Denial Coder

2 months ago


Chennai, India People First Consultants Full time

Department: Medical Coding andRevenue Cycle Management

Reports To: Coding Supervisor

Job Summary: We are looking fora meticulous Denial Coder to join our team. This role

involves analyzing and coding denied claims identifyingreasons for denials and collaborating

withbilling and clinical teams to resolve issues. The ideal candidatewill have strong coding

knowledge andexperience in navigating claims denial processes.

Key Responsibilities:

Review and analyze deniedclaims to determine coding errors or discrepancies.

Accurately assign CPT HCPCS and ICD10 codes to resolveclaims denials.

Collaborate with billing andclinical staff to gather necessary documentation for appeal

processes.

Stay updated oncoding guidelines and payer regulations affecting claims.

Document findings and maintain records ofdenied claims and resolutions.

Participate inaudits to identify trends in denials and recommend processimprovements.

Qualifications:

Bachelor’s degree inHealth Information Management or related field preferred.

Certification as a Certified ProfessionalCoder (CPC) Certified Coding Specialist (CCS)

or similar preferred.

Minimum 5 yearsof experience in medical coding and claims denial management.

Strong knowledge of medical terminology codingguidelines and insurance processes.

Excellentanalytical skills and attention to detail.

Strong communication skills both verbal and written.


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