[Immediate Start] Assistant Manager Quality Coding

1 week ago


Hyderabad India GeBBS Healthcare Solutions Full time

Job Description

JOB Description

Designation/Role: Assistant Manager IP DRG

Department: Quality

Reporting to: Director - Quality

Location of work:Hyderabad

Skillset

- Excellent domain expertise and process knowledge of RCM for Hospital facility.
- Understanding of Hospital Facility IP DRG coding concepts, MS DRG, APR DRG, reimbursement methodology, ICD-10-CM, ICD-10-PCS guidelines, elements of UHDDS guidelines, query processes, documentation guidelines.
- Strong knowledge in human anatomy, physiology, pathophysiology, pharmacology, diagnostic studies, conservative and surgical treatments. Understanding of all document types, Operative Reports, Discharge Summary, Progress Notes, ED Report and all other report formats used in hospital care setting.
- Understanding of CMS IPPS payment methodologies
- Aware of consequences of risky practices like up-coding and down-coding, fraud and abuse, inflated documentation, OIG guidelines, and HIPAA rules.

Skills

- Strong interpersonal skills, excellent communication skills, and ability to effectively work with and coach team members.
- Ability to communicate with other stakeholders and clients, MIS team, and training teams for driving quality management.
- Possess operational skills to manage team with better resource utilization.
- Should have an aptitude to learn new things. Ability to read, writes, and performs basic computer operations. Must be a self -starter, motivated, organized and able to prioritize tasks.
- Managing reports daily, weekly, monthly and monitoring and being active participant in client calls and maintaining good client relationship.
- Research, analyze and respond to inquiries regarding compliance,



  • Hyderabad, India Optum Full time

    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,...


  • Hyderabad, India GE Vernova Full time

    Job Description Job Description Summary You will be part of the core team at GE Vernova Electrification Software (GEV ESW) Business that is using software to enable de-carbonized future of energy by designing, building and delivering software applications & services for next generation Grid Software that is used by 40% of the world's power utilities today....

  • Coding Manager

    3 weeks ago


    Hyderabad, India IKS Health Full time

    Job Description Profile Description: The coding manager is responsible for managing day-to-day operations, which includes, team management, client management (client communication, meeting SLA's), meeting and exceeding productivity and quality expectations for the account. Liaison with internal functions to ensure seamless work-flow. Key...


  • hyderabad, India Randstad Full time

     Review inspections and testing of products / materials and produce reports on the results. Train, supervise and evaluate quality control team members. Work to resolve noncompliance issues within process and final inspection. Manage all the quality related issues within the manufacturing team and customers. Ensure compliance and assist with...


  • India KPG99 INC Full time

    Job Description Job Title:Software Quality Engineer AI-Driven Test Automation Location: Remote (Offshore) Duration: Contract Job Description: Overview: Client is seeking a Quality Engineer with a passion for AI and modern testing practices to join one of our global eCommerce domain scrum teams. In this role, you'll be hands-on with our next-generation,...

  • Assistant Manager

    7 days ago


    Gurugram, India EXL Full time

    Job Description - Analyze historical claims data to estimate insurance reserves for incurred but not reported (IBNR) and case reserves. - Develop and maintain reserving models using statistical and actuarial techniques. - Prepare loss development triangles and perform trend analysis. - Assist in quarterly and annual reserving reviews and reporting along...

  • HR Manager HR Manager

    2 weeks ago


    India Innodata Inc. Full time

    HR Executive – Fresher Role at Innodata Inc. &##Immediate Joiner Are you a recent graduate or fresher with a passion for Human Resources and recruitment? Ready to kickstart your career in a high-growth, fast-paced tech company? Innodata is looking for a motivated and energetic HR Executive to join our team! ✅ Fresh graduates (BBA/MBA in HR preferred)...


  • Hyderabad, Telangana, India Primera Medical Technologies Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Open Position - Assistant Manage / Deputy Manager - Facility Denial CodingJob Location - HyderabadNotice Period - Looking for Immediate Joiner / 30 Days / 60 daysQualification - Any GraduateRole & responsibilitiesLead, mentor, and manage a team of denial coding specialists.Provide ongoing training and education to the team on coding updates, denial trends,...


  • Ahmedabad, India Vura Bau Chemie LLP Full time

    Job Description Company Description Vura Bau-Chemie LLP is a global brand specializing in the manufacture of adhesives, sealants, waterproofing solutions, and maintenance and building products. Utilizing world-class German polymers and technology, Vura Bau-Chemie LLP delivers high-quality, innovative solutions for various construction needs. Role...

  • Salesforce Lead

    3 days ago


    Hyderabad, India Conscendo Technologies Full time

    Job Description Salesforce Lead : 8 to 12 Years Mode : Work from Office Location : Hyderabad Notice period : Immediate to 45 Days Job Description Salesforce Technical Lead role involves translating business needs into Salesforce solutions, providing technical guidance to teams, and ensuring the successful delivery of Salesforce projects. This includes...