Senior Medical Coder- Claim Edits

2 weeks ago

Ballari, India Doctus Data Services Private Limited Full time

Coding Claim Edits ProfessionalsCoding Claim Edits Coder:We are hiring experienced, certified Senior Medical Coders with extensive knowledge of ICD-10-CM, PCS, CPT, HCPCS-II & Modifiers, NCCI Edits, LCD, NDC, etc., and excellent communication skills.· 5 to 10 years of experience in Medical Coding and with 2-5 years of claim editing experience.· Strong knowledge of Surgery coding or Multi-speciality procedure-based E/M coding, modifiers, NCCI Edits, MUE, NCD, LCD, infusions & injections.· In-depth knowledge of ICD 10, CPT, Surgery procedures, Revenue codes, and medical terminologies.Responsibilities:· Process Coding-related payer-specific edits for the hospital and professional claims.· Review charge sessions that require resolution via claims system edits.· Resolution of coding-related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application and using updated coding guidelines.· Identify and resolve issues with denied or rejected claims.Minimum Requirements:· Education: Science Graduate or Postgraduate.· Credentials: Must possess current AHIMA/ AAPC certificate(s).· Communication: Possess outstanding verbal and written proficiency in English.· Work location: Ready to work from the office.

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