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Certified Sr. Denial Coder

3 - 6 years

4 - 5 Lacs

Posted:1 week ago| Platform: Naukri logo

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Work from Office

Job Type

Full Time

Job Description

Certified Sr. Denial Coder / Work FROM OFFICE 3-6 years experience 4.5-5.5 Lacs Job description Key Requirements Must have a minimum of 3+ years of experience in Denial Coding. Past experience of identifying trends and fix with insurance guideline on usage of modifiers Must have coded Orthopedic, Gastrointestinal, ENT, podiatry procedures. Must be a Certified Coder. ( CPC, CIC or CCS Certified) Should have knowledge in surgeries from 1 to 6 series. Willing to work on rotational shifts. Expertise in addressing Modifier, inconsistent or un specified diagnosis and CCI edits Roles and Responsibilities Assign accurate Modifier and Diagnosis using CPT, ICD-10, HCPCS codes for surgical procedures, anesthesia, multi-specialty Visits and ED visits. Review patient records to identify relevant diagnoses and procedures for coding purposes. Ensure compliance with industry regulations and guidelines (e.g., HIPAA) when handling sensitive patient information. Collaborate with healthcare providers to resolve any discrepancies or questions related to coding assignments. Collaborate with internal team members in other departments and USA management team Must be able to speak and communicate in English with USA account lead Maintain confidentiality and adhere to strict data security protocols Desired Candidate profile 3-6 years of experience as a certified medical coder (CPC certified) Strong knowledge of surgery, anesthesia, emergency department (ED), and hospital settings Proficiency in CPC certification exam preparation materials Ability to work independently

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