Sr Coder Profee Denial
3 days ago
Job Family:
Coding OP (India)
Travel Required:
Clearance Required:
What will you do:
- Review and analyses Multispecialty Denial medical records for completeness and accuracy.
- Assign ICD 10CM, CPT and HCPCS codes for diagnosis, procedures, and services provided in the ED/E&M, Surgery.
- Abstract clinical data for reporting, billing and quality improvement purposes and querying providers when necessary.
- Meet productivity and accuracy standards set by the department
- Stay updated on coding guidelines, Payer policies and regulatory changes
- Assist in reducing claim denials by ensuring correct and complete coding
What you will need:
- Minimum of 2+ Years of Medical coding in Multi-specialty Denials is required
- AAPC or AHIMA is mandatory
- Any Graduation is required
- Must have good knowledge of medical terminology, ICD 10CM, CPT and HCPCS coding
- Good analytical skills and communication
- Ability to work independently and manage the deadlines
What would be nice to have:
- Proficiency in MS Office/excel
- Experience in coding software or encoder (3M, Trucode, Optum)
- Familiarity with HER/EMR systems (EPIC, Cerner, etc.,)
- Knowledge of multiple coding specialties emergency room coding, exposure to radiology, Denial work types.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including or Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
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