Current Opening

Department: Medical Coding

Designation: Medical Coder / Sr. Medical Coder

Number of Positions: 15

Experience Required: 1 to 2 years

Job Location: Pune/Mumbai

Job Role

  • The home health coder is responsible for assigning diagnostic codes to patient charts using ICD-10-CM in accordance with coding rules and regulations
  • The coder will abstract required clinical information. This position requires in-depth knowledge of medical terminology, disease processes, pharmacology, Patient-Driven Grouping Model (PDGM), official coding guidelines (ICD-10-CM & OASIS-D1) and documentation requirements for correct and accurate coding.
  • Maintain standard industry productivity rates for home health coding
  • Demonstrated ability to maintain high quality standards of 95% or greater

Job Requirement

  • Minimum 1 year of experience in home health coding
  • Must have ICD-10 coding experience
  • Must have completed an ICD-10 course
  • Knowledge of OASIS D-1 is required
  • Advanced computer skills with experience with one or more electronic medical record software
  • Excellent written and verbal skills, interpersonal skills and aggressive approach to excellence
  • Ability to work under pressure and take on multiple tasks
  • Strong quantitative and analytical skills
  • Must have own PC with Windows 10 Pro and reliable high-speed Internet service
  • Must pass candidate assessment test with a minimum score of 85%

Benefits and Perks

  • Bachelor’s Degree or equivalent required
  • Minimum one (1) year experience with CMS HCC (Hierarchical Condition Category) risk adjustment coding preferred
  • Successful completion of coding certification program (CCS, CPC, CRC, or RHIT through AHIMA/AAPC)
  • Extensive knowledge of Medicare regulations and policies pertaining to documentation, coding, and billing.
  • Thorough understanding of ICD-10-CM coding guidelines
  • Excellent written and verbal communication skills to effectively communicate coding and documentation findings both internally and externally
  • Experience with computer applications, including MS Office (Excel, Word, PowerPoint) required.
  • Comfortable working in a department with set productivity and coding accuracy standards
  • Experience with NCQA HEDIS programs and data collection preferred
  • Ability to self-motivate and work independently with minimal supervision

Department: Operations

Designation: Risk Adjustment Coder

Experience Required: 1 – 2 years

Job Location: Pune/Mumbai

Shifts: General/US Shifts

Job Role

  • Performing medical coding and reviewing medical codes for adherence to risk adjustment models
  • Maintain standard industry productivity rates for risk adjustment coding
  • Demonstrated ability to maintain high quality standards of 95% or greater
  • Adherence to ISO procedures and compliances
  • Mandatory to have a Certified Risk Adjustment Coder (CRC) Certification

Job Requirements

  • Bachelor’s Degree or equivalent required
  • Minimum one (1) year experience with CMS HCC (Hierarchical Condition Category) risk adjustment coding preferred
  • Successful completion of coding certification program (CCS, CPC, CRC, or RHIT through AHIMA/AAPC)
  • Extensive knowledge of Medicare regulations and policies pertaining to documentation, coding, and billing.
  • Excellent growth opportunities
  • Thorough understanding of ICD-10-CM coding guidelines
  • Excellent written and verbal communication skills to effectively communicate coding and documentation findings both internally and externally
  • Experience with computer applications, including MS Office (Excel, Word, PowerPoint) required.
  • Comfortable working in a department with set productivity and coding accuracy standards
  • Experience with NCQA HEDIS programs and data collection preferred
  • Ability to self-motivate and work independently with minimal supervision

Department: Medical Billing

Designation: Claims Associate / Sr. Claims Associate

Number of Positions: 10

Experience Required: 1 to 2 years

Job Location: Pune/Mumbai

Job Role

  • Responsible for charge posting, payment posting, denial management, claims rejections, eligibility verification for members
  • Ensure quality and production meet industry standards
  • Constantly keeps track of both electronic and paper claims
  • Review provider claims that have not been paid by insurance companies
  • Watchful for any major rejections or denials from clearing houses/carriers indicating a systemic issue
  • Track payments and EOBs from major Carriers, pay-to-address, provider numbers, etc.

Job Requirements

  • Undergraduate / Graduate
  • Should have basic knowledge of revenue cycle management
  • Sound knowledge of U.S. healthcare domain (provider side)
  • Basic knowledge of computers
  • Willing to work as per US calendar and US shifts

Benefits and Perks

  • Online Interview
  • Work from Home
  • Salary - Best as per industry standards
  • Reimbursement of Internet charges

Department: Accounts Receivable

Designation: Process Associate

Number of Positions: 15

Experience Required: 1 to 2 years

Job Location: Pune/Mumbai

Job Role

  • Calling insurance companies in the US to check claims status
  • Taking necessary actions as per standard operating procedures
  • Deliver the required productivity and quality
  • Adherence to ISO procedures and compliances

Job Requirements

  • Undergraduate / Graduate
  • Minimum typing speed of 25wpm
  • Basic knowledge of computers
  • Willing to work as per US calendar and US shifts
  • Prior experience in accounts receivable would be an advantage

Benefits and Perks

  • Online Interview
  • Work from Home
  • Salary - Best as per industry standards
  • Reimbursement of Internet charges

Department: Marketing & Sales

Designation: BD Executive

Number of Positions: 1

Experience Required: Minimum 2 years

Job Location: Pune/Mumbai

Job Role

  • Responsible for selling revenue cycle services to healthcare providers in the US
  • Fix appointments for our sales directors
  • Cold calling, prospect building, lead generation and client servicing

Job Requirements

  • Minimum two (2) years of RCM sales experience in the US healthcare provider market
  • Ability to research and build own database
  • Strong networking skills
  • Excellent written, verbal and presentation skills
  • Ability to build a strong prospect list

Benefits and Perks

  • Online Interview
  • Work from Home
  • Salary and incentive structure - Best as per industry standards
  • Reimbursement of Internet charges
  • Excellent growth opportunities
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