Healthcare Coding Specialist

2 weeks ago


Chennai, Tamil Nadu, India Iskills Solutions Full time

About Us

Iskills Solutions is a leading provider of medical coding services, committed to delivering high-quality solutions that meet the evolving needs of the healthcare industry.

Salary and Benefits

The successful candidate can expect a competitive salary ranging from $15000 to $25000 per month, commensurate with experience. Additionally, our comprehensive benefits package includes opportunities for growth and development, as well as a supportive work environment.

Job Description

We are seeking an experienced Healthcare Coding Specialist to join our team. The ideal candidate will have a strong background in medical coding, with expertise in Level 1 and Level 2 HCPCS coding systems. Responsibilities will include:

  • Coding and clinical review for medical necessity of claims post adjudication that are in the pre-payment stage and have been identified as requiring such review;
  • Documentation of clinical rationale supporting findings of review based on Client's coverage policies and procedures;
  • Assistance in any later stages of the cases reviewed, including possible Technical Assessment and Medical Policy review and update;
  • Review and validate all information pertaining to the claim including member, provider and plan information;
  • Any clinical and coding support of client's Investigation process as otherwise requested;
  • Investigate rejected claim to see why denial was issued;
  • Investigate insurance fraud and report if found.

Required Skills and Qualifications

To be considered for this role, applicants must possess the following qualifications:

  • AAPC's CPC or AHIMA's CCS certification in medical coding;
  • Strong knowledge of Level 1 and Level 2 HCPCS coding systems;
  • Excellent analytical and problem-solving skills;
  • Ability to work independently and as part of a team;
  • Strong communication and interpersonal skills;
  • Proficiency in MS Office applications, including Excel, Word, and Outlook;
  • Familiarity with electronic health records (EHRs) and other medical software applications;
  • Basic understanding of medical terminology and anatomy.

Benefits and Perks

In addition to a competitive salary and comprehensive benefits package, we offer a range of perks and benefits, including:

  • Ongoing training and professional development opportunities;
  • A collaborative and dynamic work environment;
  • A flexible schedule that accommodates individual needs;
  • An employee assistance program (EAP) for mental health and wellness support;
  • A generous paid time off policy, including vacation, sick leave, and holidays;
  • A commitment to work-life balance and employee satisfaction.

Contact Information

Please submit your resume and cover letter to apply for this exciting opportunity. We look forward to hearing from you



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