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6.0 - 11.0 years

22 - 25 Lacs

Gurugram

Remote

PFB J.D: Job Title: Medical Billing & Revenue Cycle Management (RCM) Expert (title will vary depending on current role but must be willing to work as IC) Location: Remote Contract: 6 months Experience: 8 to 12 years Job Summary We are looking for a dedicated and proactive Medical Billing & Revenue Cycle Management (RCM) Executive to join our growing team. The ideal candidate will have hands-on experience with end-to-end medical billing processes, claim submissions, payment posting, denial management, and working with US (or international) healthcare systems. This role is a critical part of our SME-focused medical billing/RCM operations. Key Responsibilities Process patient and insurance claims accurately using practice management and billing software. Submit claims to insurance companiesboth electronically and manually—ensuring all supporting documentation is included. Review, track, and resolve claim denials and rejections. Post payments from insurance providers and patients into billing systems. Follow up on outstanding accounts receivable and unpaid claims. Verify patient eligibility and coverage details as required. Communicate with insurance companies, healthcare providers, and patients to resolve billing issues. Maintain up-to-date knowledge of medical coding guidelines, payer policies, and RCM industry best practices. Prepare and present RCM/billing reports as directed by management. Contribute to process improvement and compliance initiatives. Requirements Bachelor’s degree or diploma in a relevant field (Commerce, Healthcare Administration, Life Sciences, etc.). 8 to 12 years’ experience in medical billing, RCM, or health insurance processes (US/International healthcare preferred). Familiarity with CPT, ICD-10, HCPCS codes, and common billing software/platforms (e.g., Kareo, Athena, AdvancedMD, etc.). Understanding of healthcare insurance terminology (EOB, denials, AR, etc.). Proficiency in MS Office Suite (Excel, Outlook). Strong analytical, problem-solving, and communication skills. Attention to detail and ability to work independently or in a team environment. Ability to manage multiple priorities in a fast-paced setting. Preferred Qualifications (not mandatory) Certification as a Certified Professional Coder (CPC) or similar credential. Previous experience working with SME medical billing vendors or BPO/KPO sector. Knowledge of US HIPAA compliance. Compensation and Benefits Competitive salary (commensurate with experience). Incentives/performance bonuses. Healthcare and wellness benefits. Opportunities for training and career advancement.

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1.0 - 4.0 years

3 - 6 Lacs

Mysuru, Chennai, Bengaluru

Work from Office

wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Pre Authorisation.AR Voice Process looking for AR Analyst.AR Voice to Non Voice/Semi Voice AR Operations day shift.Preferably Immediate Joinee Required Candidate profile Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice/Semi Voice AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

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0.0 - 3.0 years

2 - 5 Lacs

Noida, Ghaziabad, Greater Noida

Work from Office

Roles and Responsibilities Source candidates through various channels such as job boards, social media, employee referrals, and networking events. Conduct initial screenings and interviews to assess candidate fit for open positions. Coordinate with hiring managers to understand their requirements and provide them with qualified candidates. Maintain accurate records of candidate interactions, applications, and placements. Stay up-to-date on industry trends and best practices in recruitment to improve processes.

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2.0 - 4.0 years

2 - 4 Lacs

Noida

Hybrid

: (IT & Non IT Recruiters Both can apply.) Qualification : Graduate Experience : must have a min. of 2-3 years of experience of US recruitments.(International Hiring in US) Salary: As Per the Industry Norms Shift Timings : Night Shift - 09:00 Am To 06:00 Pm (as per USA Timings) As per IST - 6:30 pm to 3:30 pm 5 Days Working Location - Noida Sec 02, Work From Office Immediate Joiners will be Preferred. : @. . Role & responsibilities

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1.0 - 6.0 years

2 - 6 Lacs

Hyderabad

Work from Office

Dear Candidate, Greetings from Infinx Healthcare - Hyderabad. We are hiring for AR Calling. interested candidates can Send their CV's on. jyothi.babu@infinx.com or call 9014286986 JD: Good communication skills with excellent denial knowledge. Minimum 1 year of experience in denials and RCM is must. Ok with Night shift. Work from office - Location, Hyderabad Perks and benefits One Way transport [ Drop ] PF and ESIC Role: Healthcare & Life Sciences - OtherIndustry Type: IT Services & Consulting Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Healthcare & Life Sciences - Other

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0.0 - 5.0 years

0 - 3 Lacs

Ahmedabad

Work from Office

-Responsible for making calls to hospitals and clinics for follow-up regarding medical record requests after the initial submission. -Verbal communication skills - comprehending English are essential. -Freshers and Experienced both can apply.

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10.0 - 15.0 years

12 - 18 Lacs

Hyderabad

Work from Office

Generate New U.S. clients for offshore RCM services (Billing, Coding, AR) Pitch, close deals, and manage client onboarding Coordinate with India delivery team. Handle client communication, contracts and CRM Report meetings and calls in U.S. time zone Office cab/shuttle Health insurance Provident fund Annual bonus Food allowance

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1.0 - 5.0 years

0 - 3 Lacs

Mohali

Work from Office

We're Hiring ! Looking to grow your career in healthcare operations? Eligibility Verification Benefits Verification Prior Authorization Eligibility Criteria : Minimum 1+ year of RCM experience Immediate joiners preferred What We Offer: Attractive Incentives 5-Day Work A dynamic, growth-focused work environment Walk-In Drive | Mohali | DM to apply or walk in directly! Hemalatha HR -7200053787 hemalatha.bjobixoindia.com

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1.0 - 5.0 years

3 - 3 Lacs

New Delhi, Gurugram, Delhi / NCR

Work from Office

Hiring for US Healthcare Voice Process (Customer Service) Location: Sector 30, Gurgaon Shift Timings: Rotational (including night shifts) Week Offs: Rotational Transport: Both-side cab facility provided Transport allownce upto 6,000 Compensation: Upto 3.43 LPA Education: Undergraduates and graduates eligible Experience Required: Minimum 6 months in a US healthcare voice process ----- Candidate Requirements: Prior experience in a US healthcare voice-based process is mandatory (NO Freshers) Excellent spoken English and communication skills Willingness to work in rotational shifts and week offs Immediate joiners preferred

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1.0 - 3.0 years

3 - 6 Lacs

Gurugram

Work from Office

FHRM is looking for Medical Billers - Billing Executive / Senior Billing Executive to join our dynamic team and embark on a rewarding career journey Reviewing patient medical records to identify services provided and entering the corresponding billing codes into billing software. Submitting claims to insurance companies and other payers, following up on unpaid claims, and resubmitting claims as necessary. Reviewing payment information and posting payments to patient accounts. Communicating with insurance companies, patients, and healthcare providers to resolve billing issues. Verifying patient insurance eligibility and benefits and explaining insurance coverage and payment options to patients. Ensuring compliance with federal and state healthcare billing regulations. Maintaining accurate patient billing records and performing periodic audits to identify errors and discrepancies. Knowledge of medical billing codes and insurance billing processes. Strong analytical, organizational, and communication skills. Medical Billing-Payment Posting, Charge Posting, Denial Handling.

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1.0 - 4.0 years

2 - 6 Lacs

Gurugram

Work from Office

FHRM is looking for Credentialing Specialist to join our dynamic team and embark on a rewarding career journey Credential Verification: Credentialing Specialists collect and verify all relevant documents and information from healthcare providers, including medical licenses, certifications, education, training, work history, and references. Provider Enrollment: They facilitate the enrollment of healthcare providers in insurance networks and government healthcare programs by ensuring that all necessary paperwork and credentials are in order. Compliance: Credentialing Specialists ensure that healthcare providers comply with legal and regulatory requirements, as well as with the organization's policies and standards. Application Processing: They process applications for medical staff privileges or employment, which typically involves gathering and assessing information about the provider's background and qualifications. Verification of References: Credentialing Specialists contact references and previous employers to verify the provider's work history and obtain feedback on their performance and professionalism. License and Certification Monitoring: They continuously monitor the status of licenses and certifications to ensure that they are up to date. This includes tracking expiration dates and initiating renewals when necessary. Peer Review: In some cases, they assist in coordinating the peer review process, where healthcare providers are evaluated by their peers to ensure that they meet the organization's clinical and ethical standards. Database Management: They maintain accurate records and databases of healthcare providers' credentials and documentation, making this information accessible to the organization's leadership and relevant departments. Communication: Credentialing Specialists liaise with healthcare providers, administrative staff, and regulatory authorities to ensure all requirements are met. Reappointment: They manage the recredentialing or reappointment process, ensuring that healthcare providers remain in compliance with all requirements for continued practice. Quality Improvement: They participate in quality improvement initiatives related to the credentialing process, making recommendations for process enhancements. Compliance with Accreditation Standards: They ensure that the credentialing process aligns with the accreditation standards of relevant accrediting bodies. Freshers may apply (with US dialing experience)

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4.0 - 7.0 years

6 - 9 Lacs

Bengaluru

Work from Office

Hi Vendor Partners, Please submit the profiles in the ECMS portal and share subcon details in below format. Without UAN details in submitted profiles will not be considered. UAN details are mandatory for all profile submissions. Please work on below request as soon as possible and submit quality profiles. PFB the Job Description and also a format in which profile needs to be shared for your reference. Note : Please do not share details as per your format, however it is difficult for us to track candidate detail . Therefore all the candidate details should be mentioned in below sequence only. Date * (dd-mmm-yyyy) Vendor Email id * Req # * Candidate Name * Phone No. * E -mail ID & SKPYE ID * Current Location* Location Applied for Relevant Skill Rating on 5 point scale (1 being low & 5 being high ) (please rate on basis of submissions made) Total Notice Period * (in days) Billing Rate * (Per Day) Availability in 3 slots* Relocation * YES/ NO Candidate agreed to join as Subcon *YES/ NO Was Candidate as ex-Infoscian (Y/N) If Y share the Infosys employee # Number of Openings* 2 ECMS Request no in sourcing stage * 534170, 534172 Duration of contract* 12 months Total Yrs. of Experience* 4 TO 7 Relevant Yrs. of experience* 4 TO 7 Detailed JD *(Roles and Responsibilities) Minimum 5+ years of experience as QA professional to support the migration of legacy C# WinForms applications to React JS. The role involves validating functionality, performance, and data integrity across both legacy and modernized systems. Review requirements and technical specs for test planning Design and execute test cases for both WinForms and React JS apps Perform functional, regression, integration, and UI testing Validate backend logic and data consistency in SQL Server and Aurora Collaborate with developers to identify and resolve defects Support automation efforts and CI/CD pipeline integration Document test results and maintain traceability Mandatory skills* 1) Manual and automated testing experience (Selenium, Postman, JIRA, TestRail) 2) Familiarity with C# WinForms and React JS application behavior 3) Strong SQL skills for data validation 4) Experience in testing backend logic and data consistency in SQL Server and Aurora Desired skills* 1) Understanding of AWS environments 2) Support automation efforts and CI/CD pipeline integration Domain* US Healthcare Payer Approx. vendor billing rate excluding service tax* Not to exceed INR 8500/- Precise Work Location* (E. g. Bangalore Infosys SEZ or STP) Chennai only BG Check ( Before OR After onboarding) Pre onboarding Any client prerequisite BGV Agency* Is there any working in shifts from standard Daylight (to avoid confusions post onboarding)* No

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2.0 - 5.0 years

4 - 5 Lacs

Mohali, Chandigarh, Zirakpur

Work from Office

Hiring: Healthcare Voice Process Executive Location: Mohali Experience: Minimum 2 years in Healthcare Voice Process Qualification: Any Graduate Salary: Up to 5 LPA Roles & Responsibilities: Handle inbound and outbound calls related to healthcare services. Verify patient information and assist with appointment scheduling. Provide clear and accurate information regarding medical procedures and insurance details. Desired Skills & Experience: Minimum 3 years of experience in a healthcare voice process. Strong communication skills in English. Ability to handle sensitive patient information with discretion. Familiarity with medical terminology and healthcare procedures. Why Join Us? Competitive salary up to 5 LPA. Opportunity to work with leading healthcare providers. Dynamic and supportive work environment. How to Apply: Interested candidates can send their updated resume to mansi.sharma@manpower.co.in

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1.0 - 5.0 years

5 - 7 Lacs

Bangalore/ Bengaluru

Work from Office

We are Hiring for International voice process !! Qualification : Grad / UG ( Fresher / exp ) Location:Bangalore Salary:Upto 55k Shifts :Rotational Virtual interview !! Call or whatsapp manya @ 9901777673 / 6364808230 / 9606521172 Required Candidate profile Communication skills. Service reps should be pleasant and empathetic while they're interacting with customers. Competent technical knowledge. Ability to multitask.

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0.0 - 2.0 years

2 - 6 Lacs

Gurugram

Work from Office

What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact on a real-time basis Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 0-2 years of experience in Order to Cash, specifically Cash Application role is preferable. Strong analytical skills with attention to detail and logical thinking and carry a positive attitude to develop solutions quickly Strong interpersonal skills Demonstrated consistency in values, principles, and work ethics Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Hiring for AR Caller / SR AR Caller Job Location : Bangalore Salary : 40k max Night and Day shift Exp: 1yr to 6yrs Denial Voice Exp Mandtory Immediate or 30days notice candidate can apply Feel Free to call or Whatsapp ur resume Anushya 8122771407

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1.0 - 5.0 years

2 - 5 Lacs

Chennai

Work from Office

Hiring For AR Caller / SR AR Caller Job Location: Chennai Exp : 1yr to 6yrs Denial Voice Exp Mandatory Salary: 40k max based on exp Immediate or 30 days notice candidate can apply Feel Free to Call or whatsapp ur resume to Anushya 8122771407

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2.0 - 3.0 years

7 - 8 Lacs

Noida

Work from Office

Kindly apply candidates those who have background of Property and Casualty or must have managed Complex process** Minimum 2 Years Of Experience On Papers Team Leader Should have exp. back office and must have handle 15+ team size

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1.0 - 3.0 years

2 - 4 Lacs

Hyderabad, Mumbai (All Areas)

Work from Office

Hiring for AR Caller || night shifts || UP T0 40k Take home || HYD || MUMBAI Experience : Min 1 year of experience into AR Calling Package : Up to 40K Take home Locations : Hyderabad & Mumbai Qualification : Inter & Above Notice Period : Preferred Immediate Joiners Cab : 1 Way cab facility Interview Mode : Virtual Interested candidates can share your updated resume to HR LAVANYA - 9063062913 Email : lavanya05.axisservices@gmail.com (share resume via WhatsApp or Email ) Refer your friend's / Colleagues

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0.0 - 3.0 years

3 - 3 Lacs

Gurugram

Work from Office

Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and reassure them to become self-sufficient Preferred candidate profile Minimum 6 months to 3 years of experience in international voice process (preferably Healthcare & Welfare). Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design) Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility or Transport Allowance Medical Insurance Life Insurance

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6.0 - 11.0 years

8 - 9 Lacs

Chennai, Thiruvananthapuram

Work from Office

Monitors, directs and evaluates coding production on a daily basis. Ensures that daily schedules are met and communicates with US Operational Manager and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay coding, implements measures/schedules to return to established coding schedules at the earliest possible time. Identifies day-to-day operational priorities and other workflow issues; adjusts coders, and other staff as necessary to ensure a constant flow of work so that delivery schedules are met, while respecting other parameters, such as login usage and quality/compliance considerations. Emphasizes productivity goals and takes action to ensure effective and efficient use of staff is maintained. Creatively plans for allocation of extra capacity for backlog coding. Tracks performance to ensure that staff is performing in alignment with the expectations of our clients. Responds to and ensures that the acknowledgement mail on daily updates is sent to US. Ensures client mails are promptly responded to. Codes actively alongside their team to stay abreast of all coding guidelines and processes. Helps to coordinate and follow through on the training plans for adding new trainees onto an account. Guideline updates Co-ordinate with the QA staff to ensure that the update is understood by the coders. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need : Any Life science, Paramedical Graduates and Postgraduates 6+ Years of Experience in Multispecialty Profee coding Valid certification from AAPC or AHIMA Leads experienced support professionals who exercise latitude and independence in assignments Responsible for leading daily operations or act as assistant to the supervisor What Would Be Nice to Have : Experience working in multiple specialties like E/M, ED, Denials Prior experience in handling client communication or audits Exposure to US Healthcare RCM process Proficiency in coding platforms or tools Ability to train or mentor Junior coders Basic understanding of compliance and HIPAA regulations

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3.0 - 8.0 years

9 - 13 Lacs

Gurugram

Work from Office

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. Primary Responsibilities: Drive Six Sigma quality culture in the organization Identify issues and challenges, lead/facilitate improvement projects, measure and validate project results, and facilitate successful implementation of all facets of process improvements or changes identified Execute a data-driven, statistical approach to problem solving, including gathering, analyzing and reporting data Define appropriate metrics to gage processes performance through structured reporting governance model Presenting project analysis and findings to senior leadership to obtain the approval, funding and other requirements to resolve the issue. Manage Bright Idea program Process trainings deployment which includes training need identification, preparation of training decks and training delivery. Collaborate well with US quality & operations teams Provide support for 200-400 FTEs and/or 5-10 mid to highly complex businesses Project Management Design Thinking Uses various tools and methods to align and prioritize resources on projects; is articulate about effectively using resources at the right time Uses multiple ways to frame information for difference audiences to facilitate understanding and acceptance Finds multiple links between addressing and working through challenges and the goals of the work unit and the enterprise Can generate solutions to problems on own; contributes effectively to group problem solving; can make up things that work on the fly Seeks to use strengths and expertise to work with others Builds a deep understanding of key facts/data. Can answer questions when asked; can respond when challenged Easily builds relationships with important stakeholders Knows how to navigate the organization efficiently and effectively; can find resources to get things accomplished Willing to test new ideas; identify learning; and try again Identifies opportunities for improvement to processes, products, or services; recommends solutions to problems, or provides options 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 Eligibility To apply to an internal job, employees must meet the following criteria Minimum 12 months in the current role Not on Active CAP at the time of applying for the IJP Employees designated currently on G-26 & G-27 can apply for this position Employees must notify their Current Manager before applying for the IJP Last Common Review rating should be Meeting Expectations or Exceeding Expectations Required Qualifications: Six Sigma certification from a recognized certification body or previous organization is an advantage Lean Six Sigma 3+ years of projects completed and/or certified 3+ years of Moderate work experience in Six Sigma and Continuous improvement projects Experience in projects involving emerging technologies (automation, machine learning, AI, etc) Experience solving major project or customer issues Demonstrated experience in change management Proven excellent communication & presentation skills Proven exposure to a US Healthcare account in previous role or organization. Proven exposure to Revenue Cycle Management would be an advantage. Preferred Qualification: Project Management certification / Masters of Business Administrator 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. #NJP #SSCorp

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5.0 - 10.0 years

6 - 10 Lacs

Noida

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 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 #NJP #NTRQ

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0.0 - 3.0 years

2 - 6 Lacs

Bengaluru

Work from Office

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 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 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. #njp

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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

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