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    Qualifications:
      • Candidate must have at least 2 years of experience in Home Health Coding/POC/OASIS Review
      • Must be CPC certified and active. HCS-O and HCS-D certifications are a plus
      • Knowledgeable in ICD-10 CM, CPT, and HCPCS systems
      • Bachelor’s Degree in Nursing or any related field
      Job Descriptions:
      • Analyze patients’ charts carefully
      • Utilize specialized medical classification software to assign diagnosis codes
      • Assign codes to diagnoses using ICD-10-CM codes following the PDGM guidelines by CMS
      • Enter coding information in an online program
      • Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
      • Follow up with the provider on any documentation that is insufficient or unclear
      • Communicate with other clinical staff regarding documentation
      • Search for information in cases where the coding is complex or unusual
      • Be updated about new coding rules as codes change from time to time
      • Manage detailed, specifically coded information
      • Maintain patient confidentiality and information security
      • Ensure that all codes are current and active

Qualifications:
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar medical coding certification like HCS-D or HCS-O is required
• Expertise in ICD-10, OASIS, and CMS guidelines
• Minimum of 3-5 years of experience in medical coding, with at least 1-2 years in a leadership or supervisory role
• Proficiency in using medical coding software, EHR systems, and Microsoft Office Suite (Excel, Word, PowerPoint)
• Fluent in English, both written and spoken.
• Strong understanding of HIPAA compliance and confidentiality standards.
• Ability to work under pressure and handle sensitive situations with professionalism.
• Flexibility in working hours, including availability for overtime or weekend work as needed
Job Descriptions:
• Team Management & Leadership
• Quality Control & Reporting
• Client & Internal Communication
• Performance Monitoring & Issue Resolution
• Daily: Check team attendance, monitor work allocation, update trackers, and handle CREs and priority tasks.
• Weekly: Conduct team huddles, plot coaching sessions, monitor KPIs, attend relevant meetings, and report on team performance.
• Monthly: Submit MTD (Month-to-Date) performance reports, review and track team KPIs, and ensure all coding activities are logged and documented.

Qualifications:
• Must have B2B experience
• Proficient in making sales calls
• Fluency in communication skills both oral and written
• Ability to build and maintain relationship with clients
• Strong negotiation and persuasion skills
• Knowledge of market trends and industry insights
• Proven track record of successful business development
• Business development expertise
Job Descriptions:
• Build Connections: Develop and nurture professional relationships with key stakeholders.
• Innovate and Strategize: Collaborate on business strategies to expand our reach and strengthen our position.
• Communicate with Confidence: Use your excellent verbal skills to effectively present ideas, products, and solutions.
• Be a Trailblazer: Represent our organization at events, meetings, and networking opportunities.

Experience - 1 to 4 years
Job location – Onsite / Kochi office
Shift timing – 9am to 6pm IST

Key Responsibilities:
• Software Development:
Design, develop, and maintain web applications using .NET technologies (C#, ASP.NET, MVC, .NET Core, etc.).
Write clean, scalable, and efficient code following best practices.
Collaborate with the team to develop new features, troubleshoot issues, and optimize performance.
• Database Management:
Work with SQL Server or other databases to design, create, and optimize database structures.
Write and optimize complex queries, stored procedures, and triggers.
• Code Review and Quality Assurance:
Conduct peer code reviews to ensure adherence to development standards.
Test software components to identify bugs and improve performance.
Implement unit tests, integration tests, and automate testing where applicable.
• Collaboration and Communication:
Collaborate with cross-functional teams (QA, DevOps, UI/UX) to ensure successful project deliveries.
Communicate effectively with stakeholders and project managers to provide regular status updates.
Work closely with junior developers to provide mentorship and guidance.
• Project and Process Management:
Participate in Agile/Scrum development processes, including sprint planning, stand-ups, and retrospectives.
Ensure project timelines are met, and escalate issues where necessary.
Take ownership of certain components/modules in projects, guiding them from design to production deployment.
• Documentation and Technical Support:
Create and maintain documentation of the code, design, and architecture.
Provide post-deployment technical support and fix production issues as needed.
Troubleshooting Azure related environment issues that causes production outage

Experience - 1 to 4 years
Job location – Onsite / Kochi office
Shift timing – 8am to 5pm IST

Job Description
• Minimum 18 months of hands-on coding in any medical speciality
• Experience in Homehealth or related fields os highly desirable, but not mandatory
• Candidates should possess a strong understanding of ICD-10, CPT and HCPCS coding systems and medical terminology
• Active CPC certification or an equivalent coding credential
• Specialty certifications in home health coding will be considered and advantage
• Must be available to commence employment on 6th January 2025
• Open to working from Kochi office.

Role: Team Leader- Non Clinical Operations

Shift timing - 6:30PM to 3:30AM (US shift) Monday to Friday

Job location - Kochi
 

Job Description: The Team Leader is responsible for supervising a team that provides administrative support to healthcare professionals and organizations. This role ensures that the team delivers high-quality, efficient, and compliant services to clients. The Team Leader oversees daily operations, manages performance, and ensures adherence to healthcare regulations and company policies.

 

Job Responsibilities:

  • Create an inspiring team environment with an open communication culture
  • Set clear team goals
  • Delegate tasks and set deadlines
  • Oversee day-to-day operation
  • Monitor team performance and report on metrics
  • Motivate team members
  • Discover training needs and provide coaching
  • Listen to team members’ feedback and resolve any issues or conflicts
  • Recognize high performance and reward accomplishments
  • Encourage creativity and working outside of comfort zone
  • Develop a strategy that the team members can use to better reach a project’s goal.
  • Determine the completion timeline and monitor progress to keep the project on track and on schedule.
  • Create and distribute reports to update the company on the team’s progress.
  • Ensure team adherence to company policies, healthcare regulations (such as HIPAA), and client-specific guidelines.
  • Handle escalated issues and ensure timely and professional resolution.
  • Ensure the team provides exceptional client service, maintaining a professional and empathetic approach.
  • Work closely with other Team Leaders, the Operations Manager, and other departments to ensure seamless operations and effective communication.
  • Participate in client meetings and presentations as required.

 

Skills:

  • Proven work experience as a team leader or supervisor
  • US Healthcare/Home Health experience
  • In-depth knowledge of performance metrics for intake, scheduling, authorization, order management (some, or all) 
  • Good PC skills, especially MS Excel
  • Excellent communication and leadership skills
  • Organizational and time-management skills
  • Decision-making skills

This is for Philippine-based applicants only.

Job location – Remote/ Permanent WFH
Shift timing – Night Shift 

JOB DESCRIPTION:

In this role, you will be required to:

  • Review the quick assessment form from ground nurses and transcribing into EMR
  • Performs RCD and ADR review for Home Health and Hospice
  • Review all discipline notes and make recommendation, correction and approve
  • Entering the Fax copies from Referral sources to EMR on a daily basis
  • Work closely with Clinical team and Insurance verification team on each payer wise referrals on a daily basis
  • Updating all the referral forms on a daily basis and report to the supervisor
  • Contribute high level of involvement in patient intake process
  • Assist the supervisors with other task based on the operational need

QUALIFICATIONS:

  • Must be a Registered Nurse
  • Preferably with Hospice ADR experience
  • Experience in evaluating quick assessment forms from ground nurses and transcribing into the EMR
  • Experience in conducting RCD and ADR reviews
  • Previous experience in Home Health required
  • Skilled in performing Chart Audits
  • Exhibits outstanding resource allocation skills
  • Willing to work flexible hours, including night shifts
  • Available for an immediate start

This is for Philippine-based applicants only.

Job location – Remote/ Permanent WFH
Shift timing – Morning Shift

Qualifications:

  • 3+ years’ experience in Home Health Coding
  • Should have thorough knowledge of Coding, OASIS and POC
  • Experienced in using various EMR systems.
  • Skilled in maintaining high-quality standards.
  • Strong time management and communication skills.
  • Certification Required: CPC 

 

 

Key Responsibilities:

Quality Review and Assurance:

  • Conduct regular audits to verify the accuracy and compliance with CMS standards
  • Ensure alignment with regulatory requirements, including Medicare/Medicaid and other payer guidelines.
  • Identify and resolve discrepancies or inaccuracies in coding and documentation.

Compliance Monitoring:

  • Stay updated on changes to coding guidelines, home health regulations, and payer-specific requirements.
  • Assist in implementing new regulatory and compliance standards as needed.

Performance Reporting:

  • Share audit findings and actionable recommendations with the coding team and management.
  • Make sampling recommendations based on each employee’s performance

Training and Support:

  • Provide feedback, guidance, and training to coders to improve documentation and coding practices.
  • Coordinate with Training department for training requirement

Process Improvement:

  • Identify opportunities to streamline workflows and improve coding accuracy and efficiency.
  • Collaborate with cross-functional teams to enhance overall operational quality.

Shift timing - 6.30pm to 3.30am (US shift) Monday to Friday

Job location - Kochi

 

Job Summary:
We are seeking a skilled Healthcare Accounts Receivables Denial Analyst with a minimum of 2 years of experience to join our team. This role involves managing and analyzing healthcare claims, with a primary focus on identifying, analyzing, and resolving claim denials. The ideal candidate will have a strong understanding of healthcare billing practices, denial management processes, and payer requirements to optimize reimbursement for healthcare services. Experience in Home Health and Hospice is preferred.

Key Responsibilities:

  • Review and analyze denied claims to identify root causes and trends in claim rejections.
  • Collaborate with internal teams to develop and implement effective denial resolution strategies.
  • Ensure claims are reworked, appealed, and resubmitted per payer guidelines.
  • Perform root cause analysis to reduce future denials and educate the team on best practices.
  • Maintain knowledge of CPT, HCPCS, ICD-10 codes, payer policies, and medical terminology.
  • Track and report on denial rates, trends, and resolution status to support continuous improvement.
  • Maintain compliance with healthcare regulations, including HIPAA and payer-specific rules.

 

Qualifications:

  • Minimum of 2 years of experience in healthcare accounts receivable or denial management.
  • Strong understanding of healthcare billing, coding, and payer reimbursement methodologies.
  • Proficiency with electronic health record (EHR) and accounts receivable management software.
  • Excellent analytical skills and attention to detail.
  • Strong communication skills and ability to work in a collaborative team environment.
  • Knowledge of denial management best practices and revenue cycle optimization is a plus.
  • Preferred: Experience with Home Health and Hospice billing practices.

 

Preferred:

  • Certification in Medical Billing or Coding (CPC, CCS, or equivalent) is preferred but not required.
  • Experience working with multiple payer systems, including government and commercial payers.

Shift timing - 6.30pm to 3.30am (US shift) Monday to Friday

Job location - Kochi

 

Position Overview:

We are seeking a detail-oriented and experienced Medical Billing Payment Poster to join our team. The ideal candidate must have expertise in Kinnser/WellSky, KanTime, and AlayaCare software and a strong background in medical billing and payment posting. This role involves accurately applying payments, reconciling accounts, and ensuring compliance with billing regulations.

Key Responsibilities:

  • Payment Posting: Accurately post payments, adjustments, and denials from electronic remittance advice (ERA), explanation of benefits (EOB), and manual payments into the appropriate systems (Kinnser/WellSky, KanTime, AlayaCare).
  • Reconciliation: Balance and reconcile daily deposits and payment batches to ensure accuracy.
  • Denial Management: Identify and escalate payment discrepancies, denials, or underpayments for further review and resolution.
  • Insurance & Patient Payments: Process and apply payments from insurance companies, Medicare, Medicaid, and private payers.
  • Billing Compliance: Ensure all payment posting activities comply with HIPAA and healthcare billing guidelines.
  • Reporting & Audits: Generate and review payment reports to assist with month-end closing and audits.
  • Collaboration: Work closely with the billing and collections teams to resolve payment issues and ensure timely reimbursements.
  • Data Accuracy: Maintain up-to-date and accurate financial records in the billing software.

Qualifications & Requirements:

  • Experience: Minimum of 2 years of medical billing payment posting experience, preferably in home health or hospice.
  • Software Proficiency: Must have hands-on experience with Kinnser/WellSky, KanTime, and AlayaCare.
  • Knowledge: Strong understanding of medical billing, EOBs, ERAs, insurance reimbursements, and denial codes.
  • Attention to Detail: High level of accuracy in data entry and financial transactions.
  • Technical Skills: Proficiency in Microsoft Office (Excel, Word, Outlook) and other billing systems.
  • Communication Skills: Strong verbal and written communication skills for interacting with internal teams and external payers.
  • Problem-Solving Ability: Ability to analyze and resolve discrepancies related to payment postings.
  • Education: High school diploma or equivalent required; associate’s or bachelor's degree in healthcare administration, accounting, or a related field preferred.

Preferred Qualifications:

  • Experience in home health or hospice billing.
  • Familiarity with Medicare, Medicaid, and private insurance regulations.
  • Ability to work independently and meet deadlines in a fast-paced environment.

Job Title: Report Analysts

Location: Kochi 
Department: Business Intelligence 

Job Overview: 

We are seeking a highly motivated and detail-oriented Report Analyst to join our team. In this role, you will be responsible for analyzing business processes, identifying areas for improvement, and recommending solutions to drive operational efficiency and effectiveness. You will collaborate closely with stakeholders, including management, operations, and IT teams, to gather requirements, define business needs, and ensure successful implementation of solutions. 

Key Responsibilities: 

  • Data Analysis and Reporting: Collect, analyze, and interpret large datasets from various sources to identify trends, patterns, and business opportunities. 
  • Dashboard Development: Design, develop, and maintain interactive dashboards and reports using BI tools (e.g., Power BI, Excel, VBA, etc.). 
  • Data Integration: Integrate data from multiple sources, ensuring consistency, accuracy, and timeliness for reporting and analysis. 
  • Business Insights: Provide actionable insights and recommendations based on data analysis to support decision-making processes across departments. 
  • Data Quality Management: Monitor and ensure data integrity, cleanliness, and consistency across various systems and reports. 
  • Trend Analysis: Identify and track key business metrics, industry trends, and competitor benchmarks to support strategic initiatives. 
  • Performance Tracking: Track and report on business performance against set KPIs, providing detailed analysis to leadership. 
  • Tool and Process Improvement: Continuously assess and recommend improvements to BI tools, systems, and processes to enhance efficiency and effectiveness. 

Skills & Qualifications: 

  • Bachelor’s degree or in a related field (or equivalent experience). 
  • 1-3 years of experience in MIS, business intelligence, data analysis, or a similar role. 
  • Proficiency in BI tools (Excel, Power BI, VBA Macro, etc.). 
  • Experience with Excel, including advanced functions and pivot tables. 
  • Analytical Skills: Strong analytical skills with the ability to interpret complex data and generate actionable insights. 
  • Communication: Excellent verbal and written communication skills, with the ability to present data findings to non-technical stakeholders. 
  • Problem-Solving: Strong problem-solving skills with the ability to address complex business challenges through data-driven solutions. 
  • Attention to Detail: High attention to detail, with the ability to ensure the accuracy and reliability of data reports. 
  • Project Management: Ability to handle multiple projects simultaneously and work under tight deadlines. 

Working Conditions: 

  • Full-time position and Only Work from Office 
  • Should be from BPO / Healthcare Industry 

Position: ABA (Applied Behavior Analysis) Healthcare Scheduler
This is for Philippine-based applicants only.

We are seeking a Healthcare Scheduler to manage and coordinate appointments, ensuring smooth operations and optimal patient satisfaction. This role requires attention to detail, flexibility, and strong communication skills to handle urgent scheduling needs effectively. Thank you.

Key Responsibilities:

  • Scheduling: Efficiently manage therapy schedules for clients and clinicians, ensuring optimal resource utilization and timely appointments.
  • Communication: Serve as the primary point of contact for families and staff, addressing inquiries and resolving scheduling conflicts professionally.
  • Coordination: Collaborate with clinicians, supervisors, and administrative teams to maintain accurate and up-to-date scheduling records.
  • Data Entry: Input and update schedules in the system with precision to avoid discrepancies.
  • Problem Solving: Proactively identify and resolve scheduling issues to ensure seamless service delivery.

Qualifications:

  • Experience: At least 2-3 years of scheduling or administrative experience in a healthcare or ABA setting (preferred).
  • Skills:
    • Strong organizational skills with the ability to multitask effectively.
    • Excellent communication and interpersonal skills.
    • Familiarity with HIPAA compliance and confidentiality standards.
    • Strong organizational skills, Attention to detail, and accuracy.
    • Proficient in scheduling software and basic computer applications (e.g., Microsoft Office, Google Workspace).
    • Ability to work in a fast-paced environment while maintaining professionalism.
    • Strong problem-solving skills and a proactive approach to challenges.

Take the Next Step with Cliniqon!