Denial Coder

1 day ago

Chennai, India Hrcs Services Full time

Job Description:
HRCS Services Pvt Ltd is hiring Denial Coders to join our growing Revenue Cycle Management (RCM) team. The role involves reviewing denied claims, correcting codes, and ensuring compliance with payer guidelines to support smooth claim resolution and reduce denial rates.

Responsibilities:

  • Review and resolve denied claims by applying accurate ICD-10-CM, CPT, and HCPCS codes.
  • Analyze root causes of denials and collaborate with AR/billing teams for resubmissions.
  • Prepare appeals with supporting medical documentation when required.
  • Track and report denial trends to help prevent recurrence.
  • Ensure compliance with payer, federal, and organizational guidelines.

Requirements:

  • Graduate in Life Sciences / Nursing / Pharmacy (preferred).
  • Certified Professional Coder (CPC/CCS/COC) preferred.
  • 13 years of experience in Denial Coding / Medical Coding.
  • Strong knowledge of coding guidelines and payer-specific denial policies.
  • Good communication, analytical, and problem-solving skills.

What We Offer:

  • Competitive salary & performance incentives.
  • Growth opportunities within RCM operations.
  • Training & certification support.
  • Supportive team culture.

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