Careers

Requirement:

1. Must have at least 5 years of IPDRG coding experience and
2. CDIP certification
3. Understand MS-DRG and Inpatient Prospective Payment System

Job Description:

Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness and accuracy. CDI includes a review of disease process, diagnostic findings, and what documentation might be missing. A CDI specialist often has both clinical and medical coding backgrounds. CDI specialist should review the inpatient medical record documentation and query a provider concerning anything ambiguous or not complete prior to claim submission

Requirement:

1. Experience in Outpatient coding experience like E&M, SDS/ASC coding with CPC certification
2. Certification like Certified Documentation Expert Outpatient (CDEO) and CCDS-O (Certified Clinical Documentation Specialist-Outpatient)
3. More than 5 years experience
4. Understands Risk Adjustment

Job Description:

Outpatient clinical documentation improvement (CDI) encompasses a variety of settings, including ambulatory and outpatient departments, such as critical care, rehabilitation outpatient centers, ambulatory services care, same-day surgery centers, ancillary services, diagnostic imaging centers, cardiac catheterization centers, behavioral health, gastrointestinal and chemotherapy, and radiation therapy centers. Outpatient CDI also applies to professional services in physician practices and centers, family medicine, and primary care providers with a heavy focus on delivering value-based care. CDI analyst focuses on improving the accuracy and completeness of documentation in outpatient settings, such as physician offices and outpatient procedures. Does retrospective review of medical records to identify areas where documentation may be lacking or needs improvement. This process helps ensure accurate coding, billing, and reimbursement, as well as improves the overall quality of patient care.

Requirement:

1. Nurses or Doctors with more than 8-10 years of experience in IPDRG coding
2. Certified Inpatient Coder (CIC): The CIC credential, offered by the AAPC, is a widely recognized certification for inpatient coding.  Or
3. Certified Coding Specialist (CCS): The CCS credential, offered by the AHIMA, also covers inpatient coding. 

Job Description:

IPDRG stands for Inpatient Prospective Diagnosis Related Group. It is a coding system that classifies patient hospital stays based on diagnoses, procedures performed, and resources used, enabling standardized reimbursement for inpatient services. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information.

Requirement:

1. Experience and Knowledge on Meditech EMR
2. More than 3 years of experience on Accounts Receivables process
3. Experience on Hospital claims/UB04

Job Description:

A Hospital Accounts Receivable (AR) Specialist is responsible for managing and tracking patient and insurance payments to ensure timely reimbursement for healthcare services. They handle tasks like submitting insurance claims, following up on outstanding payments, addressing denials, and ensuring compliance with relevant regulations

Insurance Follow-up: Contact insurance companies to follow up on outstanding claims and address any issues or delays in payment. 

Denial Management: Review and analyze denied claims, identify reasons for denial, and prepare and submit appeals to ensure timely resolution. 

Requirement:

1. Experience and Knowledge on Next Gen EMR
2. More than 3 years of experience on Accounts Receivables process
3. Experience on Outpatient claims/CMS 1500
4. Fluent in written and spoken English communication

Job Description:

An Outpatient Accounts Receivable (AR) Specialist is responsible for managing and tracking patient and insurance payments to ensure timely reimbursement for healthcare services. They handle tasks like submitting insurance claims, following up on outstanding payments, addressing denials, and ensuring compliance with relevant regulations

Insurance Follow-up: Contact insurance companies to follow up on outstanding claims and address any issues or delays in payment. 

Denial Management: Review and analyze denied claims, identify reasons for denial, and prepare and submit appeals to ensure timely resolution. 

Location: Baner, Pune

Experience: minimum 3 years

Responsibilities:

• Thoroughly examine Medical Records
• Accurately translate Medical Records
• Ensure Coding accuracy and compliance 
• Stay up-to-date with the latest changes in coding guidelines
• Support billers and AR Team as and when needed 
• Ensure quality

Qualifications:

• Minimum 3 years of experience
• Certification in CPC / CCS a must

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OR

Send your resume via WhatsApp to +91-8055855243

Location: Pune

Experience: 3 Years

Job Duties:

• Coding of multispecialty outpatient charts on a daily basis
• Confirm all supporting documents are provided to justify the medical codes assignment.
• Maintaining of logs and productivity records on a daily basis
• Ability to comprehend Whether Secondary Diagnosis and / or procedures are codable.
• Meet set targets & KPIs set by the supervisor / Manager.
• Conduct analysis and report any trends to the supervisor /Manager.

Minimum Requirements:

• Bachelors Degree, Preferably with Life sciences/ Paramedical/ Medical Possession of a national certification or registration in health information management coding from the American Health Information Management association (AHIMA) or American Academy of Professional coders (AAPC) as a certified coding Specialist (CCS)
• Minimum 3 YEAR Experienced candidates can apply

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OR

Send your resume via WhatsApp to +91-8055855243

Location: Pune

Experience: 3 Years

Job Description:

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• 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

Qualifications for Medical Coder :

• 3 years of experience in Medical Coding.
• ED profee, E&M OP, IPDRG, and Pathology coding specialized coders are preferred.
• Excellent typing and 10-key speed and accuracy 
• Commitment to a high level of customer service
• Superior mathematical skills
• Solid oral and written communication skills
• Able to work independently

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OR

Send your resume via WhatsApp to +91-8055855243

Location: Pune

Experience: 1 Years

Skills optional: HCC Skills

Mandatory: CPC or equivalent valid coding certification

Job Description: 

• Able to lead a process coach team in night shift and sharing daily reports to superiors
• Identify and assess the training needs of the organization through TNI, audit & retro audit reports & consultation with Operation managers
• Develop individualized and group training programs for the associates that address specific operations needs
• Develop training manuals that target tangible results
• Implement effective and purposeful training methods
• Need to ensure that training is meeting operation needs and improving the quality % of the associates
• Assess employees skills, performance and productivity to identify areas of improvement
• Motivate & inspire team members, led by setting good example
• Effectively communicate with team members, PCs

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OR

Send your resume via WhatsApp to +91-8055855243

Job Description: E/M + Radiology Coders (1-2 Years of Experience)

Position: E/M + Radiology Coder
Vacancies: 5
Experience: 1-2 Years
Location: Pune
Employment Type: Full-Time

Job Overview:
We are seeking five (5) skilled E/M (Evaluation and Management) and Radiology Coders with 1-2 years of experience to join our team. The selected candidates will play a vital role in ensuring accurate coding of medical records while maintaining compliance with all applicable guidelines and regulations.

Key Responsibilities:

• Assign appropriate CPT, ICD-10-CM, and HCPCS codes to E/M and radiology services.
• Analyze patient records to ensure proper coding.
• Adhere to coding standards and payer-specific requirements.
• Perform quality checks to ensure coding accuracy.
• Collaborate with billing teams to address coding-related denials.
• Stay updated with the latest coding guidelines and regulations.
• Maintain patient confidentiality in compliance with HIPAA standards.

Qualifications and Skills:

• 1-2 years of experience in E/M and radiology coding.
• Certification in medical coding (e.g., CPC, CCS, or equivalent)
• Proficient in CPT, ICD-10-CM, and HCPCS coding.
• Familiarity with coding software and electronic health records (EHR).
• Detail-oriented with strong analytical skills.
• Ability to meet deadlines and work independently.

Preferred Skills:

• Experience in coding audits and quality assurance.
• Strong knowledge of medical terminology and anatomy related to radiology.

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OR

Send your resume via WhatsApp to +91-8055855243

Job Description: E/M + Pathology Coders

Position: E/M + Pathology Coder
Vacancies: 5
Experience: 1-2 Years
Certification: Preferred
Work Location: Pune

Job Overview:
We are looking for dedicated and detail-oriented E/M + Pathology Coders with 1-2 years of experience to join our team. The role involves accurately coding medical records, ensuring compliance with coding standards, and supporting billing teams in resolving coding-related queries.

Key Responsibilities:

• Assign accurate CPT, ICD-10-CM, and HCPCS codes to E/M and pathology services.
• Review medical records for completeness and accuracy in documentation.
• Ensure compliance with coding guidelines and payer-specific requirements.
• Assist in resolving coding denials and optimizing billing processes.
• Stay updated on the latest coding standards and regulations.

Qualifications and Skills:

• 1-2 years of experience in E/M and pathology coding.
• Certification in medical coding (e.g., CPC, CCS) is preferred.
• Proficient in coding software and electronic health records.
• Strong knowledge of medical terminology and pathology procedures.
• Excellent attention to detail and analytical skills.

Apply Now →

Or

Interested candidates can WhatsApp their details to +91-8055855243.

Job Description: E/M + Charge Entry Specialist

Position: E/M + Charge Entry Specialist
Vacancies: 5
Experience: 1-2 Years
Certification: Preferred
Work Location: Pune

Job Overview:
We are seeking five (5) experienced E/M + Charge Entry Specialists to join our team in Pune. The ideal candidates will have a strong background in charge entry and evaluation/management (E/M) coding, ensuring the accurate and timely processing of medical billing and coding data.

Key Responsibilities:

• Review and process E/M and other medical service charges with accuracy.
• Enter charges into the billing system while ensuring compliance with payer guidelines.
• Collaborate with coders and billing teams to resolve discrepancies.
• Maintain up-to-date knowledge of medical coding standards, regulations, and guidelines.
• Identify and address coding errors or missing information to streamline billing.

Qualifications and Skills:

• 1-2 years of experience in charge entry and E/M coding.
• Certification in medical coding (e.g., CPC, CCS) is preferred.
• Proficiency in medical billing software and electronic health records (EHR).
• Strong attention to detail, accuracy, and time-management skills.
• Excellent understanding of medical terminology and coding guidelines.

Apply Now →

Or

Interested candidates can WhatsApp their details to +91-8055855243.