241 Pathology Director jobs in India

• Analyze medical records and documentation to identify services provided during patient evaluations and management

• Assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations (e.g., CPT, ICD-10-CM, HCPCS)

• Ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels

• Stay up-to-date with relevant coding guidelines, including updates from regulatory bodies (e.g., Centers for Medicare and Medicaid Services, American Medical Association)

• Adhere to coding regulations, such as HIPAA (Health Insurance Portability and Accountability Act) guidelines, to ensure patient privacy and confidentiality

• Follow coding best practices and maintain a thorough understanding of coding conventions and principles

• Collaborate with healthcare professionals, including physicians, nurses, and other staff members, to obtain necessary information for coding purposes

• Communicate with providers to address coding-related queries and clarify documentation discrepancies

• Work closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement

• Conduct regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement

• Participate in coding compliance programs and initiatives to maintain accuracy and quality standards

To be considered for this position, applicants need to meet the following qualification criteria:

• Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC)

• In-depth knowledge of Evaluation and Management coding guidelines and principles

• Proficient in using coding software and Electronic Health Record (EHR) systems

• Familiarity with medical terminology, anatomy, and physiology

• Strong attention to detail and analytical skills

• Excellent communication and interpersonal skills

• Ability to work independently and as part of a team

• Compliance-oriented mindset and understanding of healthcare regulations

• Strong organizational and time management abilities

• Continuous learning mindset to stay updated on coding practices and changes

We're seeking medical coders with a minimum of 5 years of experience in E&M coding to join us in Pune. Apply now and grow your career at the fastest growing Healthcare RCM company!

• Able to deliver as per client SLAs

• Support operations through end-to-end planning and process document review

• Assist with new team member training and review overall staff performance

• Process KPI, dashboards and metrics preparations

• Excellent written and verbal communication

• Available to work from office

• Flexible to work in shifts as per business needs

• Minimum of 5 years working experience as medical coder

• Medical coding specialization in E&M is preferred

• Good knowledge of using PowerPoint, Excel and other MS Office tools

We are seeking an experienced and certified Medical Coding Trainer to facilitate training programs focused on Denial Management. The ideal candidate will possess strong analytical skills, expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, and a deep understanding of the Revenue Cycle Management (RCM) cycle. The candidate must be AHIMA/AAPC certified and demonstrate the ability to communicate effectively and handle diverse groups of coders.

• Follow the training agenda and facilitate the training sessions for Coding – Denial Management

• Utilize proficient analytic skills to accurately code medical records using ICD-10-CM, CPT conventions, and HCPCS codes

• Browse payer guidelines to collate and provide the most accurate payer-specific information

• Interpret medical records across various specialties and provide appropriate denial actions based on analysis

• Handle and train diverse groups of new hires and existing coders.

• Mentor and develop coders' capabilities in denial management within the organization

• Provide Subject Matter Expert (SME) support for transitioning clients

• Conduct focus and compliance audits for all types of coders and auditors (ATA)

• Report and analyze trainees' performance to ensure client partners are ramping up to meet client and SD/SQ team standards

• Excellent communication and people skills

• Strong analytical skills and in-depth knowledge of the Revenue Cycle Management (RCM) cycle

• Minimum 5 years of work experience

  • 3 to 4 years in medical coding

  • 1 year in denial coding management

  • 1 year in trainer role

• Proven experience in a training role within Medical Coding or a related field

• Experience in training and mentoring coders

Job Purpose

Provides in-depth medical/scientific expertise in the safety evaluation and risk management of key GSK assets or in clinical development and/or the post-marketing setting. 

Ensures scientifically sound review and interpretation of data and management of safety issues and escalates safety issues identified through the safety review process to senior management and safety governance as appropriate. Makes recommendations for the further characterization, management, and communication of safety risks.

Focus on efficiency and effectiveness to meet the needs of our Patients and HCPs. Supporting the pharmacovigilance and benefit-risk management of the assigned portfolio of GSK global assets to ensure Patient Safety globally.

If appointed as a manager (i.e., Team/Group Leader) is responsible for leadership of a team of individual contributors. Line Management (including functional matrix reports) leadership competencies include resource and team management, coaching, influencing others, collaborative working, decision making, change management, partnership, and relations management.

Key Responsibilities

Scientific/Medical Knowledge PV Expertise

Cross-functional Matrix team leadership

Communications (verbal, written) and Influencing (internal PV Governance and External LTs)

 Why you?

Basic Qualifications:

We are looking for professionals with these required skills to achieve our goals:

Preferred Qualifications:

Please visit to learn more about the comprehensive benefits program GSK offers US employees.

Why GSK?

Uniting science, technology and talent to get ahead of disease together.

GSK is a global biopharma company with a special purpose – to unite science, technology and talent to get ahead of disease together – so we can positively impact the health of billions of people and deliver stronger, more sustainable shareholder returns – as an organisation where people can thrive. We prevent and treat disease with vaccines, specialty and general medicines. We focus on the science of the immune system and the use of new platform and data technologies, investing in four core therapeutic areas (infectious diseases, HIV, respiratory/ immunology and oncology).

Our success absolutely depends on our people. While getting ahead of disease together is about our ambition for patients and shareholders, it’s also about making GSK a place where people can thrive. We want GSK to be a place where people feel inspired, encouraged and challenged to be the best they can be. A place where they can be themselves – feeling welcome, valued, and included. Where they can keep growing and look after their wellbeing. So, if you share our ambition, join us at this exciting moment in our journey to get Ahead Together.

GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.

Important notice to Employment businesses/ Agencies

GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK.

• Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations

• ·Notify or verify with physicians on all the changes and charges made

• Update changes after physician's acknowledgment

• Perform a variety of activities involving the Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Coding

• Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required

• Review insurance denials to analyze the causes and identify suitable solutions

• Discuss coding challenges, changes, or reimbursements with a physician

• Submit claims with appropriate documentation with OP notes and other information

• Update claims appropriately when patient data has been changed or corrected after charge posting

• Maintains a high degree of professional and ethical standards

• Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards

• Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences

To be considered for this position, applicants need to meet the following qualification criteria:

• Graduates in life sciences with 1 - 4 years experience in Medical Coding

• Prior experience in E&M coding, insurance, and posting required

• Experience in medical billing processes

• Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding

• CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

• Knowledge of HIPAA standards

• Prefer the Certified Professional Coding certificate

• Good knowledge of medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

Description

Lead India R&D Strategy and Execution

Clinical Development team participation and leadership

C. Synopsis / Protocol Development, Study Execution, & Study Interpretation

Trial Medical Monitoring

External Interactions

Due Diligence, Business Development and Alliance Projects

Leadership, Task Force Participation, Upper Management Accountability

Lead India Oncology Clinical Science team

Serving as Country Matter Expert

Education, Experience, Knowledge and Skills:

Skills

Knowledge

TRAVEL REQUIREMENTS:

Locations

Worker Type

Worker Sub-Type

Time Type

Job Description:

Job Purpose:

Provides medical/scientific expertise in the safety evaluation and risk management of key Client assets in clinical development and/or the post-marketing setting.
Ensures scientifically sound review and interpretation of data and management of safety issues and escalates safety issues identified through the safety review process to senior management and safety governance as appropriate. Makes recommendations for the further characterization, management, and communication of safety risks.
Focus on efficiency and effectiveness to meet the needs of our Patients and HCPs.
Supporting the pharmacovigilance and benefit-risk management of the assigned portfolio of Client global assets to ensure Patient Safety globally.
If appointed as a manager (i.e., Team/Group Leader) is responsible for leadership of a team of individual contributors. Line Management (including functional matrix reports) leadership competencies include resource and team management, coaching, influencing others, collaborative working, decision making, change management, partnership, and relations management.

Key Responsibilities:

Scientific/Medical Knowledge PV Expertise:

Responsible for signal detection and evaluation activities for assigned products.
Drives production of regulatory periodic reports and associated documentation and RMPs globally according to the agreed process and timelines; advises on content of regulatory period reports (in partnership with the product physician).
Authors the SERM safety contribution to global regulatory submissions in partnership with the product physician.
May respond to auditors/inspectors requests for information/additional information and completes corrective and preventative actions (CAPAs) within agreed timelines.
Advanced evaluation skills and analytical thinking for literature review, data gathering, data synthesis, analysis and interpretation.
Makes sound decisions based on relevant information or factors gathered from a broad range of sources, seeking help and input as needed. Identifies, evaluates, and recommends solutions to problems.
Committed to the task and able to prioritise activities effectively and meet multiple deadlines successfully and with appropriate attention to detail, setting high performance standards for quality.

Cross-functional Matrix team leadership:

Supports and Facilitates safety governance/SRTs in the clinical development and post marketing settings by assisting in the establishment and operation of cross-functional teams in any SERM to detect and address product safety issues and ensures that risk-reduction strategies are implemented appropriately in clinical study protocols and/or product labelling.
Leads or participates in cross-functional process initiatives and/or Process Workstreams to drive efforts to improve adherence to regulations, data standards, quality, and efficiency.
May author/participate in written standard updates (e.g., SOPs) to ensure policies and regulations are being adhered to correctly and consistently.
Builds strong collaborative relationships and demonstrates good matrix leadership skills, proactively providing input to matrix teams on safety issues and processes. Ability to coach and mentor others.


Communications (verbal, written) and Influencing (internal PV Governance and External LTs):

Presents complex issues to senior staff members at the Client Senior Governance Committees.
Demonstrates initiative and creativity in performing tasks and responsibilities. Proactively contributes ideas to improve existing operations.
Proactively contributes ideas to improve existing operations.
Participates in process improvement initiatives within GCSP and contributes to advancement of methodology and process by generating new ideas and proposals for implementation.
Possesses effective communication skills and is capable of presenting ideas and data clearly and concisely to a matrix team. Listens and responds appropriately to the views and feedback of others.
Robust medical/scientific writing skills are essential, as the preparation of detailed evaluations and reports on major Client products is a core feature of the role.
Effective negotiation, influencing and persuasion to enable others in the matrix to understand own perspective.

Education Requirements:

Health Sciences/Health Care Professional degree required (e.g., BSc, MS, PhD, RN/BSN/MSN, NP, RPh/B Pharm/Pharm D). Advanced degree preferred

Job Related Experience Requirements:

Substantial experience in pharmacovigilance or drug development.
Pharmacovigilance experience relating to Safety Evaluation and Risk Management, encompassing both clinical development and post-marketing activities
Knowledge/experience of international pharmacovigilance requirements (e.g., ICH, GVP modules, CIOMS initiatives) and drug development and approval processes.
Experience working in large matrix organizations