209 Denials Management jobs in India
Medical Coding
Bengaluru, Karnataka
Confidential
Posted today
Job Viewed
Job Description
Job description
Skills Required
Medical Coder, Data Validation
Role & responsibilities
- Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
- Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC).
- Additional experience in facility (OPPS/IPPS) coding experience is preferred
- Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred
Experience and Skills
- Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
- Ability to interact with management personnel
- Possess strong organizational skills and attention to detail
- Ability to adapt to changing priorities while managing a wide range of projects
- Adaptive and flexible to new ideas and change
- Advanced knowledge of medical terminology, anatomy, and pharmacology
- Advanced skills utilizing official coding resources for research and problem solving
- Advanced skills and knowledge of computers, use of required software to perform job functions
Excellent written and communication skills and the ability to explain complex information
Skills Required
Medical Coder, Data Validation
This advertiser has chosen not to accept applicants from your region.
0
Medical Coding
Hyderabad, Andhra Pradesh
Confidential
Posted today
Job Viewed
Job Description
Job description
Skills Required
Medical Coder, Data Validation
Role & responsibilities
- Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
- Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC).
- Additional experience in facility (OPPS/IPPS) coding experience is preferred
- Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred
Experience and Skills
- Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
- Ability to interact with management personnel
- Possess strong organizational skills and attention to detail
- Ability to adapt to changing priorities while managing a wide range of projects
- Adaptive and flexible to new ideas and change
- Advanced knowledge of medical terminology, anatomy, and pharmacology
- Advanced skills utilizing official coding resources for research and problem solving
- Advanced skills and knowledge of computers, use of required software to perform job functions
Excellent written and communication skills and the ability to explain complex information
Skills Required
Medical Coder, Data Validation
This advertiser has chosen not to accept applicants from your region.
1
Medical Coding
Hyderabad, Andhra Pradesh
Confidential
Posted today
Job Viewed
Job Description
Job description
Skills Required
Medical Coder, Data Validation
Role & responsibilities
- Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
- Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC).
- Additional experience in facility (OPPS/IPPS) coding experience is preferred
- Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred
Experience and Skills
- Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
- Ability to interact with management personnel
- Possess strong organizational skills and attention to detail
- Ability to adapt to changing priorities while managing a wide range of projects
- Adaptive and flexible to new ideas and change
- Advanced knowledge of medical terminology, anatomy, and pharmacology
- Advanced skills utilizing official coding resources for research and problem solving
- Advanced skills and knowledge of computers, use of required software to perform job functions
Excellent written and communication skills and the ability to explain complex information
Skills Required
Medical Coder, Data Validation
This advertiser has chosen not to accept applicants from your region.
2
Medical Coding
Vellore, Tamil Nadu
Sourcetal Hiretech
Posted 1 day ago
Job Viewed
Job Description
Role: Medical Coding with a flair for technology.
Experience: 14 + Years
Currently drawing up to 10 LPA+ can apply.
Preferred immediate joiners.
Working location: - (in office role) - Vellore location.
Below will be the KRA for this role:
- Responsible for coordinating the work of the medical coding staff.
- Supervising all functions of the medical coding department
- Responsible for how the coding department operates each day and ensures that work assignments are completed on schedule by providing effective monitoring to both quantity and quality of workflow.
- Responsible for project planning and all process documentation. It also involves being responsible for quality delivery and team performance.
- Provides assistance in developing coding practice standards and policies and suggests the appropriate trainings to improve the performance of the team.
- Managing client interaction and customer engagement, as well as coordinating with client and internal teams.
- Must always strive to enhance his/her knowledge and also continually improve on established processes to be effective on the job.
- Identify & implement technology solutions that help in improving Coding efficiency.
- Ensure coding tool is working perfectly before going live by assisting with all areas of User Acceptance Testing concerning.
- Communicate medical coding process improvements as appropriate/approved to the team and ensure implementation
Requirements - Skills, Abilities, and Knowledge:
- AACP / AHIMA certified Coding certifications
- Strong expertise with ICD, CPT, HCPCS & E/M coding and multi-speciality coding
- Strong knowledge and working experience of two coding solutions or more.
- Strong experience providing leadership in reviewing and communicating third-party vendor coding and in managing junior staff.
- Strong medical terminology knowledge
- Ability to work effectively in a cross-functional team-oriented setting.
- Exceptional organizational, verbal, and written communication skills
- Strong experience in coding data for relevant clinical trials
- Strong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respect.
- Strong ability to use time efficiently, and to prioritize and plan work activities.
Strong ability to follow instructions and management directions, and to complete assigned administrative tasks on time and correctly.
**Job Types**: Full-time, Regular / Permanent
**Salary**: From ₹1,000,000.00 per year
**Benefits**:
- Provident Fund
Schedule:
- Day shift
Ability to commute/relocate:
- Vellore, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 10 years (required)
**Speak with the employer**
+91 +917019455398
Experience: 14 + Years
Currently drawing up to 10 LPA+ can apply.
Preferred immediate joiners.
Working location: - (in office role) - Vellore location.
Below will be the KRA for this role:
- Responsible for coordinating the work of the medical coding staff.
- Supervising all functions of the medical coding department
- Responsible for how the coding department operates each day and ensures that work assignments are completed on schedule by providing effective monitoring to both quantity and quality of workflow.
- Responsible for project planning and all process documentation. It also involves being responsible for quality delivery and team performance.
- Provides assistance in developing coding practice standards and policies and suggests the appropriate trainings to improve the performance of the team.
- Managing client interaction and customer engagement, as well as coordinating with client and internal teams.
- Must always strive to enhance his/her knowledge and also continually improve on established processes to be effective on the job.
- Identify & implement technology solutions that help in improving Coding efficiency.
- Ensure coding tool is working perfectly before going live by assisting with all areas of User Acceptance Testing concerning.
- Communicate medical coding process improvements as appropriate/approved to the team and ensure implementation
Requirements - Skills, Abilities, and Knowledge:
- AACP / AHIMA certified Coding certifications
- Strong expertise with ICD, CPT, HCPCS & E/M coding and multi-speciality coding
- Strong knowledge and working experience of two coding solutions or more.
- Strong experience providing leadership in reviewing and communicating third-party vendor coding and in managing junior staff.
- Strong medical terminology knowledge
- Ability to work effectively in a cross-functional team-oriented setting.
- Exceptional organizational, verbal, and written communication skills
- Strong experience in coding data for relevant clinical trials
- Strong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respect.
- Strong ability to use time efficiently, and to prioritize and plan work activities.
Strong ability to follow instructions and management directions, and to complete assigned administrative tasks on time and correctly.
**Job Types**: Full-time, Regular / Permanent
**Salary**: From ₹1,000,000.00 per year
**Benefits**:
- Provident Fund
Schedule:
- Day shift
Ability to commute/relocate:
- Vellore, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 10 years (required)
**Speak with the employer**
+91 +917019455398
This advertiser has chosen not to accept applicants from your region.
3
Manager - Medical Coding
Chennai, Tamil Nadu
UnitedHealth Group
Posted 2 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ Be able to maintain knowledge of coding and regulatory changes
+ KPIs to include but not limited to Productivity, quality, TAT, Attendance and Attrition
+ Quick turnaround using logical understanding of data
+ Manages overall personnel, performance, and operation hygiene across all assigned project(s)
+ Provide expertise and leadership in assigned functional area
+ Manage relationship with internal and external stakeholders and functions
+ Manage all client interaction and client communication. Should front end the relationship with the client
+ Review and analysis of periodic reports and metrics
+ Promotes, leads and supports quality initiatives targeted towards process improvements
+ Actively involved in the internal audit support, ensuring all compliance parameters are met
+ Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
+ Provide direction to staff; ensure resolution of problems; sets priorities
+ Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)
+ Managing attrition and building retention strategies
+ Preparation of annual business plans including operating budgets
+ Negotiating solutions, resolving conflicts and anticipating/handling critical situations
+ Providing regular performance feedback and giving frequent formal and informal coaching sessions
+ Provide support to existing team, build new team of freshers, manage quality and productivity
+ Work with onshore partners to improve team performance and ensure team growth
+ Manage career progression of team and have an attitude of servant leadership
+ Ensure team engagement and manage attrition
+ 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:**
+ Bachelor's degree, preferably in life sciences
+ Coding Certification from AAPC or AHIMA (CIC/CCS)
+ 12+ years of experience in Provider Coding - IP DRG
+ Knowledge of budgeting, cost estimating, capacity utilization principles and procedures
+ Knowledge of organizational structure, workflow, and operating procedures
+ Good understanding of US Healthcare RCM with focus on Medical Coding
+ Proficiency in IP DRG training, development of curriculum and continuous education of team with high performance outcome
+ Proficient in healthcare reimbursement methodologies
+ Proven good analytical skills
+ Proven good interpersonal and communication skills
+ Proven acumen towards employee engagements & driving customer satisfaction
+ Proven ability to develop comprehensive planning and project management
+ Proven ability to work effectively with a wide range of stakeholders
+ Proven ability to effectively handle large teams in a fast moving business environment
+ Proven ability to supervise and manage a team of frontline supervisors
+ Proven ability to manage a team of 50 to 100 coders
+ Proven ability to effectively interface with all levels of coding and auditing personnel (internal / external) and customers
**Preferred Qualifications:**
+ Experience in establishing IP coding teams with end-to-end in employee lifecycle
+ Experience in team management at Optum
_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 maintain knowledge of coding and regulatory changes
+ KPIs to include but not limited to Productivity, quality, TAT, Attendance and Attrition
+ Quick turnaround using logical understanding of data
+ Manages overall personnel, performance, and operation hygiene across all assigned project(s)
+ Provide expertise and leadership in assigned functional area
+ Manage relationship with internal and external stakeholders and functions
+ Manage all client interaction and client communication. Should front end the relationship with the client
+ Review and analysis of periodic reports and metrics
+ Promotes, leads and supports quality initiatives targeted towards process improvements
+ Actively involved in the internal audit support, ensuring all compliance parameters are met
+ Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
+ Provide direction to staff; ensure resolution of problems; sets priorities
+ Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)
+ Managing attrition and building retention strategies
+ Preparation of annual business plans including operating budgets
+ Negotiating solutions, resolving conflicts and anticipating/handling critical situations
+ Providing regular performance feedback and giving frequent formal and informal coaching sessions
+ Provide support to existing team, build new team of freshers, manage quality and productivity
+ Work with onshore partners to improve team performance and ensure team growth
+ Manage career progression of team and have an attitude of servant leadership
+ Ensure team engagement and manage attrition
+ 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:**
+ Bachelor's degree, preferably in life sciences
+ Coding Certification from AAPC or AHIMA (CIC/CCS)
+ 12+ years of experience in Provider Coding - IP DRG
+ Knowledge of budgeting, cost estimating, capacity utilization principles and procedures
+ Knowledge of organizational structure, workflow, and operating procedures
+ Good understanding of US Healthcare RCM with focus on Medical Coding
+ Proficiency in IP DRG training, development of curriculum and continuous education of team with high performance outcome
+ Proficient in healthcare reimbursement methodologies
+ Proven good analytical skills
+ Proven good interpersonal and communication skills
+ Proven acumen towards employee engagements & driving customer satisfaction
+ Proven ability to develop comprehensive planning and project management
+ Proven ability to work effectively with a wide range of stakeholders
+ Proven ability to effectively handle large teams in a fast moving business environment
+ Proven ability to supervise and manage a team of frontline supervisors
+ Proven ability to manage a team of 50 to 100 coders
+ Proven ability to effectively interface with all levels of coding and auditing personnel (internal / external) and customers
**Preferred Qualifications:**
+ Experience in establishing IP coding teams with end-to-end in employee lifecycle
+ Experience in team management at Optum
_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.
4
Medical Coding Analyst
Chennai, Tamil Nadu
UnitedHealth Group
Posted 2 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
+ 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
+ Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process
+ Fresher & 7+ months of experience in Medical coding
+ 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
+ Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process
+ Fresher & 7+ months of experience in Medical coding
+ 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
Medical Coding Analyst
Hyderabad, Andhra Pradesh
UnitedHealth Group
Posted 2 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.
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6
Medical Coding - OP
Hyderabad, Andhra Pradesh
R1 RCM
Posted 2 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.
7
Medical Coding - IP
Hyderabad, Andhra Pradesh
R1 RCM
Posted 2 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.
8
AVP - Medical coding
Chennai, Tamil Nadu
Quess Corp Limited
Posted 3 days ago
Job Viewed
Job Description
Overview: Assistant Vice President coding is responsible Prepare and present reports on coding audit findings, compliance status, and performance metrics to senior management.
Ensuring accurate coding, compliance, and revenue optimization for surgical services within the organization and are responsible for leading a team of coding professionals and collaborating with other departments, such as Health Information Management, Finance, and Compliance, to ensure alignment of coding practices with organizational goals.
Qualifications: Bachelor’s degree in clinical or healthcare information management or a related field. Relevant certifications (e.g. CCS, CPC, CPMA) are mandatory.
Strong knowledge of healthcare compliance regulations and reimbursement methodologies.
Extensive experience in medical coding, with a focus on surgery coding and strong knowledge of CPT, ICD-10-CM, HCPCS coding systems.
Experience: Minimum of 15 to 19 years of progressive experience in medical coding, coding auditing, and leadership roles, preferably in a healthcare setting and minimum of 5 years’ experience in surgical coding or auditing.
Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE
Skills and abilities: Surgery – Ortho, IVR, GI and multispecialty.
- Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG and other cardiac procedures, IVR and Radiation oncology
- Strong analytical and problem-solving abilities to interpret coding audit data and make data-driven decisions.
- Excellent communication skills to interact with coding staff, healthcare providers, and senior management, and to present audit findings effectively.
- Familiarity with health information systems and coding software tools.
ADDITIONAL AND ESSENTIAL RESPONSIBILITIES:
- Regulatory Knowledge: Strong knowledge of ICD-10-CM/PCS, CPT, coding systems, as well as a deep understanding of Medicare and Medicaid reimbursement policies.
- Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
- Stay updated on changes in coding guidelines, regulations, and reimbursement policies, ensuring the organization's adherence to these standards.
- Audit Oversight: Plan, coordinate, and oversee Surgical coding audits to evaluate the accuracy and completeness of coding practices, ensuring compliance with regulatory standards
- Data Analysis: Analyze coding audit results to identify trends, patterns, and areas for improvement, and make recommendations for corrective actions.
- Quality Improvement: Develop strategies to improve coding accuracy, documentation, and compliance within the organization.
- Technology Utilization: Stay current with coding software and technology tools to improve efficiency and accuracy in the coding process.
- Reporting: Generate reports on coding and billing performance, identifying trends, and presenting recommendations for improvement to senior management.
- Prompt response to all the emails and requirements.
- Manage the day-to-day operations to meet the monthly client deliverables with agreed SLA’s
- Monitor & suggest the effective utilization of resources across the project and review action plan developed to improve.
- Leading mentoring and monitoring the performance of Senior Manager to ensure efficiency in process operations.
- Review the quality metrics and checking the efficacy of quality improvement plans and sharing suggestions
- Creating and sustaining a dynamic environment that fosters development opportunities and motivates high performance amongst team members and organizing quality circle activities
- Understanding the customer pain points and provide innovative solutions to improve customer service level
- Define KRA’s and assess the team performance periodically
- Identify the hiring requirement basis the volume forecast and coordinate with senior leadership and hiring team.
- Review the managers progress on operational metrics and giving the real time feedback to them
- Making sure to review the team is meeting the revenue projections on monthly basis
- Implementation of automation opportunities identified by team by coordinating with respective stake holders.
- Reviewing the daily/monthly operational reports and addressing any issues
- Ensuring Skip level meeting with immediate Reportees
- Responsible for creating SOW for new RFP and review the SOP on steady state projects
- Driving the employee engagement program for team.
- Motivating the next level layers for enrolling them in leadership program to improve their leadership skills
- Sharing inputs with senior leadership team on cost optimization
- Excellent project management skills, multi-tasking, training skills.
- Develop and lead a high-performing coding and corporate quality team aligned with organizational goals.
- Continuously ensure quality standards are met across all programs.
- Achieve recruitment objectives and ensure the team is adequately staffed.
- Support and create dynamic training schedules to accelerate the onboarding and ramp-up of new coding resources.
- Ensure full adherence to utilization targets (100%) in terms of both quantity and quality.
- Drive ongoing improvements and optimization in Coding Operations.
- Provide solutions for new client and program onboarding.
- Track and monitor key performance metrics across all stages of the process.
- Regularly report on progress, updates, and key metrics.
- Identify and analyze exceptions or anomalies and provide detailed reports.
- Analyze metrics and insights, offering comprehensive narratives and recommendations.
- Implement appropriate corrective actions and preventive measures.
- Maintain clear and effective communication throughout.
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This advertiser has chosen not to accept applicants from your region.
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