Denial Multispecialty Quality Analyst

1 week ago


Hyderabad, Telangana, India Sutherland Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Denial Multispecialty quality auditor:

  • Life science graduate is mandatory
  • Auditor should have 4+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc.
  • Able to analyze the denial trend and come up with solutions.
  • Need to provide education to the team and support the team wherever is required
  • Need to work independently. Should have good verbal and written communication
  • Should have knowledge in all the modalities and denial workflow
  • In depth knowledge about the payer policy and denial concepts NCCI edits, MEU, medical necessity.

Roles and Responsibilities: -

  • Responsible for accurately addressing multi-specialty denials which includes, EM OP, Surgery, Modifiers, Dx related and ensuring compliance with medical coding policies and guidelines.
  • Requires proficiency in ICD-10, CPT, and HCPCS coding systems, along with a strong understanding of medical terminology and anatomy.
  • Plays a critical role in optimizing reimbursement for healthcare services through timely and accurate submission of coded information.
  • Should have a good knowledge in denial codes and able to interpret the exact denial reasons from EOB and resolve it,

Desired Candidate Profile: -

  • Should be a Science Graduate.

  • Minimum of 1+ years of experience in Denials.

  • Basic knowledge of medical terminology and anatomy.

  • Comfortable to work from office.

  • Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders.
  • Successful completion of CPC or CCS certification must be active during joining and verified.
  • Able to work independently and willing to adapt and change as per business/ process requirements.

Timings & Transport

  1. Shift timings 8.30am 5.30Pm

  2. FIVE DAYS WORKING (MONDAY – FRIDAY)

  3. Need to be Comfortable with WFO-Work from office.

Perks and Benefits

  1. Saturday and Sunday Fixed Week Offs.

  2. Self-transportation bonus up to 3500per month.


  • Quality Analyst

    2 days ago


    Hyderabad, Telangana, India Elico Healthcare Services Ltd Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company DescriptionElico Healthcare Services Ltd. is a trusted and renowned healthcare partner offering holistic tailor-made RCM solutions to hospitals, physician groups, EMS providers, and credentialing & contracting agencies. Promoted by Elico Ltd., a leader in laboratory analytical instruments with a proven track record of over six decades, we have been...

  • Denials Coder

    2 days ago


    Hyderabad, Telangana, India Naukri Healthcare Jobs Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    We are looking for a skilled Denials Coder with 4 to 6 years of experience in the healthcare industry. The ideal candidate will have expertise in coding and analyzing denials, ensuring accurate and efficient processing.Roles and ResponsibilityAnalyze and interpret complex medical billing data to identify trends and areas for improvement.Develop and implement...


  • Hyderabad, Telangana, India Ventra Health Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    OverviewThe Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution.ResponsibilitiesProcesses accounts that meet coding denial management criteria which includes rejections, down...


  • Hyderabad, Telangana, India Eclat Health Solutions Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Job Description:We are looking for Hospital Outpatient (OP) Coders with strong experience in Surgical Coding and Denials Management. The ideal candidates should have solid knowledge of ICD-10-CM, CPT, and HCPCS coding systems, and a proven ability to handle hospital outpatient surgery coding and related denial issues effectively.Key Responsibilities:Assign...

  • Appeals Analyst

    2 days ago


    Hyderabad, Telangana, India Aarya Medical Billing Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Job Title: Appeals Analyst – Revenue Cycle Management (RCM)Department: Revenue Cycle / Medical BillingLocation: Onsite – Gachibowli, HyderabadEmployment Type: Full-timeJob SummaryThe Appeals Analyst is responsible for managing and resolving denied or underpaid medical claims by preparing, submitting, and tracking claim appeals to insurance payers. The...


  • Hyderabad, Telangana, India Arya Medical Billing Services Pvt. Ltd Full time ₹ 5,00,000 - ₹ 12,00,000 per year

    Job SummaryThe Appeals Analyst is responsible for managing and resolving denied or underpaid medical claims by preparing, submitting, and tracking claim appeals to insurance payers. The role ensures timely and accurate appeal submissions to optimize revenue recovery and reduce accounts receivable days within the RCM process.Key ResponsibilitiesDenial Review:...


  • Hyderabad, Telangana, India Yitro Business Consultants (p) Ltd Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Title: AR Analyst US HealthcareLocation: HyderabadShift Timings: 6:30 PM – 3:30 AM (IST)Transport: One-way cab providedJob Description: We are hiring AR Callers with 6 months–3 years of experience in US Healthcare. The role involves working on Physician Billing, Medical Billing, and Denial Management, ensuring timely follow-ups and claim...


  • Hyderabad, Telangana, India Ventra Health Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    OverviewWe are seeking a Senior Business Analyst to join our Client Onboarding team.This role leads initiatives to enhance billing system performance and efficiency by analyzing opportunities and supporting the execution of projects that optimize system functionality, automation, and workflow design. The Senior Business Analyst is responsible for identifying...

  • Quality Analyst

    1 week ago


    Hyderabad, Telangana, India Oliva Skin & Hair Clinics Full time ₹ 3,00,000 - ₹ 9,00,000 per year

    Job Title: Quality AnalystWork Location: Oliva Corporate Office, Begumpet, HyderabadEmail for Applications: Roles & Responsibilities:Monitor inbound and outbound calls, chats, and emails to assess service quality.Evaluate interactions using scoring sheets and document findings accurately.Ensure compliance with company policies and regulatory...

  • Quality Analyst

    2 hours ago


    Hyderabad, Telangana, India FiniteHR Consulting Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Company Description Client of FiniteHR Consulting Pvt Ltd. Job Description Our Client is Construction Specialties looking for Quality AnalystAbout our Client: Website: http://www.c-sgroup. Com Job Designation: Quality AnalystJob Location: HyderabadExperience: 4+Years. About the Company:  Construction Specialties manufactures and sells specialty...