Coder / Sr. Coder

2 - 7 years

5 - 6 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Roles and Responsibilities

Analyze and review claim denials from insurance carriers to identify root causes and denial patterns
  • Code denial reasons using standardized denial classification systems
  • Review medical records and billing documentation to determine validity of denials
  • Prepare comprehensive denial reports with findings and recommendations
  • Identify opportunities for appeals and coordinate with appropriate departments
  • Monitor denial trends and metrics to provide actionable insights for process improvement
  • Communicate findings to billing and clinical teams to prevent future denials
  • Maintain detailed documentation of all denial reviews and actions taken
  • Support revenue recovery initiatives by working with case managers and providers
  • Ensure compliance with HIPAA and other healthcare regulations

Required Qualifications

  • 2+ years of experience in medical billing, coding, or healthcare revenue cycle
  • Strong knowledge of medical coding systems (ICD-10, CPT, HCPCS codes)
  • Proficiency with Electronic Health Record (EHR) and billing software systems
  • Strong written and verbal communication skills
  • Experience in a healthcare facility hospital coding

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Asprcm Solutions

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San Francisco

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