telangana physician Jobs – 113 Open Jobs Today

DRG Reviewer
Zelis —Telangana
- Full-time
- Hybrid work
- Bachelor's degree
- Communication skills
- Negotiation
Looking for Cardiac Physician Assistant
Srikara Hospitals —Lakdikapul, Hyderabad, Telangana
- ₹10,169.92 - ₹50,426.70 a month
- Email
- B.Sc
- ACLS Certification
- Master's degree
Quick apply
BHMS Doctors
HOMEOCARE INTERNATIONAL Limited —Mahbubnagar, Telangana
- ₹22,000 - ₹45,000 a month
- Full-time
- Medicine
- Bachelor's degree
- In-person
Quick apply
14d
Looking for a Physician Assistant
Srikara Hospitals —Hyderabad, Telangana
- ₹12,280.68 - ₹36,838.92 a month
- Full-time
- B.Sc
- Master's degree
- Bachelor's degree
Quick apply
Coding Quality Auditor - E/M / ED
Optum —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Analysis skills
- Bachelor's degree
- Health insurance
Physician Assistant
AIG Hospitals —Hyderabad, Telangana
- ₹20,000 - ₹22,000 a month
- Bachelor's degree
- Patient care
- In-person
- Health insurance
Quick apply
Consultant Physician
GYD Diagnostics and Reference Laboratories —Hyderabad, Telangana
- Part-time
- Medicine
Physician Assistant
Little stars and she —Hyderabad, Telangana
- From ₹25,000 a month
- Full-time
- Bachelor's degree
- EMR systems
- In-person
Quick apply
10d
X-ray Tech - Per diem - Orthopedics (no weekends)
Sturdy Health —Mandamarri, Telangana
- ₹49.13 an hour
- Part-time
- English
- Bachelor's degree
- Communication skills
- Health insurance
General Physician
Roma Hospital —Hyderabad, Telangana
- ₹1,50,000 - ₹1,80,000 a month
- Full-time
- Medicine
- Patient care
- In-person
Quick apply
Physician Assistant
Sindhu Hospitals —Hyderabad, Telangana
- From ₹20,000 a month
- Full-time
- Bachelor's degree
- Patient care
- In-person
Quick apply
Inpatient DRG Reviewer
Zelis —Telangana
- Full-time
- Hybrid work
- Research
- Communication skills
- Negotiation
- Paid holidays
- Health insurance
2d
Coder, Auditing (PRN)
Ovation Healthcare —Mandamarri, Telangana
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Microsoft Office
Emergency physician
Mediciti Institute of Medical Sciences —Medchal, Telangana
- ₹80,000 - ₹1,20,000 a month
- Full-time
- Medicine
- Bachelor's degree
- Patient care
Quick apply
14d
Chief Medical Officer
InfoWryt Solutions LLP —Banjara Hills, Hyderabad, Telangana
- ₹39,812.27 - ₹1,10,278.53 a month
- Full-time
- Medicine
- Project management
- Bachelor's degree
Quick apply
8d
Pharmacist
Renova Hospitals —Hyderabad, Telangana
- ₹18,000 - ₹25,000 an hour
- Full-time
- Anatomy knowledge
- Bachelor's degree
- Patient care
Quick apply
Drug Safety Physician
Jeevan —Hyderabad, Telangana
- Medicine
- Bachelor's degree
GENERAL PHYSICIAN - ( 3 POSITIONS )
JIMS Homoeopathic Medical College & Hospital —Hyderabad, Telangana
- Email
- Medicine
Orthopaedics Physician
Jobskey —Hyderabad, Telangana
- Full-time
- Analysis skills
- Communication skills
Quick apply
Clinical Research Physician
Advity Research —Hyderabad, Telangana
- Medicine
- Bachelor's degree

I want to receive the latest job alerts for physician in telangana

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

physician jobs near telangana

Physician Assistant jobs in Hyderabad, Telangana

Physician jobs in Hyderabad, Telangana

Pharmacist jobs in Hyderabad, Telangana

Quality Auditor jobs in Hyderabad, Telangana

Physician Assistant jobs in Kilpauk, Chennai, Tamil Nadu

Physician Assistant jobs in Uttar Pradesh

Assistant Professor, Sociology jobs in Uttar Pradesh

Assistant Professor, Microbiology jobs in Maharashtra

Physician Assistant jobs in Alwarpet, Chennai, Tamil Nadu

Physician Assistant jobs in Kharghar, Navi Mumbai, Maharashtra

Office Assistant jobs in Orissa

Virtual Assistant Part Time, Work From Home jobs in Mumbai, Maharashtra

Medical Officer,bhms jobs in Ahmedabad, Gujarat

Medical Officer, Bams, Ayurveda jobs in Haryana

Placement Officer jobs in Tamil Nadu

Chief Medical Officer jobs in Chennai, Tamil Nadu

Chief Medical Officer jobs in West Bengal

Chief Medical Officer jobs in Maharashtra

Safety Officer jobs in Airoli, Navi Mumbai, Maharashtra

Physician Assistant jobs in Tambaram, Chennai, Tamil Nadu

DRG Reviewer

Zelis -
Telangana

Apply Now

Job details

Full-time

Qualifications

Medical coding
Medical records
Bachelor's degree
Root cause analysis
Billing
Communication skills
Negotiation

Full job description

Description

About Us

Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

Why We Do What We Do

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture.

Position Overview

The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details.

We are looking for professionals with strong expertise in DRG. The ideal candidates should have:

Key Responsibilities:

Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc.
Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim.
Using the revised codes, regroup the claim using provided software to determine the ‘new DRG’
Where the regrouped ‘new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review
Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research
Identify new DRG coding concepts to expand the DRG product.
Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures
Meet and/or exceed all internal and department productivity and quality standards
Recommend new methods to improve departmental procedures
Achieve and maintain personal production and savings quota
Maintain awareness of and ensure adherence to Zelis standards regarding privacy

Skills, Knowledge, and Experience:

Registered Nurse licensure preferred
Graduate
Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT)
3 – 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred
Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers
Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs
Understanding of hospital coding and billing rules
Clinical skills to evaluate appropriate Medical Record Coding
Experience conducting root cause analysis and identifying solutions
Strong organization skills with attention to detail
Outstanding verbal and written communication skills

Note: These resources should possess certification either in CIC or CCS (Mandatory

Commitment to Diversity, Equity, Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email [email protected].

Apply Now

Refine Your Search

physician jobs in telangana

DRG Reviewer

Looking for Cardiac Physician Assistant

BHMS Doctors

Looking for a Physician Assistant

Coding Quality Auditor - E/M / ED

Physician Assistant

Consultant Physician

Physician Assistant

X-ray Tech - Per diem - Orthopedics (no weekends)

General Physician

Physician Assistant

Inpatient DRG Reviewer

Coder, Auditing (PRN)

Emergency physician

Chief Medical Officer

Pharmacist

Drug Safety Physician

GENERAL PHYSICIAN - ( 3 POSITIONS )

Orthopaedics Physician

Clinical Research Physician

I want to receive the latest job alerts for physician in telangana

Explore jobs in more locations

Description

Jobseeker tools

Employer Tools

Browse

Stay Connected