Coding Expert
Hyderabad, Andhra Pradesh
IKS Health
Posted today
Job Viewed
Job Description
Key Responsibilities:
Responsible for coding charts per CMS guidelines to include CPT, ICD, HCPCS, Modifiers before
submitting to clients.
Analyse and interpret patient medical record and demographic information to identify and
determine the amount and nature of billable services as per third party payer requirements.
Research and resolve enquiries from clients and stakeholders about the right codes.
Partner and support leaders on continuous process improvement opportunities to include quality
improvement and productivity improvement initiatives.
Keep oneself abreast with the latest updates and changes and/or new regulations in the coding
domain through conferences, workshops, and in-house sessions.
Generate reports on pending queues.
Support team on an as required basis in audits on specific parameters.
Provide proactive support to analyse/review feedback reports.
Provide insights to the training team in planning training for the coders.
Should take active participation in Innovation and Automation initiatives with Team managers.
Qualifications:
● BPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a preferred.
● CCS/CPC/COC certification is a must
Functional Competencies & Role Prerequisites:
● A minimum of years and above experience in the coding domain which includes Multi speciality is a must.
● Should open to work in rotational shifts.
● Should be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits,
local and national policies (CMS guidelines).
● Good Comprehension Skills
● Detail Orientation, Coaching and Feedback Skills
● Typing Skills - Minimum expectation of - words per minute.
Behavioral Competencies:
● Team Work
● Achievement Orientation
● Communication
● Analytical Skills.
This advertiser has chosen not to accept applicants from your region.
0
Coding Specialist
Hyderabad, Andhra Pradesh
IKS Health
Posted today
Job Viewed
Job Description
Key Responsibilities:
● Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes.
● Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies.
● Remaining up-to-date with the latest revisions to coding standards and federal regulations
● Work for missing documentation and highlighting documentation opportunities.
● Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset)
● Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned
● Responsible for mentoring new joinees on the floor during the OJT phase
Qualifications:
● BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must
● AHIMA/AAPC certification is a must (For experience candidates only)
● MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage
Functional Competencies & Role Prerequisites:
● A minimum of years and above experience in the coding domain which includes the relevant speciality is a must.
● Knowledge of anatomy, physiology and medical terminologies is a must
● Good Comprehension Skills
● Detail Orientation
● Typing Skills - Minimum expectation of words per minute.
● Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred.
● Knowledge of coding specialties would be preferred
Behavioural Competencies:
● Team Work
● Achievement Orientation
● Communication
● Analytical Skills
This advertiser has chosen not to accept applicants from your region.
1
Coding Analyst
Hyderabad, Andhra Pradesh
Dynata
Posted today
Job Viewed
Job Description
Knowledge & Skill
Expectation for the Job role
This advertiser has chosen not to accept applicants from your region.
2
QA Coding
Hyderabad, Andhra Pradesh
Advantum Health
Posted today
Job Viewed
Job Description
**Job Summary**
A Quality Analyst, working within the Advantum Process Improvement team, is responsible for monitoring compliance with billing rules/regulations by conducting reviews/audits of completed work files, educating professionals about workflow, process, documentation, and best practices; and recommending appropriate corrective actions surrounding revenue cycle services. Ensuring quality and integrity in the revenue cycle is key in this role.
This position reports to the Quality Manager or other appropriate administrator within the program. The position currently exists at the Advantum Health PMO Office. To be successful in this position, employees must have a knowledge of medical terminology, medical billing/coding rules, regulations, and documentation guidelines. This position requires excellent interpersonal skills. This position requires professional discretion due to the sensitive nature of the work performed.
**Qualifications**
- Certification in healthcare services, such as Certified Procedural Coder (CPC), and three years of experience in physician coding is highly preferred
- Knowledge of Medicare and Medicaid billing rules required
- Education in related field and/or the equivalent combination of training, education, and experience, required
- 5-7 Years Medical Revenue Cycle Management (RCM) experience required with a consistent track record of achieving results
- Knowledge of clinical workflow
- Process improvement mindset and ability to impact change is a must
- Expert in Microsoft Office Products, including Word and Excel
**Responsibilities**
The following list of duties provides examples of the most typical duties for positions in this job class. Individual positions may not include all of the examples listed, nor does this list include all work that may be assigned to positions in this job class.
- Conducts revenue cycle integrity monitoring in accordance with the Advantum Health policies and standards
- Accesses revenue cycle records and billing documentation to evaluate coding and billing performance, ensuring appropriate revenue cycle practices are utilized
- Creates reports of findings to include recommendations for process improvement
- Presents findings and feedback in a positive, helpful manner to appropriate parties and provide pertinent education or guidance to improve revenue cycle coding procedures
- Distributes and maintains auditing report records and logs
- Collaborates with the education team to ensure staff understanding of best practices in documentation, coding, billing, and other revenue cycle processes through presentations, correspondence, reports, training materials, personal meetings, or education sessions
- Researches via publications and web sites governmental regulations, Medicare, Medicaid and other payer rules and guidelines in order to: maintain current knowledge of appropriate billing procedures; assist staff with billing questions and issues; and aid in the development of training materials
- Maintains current knowledge of Advantum Health policies and guidelines related to documentation, coding, billing, revenue cycle, and as assigned, other professional integrity topics.
- Develops or assists in developing training materials. Participates in a positive, helpful, receptive manner at Quality staff meetings and at other Advantum Health meetings as assigned
**Job Types**: Full-time, Regular / Permanent
Pay: ₹500,000.00 - ₹1,035,296.06 per year
**Benefits**:
- Health insurance
- Internet reimbursement
- Leave encashment
- Provident Fund
Schedule:
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (required)
Application Question(s):
- Are you a certified CPC coder?
**Experience**:
- Medical coding (required)
Shift availability:
- Day Shift (required)
**Speak with the employer**
+91
A Quality Analyst, working within the Advantum Process Improvement team, is responsible for monitoring compliance with billing rules/regulations by conducting reviews/audits of completed work files, educating professionals about workflow, process, documentation, and best practices; and recommending appropriate corrective actions surrounding revenue cycle services. Ensuring quality and integrity in the revenue cycle is key in this role.
This position reports to the Quality Manager or other appropriate administrator within the program. The position currently exists at the Advantum Health PMO Office. To be successful in this position, employees must have a knowledge of medical terminology, medical billing/coding rules, regulations, and documentation guidelines. This position requires excellent interpersonal skills. This position requires professional discretion due to the sensitive nature of the work performed.
**Qualifications**
- Certification in healthcare services, such as Certified Procedural Coder (CPC), and three years of experience in physician coding is highly preferred
- Knowledge of Medicare and Medicaid billing rules required
- Education in related field and/or the equivalent combination of training, education, and experience, required
- 5-7 Years Medical Revenue Cycle Management (RCM) experience required with a consistent track record of achieving results
- Knowledge of clinical workflow
- Process improvement mindset and ability to impact change is a must
- Expert in Microsoft Office Products, including Word and Excel
**Responsibilities**
The following list of duties provides examples of the most typical duties for positions in this job class. Individual positions may not include all of the examples listed, nor does this list include all work that may be assigned to positions in this job class.
- Conducts revenue cycle integrity monitoring in accordance with the Advantum Health policies and standards
- Accesses revenue cycle records and billing documentation to evaluate coding and billing performance, ensuring appropriate revenue cycle practices are utilized
- Creates reports of findings to include recommendations for process improvement
- Presents findings and feedback in a positive, helpful manner to appropriate parties and provide pertinent education or guidance to improve revenue cycle coding procedures
- Distributes and maintains auditing report records and logs
- Collaborates with the education team to ensure staff understanding of best practices in documentation, coding, billing, and other revenue cycle processes through presentations, correspondence, reports, training materials, personal meetings, or education sessions
- Researches via publications and web sites governmental regulations, Medicare, Medicaid and other payer rules and guidelines in order to: maintain current knowledge of appropriate billing procedures; assist staff with billing questions and issues; and aid in the development of training materials
- Maintains current knowledge of Advantum Health policies and guidelines related to documentation, coding, billing, revenue cycle, and as assigned, other professional integrity topics.
- Develops or assists in developing training materials. Participates in a positive, helpful, receptive manner at Quality staff meetings and at other Advantum Health meetings as assigned
**Job Types**: Full-time, Regular / Permanent
Pay: ₹500,000.00 - ₹1,035,296.06 per year
**Benefits**:
- Health insurance
- Internet reimbursement
- Leave encashment
- Provident Fund
Schedule:
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (required)
Application Question(s):
- Are you a certified CPC coder?
**Experience**:
- Medical coding (required)
Shift availability:
- Day Shift (required)
**Speak with the employer**
+91
This advertiser has chosen not to accept applicants from your region.
3
Coding Trainer
Hyderabad, Andhra Pradesh
Outlier
Posted today
Job Viewed
Job Description
**Outlier helps the world’s most innovative companies improve their AI models by providing human feedback. Are you an experienced software engineer who would like to lend your coding expertise to train AI models?**
**We partner with organizations to train AI large language models, helping cutting-edge generative AI models write better code. Projects typically include discrete, highly variable problems that involve engaging with these models as they learn to code. There is no requirement for previous AI experience.**
**For Indian residents only**:
**About the opportunity**:
- Outlier is looking for talented coders to help train generative artificial intelligence models
- This freelance opportunity is remote and hours are flexible, so you can work whenever is best for you
**You may contribute your expertise by**
- Crafting and answering questions related to computer science in order to help train AI models
- Evaluating and ranking code generated by AI models
**Examples of desirable expertise**:
- Currently enrolled in or completed a bachelor's degree or higher in computer science at a selective institution
- Proficiency working with one or more of the the following languages: Java, Python, JavaScript / TypeScript, C++
- Ability to articulate complex concepts fluently in English
- Excellent attention to detail, including grammar, punctuation, and style guidelines
**Payment**:
- Currently, pay rates for core project work by Tier 1 coding experts in India ranges from $13.25/hr up to $27.5/hr USD
- Rates vary based on expertise, skills assessment, location, project need, and other factors. For example, higher rates may be offered to PhDs. For non-core work, such as during initial project onboarding or project overtime phases, lower rates may apply. Certain projects offer incentive payments. Please review the payment terms for each project.
- This is a 1099 contract opportunity on the _Outlier.ai_ platform. Because this is a freelance opportunity, we do not offer internships, sponsorship, or employment. You must be authorized to work in your country of residence. If you are an international student, you may be able to sign up for Outlier if you are on a visa. You should contact your tax and/or immigration advisor with specific questions regarding your circumstances._
**We partner with organizations to train AI large language models, helping cutting-edge generative AI models write better code. Projects typically include discrete, highly variable problems that involve engaging with these models as they learn to code. There is no requirement for previous AI experience.**
**For Indian residents only**:
**About the opportunity**:
- Outlier is looking for talented coders to help train generative artificial intelligence models
- This freelance opportunity is remote and hours are flexible, so you can work whenever is best for you
**You may contribute your expertise by**
- Crafting and answering questions related to computer science in order to help train AI models
- Evaluating and ranking code generated by AI models
**Examples of desirable expertise**:
- Currently enrolled in or completed a bachelor's degree or higher in computer science at a selective institution
- Proficiency working with one or more of the the following languages: Java, Python, JavaScript / TypeScript, C++
- Ability to articulate complex concepts fluently in English
- Excellent attention to detail, including grammar, punctuation, and style guidelines
**Payment**:
- Currently, pay rates for core project work by Tier 1 coding experts in India ranges from $13.25/hr up to $27.5/hr USD
- Rates vary based on expertise, skills assessment, location, project need, and other factors. For example, higher rates may be offered to PhDs. For non-core work, such as during initial project onboarding or project overtime phases, lower rates may apply. Certain projects offer incentive payments. Please review the payment terms for each project.
- This is a 1099 contract opportunity on the _Outlier.ai_ platform. Because this is a freelance opportunity, we do not offer internships, sponsorship, or employment. You must be authorized to work in your country of residence. If you are an international student, you may be able to sign up for Outlier if you are on a visa. You should contact your tax and/or immigration advisor with specific questions regarding your circumstances._
This advertiser has chosen not to accept applicants from your region.
4
Medical Coding Analyst
Hyderabad, Andhra Pradesh
UnitedHealth Group
Posted 5 days ago
Job Viewed
Job Description
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:**
+ 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._
**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._
This advertiser has chosen not to accept applicants from your region.
5
Principal Consultant- Coding
Hyderabad, Andhra Pradesh
R1 RCM
Posted 5 days ago
Job Viewed
Job Description
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients' experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place sto Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
Position Title: Principal Consultant-(Coding Quality)
Function: Coding
Location: Chennai
Shift Timings: 12:00 to 21:00 Hrs. (flexible for 1 PM to 10 PM)
Reporting To: Director
Key Responsibilities:
+ Focus on customer centricity by ensuring that all coding practices align with client needs and expectations, enhancing customer satisfaction and relationships.
+ Ensuring that financial targets are met and resources are allocated efficiently.
+ Oversee and manage the medical coding operations across multiple specialties, ensuring accuracy, compliance, and efficiency.
+ Lead and mentor a team of coding professionals, fostering a culture of continuous improvement and professional development.
+ Collaborate with cross-functional teams to implement best practices and streamline coding processes.
+ Ensure adherence to all regulatory requirements and maintain up-to-date knowledge of coding standards.
+ Drive initiatives to enhance values for the customer and the organization.
+ Develop and implement strategic plans to meet organizational goals and objectives.
**Qualifications:**
+ Minimum of 16 years of experience in the medical coding industry.
+ Currently holding a position of Deputy General Manager (DGM) or above.
+ Proven experience in managing multispecialty coding or HIM operations.
+ MBBS graduation preferred, with management experience in Clinical Documentation Improvement (CDI).
+ Certification from AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) is required.
+ Strong leadership, communication, and organizational skills.
+ Ability to work collaboratively with diverse teams and stakeholders.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place sto Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
Position Title: Principal Consultant-(Coding Quality)
Function: Coding
Location: Chennai
Shift Timings: 12:00 to 21:00 Hrs. (flexible for 1 PM to 10 PM)
Reporting To: Director
Key Responsibilities:
+ Focus on customer centricity by ensuring that all coding practices align with client needs and expectations, enhancing customer satisfaction and relationships.
+ Ensuring that financial targets are met and resources are allocated efficiently.
+ Oversee and manage the medical coding operations across multiple specialties, ensuring accuracy, compliance, and efficiency.
+ Lead and mentor a team of coding professionals, fostering a culture of continuous improvement and professional development.
+ Collaborate with cross-functional teams to implement best practices and streamline coding processes.
+ Ensure adherence to all regulatory requirements and maintain up-to-date knowledge of coding standards.
+ Drive initiatives to enhance values for the customer and the organization.
+ Develop and implement strategic plans to meet organizational goals and objectives.
**Qualifications:**
+ Minimum of 16 years of experience in the medical coding industry.
+ Currently holding a position of Deputy General Manager (DGM) or above.
+ Proven experience in managing multispecialty coding or HIM operations.
+ MBBS graduation preferred, with management experience in Clinical Documentation Improvement (CDI).
+ Certification from AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) is required.
+ Strong leadership, communication, and organizational skills.
+ Ability to work collaboratively with diverse teams and stakeholders.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
This advertiser has chosen not to accept applicants from your region.
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6
Medical Coding - OP
Hyderabad, Andhra Pradesh
R1 RCM
Posted 5 days ago
Job Viewed
Job Description
**About US:**
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients' experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of India's Top 50 Best Workplaces for Women 2024, amongst India's Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
**Role- Medical Coder:** We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.
Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organization's infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
**Responsibilities:**
+ Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
+ Follow up with the provider on any documentation that is insufficient or unclear.
+ Communicate with other clinical staff regarding documentation.
+ Search for information in cases where the coding is complex or unusual.
+ Receive and review patient charts and documents for accuracy.
+ Review the previous day's batch of patient notes for evaluation and coding.
+ Ensure that all codes are current and active.
**Requirements:**
+ Education - Any Graduate.
+ 1 to 7 Years' experience in Medical Coding.
+ Successful completion of a certification program from AHIMA or AAPC.
+ Strong knowledge of anatomy, physiology, and medical terminology.
+ Skilled in assigning ICD-10 & CPT codes.
+ Solid oral and written communication skills.
+ Able to work independently.
+ Flexible to work from office and home as required by the business.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients' experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of India's Top 50 Best Workplaces for Women 2024, amongst India's Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
**Role- Medical Coder:** We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.
Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organization's infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
**Responsibilities:**
+ Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
+ Follow up with the provider on any documentation that is insufficient or unclear.
+ Communicate with other clinical staff regarding documentation.
+ Search for information in cases where the coding is complex or unusual.
+ Receive and review patient charts and documents for accuracy.
+ Review the previous day's batch of patient notes for evaluation and coding.
+ Ensure that all codes are current and active.
**Requirements:**
+ Education - Any Graduate.
+ 1 to 7 Years' experience in Medical Coding.
+ Successful completion of a certification program from AHIMA or AAPC.
+ Strong knowledge of anatomy, physiology, and medical terminology.
+ Skilled in assigning ICD-10 & CPT codes.
+ Solid oral and written communication skills.
+ Able to work independently.
+ Flexible to work from office and home as required by the business.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
This advertiser has chosen not to accept applicants from your region.
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Medical Coding - IP
Hyderabad, Andhra Pradesh
R1 RCM
Posted 5 days ago
Job Viewed
Job Description
**About US:**
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients' experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of India's Top 50 Best Workplaces for Women 2024, amongst India's Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
**About the role**
Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.
We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.
**Eligibility Criteria**
+ 1 to 7+ Years of work experience in IP DRG medical Coding
+ Education - Any Graduate, Postgraduate
+ Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) - Must be active during joining and verified.
+ Strong knowledge of anatomy, physiology, and medical terminology
+ Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)
+ Able to work independently and willing to adapt and change as per business/process requirement.
**Responsibilities**
+ Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures.
+ Assigned and sequenced codes accurately based on medical record documentation.
+ Assigned POA indicators correctly.
+ Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
+ Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
+ Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
+ Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients' experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of India's Top 50 Best Workplaces for Women 2024, amongst India's Top 25 Best Workplaces in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare work better for all' by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
**About the role**
Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.
We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.
**Eligibility Criteria**
+ 1 to 7+ Years of work experience in IP DRG medical Coding
+ Education - Any Graduate, Postgraduate
+ Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) - Must be active during joining and verified.
+ Strong knowledge of anatomy, physiology, and medical terminology
+ Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)
+ Able to work independently and willing to adapt and change as per business/process requirement.
**Responsibilities**
+ Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures.
+ Assigned and sequenced codes accurately based on medical record documentation.
+ Assigned POA indicators correctly.
+ Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
+ Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
+ Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
+ Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
Visit us on Facebook ( is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.
This advertiser has chosen not to accept applicants from your region.
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