solutions (Patient Access, HIM, Coding, Billing, AR, Denials, etc.) Customize offerings for provider or payer segments, integrating automation, analytics, or GenAI if applicable Translate business problems into scalable delivery models (onshore/offshore/nearshore) 💰 Pricing & Commercial Structuring Build detailed cost models and pricing strategies aligned with client KPIs and profitability targets Work closely with finance, delivery, and sales to finalize pricing structures (FTE, transaction-based, risk-share, etc.) 📄 RFP & Proposal Leadership Lead RFP/RFI response strategy, content development, and technical solution creation Ensure value articulation in all collaterals: executive summaries, case studies, solution diagrams, pricing, SLAs Manage due diligence and client Q&A processes 🤝 Presales Engagement Collaborate with sales teams during pursuit phases to articulate differentiators and present tailored value propositions Conduct client workshops, discovery sessions, and demos (if tech-enabled) Own key pursuit artifacts: solution decks, client presentations, SoWs 🧭 Cross-Functional Collaboration Partner with delivery, product, IT, and automation teams to co-develop proposals Coordinate with marketing and bid teams to ensure compelling, brand-aligned messaging 🎯 Must-Have Skills AreaRequirements Domain Deep knowledge of RCM lifecycle (front, mid, back-office) Presales & RFPs Experience leading complex, high-value healthcare RFP responses Solution Design Proven track record crafting end-to-end BPO/ITO healthcare solutions Pricing Models Strong with pricing tools (Excel/CPQ), business cases, P&Ls Communication Excellent written, verbal, and client-facing presentation skills Tools Proficient in MS PowerPoint, Excel, Word, Visio; experience with Salesforce, Loopio, RFPIO a plus Regulatory Awareness Understanding of HIPAA, CMS rules, payer guidelines 🛠 Preferred Qualifications 10+ years in RCM/healthcare BPO/KPO roles with 5+ years in solutioning/presales Prior experience in top RCM firms (e.g. Optum, Conifer, nThrive, Cognizant, GeBBS, etc.) Bachelor's degree in healthcare administration, business, or a related field; MBA or MHA preferred Experience working with AI/automation in RCM is a plus Budget - 20lpa to 24lpa

HCC Medical Coding Manager – Roles & Responsibilities 1. Coding Operations Management Supervise day-to-day coding activities related to HCC/Risk Adjustment. Allocate resources and assign work to ensure timely and accurate coding. 2. Quality Assurance Monitor coding accuracy and compliance with CMS guidelines, ICD-10-CM coding conventions, and official coding policies. Review coder audits and implement corrective actions when accuracy falls below thresholds. 3. Compliance & Risk Adjustment Ensure coding practices comply with CMS and HHS guidelines, as well as organizational standards. Support Risk Adjustment Factor (RAF) optimization efforts by ensuring all eligible diagnoses are captured. 4. Training & Development Provide regular training sessions on HCC coding updates, documentation improvement, and audit readiness. Coach and mentor coding staff to improve productivity and accuracy. 5. Documentation Improvement Support Collaborate with providers and clinical documentation improvement (CDI) teams to enhance diagnosis documentation. Educate clinicians on accurate documentation to support HCC capture. 6. Reporting & Metrics Prepare coding performance reports (accuracy, productivity, audit results) for leadership. Track KPIs and identify trends or areas of concern. 7. Audit Readiness Ensure coding teams are prepared for both internal and external audits (e.g., RADV, retrospective reviews). Address audit findings and lead remediation initiatives.

Job description AR caller/Senior AR SkillsRequired Min 1 – 3 years of revenue cycle service as AR Caller experience Excellent written & verbal communication skillGood knowledge of Microsoft tools such as Excel, Word, Power-point etc Willing to work in Night shift We also have openings in Bangalore, Chennai, Hyderabad and Mu mbai (Andheri & Turbe) Job Description Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research, available documentation including authorization, nursing notes,medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/ underpayments Caller

As an ED Profee Coder, you will be responsible for coding professional fees for physicians and other providers in the Emergency Department (ED) setting. This role requires 1-3 years of experience in the medical billing and coding field. Your primary task will involve assigning CPT, ICD-10, and HCPCS codes for services provided by doctors in the ED to ensure accurate billing and compliance with regulations. Within this position, you may have the opportunity to receive guidance on certification and training, coding guidelines and best practices, as well as insights into career growth in the medical coding field. If you are seeking a role that combines your expertise in medical coding with a focus on professional fee coding in the Emergency Department, this opportunity could be the next step in your career.,