Bengaluru Karnataka Research nurse Jobs – 34 Open Jobs Today

Medical Coding Auditor (Payment Integrity)
2070Health —Bengaluru, Karnataka
- Full-time
- Microsoft Word
- Nursing
- Medicine
- Health insurance
Quick apply
Supply Chain Executive
Dozee —Bengaluru, Karnataka
- Full-time
- CRM software
- Microsoft Excel
- Analysis skills
12d
Nurse
Pharmacy4U —Hongasandra, Karnataka
- ₹8,000 - ₹15,000 a month
- Full-time
- B.Sc
- Research
- Bachelor's degree
Quick apply
Technical Support Engineer
ArtPark - I-Hub for Robotics and Autonomous Systems Innovation Foundation —Bengaluru, Karnataka
- B.Sc
- English
- SQL
Supply Chain Lead
Dozee —Bengaluru, Karnataka
- Full-time
- ERP systems
- Analysis skills
- Budgeting
Non IT Recruiter
Apollo Home and Health Care Ltd —Bangalore City, Bengaluru, Karnataka
- ₹5,000 - ₹10,000 a month
- Full-time
- In-person
Quick apply
12d
Business Finance
Dozee —Bengaluru, Karnataka
- Full-time
- Master's degree
- Analysis skills
- AI
Manager Finance Controllership
Dozee —Bengaluru, Karnataka
- Full-time
- ERP systems
- Accounting
- QuickBooks
Firmware Engineer
Dozee —Bengaluru, Karnataka
- Full-time
- C++
- AI
Firmware Test Engineer
Dozee —Bengaluru, Karnataka
- Full-time
- C++
- Linux
- AI
Senior Director, Product Management
RhythmX AI —Bengaluru, Karnataka
- System design
- Master's degree
- Product management
Quick apply

More jobs to discover

Find similar jobs that you might be interested in.

Supply Chain Development Analyst
Maersk —Bengaluru, Karnataka
Develop insight-led value propositions that address customer pain points and deliver quantifiable business outcomes. What you bring to this role.
6d
Procurement Executive
MIPL GLOBAL —Malleswaram, Bengaluru, Karnataka
3–5 years of procurement experience in the Interior, Construction, or Signage industry. Strong vendor network within the interior, construction, or signage…
₹30,000 - ₹50,000 a month
Quick apply
4d

I want to receive the latest job alerts for research nurse in bengaluru karnataka

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

research nurse jobs near bengaluru karnataka

Firmware Engineer jobs in Bengaluru, Karnataka

Senior Director Of Product Management jobs in Bengaluru, Karnataka

Finance Manager jobs in Bengaluru, Karnataka

Technical Support Engineer jobs in Bengaluru, Karnataka

Auditor jobs in Bengaluru, Karnataka

Nurse, Tutor jobs in Bengaluru, Karnataka

Nurse jobs in Infopark Kochi, Kochi, Kerala

Nurse jobs in Mohali, Punjab

Central Govt, Vacancy In Staff Nurse jobs in Faridabad, Haryana

Staff Nurse jobs in Kochi, Kerala

Staff Nurse jobs in Kukatpally, Hyderabad, Telangana

Nursing Tutor, Nurse jobs in Uttar Pradesh

Nurse jobs in Sahibzada Ajit Singh Nagar, Mohali, Punjab

Engineer jobs in Kolhapur, Maharashtra

Quality Engineer jobs in Nashik, Maharashtra

Firmware Engineer jobs in Navi Mumbai, Maharashtra

Firmware Engineer jobs in Delhi

Chief Engineer, Hotels jobs in Chennai, Tamil Nadu

Firmware Engineer jobs in Peenya, Bengaluru, Karnataka

Prestige Group, Civil Engineer jobs in Karnataka

Medical Coding Auditor (Payment Integrity)

2070Health
Bengaluru, Karnataka

Quick apply

Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Word
Six Sigma Certification
Nursing
Medicine
Microsoft Excel
Medical coding
Research
MBBS
Master's degree
Analysis skills
Bachelor's degree
Medical billing
CPT coding
Pharmacy
Lean Six Sigma
Data collection
BAMS
Leadership
Billing
Communication skills
Lean Six Sigma Certification

Full job description

This role is not for 2070 Health.

About CoverSelf:

CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Z21 Ventures.

Position Overview:

This role focuses on hands-on claims review, coding validation, and RCM processes. The Coding Auditor will identify incorrect coding/billing, support denials management, and ensure compliance with payer and CMS guidelines to improve payment accuracy.

Specialty Expertise:

Evaluation & Management (E/M)

Surgery / Anesthesia / Radiology

DME

Any Medical Coding Specialty

Key Responsibilities:

Perform manual claims review and identify coding/billing errors

Validate CPT, ICD, HCPCS codes, modifiers

Support denials management & pre/post payment review

Analyze claims using RCM workflows & reimbursement methodologies

Flag incorrect claims and recommend corrections

Ensure compliance with CMS, NCCI, Medicare/Medicaid guidelines

Work on UB-04 / CMS 1500 claims forms

Collaborate with internal teams to improve claim accuracy

Requirements:

Strong expertise in Medical Coding & RCM processes
Hands-on experience in claims audit and validation
Understanding of coding guidelines, billing workflows, and compliance
Strong domain expertise Semi automated Claims review
Solid understanding of medical coding & billing methodologies and guidelines, including CPT, ICD, LCD/NCD, PTP, NCCI, edits, modifiers, Medicare Physician fee schedule, and coding conventions.
Proficiency in data collection, analysis, and deriving actionable insights from CMS medical policies, Medicaid Provider Manuals and other Medical publications.
Translate industry references into actionable business logic to support new rules and policy enhancements.
Strong understanding of claim forms like UB-04/CMS 1450 and CMS 1500
Collaborate effectively across teams while managing multiple priorities
Ability to thrive in a fast-paced, dynamic environment with minimal supervision.
Demonstrated mindset for continuous learning and improvement and apply insights to policy development, refinement and maintenance.
Strong stakeholder management, interpersonal, and leadership skills.
Solution-focused, motivated, entrepreneurial spirit with a strong sense of ownership.
Clear and effective communication.
Strong attention to accuracy and detail in all deliverables

Qualifications

Education & Certification (one of the following required):

Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc)
Nursing: Bachelor/Master of Science in Nursing
Pharmacist Degree (B.Pharm, M.Pharm or PharmD)
Life Science -Bachelor/Master

Certification Requirements:

Must hold any of the following certifications: CPC, CPMA, COC, CIC, CPC-P, CCS or any specialty certifications from AHIMA or AAPC.
Additional weightage will be given for AAPC specialty coding certifications.
Lean Six Sigma certification and practical application experience are preferred.

Experience:

Experience in Payment Integrity Content/Research, Semi automated Claims Review
- 3+ years experience for Analyst
- 5+ years experience for TL
- 10+ Years for Manager
- 13+ years for Senior Manager
Experience in rule requirement Semi automated Claims Review.
Experience in claims review, denials, coding validation

Key Skills:

Medical Coding (CPT, ICD, HCPCS)
Claims Audit & Validation
RCM & Denials Management
Knowledge of NCCI edits, modifiers
Nurse claims Review
Attention to detail & analytical skills
Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management.
Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc.
Payment Policies knowledge like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc
High proficiency in Microsoft Word and Excel, with adaptability to new platforms.
Excellent verbal & written communication skills.
Excellent Interpretation and articulation skills
Strong analytical, critical thinking, and problem-solving skills
Willingness to learn new products and tools

Work Details:

Location: Jayanagar, Bangalore
Mode: Work from Office

Benefits:

Best-in-class compensation
Health insurance for Family
Personal Accident Insurance
Friendly and Flexible Leave Policy
Certification and Course Reimbursement
Medical Coding CEUs and Membership Renewals
Health checkup
And many more!

Quick apply

Refine Your Search

research nurse jobs in bengaluru karnataka

Medical Coding Auditor (Payment Integrity)

Supply Chain Executive

Nurse

Technical Support Engineer

Supply Chain Lead

Non IT Recruiter

Business Finance

Manager Finance Controllership

Firmware Engineer

Firmware Test Engineer

Senior Director, Product Management

More jobs to discover

I want to receive the latest job alerts for research nurse in bengaluru karnataka

Explore jobs in more locations

Jobseeker tools

Employer Tools

Browse

Stay Connected