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5 Job openings at Healthcare Operations Management
About Healthcare Operations Management

Healthcare Operations Management specializes in optimizing operational efficiency within healthcare systems, focusing on process improvement, cost reduction, and enhancing patient care.

Assistant Manager/ Team Lead

Not specified

5 - 9 years

INR 7.0 - 13.0 Lacs P.A.

Work from Office

Full Time

Job Title: Assistant Manager/Team Lead Medical Coding (HCC)Location: NoidaEmployment Type: Full-timeRole Overview:We are seeking an experienced Assistant Manager/Team Lead Medical Coding (HCC) to join our team. The ideal candidate will have 5-9 years of expertise in Hierarchical Condition Categories (HCC) and ICD-10/CPT guidelines.Key Responsibilities:Lead and mentor a team of medical coders, ensuring accuracy and compliance with coding guidelines.Review and validate HCC codes to optimize risk adjustment factor (RAF) scores.Ensure adherence to ICD-10-CM, CPT, and CMS guidelines.Conduct quality audits and provide feedback for continuous improvement.Collaborate with internal teams to enhance coding accuracy and efficiency.Stay updated with regulatory changes and industry best practices.Requirements:5-9 years of medical coding experience, with expertise in HCC risk adjustment coding.Certified in CPC, CRC, or equivalent AAPC/AHIMA certification.Strong knowledge of ICD-10, CPT, and CMS-HCC guidelines.Experience in team management, quality audits, and process improvement.Excellent analytical and communication skills.If you are a detail-oriented professional with leadership skills and a strong background in HCC medical coding, apply now!

Credentialing Analyst

Not specified

1 - 3 years

INR 4.0 - 6.0 Lacs P.A.

Work from Office

Full Time

Roles & Responsibilities • Reviews practitioner registration forms and applications for completeness and collects data within defined timeframes. • Reviews and documents findings of practitioner performance and credentials. • Supports client onboarding and set up of provider profile. • Helps training staff on Credentialing and Contracting processes. • Prepares summaries for missing information request, notes for tasks and peer review. • Prepares final committee-ready credentialing provider files for delegated clients. • Adheres to strict confidentiality guidelines and Code of Conduct standards; conforms to defined processes in compliance with quality standards and regulatory requirement. • Creates and enters practitioner data into profile, CAQH, provider portal, applications and group applications in credentialing software and obtains missing information and/or documents required, as needed. • Sends expired license, insurance, etc. notifications to providers. • Updates provider records with current license, insurance, COI, DEA, etc. • Mails re-credentialing applications to providers, Health plans and logs receipt of

Coding Analyst

Not specified

1 - 6 years

INR 3.5 - 8.0 Lacs P.A.

Work from Office

Full Time

Job descriptionRoles & Responsibilities (Certification mandatory)Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT systems of coding.Coding for records pertaining to E/M performed with minimum 96% accuracy and as per turnaround time requirements.Exceeds the productivity standards for Medical Coding - as per the productivity norms for inpatient and/or specialty specific outpatient coding standards.Focusing on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards.Focusing on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.Only those candidates may apply who:Have cleared the CPC/CRC/COC Certification with practical know-how of ICD-10 and CPT codes. Are certified in any of the following certificates: CPC, CRC, COC or CCS (preferred / good to have).Have a basic knowledge of Microsoft Office (MS Excel and MS Word).Are interested in being part of a team dedicated to delivering quality work.Maintain a high degree of professional and ethical standards.

Recruiter

Not specified

1 - 3 years

INR 3.5 - 5.0 Lacs P.A.

Work from Office

Full Time

Job Title: Recruiter Medical Coding Hiring (RCM Industry) Location: NoidaExperience: 1-3 YearsJob Summary:We are seeking a skilled Recruiter with 1-3 years of experience in hiring medical coders within the Revenue Cycle Management (RCM) industry. The ideal candidate will be responsible for end-to-end recruitment, ensuring the timely hiring of qualified professionals.Key Responsibilities:Manage the full-cycle recruitment process for medical coders (screening, interviewing, and onboarding). Source candidates through job portals, social media, referrals, and databases. Assess candidates based on coding expertise, certifications (CPC, CCS, CCA), and RCM experience. Requirements:1-3 years of recruitment experience in the RCM/Healthcare industry, specifically in hiring medical coders. Strong knowledge of medical coding terminologies, certifications, and industry standards. Experience with ATS, job portals (Naukri, LinkedIn, etc.), and other sourcing techniques. Ability to work in a fast-paced, target-driven environment. Preferred:Experience in hiring for multiple specialties like HCC, E/M coding. Familiarity with US healthcare processes and compliance. If you have the required expertise and are eager to grow in a dynamic RCM environment, apply now!

Sales Executive

Not specified

4 - 7 years

INR 5.0 - 7.0 Lacs P.A.

Hybrid

Full Time

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