Healthcare Claims Expert

4 days ago


Chennai, Tamil Nadu, India beBeeMedical Full time ₹ 18,00,000 - ₹ 24,00,000
Senior Medical Coding Auditor SIU

Developing expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.

Key Responsibilities:
  • Advances the organization's expertise in CPT HCPCS and ICD-10 Coding requirements.
  • Conducts complex policy audits to determine accuracy of claims.
  • Demonstrates a strong understanding of relevant concepts, standards, and regulations.
Qualifications:
  • Bachelor's or Advanced degree in Nursing or related field.
  • Five years experience in coding, auditing, or similar roles across multiple specialties in the healthcare industry.
  • Preferred qualifications include project leadership and financial analysis experience.

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