Auditor 2nd Shift in Hyderabad

Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and

Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,

Senior Accountant II Key Responsibilities Taxation & Compliance : Ensure timely and accurate preparation and filing of GST, TDS, and other statutory returns. Liaise with external auditors and tax consultants for audits and tax filing. Monitor changes in Indian tax laws and ensure the company's compliance with all statutory requirements. Audit & Internal Controls : Assist in preparing for internal and external audits, ensuring proper documentation and adherence to audit requirements. Review and strengthen internal controls, identifying areas for improvement to prevent financial discrepancies. Accounting & Financial Reporting : Manage day-to-day accounting operations, including ledger maintenance, journal entries, reconciliations, and month-end closing. Prepare and review monthly, quarterly, and annual financial statements, ensuring compliance with internal controls and accounting standards. Team Collaboration: Collaborate with team members, cross-functional departments, and leadership to ensure accurate financial reporting and compliance. Documentation : Create and maintain process documentation Project: Provide support during various projects and any ad-hoc requests/deliverables Key Skills / Competencies Technical Proficiency : Expertise in tools such Oracle, Slack. Advanced MS Excel skills, Taxation Knowledge : In-depth understanding of Indian tax laws, including GST, TDS, and Income Tax. Experience in preparing and filing tax returns and ensuring compliance with statutory requirements. Financial Analysis : Ability to analyse complex financial data and provide actionable insights. Experience in budgeting, forecasting, and financial planning. Audit & Compliance : Experience in preparing for and assisting with internal and external audits. Knowledge of internal control frameworks and ability to identify areas for improvement. Communication Skills : Strong verbal and written communication skills. Ability to explain complex financial information to non-