denial coding

Source To Win Consultancy

2 - 3 years

2 - 5 Lacs

chennai tamil nadu india

Posted:2 days ago| Platform: Foundit logo

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Skills Required

denial analysis medical terminology icd-10 proficiency compliance knowledge insurance guidelines claim reconciliation data entry attention to detail problem solving cpc

Work Mode

On-site

Job Type

Full Time

Job Description

Description

The Denial Coding Specialist will be responsible for analyzing and resolving denied claims, ensuring accurate coding and compliance with healthcare regulations. The ideal candidate will have a strong understanding of medical coding and the ability to communicate effectively with various stakeholders.

Responsibilities

Review and analyze denied claims to determine reasons for denial.
Research and resolve coding discrepancies based on medical records and claims data.
Collaborate with healthcare providers to obtain necessary documentation for claim resolution.
Prepare and submit appeals for denied claims with accurate coding information.
Maintain up-to-date knowledge of coding guidelines and insurance policies.
Ensure compliance with regulatory requirements and coding standards.

Skills and Qualifications

2-3 years of experience in denial coding or related field.
Strong knowledge of medical coding systems (ICD-10, CPT, HCPCS).
Familiarity with healthcare insurance processes and regulations.
Proficient in using coding software and electronic health record (EHR) systems.
Attention to detail and strong analytical skills.
Excellent communication skills to interact with healthcare providers and insurance companies.

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