telangana medical billers & coders Jobs – 87 Open Jobs Today

Clinical Investigator
Optum —Hyderabad, Telangana
- Full-time
- B.Sc
- Analysis skills
- Bachelor's degree
- Health insurance
Coding Quality Auditor - E/M / ED
Optum —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Analysis skills
- Bachelor's degree
- Health insurance
Subject Matter Expert - IPDRG
Optum —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Analysis skills
- Bachelor's degree
- Health insurance
Medical Coders
ACN Infotech —Hyderabad, Telangana
- Email
Medical Coder - Multispecialty
Optum —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Medical terminology
- Health insurance
14d
Medical Coders Freshers with CPC
Giftech Software Solutions —Begumpet, Hyderabad, Telangana
- Anatomy knowledge
Medical Coder - ED Facility
Optum —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Medical terminology
- Health insurance
HCC Medical Coder
Code-Zens Technology —Hyderabad, Telangana
- ₹20,000 - ₹40,000 a month
- Full-time
- Anatomy knowledge
- Microsoft Excel
- B.Sc
Quick apply
Coder, Auditing (PRN)
Ovation Healthcare —Mandamarri, Telangana
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Microsoft Office
E&M ED Facility Medical Coders
Yitro Global —Hyderabad, Telangana
- ₹10,137.11 - ₹60,802.90 a month
- Nursing
- Anatomy knowledge
- In-person
Quick apply
IPDRG Coders And IPDRG Auditors
Yitro Global —Hyderabad, Telangana
- ₹10,159.70 - ₹92,760.08 a month
- Nursing
- B.Sc
- HIPAA
Quick apply
SPE-Medical Coding HC
Cognizant —Hyderabad, Telangana
- Full-time
- Hybrid work
- Analysis skills
- Communication skills
MEDICAL BILLING AND CODING TRAINER
CADRE NGO —Ecil, Hyderabad, Telangana
- ₹40,000 - ₹70,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
Quick apply
3d
IPDRG Coders
Eclat Health Solutions —Hyderabad, Telangana
- Anatomy knowledge
- Analysis skills
- Medical terminology
Quick apply
Medical Coders for IPDRG and IPDRG Auditors
Yitro Global —Hyderabad, Telangana
- ₹10,159.70 - ₹95,760.08 a month
- Analysis skills
- EMR systems
- In-person
- Health insurance
- Life insurance
Quick apply
ED Facility Coders
Eclat Health Solutions —Hyderabad, Telangana
Quick apply
3d
Medical Coding - Certified Freshers (IP & OP)
R1 RCM, Inc. —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Bachelor's degree
- Medical terminology
Inpatient Coders - IPDRG
Medcode Services —Hyderabad, Telangana
- ₹50,000 - ₹1,00,000 a month
- Full-time
- Anatomy knowledge
- Analysis skills
- In-person
Quick apply
8d
Medical Coding
Giftech Software Solutions —Begumpet, Hyderabad, Telangana
- Analysis skills
Medical Coder - IPDRG
T3Cogno Private Limited —Hyderabad, Telangana
- ₹45,000 - ₹55,000 a month
- Full-time
- In-person
Quick apply

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Clinical Investigator

Optum -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

B.Sc
BUMS
Analysis skills
Science
Medical records
Bachelor's degree
CPT coding
BAMS
Nursing
MPT

Full 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, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This process works on identifying Fraud, Waste and Abuse between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve or deny claims and Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS guideline along with referring to client specific guidelines and member policies.

Fraud is intentionally misrepresenting or concealing facts to obtain something of value. The complete definition has three primary components:

Intentional dishonest action or misrepresentation of fact
Committed by a person or entity
With knowledge that dishonest action or misrepresentation could result in an inappropriate gain or benefit

This definition applies to all persons and all entities. However, there are special rules around intentional misrepresentations to Government programs such as Medicare and Medicaid, or TRICARE.

Waste includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources.

Abuse includes any practice that results in the provision of services that:

Are not medically necessary
Do not meet professionally recognized standards for health care
Are not fairly priced

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS guideline along with referring to client specific guidelines and member policies
Adherence to state and federal compliance policies and contract compliance
Assist the prospective team with special projects and reporting
Coordinate with all team members and share recent process related updates
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

Medical degree - BHMS/BAMS/BUMS/BPT/MPT
B.Sc Nursing and BDS with 1+ years of corporate experience
6+ months of experience (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
CPC Certification Mandate.
Extensive work experience within own function
Proven attention to detail & quality focused
Proven good analytical & comprehension skills
Proven ability to work independently

Preferred Qualifications:

Claims processing experience
Health Insurance knowledge, managed care experience
Knowledge of US Healthcare and coding
Medical record familiarity

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Apply Now

Refine Your Search

medical billers & coders jobs in telangana

Clinical Investigator

Coding Quality Auditor - E/M / ED

Subject Matter Expert - IPDRG

Medical Coders

Medical Coder - Multispecialty

Medical Coders Freshers with CPC

Medical Coder - ED Facility

HCC Medical Coder

Coder, Auditing (PRN)

E&M ED Facility Medical Coders

IPDRG Coders And IPDRG Auditors

SPE-Medical Coding HC

MEDICAL BILLING AND CODING TRAINER

IPDRG Coders

Medical Coders for IPDRG and IPDRG Auditors

ED Facility Coders

Medical Coding - Certified Freshers (IP & OP)

Inpatient Coders - IPDRG

Medical Coding

Medical Coder - IPDRG

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