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1.0 - 4.0 years
0 - 0 Lacs
bangalore, chennai
On-site
Experience: 1 to 4 years in RCM and Denials Salary: upto 40k (based on experience) Location: Chennai and Bangalore Night shift only Work from office only Releiving letter not mandatory Immediate joiners are preffered contact: Nandini-HR-9750358650
Posted 20 hours ago
2.0 - 6.0 years
0 Lacs
delhi
On-site
You will be responsible for managing Accounts Receivable (AR) and Denials as part of the Revenue Cycle Management process at OnSure Health LLC. Your role will involve handling medical billing and coding while ensuring efficient operations within the US healthcare system. Strong communication skills, attention to detail, and analytical abilities are essential for success in this position. Collaborating effectively with team members, utilizing healthcare RCM software, and having a high school diploma or equivalent are also required. Additional certifications in healthcare administration or medical billing would be advantageous. Join us in optimizing healthcare services and improving financial performance to enhance patient care.,
Posted 2 days ago
0.0 years
0 Lacs
Kolkata, West Bengal, India
On-site
Candidates from Kolkata can apply! (Night Shift) Job position: Customer Support Executive EXCELLENT ENGLISH COMMUNICATION Job Perks: Salary 15K to 19K (depending upon experience) Work from office Fixed weekend (Sat & Sun) off Free Cab drop facility provided No Sales, No Target Travel Allowance Subsidised meals PF & ESI available Attendance allowance of 1k per month provided Lucrative bonus of upto 15k annually available Desired Profile: Must have excellent communication skills in English (both oral and written) Willingness to work in night shift and join ASAP Other Details: Process: inbound voice process (US healthcare) Night shift 5 days working & 2 days weekly off Location Salt Lake, sector -5 , Kolkata For more details, please call HR Samya 89513 41677 Show more Show less
Posted 2 days ago
7.0 - 11.0 years
0 Lacs
maharashtra
On-site
As a Technical Lead - RPA at CitiusTech, you will be part of an Agile team responsible for designing and building healthcare applications, implementing new features, and ensuring adherence to the best coding development standards. Your primary responsibilities will include: - Developing RPA code in compliance with client's coding standards, minimizing the need for major code reviews and handholding. - Ensuring that coding standards applicable to the Customer environment are strictly followed. - Conducting peer reviews, providing feedback on coding, testing, and documentation. - Managing UAT defects to facilitate the smooth transition of bots from UAT to Pre-Prod and then to Prod. - Creating deployment plans for GoLive post UAT completion. - Collaborating with other developers throughout the implementation lifecycle. - Creating reusable and modular functions, supporting software development activities. - Ensuring the development team performs timely backups of fully functional code and securely stores backups in alignment with Environment Standards and Compliance. - Taking inputs from RPA stakeholders and ensuring Developers adhere to up-to-date standards and practices. Required Experience: - 7-8 years of relevant experience. Location: - Mumbai, Pune, Chennai, Bangalore. Educational Qualifications: - Engineering Degree - BE/ME/BTech/MTech/BSc/MSc. - RPA Developer advanced certification. - Technical certification in multiple technologies is desirable. Mandatory Technical Skills: - Minimum 3+ years of experience in Power Automate. - Proficiency in web and desktop automation. - Experience in Excel Automation and Orchestrator understanding (Assets, Configuration). - Familiarity with API calls through Power Automate. - Basic knowledge and experience in Tableau and Looker. - Hands-on experience in Power Automate Desktop and Cloud. - Understanding of AI Builder, Standard and Premium Connectors. - Working experience in US healthcare in at least one of the RCM processes (Claims/Pre adjudication/Prior authorization/Denials etc.). Good to Have Skills: - Quick learner with adaptability to change. - Attention to detail and quality consciousness. At CitiusTech, we are committed to combining IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding to humanize healthcare and make a positive impact on human lives. Our culture focuses on creating a fun, transparent, non-hierarchical, diverse work environment that promotes continuous learning and work-life balance. Our EVP, "Be You Be Awesome," reflects our dedication to creating a workplace where employees can thrive personally and professionally. We offer comprehensive benefits to support your long and rewarding career with us. Join us in solving healthcare challenges and positively impacting human lives alongside global leaders. For more information about CitiusTech, visit https://www.citiustech.com/careers and follow us on [Social Media Platforms]. Happy applying!,
Posted 3 days ago
2.0 - 5.0 years
0 - 0 Lacs
bangalore, chennai, tiruchirappalli
On-site
We are hiring Experienced AR Callers - Pune Location - Work from Office Job Role: AR Caller / Senior AR Caller / SME Experience: 1 to 5 yrs Salary: up to 45 K based on skills Location: Chennai, Trichy, Bangalore Interview Mode: Online Interview Qualification: Any degree PF Account is mandatory Skills: # Minimum 1 year experience in AR Calling Voice process with denial management # Should have work experience in denials with physician billing (CMS 1500) # Looking Immediate Joiners # Should have excellent communication skills. Interested Call / WhatsApp: 9344402033- Keerthiga HR For Immediate Response WhatsApp your CV
Posted 3 days ago
1.0 - 4.0 years
0 - 0 Lacs
bangalore, chennai
On-site
ACCOUNT RECEIVABLE CALLERS NO FRESHERS!!! At least one year of experience in AR calling and end to end denials (voice process) Chennai, Trichy and Bengaluru 30%Hike Virtual Interview Night shift Two way cab within 25 km radius It is for US health care voice process CONTACT - Subhiksha (9626256724)
Posted 3 days ago
1.0 - 4.0 years
0 - 0 Lacs
bangalore, chennai
On-site
Position Details Job Title: Executive AR Caller Experience: 1 5 Years in Medical RCM (Revenue Cycle Management) Salary: Up to 40,000 Take Home Shift: US Shifts (Night Shift Mandatory) Candidate Requirements Minimum 1 year of experience in US Healthcare RCM Strong knowledge in denial management Willingness to work night shifts Good communication skills Contact:6383196883 DEEPIKA C
Posted 4 days ago
7.0 - 11.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Technical Lead - RPA Power Automate at CitiusTech, you will be an integral part of an Agile team responsible for designing and building healthcare applications and implementing new features while ensuring adherence to the best coding development standards. Your role will involve developing RPA code in alignment with the client's mandated coding standards, with minimal code reviews and handholding. It is crucial to ensure that coding standards applicable to the Customer environment are followed diligently and that coding reviews for the team meet the expected standards. You will be responsible for performing peer reviews, providing constructive feedback on coding, testing, and documentation, and ensuring that UAT defects are promptly updated and closed to facilitate a smooth transition of bots from UAT to Pre-Prod and then to Prod. Additionally, you will be tasked with creating a deployment plan for GoLive upon the completion of UAT, assisting other developers throughout the implementation lifecycle, and creating reusable and modular functions while offering support for software development activities. The ideal candidate for this role should possess a minimum of 7-8 years of experience and hold an Engineering Degree (BE/ME/BTech/MTech/BSc/MSc) along with an advanced certification as an RPA Developer. Technical certification in multiple technologies is considered desirable. In terms of skills, mandatory technical skills for this position include a minimum of 3+ years of relevant experience in Power Automate, understanding of web and desktop automation, experience in Excel Automation, Orchestrator understanding, working on API calls through Power Automate, clear communication with other Software and Database Development Engineers, basic knowledge and experience in Tableau and Looker, exposure to other automation tools, hands-on experience in Power Automate Desktop and Cloud, understanding of AI Builder, Standard, and Premium Connectors, and working experience in US healthcare in at least one of the RCM processes. Good to have skills include being a quick learner, demonstrating the ability to adapt to change, attention to detail, and quality consciousness. CitiusTech is committed to combining the best IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding to humanize healthcare and positively impact human lives. The organization's culture fosters continuous learning, work-life balance, and a collaborative environment where innovation thrives. Join CitiusTech in shaping the future of healthcare and positively impacting human lives. Visit our website at https://www.citiustech.com/careers to learn more and apply for this exciting opportunity. Happy applying!,
Posted 5 days ago
6.0 - 10.0 years
0 Lacs
karnataka
On-site
Job Description: You should have a minimum of 6+ years of experience in Supply Chain Consulting, with a preference for experience in US Healthcare. The role requires working the Shift B (2p-11p IST) in Bangalore. Your responsibilities will include relevant Supply Chain consulting experience within the healthcare sector, focusing on cost reduction, efficiency improvements, and compliance with industry standards. Alternatively, you may have relevant Hospital Supply Chain operations experience supervising a department and/or team-based projects with a focus on process re-engineering/process improvement initiatives. Another aspect of the role involves project leadership and workplan management experience within a consulting firm setting with a focus on cost reduction, process improvement, and/or supply chain services.,
Posted 5 days ago
0.0 - 5.0 years
3 - 5 Lacs
Kolkata
Work from Office
***Greetings From You & I Consulting !**** You & I Consulting has always been in the spotlight for getting placed in 64+ MNC's PAN India. ***We are hiring for a Giant MNC (KPO) In Kolkata for a For US Healthcare Process with Fixed Saturday / Sunday Off. Hiring For Giant MNC Position: US Healthcare (Medical Billing) Location: Kolkata, India *Hurry Call or whtsapp now @ Pritha - 8116048176 Requirements: - Education Required :- 10+2 and above Fresher And Experienced Both Are Welcome ! International BPO Exp. will be a added advantage! Good communication Skill Mandatory Shift: 24x7 Shift (Home drop within the marked boundary, otherwise point drop) What We Offer:- Competitive salary and performance-based incentives. Comprehensive training and continuous learning opportunities to enhance your skills. Friendly and supportive work environment that promotes teamwork and collaboration. Career advancement opportunities based on your performance and dedication. CTC 3Lpa To 5.5Lpa In Hand + PF + Esi + and all other facilities Fixed Saturday / Sunday Off Key Responsibilities:- Help US Doctors and hospitals with proper documentation for their empanelment. Regular follow up via phone or email. Taking international calls. Keeps one updated with latest US healthcare rules & regulations. Applies critical thinking and critical decision making for completing tasks. *Hurry Call or whtsapp now @ Pritha - 8116048176 *Note :- If you encounter a busy tone or If you find our lines occupied, simply Whatsapp and share your details with us in the following format:- Full Name : Current Location : Contact No : Highest Qualification : Experience for Consideration (Total Experience) : Current Organization : Current CTC (Numeric Values only) : Expected CTC (Numeric Values only) : *Hurry Call or whtsapp now @ Pritha - 8116048176 "If you've read through the job description above and thought, 'Hey, this sounds like a perfect fit for someone I know - DO REFER YOUR FRIENDS
Posted 6 days ago
1.0 - 3.0 years
2 - 4 Lacs
Chennai
Work from Office
Schedule appointments and manage calendars. Maintain accurate and patient records and medication details. Handle patient communication, follow-ups and queries. Manage documentation of medical records. Provide general clerical and office support Required Candidate profile 1–3 years of relevant experience Prior experience in healthcare or clinical support preferred Excellent communication and coordination skills Willing to work night shift (US shift) 6:30 pm - 3:00 am
Posted 6 days ago
0.0 - 5.0 years
5 - 10 Lacs
Mohali
Work from Office
Job description Walk-in Drive For Clinical Doctors at Cotiviti, Mohali Walkin Date :4th & 5th August 2025 Walkin Timing: 9:00AM TO 1:00 PM Interview Address: IT C-7, KMG Tower, 3rd Floor, Sector-67, SAS Nagar, Mohali, Punjab, 160062. Eligibility Criteria: Education: BHMS, BAMS, BPT, BUMS, MPT, MBBS Candidates with prior US Healthcare or Clinical exp will be preferred. (Freshers/Candidates with 1-3 Years of exp) Good team player with strong interpersonal skills and high integrity. Should be ready to work in rotational shifts including night shifts. Should be ready to work from office. Job Location: Mohali, Punjab
Posted 6 days ago
0.0 - 1.0 years
3 - 6 Lacs
Chennai
Work from Office
Arzion RCM is looking for Arzion Business Solutions - Trainee AR Caller in Chennai to join our dynamic team and embark on a rewarding career journeyAssisting experienced employees with their daily tasks and responsibilities.Observing and gaining hands-on experience in various aspects of the job.Receiving feedback and guidance from supervisors and mentors.Completing assigned projects and tasks under the supervision of experienced employees.Collaborating with team members and contributing to team projects.Demonstrating a strong work ethic, positive attitude, and a willingness to learn and grow.
Posted 6 days ago
5.0 - 6.0 years
6 - 7 Lacs
Noida
Work from Office
- Offer comprehensive support through both phone and email communications. - Address complaints effectively, delivering suitable solutions and alternatives within established timeframes. - Conduct follow-ups to guarantee resolution. - Supply accurate and relevant information utilizing the appropriate tools. - Document and update notes for each call or email interaction. - Exceed expectations to prevent any inconvenience.
Posted 6 days ago
5.0 - 6.0 years
6 - 7 Lacs
Noida
Work from Office
- Offer comprehensive support through both phone and email communications. - Address complaints effectively, delivering suitable solutions and alternatives within established timeframes. - Conduct follow-ups to guarantee resolution. - Supply accurate and relevant information utilizing the appropriate tools. - Document and update notes for each call or email interaction. - Exceed expectations to prevent any inconvenience.
Posted 6 days ago
3.0 - 8.0 years
7 - 11 Lacs
Bengaluru
Work from Office
Job_Description":" Job Title: Lead Generator Sales Location: Whitefield, Bangalore About the Role We are looking for a proactive and detail-oriented Lead Generator to join our Sales Team. This role plays a key part in expanding our footprint in the US healthcare/teleradiology market by identifying and nurturing potential clients. Key Responsibilities Lead Generation: Identify, research, and generate high-quality leads in the US healthcare/teleradiology space. Cold Outreach & Appointment Setting: Contact potential clients via calls and emails, pitch our services, and schedule meetings for the sales team. CRM & Data Management: Record all lead interactions accurately using Bitrix or any CRM system (e.g., Zoho, Salesforce, HubSpot) ; manage pipelines and lead status updates. Follow-Ups: Perform timely follow-ups with prospects via email and phone to move them through the sales funnel. Payment Coordination: Support the finance team by assisting in client payment follow-ups when needed. Reporting: Prepare and share weekly/monthly reports with the sales leadership team on lead status, conversion rates, and payment updates. Tool Utilization: Use lead generation tools such as Zoho, Salesforce , HubSpot , and similar platforms to identify and verify prospect contact details. Skills & Qualifications Minimum 3 years of experience in lead generation, preferably in teleradiology, healthcare, or tech sales . Strong verbal and written communication skills; must be confident engaging with international clients. Proficiency in Microsoft Excel for data tracking and reporting. Experience using CRM platforms such as Bitrix, Zoho, Salesforce, or HubSpot. Familiarity with email prospecting/hunting tools like Hunter, Skrapp, Apollo, etc. Self-motivated, highly organized, and results-driven with strong follow-up capabilities. Prior exposure to the US healthcare market is a plus. Education Bachelordegree in Business Administration, Marketing, Healthcare Management , or a related field (preferred). ","
Posted 6 days ago
2.0 - 7.0 years
3 - 7 Lacs
Bengaluru
Work from Office
Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment.
Posted 6 days ago
1.0 - 3.0 years
0 - 0 Lacs
bangalore
On-site
Greetings from PERSONAL NETWORK !!!! DAILY GOOGLE MEET DRIVES !!!! Spot Offers DAILY !!!! AR CALLER - VOICE HEALTH INSURANCE INTERNATIONAL CALLS ( INBOND CALLS AND OUT BOND CALLS) Salary Upto 5 Lakhs Marathalli, Bangalore 6M years to 3Y Years GRADUATE / BE / MCA / BA 3.5 LPA to 4.5 LPA US shift (Rotational) Pick and drop available upto 20 to 25km Food available. virtual Interview Appointments TOMORROW Contact NUMBER @ pavitra @ 7619218164 KAVYA @ 76191 85930
Posted 6 days ago
5.0 - 10.0 years
6 - 10 Lacs
Chennai
Work from Office
Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be 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 Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience #NTRQ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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. #NTRQ
Posted 6 days ago
5.0 - 6.0 years
4 - 8 Lacs
Hyderabad
Work from Office
Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be 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 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 Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, 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. Apply Internal Employee Application
Posted 6 days ago
0.0 - 3.0 years
4 - 7 Lacs
Mumbai
Work from Office
Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player 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 #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of “Meets Expectations” or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine 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 External Candidate Application Internal Employee Application
Posted 6 days ago
1.0 - 6.0 years
3 - 7 Lacs
Chennai
Work from Office
Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. 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 Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology 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
Posted 6 days ago
0.0 - 3.0 years
2 - 6 Lacs
Bengaluru
Work from Office
Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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 Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC – Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview or offer process 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 External Candidate Application Internal Employee Application
Posted 6 days ago
0.0 - 2.0 years
4 - 8 Lacs
Hyderabad
Work from Office
Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding 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: Should be a Graduate Certified coder through AAPC or AHIMA Certified Fresher or Experience in medical coding or with any other previous experience Certifications accepted include CPC, CCS, CIC and COC – Anyone G23 (0 to 2+ years), G24 ( 3 to 5 years) If experience in Medical Coding All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview / Offer process 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
Posted 6 days ago
4.0 - 9.0 years
4 - 9 Lacs
Chennai
Work from Office
Primary Responsibilities: Identify appropriate assignment of ICD – 10 – CM and ICD – 10 – PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up – to – date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing 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 #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD – 10 (CM & PCS) and DRG coding experience 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
Posted 6 days ago
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The US healthcare industry is known for its high demand for skilled professionals, and this demand extends to job opportunities in India as well. With the globalization of healthcare services, there is a growing need for individuals with expertise in US healthcare practices in various roles within the Indian market.
The average salary range for US healthcare professionals in India varies based on experience and specialization. Entry-level positions may start at around INR 3-5 lakhs per annum, while experienced professionals can earn upwards of INR 10-15 lakhs per annum.
A typical career path in US healthcare roles may progress from roles such as Medical Coder or Healthcare Analyst to positions like Healthcare Manager, Healthcare Consultant, and eventually Healthcare Director or Chief Medical Officer.
In addition to expertise in US healthcare practices, professionals in this field may benefit from skills such as data analysis, medical billing, healthcare compliance, and proficiency in medical terminology.
As you explore job opportunities in the US healthcare sector in India, remember to showcase your skills, experience, and passion for the field during interviews. With the right preparation and confidence, you can pursue a rewarding career in this dynamic industry. Good luck!
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