106 Denials Management jobs in India

**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work® Institute. We are committed to transforming the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare simpler' and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices 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.
Job Description:
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.
3 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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**About R1 RCM:**
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, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and 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, 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.
**Job Description:**
**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**About R1RCM**
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, 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.
**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**About R1 RCM:**
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, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and 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, 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.
**Job Description:**
**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**About R1RCM**
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, 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.
**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 leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

**Job Summary**
We are seeking a skilled Medical Coding Specialist with 2 to 4 years of experience to join our team in a hybrid work model. The ideal candidate will have expertise in healthcare products and medical coding. This role involves ensuring accurate coding of medical records contributing to the efficiency of healthcare services and supporting the companys mission to improve patient care. The position operates during day shifts and does not require travel.
**Responsibilities**
+ Ensure accurate and timely coding of medical records to support healthcare operations and billing processes.
+ Collaborate with healthcare professionals to verify and clarify coding information ensuring compliance with industry standards.
+ Analyze medical documentation to assign appropriate codes for diagnoses and procedures enhancing data accuracy.
+ Maintain up-to-date knowledge of coding guidelines and regulations to ensure compliance and accuracy.
+ Provide feedback and recommendations to improve coding processes and enhance overall efficiency.
+ Utilize healthcare products to streamline coding operations and improve data management.
+ Support the development and implementation of coding policies and procedures to ensure consistency and quality.
+ Participate in training sessions to stay informed about changes in coding practices and healthcare regulations.
+ Contribute to the development of coding resources and tools to assist team members in their daily tasks.
+ Assist in the preparation of reports and data analysis to support decision-making and strategic planning.
+ Communicate effectively with team members and stakeholders to ensure alignment and understanding of coding practices.
+ Monitor coding performance metrics to identify areas for improvement and implement corrective actions.
+ Collaborate with cross-functional teams to support the integration of coding systems with other healthcare applications.
**Qualifications**
+ Possess a strong understanding of medical coding principles and practices with a focus on accuracy and compliance.
+ Demonstrate proficiency in using healthcare products to enhance coding efficiency and data management.
+ Exhibit excellent analytical skills to interpret medical documentation and assign appropriate codes.
+ Show strong communication skills to collaborate effectively with healthcare professionals and team members.
+ Display a commitment to continuous learning and staying updated with coding guidelines and regulations.
+ Have a detail-oriented approach to ensure precision in coding and data entry.
+ Demonstrate the ability to work independently and as part of a team in a hybrid work environment.
**Certifications Required**
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is required.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.