telangana clinical nurse Jobs – 69 Open Jobs Today

Inpatient DRG Reviewer
Zelis —Telangana
- Full-time
- Hybrid work
- Research
- Communication skills
- Negotiation
- Paid holidays
- Health insurance
1d
Staff nurse
Visko Private Limited —Hyderabad, Telangana
- ₹25,086.00 - ₹35,723.03 a month
- Full-time
- Patient monitoring
- B.Sc
- Bachelor's degree
- Flexible schedule
Quick apply
14d
Registered Nurse
ACE ENT —Sainikpuri, Hyderabad, Telangana
- ₹8,000 - ₹18,000 a month
- Part-time
- Bachelor's degree
- Patient care
- In-person
Quick apply
Staff Nurse (NICU/PICU/ER/Causality)
Ankura Hospital for Women & Children peerzadigua uppal —Uppal, Telangana
- ₹15,000 - ₹25,000 a month
- Full-time
- Nursing
- B.Sc
- Bachelor's degree
- Paid sick time
Quick apply
MICU/NICU Staff Nurse
Revive Hospital —Hyderabad, Telangana
- ₹25,000 - ₹35,000 a month
- Full-time
- B.Sc
- ACLS Certification
- ICU experience
Quick apply
9d
Clinical Specialist - Hyderabad
Arjo —Hyderabad, Telangana
- B.Sc
- English
- Master's degree
Staff Nurse
CONNECT AND HEAL PRIMARY CARE PRIVATE LIMITED —Hyderabad, Telangana
- ₹26,000 - ₹30,000 a month
- Full-time
- Nursing
- B.Sc
- English
- Health insurance
Quick apply
Prior Authorization Associates (5 Jan 26)
Eclat Health Solutions —Hyderabad, Telangana
- Data entry
- Medical terminology
- Communication skills
Quick apply
Staff Nurse
Advanced Grohair & Gloskin clinic —Kompally, Hyderabad, Telangana
- ₹15,000 - ₹22,000 a month
- Full-time
- Bachelor's degree
- Patient care
- In-person
- Flexible schedule
Quick apply
Pre-Auth Associates - 10th Oct'25
Eclat Health Solutions —Hyderabad, Telangana
- Full-time
Quick apply
Dietician
QUA Nutrition —Hyderabad, Telangana
- ₹30,000 - ₹35,000 a month
- Full-time
- English
- Master's degree
- Bachelor's degree
- Health insurance
Quick apply
2d
PICU/NICU Staff Nurse
Ankura hospital for women & Children —Attapur, Hyderabad, Telangana
- ₹30,000 - ₹45,000 a month
- Call employer
- B.Sc
- Bachelor's degree
- In-person
- Health insurance
- Paid sick time
Quick apply
Staff Nurse (ICU)
Prasad Hospitals India Pvt Ltd —Manikonda, Hyderabad, Telangana
- ₹15,000 - ₹45,000 a month
- Weekend availability
- Nursing
- Patient monitoring
- B.Sc
- Paid time off
- Food provided
Quick apply
Patient Counselor
SUNDERS COSMORADIANCE HOSPITALS PRIVATE LIMITED —Miyapur, Hyderabad, Telangana
- ₹30,000 - ₹40,000 a month
- Full-time
- Nursing
- Sales
- English
Quick apply
Cardiology Physician
Jobskey —Hyderabad, Telangana
- ₹30,00,000 - ₹40,00,000 a year
- Full-time
- Analysis skills
- Communication skills
Quick apply
Staff Nurse
JP Group Services Pvt Ltd —HITEC City, Hyderabad, Telangana
- ₹12,086.00 - ₹22,723.03 a month
- Email
- Bachelor's degree
- Patient care
- In-person
- Health insurance
Quick apply
10d
Therapy Manager Hyderabad
Sunshine Workforce Solutions —Hyderabad, Telangana
- Full-time
- Care plans
Quick apply
Scrub Nurse
Zoi Hospital —Hyderabad, Telangana
- ₹18,000 - ₹33,000 a month
- Overnight shift
- Nursing
- In-person
- Paid sick time
Quick apply
Staff Nurse - Care Taker
ScopeHR Services —Khajaguda, Hyderabad, Telangana
- ₹8,086 - ₹25,000 a month
- Full-time
- Bachelor's degree
- Patient care
- In-person
- Food provided
Quick apply
4d
Registered Nurse
H2 House of Health —Jubilee Hills, Hyderabad, Telangana
- ₹15,000 - ₹18,000 a month
- Full-time
- Nursing
- B.Sc
- English
Quick apply

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Inpatient DRG Reviewer

Zelis -
Telangana

Apply Now

Job details

Full-time
1 day ago

Benefits

Paid holidays
Health insurance
Paid time off

Qualifications

Medical coding
Research
Quality assurance
CPT coding
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

As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies.

What you will do:

Perform comprehensive inpatient DRG validation Quality Assurance 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.
Implement and conduct quality assurance program to ensure accurate results to our clients
Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures
Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization
Prepare and conduct training for new team members
Identify new DRG coding concepts to expand the DRG product
Meet and/or exceed all internal and department productivity and quality standards
Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant

Recommend efficiencies and process improvements to improve departmental procedures
Maintain awareness of and ensure adherence to Zelis standards regarding privacy

What you will bring:

Required

Registered Nurse licensure preferred
Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT)
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
Strong understanding of hospital coding and billing rules

Clinical and critical thinking skills to evaluate appropriate coding
Strong organization skills with attention to detail

Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships.
Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues

Work environment

A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of our clients
This role does not have work from home option. The associate has to work from restricted zone and will not have access to pen, paper and mobile phones.
Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
Ability to sit for extended periods of time.

Other:

Embody Culture and Values

Benefits/Perks:

The well-being of Zelis associates is essential:

Industry leading Healthcare
- Caregiving benefits
- Family Forming & Reproductive Health Benefits
- And more!
Access to Mental Well-being Resources
Paid Holidays and PTO
Educational Resources
Giving programs
Opportunities to network and connect
Discounts on products and services

Disclaimer:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

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

clinical nurse jobs in telangana

Inpatient DRG Reviewer

Staff nurse

Registered Nurse

Staff Nurse (NICU/PICU/ER/Causality)

MICU/NICU Staff Nurse

Clinical Specialist - Hyderabad

Staff Nurse

Prior Authorization Associates (5 Jan 26)

Staff Nurse

Pre-Auth Associates - 10th Oct'25

Dietician

PICU/NICU Staff Nurse

Staff Nurse (ICU)

Patient Counselor

Cardiology Physician

Staff Nurse

Therapy Manager Hyderabad

Scrub Nurse

Staff Nurse - Care Taker

Registered Nurse

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