Two full-time healthcare opportunities are available in Hyderabad for candidates interested in clinical documentation, EHR management, healthcare operations, and clinical authorization. The openings are for Clinical Documentation Associate (Job ID: 1035) and Clinical Authorization Specialist (Job ID: 1015).
Job Details
| Job | Job ID | Experience | Location | Job Type | Shift |
|---|---|---|---|---|---|
| Clinical Documentation Associate | 1035 | 0 Years | Hyderabad | Full-time | Day Shift |
| Clinical Authorization Specialist | 1015 | 0–2 Years | Hyderabad | Full-time | Night Shift |
1. Clinical Documentation Associate – Job ID 1035
The Clinical Documentation Associate will support US healthcare providers with clinical and administrative workflows involving EHR systems, medical documentation, chart preparation, document triage, and healthcare data migration.
Responsibilities
- Review, organize, and upload medical records into EHR systems.
- Prepare charts for physicians before patient visits.
- Support loading notes activities for upcoming patient appointments.
- Create and update patient appointments in healthcare systems.
- Handle fax triage, document classification, and indexing.
- Support EHR migration and data abstraction projects.
- Validate patient demographics and clinical documentation.
- Maintain accuracy when handling sensitive healthcare information.
- Coordinate with internal quality and operations teams.
- Follow HIPAA and client-specific confidentiality guidelines.
Eligibility and Qualifications
- Pharm D
- B.Sc Life Science
- B.Pharmacy
- M.Pharmacy
- M.Sc Life Science
Required Skills
- Good written and verbal English communication.
- Strong attention to detail and documentation accuracy.
- Basic knowledge of human anatomy and medical terminology is preferred.
- Good computer and typing skills.
- Ability to work in night shifts aligned to US time zones, if required.
- Willingness to learn and adapt to healthcare workflows.
- Knowledge of EMRs/EHRs is preferred.
Job Details
- Job ID: 1035
- Experience: 0 Years
- Job Type: Full-time
- Location: Hyderabad
- Shift: Day Shift
2. Clinical Authorization Specialist – Job ID 1015
The Clinical Authorization Specialist will handle prior authorization activities, medical necessity documentation, clinical documentation review, coding, insurance communication, denial management, and compliance-related activities.
Responsibilities
- Evaluate patient conditions and determine medical necessity for prior authorization.
- Submit required documentation to insurance companies for treatment or service approval.
- Provide additional documentation or explanations supporting medical necessity.
- Assign appropriate ICD-10 diagnosis codes and procedure codes such as CPT codes.
- Communicate with insurance companies regarding preauthorization requirements and discrepancies.
- Review clinical notes, test results, and physician documentation for completeness and compliance.
- Ensure authorization requests and medical documentation comply with HIPAA, payer guidelines, and internal quality standards.
- Analyze denied authorization requests and provide additional medical justification or appeals based on medical necessity.
- Maintain records of authorization requests, approvals, denials, and correspondence.
- Prepare daily, weekly, and monthly reports covering authorization status, TAT, denials, and approvals.
- Identify process gaps and contribute to quality improvement initiatives.
Eligibility and Qualifications
Candidates with the following qualifications are preferred:
- MBBS from India
- MBBS from foreign countries such as China, Russia, and Ukraine
- BHMS
- BAMS
- BDS
- MDS
- BPT
- MPT
- Pharm D
Required Skills
- MS Office, including Word, Excel, and PowerPoint.
- Ability to work night shifts.
Job Details
- Job ID: 1015
- Experience: 0–2 Years
- Job Type: Full-time
- Location: Hyderabad
- Shift: Night Shift
- Work Mode: Work from Office