15 Healthcare Compliance Jobs in Vellore

DESCRIPTION Following strict coding guidelines within established productivity standards.Addressing coding related inquires for providers as needed, U.S. only.Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials.Maintaining patient confidentiality.Candidates should have Good Communication & Analytical Skills and should be Good at Medical Terminology (Physiology & Anatomy).* Should be a good team player with good attitude.* Should be flexible to work in rotational shifts whenever required*Ready to Join with us immediately.   KeySkills : Biotechnology, Biotechnologist, Biomedical Engineer, Biotech, Biotech Engineer, Biochemist, Biomedical Engineering, Bioinformatics, Biochemistry, B Tech Biotechnology, Bsc Biotech, MSC Biotech, M Phil Biotechnology, Biomedical Trainee, Clinical Biochemistry, Industry : Hospitals / Medical / Healthcare Equipments Function : Health Care / Pharmaceuticals / Medical Positions : 50

Preferred: Fresher Life Science & Paramedical Graduates Location : Chennai Coimbatore Trichy Salem Vellore Bangalore Job Description: 1. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complication. 2. Researches and analyzes data needs for reimbursement. 3. Analyzes medical records and identifies documentation deficiencies. 4. Serves as resource and subject matter expert to other coding staff. 5. Reviews and verifies documentation supports diagnoses, procedures and treatment results. 6. Identifies diagnostic and procedural information. 7. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. 8. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. 9. Follows coding conventions. Serves as coding consultant to care providers. 10. Identifies discrepancies, potential quality of care, and billing issues. 11. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. 12. Identifies reportable elements, complications, and other procedures. 13. Serves as resource and subject matter expert to other coding staff. 14. Assists lead or supervisor in orienting, training, and mentoring staff. 15. Provides ongoing training to staff as needed. 16. Handles special projects as requested. Skills Required Good Knowledge on Anatomy & Physiology Excellent Knowledge on ICD & CPT Good Computer Skills Above Average Communication Skills Good Reporting Skills A medical coder should, Give 100% production with 99% quality. Ensure that the coding follows the ICD -10 CM Coding rules as well as the specific guidelines given by the client-based coding guidelines. Associate the diagnosis codes to appropriate services provided and sequence the codes in such a way as to ensure proper reimbursement. Have a good knowledge of Anatomy, Physiology, Medical Terminology, ICD-10, CPT procedure and to understand the patient care charts and histories Familiar with medical coding procedures and systems. Should have experience of educating the coder in achieving the quality To Maintain Coders Quality Reports (Data in Excels). Job Types: Full-time, Permanent Contact  : HR Sherin - 9941997879 (Call & Watsapp)  

As a Data Analyst in this role, you will be responsible for analyzing clinical, operational, and financial data to identify trends and insights. You will also develop dashboards and reports for performance tracking and decision support. Working with EHR and other healthcare data systems will be crucial to ensure data accuracy. Your role will involve supporting quality improvement, cost reduction, and patient care initiatives while ensuring compliance with healthcare regulations and data privacy standards. Qualifications Required: - Bachelor's degree in a relevant field such as Data Science, Healthcare Informatics, or Statistics - Proficiency in data analysis tools such as SQL, Python, or R - Strong understanding of healthcare data systems and EHR platforms Please note that the job is Full-time and requires in-person work at the specified location. As a Data Analyst in this role, you will be responsible for analyzing clinical, operational, and financial data to identify trends and insights. You will also develop dashboards and reports for performance tracking and decision support. Working with EHR and other healthcare data systems will be crucial to ensure data accuracy. Your role will involve supporting quality improvement, cost reduction, and patient care initiatives while ensuring compliance with healthcare regulations and data privacy standards. Qualifications Required: - Bachelor's degree in a relevant field such as Data Science, Healthcare Informatics, or Statistics - Proficiency in data analysis tools such as SQL, Python, or R - Strong understanding of healthcare data systems and EHR platforms Please note that the job is Full-time and requires in-person work at the specified location.

Ward Incharge Nurse oversees the daily operations of a hospital ward, ensuring that patient care is delivered efficiently and effectively. This role involves managing nursing staff, coordinating patient care activities, and ensuring compliance with healthcare standards and regulations.Job Description of Ward Incharge Nurse Lead and supervise nursing staff in the ward. Coordinate patient care activities and ensure high-quality service delivery. Manage ward operations and ensure adherence to healthcare standards. Responsibilities Supervise and manage nursing staff within the ward. Ensure proper patient care and monitor patient progress. Coordinate with doctors and other healthcare professionals for patient treatment. Handle patient admissions, discharges, and transfers. Maintain accurate patient records and manage ward supplies. Requirements and Skills Registered Nurse (RN) with valid nursing license. Proven experience in a nursing role, with leadership experience preferred. Strong knowledge of medical and nursing procedures. Excellent communication and interpersonal skills. Ability to work effectively under pressure and handle emergencies.

Job Summary: We are seeking a motivated and detail-oriented fresher to join our healthcare team as a Medical Coder. The role involves reviewing patient medical records and accurately assigning Hierarchical Condition Category (HCC) codes to ensure compliance with risk adjustment and insurance requirements. This is an excellent opportunity for individuals looking to build a career in medical coding within the healthcare industry. Key Responsibilities: Review and analyze medical records to assign accurate codes. Ensure compliance with ICD-10-CM coding guidelines and risk adjustment models. Validate diagnosis codes based on physician documentation and medical necessity. Assist in improving documentation accuracy by collaborating with healthcare providers. Maintain strict confidentiality of patient health information (PHI). Keep up to date with changes in coding guidelines and insurance policies. Qualifications & Skills: Bachelors or Masters degree in Life Sciences, Healthcare, or a related field. Basic understanding of ICD-10-CM coding and risk adjustment principles. Knowledge in Anatomy and Physiology Strong analytical and attention-to-detail skills. Good communication and computer skills. Benefits: Comprehensive training on Medical coding. Certification assistance and career growth opportunities. 100% Placement with competitive Salary.  contact: 9941997879 Refer: JESSY HR Mail id: recruiter@iskillssolutions.com

Job description Medical Coding Jobs for Paramedical & Lifescience freshers Ct : 8428080909 Role Summary: This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing. JOB SUMMARY This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills ESSENTIAL RESPONSIBILITIES Review medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements. Review all documentation for compliance with quality standards and relevant policies. Prepare and provide information to west partners based on their expectation. Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency. Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data. Adhere to all company and department policies regarding security and confidentiality

Description Medical Coding is the fastest-growing profession in the healthcare industry today.It is a niche specialization and the demand for trained and certified medical coders is increasing exponentially and bound to increase in upcoming years, especially in India.You have at least a Diploma/Degree in any field.This role is open to fresh graduates with excellent English communication skills.You pay strong attention to details and are capable of delivering top-quality workYou are goal-oriented and thrive in fast-paced environments Identify cases eligible for medical reviews and assign these to appropriate reviewers.Reach out to the client for any problems identified in the cases for review.Adhere to Utilization Review Accreditation Commission , jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.Develop a complete understanding of the Medical management Procedures.Perform medical review assessment  on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates. Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.Identify missing records and information that are necessary in the completion of the medical review assessment.Adhere to Department of Labor, state and company timeframe requirements.Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results. Ct:Hr Bhavani9566284639

Position: Medical Coder   Ct: HR Shanmugapriya 8072891550   We are looking for a DGNM Staff nurse Should have good knowledge in Medical codingShould be Certified Medical CoderShould have good communication skillsImmediate joiners are neededJob Type: Full-time   Assign diagnosis and procedure codes for the patient chartsEnsure 95% quality on productionAdherence to the company\'s Coding Compliance policy/plan internal and External (clients)To improve the performance based on the feedback provided by the reporting manager Ct:HR Shanmugapriya8072891550

Leading beauty and wellness brand requires Aesthetic doctor( Dermatologist)- Vellore( Tamilnadu) One of our client a leading Beauty, wellness and salon brand headquatered in bangalore operating in over 30 cities in india , today it is one of the fastest growing beauty and wellness brand in india which offers advanced beauty treatments and welness from across its chain of salon outlets. It is over 30 year old brand that brings joy to seeing patrons who have trusted her for over 30 years still turning to her for advice, reaffirming the lasting relationships she has built with passion and expertise. We are looking out for Aesthetic doctor ( Dermatologist) for its outlet at Vellore in Tamilnadu - Client- Leading beauty and wellness brand operation chain of beauty outlets across india - Role- Aesthetic doctor( Dermatologist) - Location- Vellore( Tamilnadu) - Qualification-Medical degree (MD) and completion of a residency in dermatology or aesthetic medicine. - Experience- 0-5 years of similar experience - Compensation- competitive - Joining- 0-30 days THE JD IS AS FOLLOWS Aesthetic Doctor Job Description(MBBS/MD) Job Summary: -An aesthetic doctor diagnoses and treats a variety of skin conditions and performs cosmetic procedures to enhance patients' appearance. They provide personalized care and stay updated with the latest advancements in aesthetic medicine. Key Responsibilities: -Patient Consultation:Conduct thorough consultations to understand patients' aesthetic goals and medical history.-Physical Examinations:Perform skin health assessments and physical examinations.-Personalized Treatment Plans:Design treatment plans tailored to patients' needs and preferences.-Non-Surgical Procedures:Perform cosmetic procedures such as Botox injections, dermal fillers, laser treatments, and chemical peels.-Patient Monitoring:Monitor patients' progress and make necessary adjustments to treatment plans.-Skincare Advice:Advise patients on skincare routines and lifestyle changes to improve aesthetic health.-Record Keeping:Maintain accurate and detailed patient records.-Regulatory Compliance:Adhere to healthcare regulations and safety standards.-Continuous Learning:Stay updated on the latest techniques and technologies in aesthetic medicine.-Collaboration:Work closely with other healthcare professionals to provide comprehensive care. Qualifications: -Medical degree (MD) and completion of a residency in dermatology or aesthetic medicine.-Board certification or eligibility in dermatology or aesthetic medicine.-Strong interpersonal and communication skills.-Knowledge of dermatological conditions and treatments.-Experience with cosmetic procedures and skin surgeries is a plus. If the position interests you and you find a fitment kindly share your cv and details at.  career@megmaservices.co.in or contact Rajat- 7011354635 Kindly share the following details - Current ctc and notice period - Expected ctc - Open to work at Vellore - Professional /educational qualification - Relevant experience

In the role of Deputy Manager Medical Billing, you will be responsible for overseeing and optimizing medical billing operations. Your duties will include managing the billing team, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. Additionally, you will engage in strategic planning, process improvement, and collaboration with various departments to support revenue cycle management effectively. Key Responsibilities: - Team Supervision: Lead and manage the medical billing team by providing training, mentoring, and evaluating staff performance to uphold high-quality billing practices. - Process Optimization: Identify opportunities for enhancing billing processes and implement best practices to improve accuracy and efficiency in billing operations. - Cross-Department Collaboration: Collaborate closely with Coding, CDI, and other relevant departments to address billing issues and ensure precise claim submissions. - Reporting & Analysis: Monitor and analyze key performance indicators (KPIs) related to billing. Prepare and present reports to senior management, highlighting trends, performance metrics, and areas for improvement. - Problem Resolution: Address and resolve complex billing issues, such as claim denials and discrepancies. Develop and implement corrective actions to prevent recurring issues. Desired Candidate Profile: - Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field. - Certification in medical billing or coding (e.g., CPC, CCS) is preferred. - Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or management role. - Excellent leadership, organizational, and analytical skills. - Proven ability to analyze data, identify trends, and implement process improvements. - Proficiency in medical billing software and electronic health record (EHR) systems. In addition to the specific job responsibilities and qualifications outlined above, you can expect the following: - Full-time, salaried position with a competitive compensation package. - Comprehensive benefits, including health insurance, retirement plans, and paid time off. - Opportunities for professional development and career advancement. - A dynamic and supportive work environment focused on continuous improvement and teamwork. If you are interested in this opportunity, please contact us at recruiter@wonderws.com or call 9047477375. In the role of Deputy Manager Medical Billing, you will be responsible for overseeing and optimizing medical billing operations. Your duties will include managing the billing team, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. Additionally, you will engage in strategic planning, process improvement, and collaboration with various departments to support revenue cycle management effectively. Key Responsibilities: - Team Supervision: Lead and manage the medical billing team by providing training, mentoring, and evaluating staff performance to uphold high-quality billing practices. - Process Optimization: Identify opportunities for enhancing billing processes and implement best practices to improve accuracy and efficiency in billing operations. - Cross-Department Collaboration: Collaborate closely with Coding, CDI, and other relevant departments to address billing issues and ensure precise claim submissions. - Reporting & Analysis: Monitor and analyze key performance indicators (KPIs) related to billing. Prepare and present reports to senior management, highlighting trends, performance metrics, and areas for improvement. - Problem Resolution: Address and resolve complex billing issues, such as claim denials and discrepancies. Develop and implement corrective actions to prevent recurring issues. Desired Candidate Profile: - Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field. - Certification in medical billing or coding (e.g., CPC, CCS) is preferred. - Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or management role. - Excellent leadership, organizational, and analytical skills. - Proven ability to analyze data, identify trends, and implement process improvements. - Proficiency in medical billing software and electronic health record (EHR) systems. In addition to the specific job responsibilities and qualifications outlined above, you can expect the following: - Full-time, salaried position with a competitive compensation package. - Comprehensive benefits, including health insurance, retirement plans, and paid time off. - Opportunities for professional development and career advancement. - A dynamic and supportive work environment focused on continuous improvement and teamwork. If you are interested in this opportunity, please contact us at recruiter@wonderws.com or call 9047477375.

In this role, you will be responsible for providing training to billing staff on policies, procedures, and system updates to ensure they have the necessary skills and knowledge. You will collaborate with other departments such as coding, compliance, and insurance verification to facilitate the smooth flow of the revenue cycle. Additionally, you will act as a point of contact for complex billing inquiries and escalated issues, resolving high-priority concerns in a timely manner. Key Responsibilities: - Provide training to billing staff on policies, procedures, and system updates - Collaborate with other departments to ensure the smooth flow of the revenue cycle - Act as a point of contact for complex billing inquiries and escalated issues Qualifications Required: - Bachelor's degree in Healthcare Administration, Medical Billing, Health Information Management, or a related field - Certification in Medical Billing (e.g., CBCS, CCB, or equivalent) is highly preferred - Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or leadership role within revenue cycle operations - Proven leadership skills with the ability to manage and develop a team - Strong problem-solving abilities and attention to detail - Proficiency in billing software and Electronic Health Record (EHR) systems If you join our team, you can expect a competitive salary and benefits package, opportunities for career development and advancement, and a dynamic and collaborative work environment. For further information, please contact us at recruiter@wonderws.com or 9047477375.,

Role Overview: As an Insurance Executive at Naruvi Hospitals, your primary responsibility will be to manage all aspects of hospital insurance operations. Your role will involve ensuring seamless coordination between patients, insurance providers, and internal departments to facilitate the insurance processes efficiently. Key Responsibilities: - Coordinate with patients, consultants, and insurance companies for pre-authorization, approvals, and claim processing. - Verify insurance coverage, policy limits, and eligibility of patients. - Prepare and submit pre-authorization requests and discharge intimations. - Follow up on pending approvals and claims to ensure timely settlements. - Maintain accurate records of insurance transactions and documentation. - Liaise with TPAs (Third Party Administrators) and corporate insurance departments. - Handle cashless and reimbursement processes efficiently. - Generate reports and update management on claim status and rejections. - Ensure compliance with hospital and insurance guidelines. Qualifications & Skills: - Graduate in any discipline (preferably in Hospital Administration or related field). - 2-4 years of relevant experience in hospital insurance operations. - Good understanding of TPA processes, insurance policies, and claim documentation. - Excellent communication and coordination skills. - Proficiency in MS Office and hospital management systems. - Ability to handle patient interactions with empathy and professionalism. Please note that the work location for this position is in person at Naruvi Hospitals, Vellore. If you join our team, you will be entitled to benefits such as health insurance, leave encashment, and provident fund.,

You will be responsible for installing, inspecting, and maintaining biomedical equipment in all departments. Your role will involve performing preventive and corrective maintenance of medical devices, as well as maintaining equipment service and calibration records. Additionally, you will be required to coordinate with vendors for AMC, repairs, and warranty follow-ups. Your main focus will be to ensure that all equipment meets hospital safety and compliance standards. Furthermore, you will need to provide technical support and training to end-users. Key Responsibilities: - Install, inspect, and maintain biomedical equipment - Perform preventive and corrective maintenance of medical devices - Maintain equipment service and calibration records - Coordinate with vendors for AMC, repairs, and warranty follow-ups - Ensure all equipment meets hospital safety and compliance standards - Provide technical support and training to end-users Qualifications Required: - B.E / B.Tech in Biomedical Engineering - 2-4 years of hospital-based biomedical maintenance experience - Strong troubleshooting and analytical skills - Good communication and documentation skills Please note that the job is full-time and permanent, with the work location being in person.,

As a Biomedical Engineer, you will be responsible for installing, inspecting, and maintaining biomedical equipment in all departments. Your key responsibilities will include: - Performing preventive and corrective maintenance of medical devices - Maintaining equipment service and calibration records - Coordinating with vendors for AMC, repairs, and warranty follow-ups - Ensuring all equipment meets hospital safety and compliance standards - Providing technical support and training to end-users To qualify for this role, you should have a B.E / B.Tech in Biomedical Engineering with 2 to 4 years of experience in hospital-based biomedical maintenance. Additionally, you should possess strong troubleshooting and analytical skills along with good communication and documentation abilities. Please note that this is a full-time, permanent position that requires you to work in person at the specified location. As a Biomedical Engineer, you will be responsible for installing, inspecting, and maintaining biomedical equipment in all departments. Your key responsibilities will include: - Performing preventive and corrective maintenance of medical devices - Maintaining equipment service and calibration records - Coordinating with vendors for AMC, repairs, and warranty follow-ups - Ensuring all equipment meets hospital safety and compliance standards - Providing technical support and training to end-users To qualify for this role, you should have a B.E / B.Tech in Biomedical Engineering with 2 to 4 years of experience in hospital-based biomedical maintenance. Additionally, you should possess strong troubleshooting and analytical skills along with good communication and documentation abilities. Please note that this is a full-time, permanent position that requires you to work in person at the specified location.

As a Biomedical Engineer at Naruvi Hospitals in Vellore, TamilNadu, you will play a crucial role in ensuring the operational maintenance, calibration, troubleshooting, and lifecycle management of medical equipment across clinical departments. Your focus will be on maintaining high availability and safety of devices for patient care. Key Responsibilities: - Perform preventive maintenance, calibration, validation, and verification of various medical devices including diagnostic imaging, monitoring, therapeutic, and critical care equipment. - Troubleshoot, repair, and coordinate servicing of equipment to minimize downtime, whether it be in-house or vendor support. - Maintain accurate asset records, service logs, equipment history, and spare parts inventory to ensure efficient management. - Collaborate closely with clinical teams such as nursing, critical care, OT, and imaging to understand equipment requirements, priorities, and downtime impacts. - Ensure compliance with regulatory standards, safety protocols, and hospital policies related to equipment safety, electrical safety, and infection control. - Assist in the procurement, installation, commissioning, and acceptance testing of new equipment. - Provide technical training and support to users (clinicians, nurses, technicians) on the correct operation, safety, and basic maintenance of medical devices. - Participate in equipment budgeting, lifecycle planning, and replacement forecasts to optimize resources. - Monitor and report equipment performance metrics including uptime, breakdown frequency, and maintenance costs, while proposing necessary improvements. Qualifications Required: - Bachelor's degree in Biomedical Engineering, Electronics/Electrical Engineering, or equivalent field. - 3 to 4 years of experience in a hospital or clinical biomedical engineering environment. - Good knowledge of different types of medical equipment, their functions, troubleshooting techniques, and maintenance practices. - Strong analytical and problemsolving skills with the ability to collaborate effectively with multidisciplinary clinical teams. - Excellent communication skills in English and Tamil preferred, along with the capacity to train users effectively. - Willingness to work in a hospital setting, occasionally outside normal hours for critical equipment support. Please send your CV to careers@naruvihospitals.com with the subject line "Biomedical Engineer" to apply for this full-time, permanent position at Naruvi Hospitals in Vellore.,