1,206 Subject Matter Experts jobs in India
Subject Matter Expert
Posted 7 days ago
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Job Description
We are seeking experienced and detail-oriented Subject Matter Experts (SMEs) in Emergency Department (ED), Evaluation & Management (E/M) Outpatient/Inpatient (OP/IP) coding. The SME will be responsible for ensuring coding accuracy, compliance with regulatory guidelines, and supporting training and audit functions. This role is critical in maintaining high-quality coding standards and supporting continuous improvement initiatives.
**Primary Responsibilities:**
+ Perform high-level coding reviews for ED and E/M OP/IP encounters
+ Ensure accurate assignment of CPT, ICD-10-CM, and HCPCS codes based on documentation
+ Validate code selection against payer-specific guidelines and NCCI edits
+ Identify trends and provide feedback to improve coding accuracy and documentation quality
+ Participate in internal and external coding audits
+ Collaborate with compliance teams to address audit findings and implement corrective actions
+ Stay updated on regulatory changes (CMS, AMA, etc.) and ensure coding practices align with current standards
+ Work with cross-functional teams to streamline coding workflows
+ Provide SME input for system enhancements, coding tools, and automation initiatives
+ Support client queries and escalations related to ED and E/M coding
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Certification: CPC, CCS, or equivalent
+ 5+ years of experience in medical coding, with specialization in ED and/or E/M OP/IP coding
+ Experience with coding platforms and EMR systems (e.g., Epic, Cerner)
+ Solid understanding of coding guidelines (CPT, ICD-10-CM, HCPCS, CMS, AMA)
+ Proven excellent communication, analytical, and problem-solving skills
_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._
Subject Matter Expert
Posted 8 days ago
Job Viewed
Job Description
**Primary Responsibilities:**
+ Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
+ Abstract additional data elements during the Chart Review process when coding, as needed
+ Adhere to the ethical standards of coding as established by AAPC and / or AHIMA
+ Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria
+ Needs to constantly track and implement all the updates of AHA guidelines
+ Provide documentation feedback to providers and query physicians when appropriate
+ Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding
+ Operations Managers, and Director of Coding / Quality Management, etc.
+ Participate in coding department meetings and educational events
+ Review and maintain a record of charts coded, held, and / or missing
+ Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity
+ Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines
+ Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Life Science or Allied Medicine Graduates
+ Certification from AAPC or AHIMA (CIC certification preferred)
+ 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.)
+ Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
+ ICD - 10 (CM & PCS) and DRG coding experience
+ Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems
_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._
#NTRQ
Subject Matter Expert
Posted 8 days ago
Job Viewed
Job Description
Join a company that is pushing the boundaries of what is possible. We are renowned for our technical excellence and leading innovations, and for making a difference to our clients and society. Our workplace embraces diversity and inclusion - it's a place where you can grow, belong and thrive.
**Additional Career Level Description:**
**Knowledge and application:**
+ Applies professional knowledge and provides direction to employees according to established policies and management guidance.
**Problem solving:**
+ Works on issues requiring the analysis of data and application of sophisticated problem-solving techniques.
+ Exercises judgment and interpretation to help define procedures and policies to determine appropriate action.
**Interaction:**
+ Interaction with subordinates/peers requires interpreting and explaining information to audiences not familiar with the subject.
+ Gains cooperation of others, conducting presentations of technical information concerning specific projects or programs.
**Impact:**
+ Mistakes or failure to achieve results will cause delays in schedules, typically against a monthly plan.
+ Develops and manages routine operational plans.
**Accountability:**
+ Administers company policies that directly affect subordinate employees.
+ Takes actions to monitor and manage costs related to a section.
**Workplace type** **:**
On-site Working
**About NTT DATA**
NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo.
**Equal Opportunity Employer**
NTT DATA is proud to be an Equal Opportunity Employer with a global culture that embraces diversity. We are committed to providing an environment free of unfair discrimination and harassment. We do not discriminate based on age, race, colour, gender, sexual orientation, religion, nationality, disability, pregnancy, marital status, veteran status, or any other protected category. Join our growing global team and accelerate your career with us. Apply today.
**Third parties fraudulently posing as NTT DATA recruiters**
NTT DATA recruiters will never ask job seekers or candidates for payment or banking information during the recruitment process, for any reason. Please remain vigilant of third parties who may attempt to impersonate NTT DATA recruiters-whether in writing or by phone-in order to deceptively obtain personal data or money from you. All email communications from an NTT DATA recruiter will come from an **@nttdata.com** email address. If you suspect any fraudulent activity, please contact us ( ) .
Subject Matter Expert
Posted today
Job Viewed
Job Description
Subject Matter Expert -
- Experience - Minimum 1 year experience in any banking/insurance/nbfc sales
- Working Days - 5.5days
- Salary - 2000 - 25000
Subject Matter Expert
Posted today
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.
We are seeking experienced and detail-oriented Subject Matter Experts (SMEs) in Emergency Department (ED), Evaluation & Management (E/M) Outpatient/Inpatient (OP/IP) coding. The SME will be responsible for ensuring coding accuracy, compliance with regulatory guidelines, and supporting training and audit functions. This role is critical in maintaining high-quality coding standards and supporting continuous improvement initiatives.
Primary Responsibilities:
Required Qualifications:
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.
Subject Matter Expert
Posted today
Job Viewed
Job Description
Roles and Responsibilities
Subject Matter Expert
Must have at least 3 years of experience in any subject - English, EVS, Science, or Social Studies.
Experience should be in making content or curriculum or instructional designing in mentioned subjects.
Desired Candidate Profile
Perks and Benefits
Subject Matter Expert
Posted today
Job Viewed
Job Description
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!
About Us:
At Qualys, we're on the lookout for an exceptional Senior Subject Matter Expert in Container and Cloud Security Engineering. If you're a tech-savvy storyteller with a passion for securing Modern Cloud and Container services, we want you on our dynamic product and SME Team. This is a hands-on, individual contributor role where your expertise will shape the future of Qualys Container and Cloud Security Products, ensuring they are deployed and thriving for thousands of enterprise customers worldwide.
Responsibilities :
As a seasoned SME, your role will encompass customer and sales enablement, acting as a trusted advisor and evangelist for Qualys Container and Cloud Security products. Your hands-on experience in the AppSec domain, coupled with a deep understanding of Container and Cloud Service Providers like AWS, Azure, and GCP, will be crucial in driving success.
Key Responsibilities:
Qualifications :
Join Us:
This role offers a unique opportunity to be a key player in the security market within a world-class technology company. If you're excited about making a difference and securing the future of cloud and container services, we want to hear from you. Apply now and be part of our journey in defining the future of Qualys Container and Cloud Security Products.
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Subject Matter Expert
Posted today
Job Viewed
Job Description
Roles and Responsibilities
Subject Matter Expert
Must have at least 3 years of experience in any subject - English, EVS, Science, or Social Studies.
Experience should be in making content or curriculum or instructional designing in mentioned subjects.
Desired Candidate Profile
Perks and Benefits
Subject Matter Expert
Posted today
Job Viewed
Job Description
Job Summary:
The Data and Recon Team Lead is responsible for overseeing all aspects of intelligence gathering, data analysis, and strategic decision-making. They must possess strong analytical skills, proficiency in technical tools, and excellent communication abilities. This role requires effective leadership, adaptability to changing environments, and a commitment to ethical conduct and data privacy. The ideal candidate will have deep domain knowledge, strong problem-solving skills, a collaborative mindset, and the ability to inspire and motivate teams.
Responsibilities:
Team span, responsible for handling a team of 5 to 10.
Trusted to consistently provide accurate, timely, and comprehensive responses to routine and non-standard inquiries, both in written and verbal interactions with internal and external parties.
Actively identifies and seizes servicing opportunities for both personal and team growth.
Takes a hands-on role in the onboarding process for new hires, engaging in their learning and providing feedback on skill development.
Establishes and communicates standards to the team, regularly overseeing weekly department metrics to uphold department KPIs.
Conducts regular evaluations of team members to ensure efficiency in their roles, including assessing employee anti-patterns, goals, aspirations, strengths, and weaknesses, often in collaboration with the division lead.
Collaborates with the division lead to identify areas for performance improvement and implements necessary changes.
Contributes to achieving operational targets by participating in annual external calls under the guidance of the division lead.
Maintains interaction with the Reconciliation Audit team on a monthly basis, implementing remediation and prevention strategies, and conducting monthly reviews with support from the Division Lead or Reconciliation Audit Lead.
Practices rigorous oversight and quality assurance by monitoring team emails and providing frequent feedback to team members on a weekly basis.
Ensures the team consistently meets daily metrics of timeliness and completeness, driving improvements to mitigate risks or shortcomings.
Focuses on client success and employee development, often relying on mentorship from the Division Lead.
Ensures high-quality service and operational performance within the parameters of client expectations.
Actively participates in projects with upper management that align with company goals.
Selects, develops, and evaluates projects aimed at improving 1-2 strategic initiatives annually, leveraging Lean Six Sigma practices.
Leads 1-2 projects a year with upper management, typically lasting 3-6 months, aligning with company goals.
Identifies opportunities for improvement within the department and takes the lead in implementing solutions by communicating ideas with leadership and driving change.
Collaborates with Subject Matter Experts to enhance auto reconciliation processes for troubled or newly implemented accounts.
Proficiently handles reconciliation for 2-3 of CW's markets (Corporate, Insurance, Investment Management, Government).
Recognizes the importance of asset managers/custodians as partners and actively promotes collaboration with external portfolio data providers.
Participates in projects with other departments/teams to implement standard operating models and procedures for large/major clients, ensuring client success and compliance.
Proactively seeks automation opportunities in collaboration with Subject Matter Experts to improve auto reconciliation for accounts handled by the team.
Required Skills:
Proven ability to analyse information and anticipate outcomes to choose the best solutions.
Using a data driven approach to coordinate team and department efforts to exceed KPIs.
Ability to motivate and inspire team members, as well as provide them with the guidance and support they need to be successfulis a leadership skill.
Ability to identify trends and opportunities, as well as to develop and implement strategies to achieve the team's goals.
Strong computer skills, including proficiency in Microsoft Office.
Excellent attention to detail and strong documentation skills.
Outstanding verbal and written communication skills.
Strong organizational and interpersonal skills.
Exceptional problem-solving abilities.
Education and Experience:
Bachelor’s & master's in finance or accounting.
7+ years relevant experience in leading a cross-functional and collaborative team.
6+ years releveant experience leading an operational team in a relevant industry- finance, accounting, or tech.
Subject Matter Expert
Posted today
Job Viewed
Job Description
Make an impact with NTT DATA
Join a company that is pushing the boundaries of what is possible. We are renowned for our technical excellence and leading innovations, and for making a difference to our clients and society. Our workplace embraces diversity and inclusion – it’s a place where you can grow, belong and thrive.
Additional Career Level Description:
Knowledge and application:
Problem solving:
Interaction:
Impact:
Accountability:
Workplace type:
On-site WorkingAbout NTT DATA
NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo.
Equal Opportunity Employer
NTT DATA is proud to be an Equal Opportunity Employer with a global culture that embraces diversity. We are committed to providing an environment free of unfair discrimination and harassment. We do not discriminate based on age, race, colour, gender, sexual orientation, religion, nationality, disability, pregnancy, marital status, veteran status, or any other protected category. Join our growing global team and accelerate your career with us. Apply today.
Third parties fraudulently posing as NTT DATA recruiters