Hiring For Medical Coder - E/M OP Denial Coder!!

1 - 5 years

2 - 6 Lacs

Posted:1 week ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Summary:

skilled Medical Coder specializing in Outpatient Evaluation & Management (E/M)

Key Responsibilities:

  • Review and analyze

    outpatient E/M medical records

    to assign appropriate diagnosis and procedure codes.
  • Ensure coding accuracy and compliance with

    CPT, ICD-10-CM, HCPCS, and payer-specific requirements.

  • Identify, analyze, and resolve

    claim denials or rejections

    related to coding discrepancies.
  • Collaborate with billing and denial management teams to

    resubmit corrected claims

    and reduce denial rates.
  • Perform

    root cause analysis

    of recurring denials and provide feedback or training recommendations to providers.
  • Maintain up-to-date knowledge of

    coding guidelines, payer policies, and regulatory changes (CMS, OIG, etc.).

  • Participate in

    quality audits

    and implement corrective action plans as necessary.
  • Meet or exceed

    productivity and accuracy benchmarks

    as per department standards.

Required Qualifications:

  • Certification:

    CPC.
  • Experience:

    24 years of medical coding experience in

    Outpatient E/M

    settings, with a focus on

    denials resolution

    .
  • Knowledge of:

    • E/M leveling and documentation requirements.
    • Common denial reasons and payer-specific appeal processes.
    • Coding software, EHR systems, and claim management tools (e.g., Epic, Athena, 3M, Optum, etc.).
  • Strong analytical, problem-solving, and communication skills.
  • Ability to work independently with attention to detail and deadlines.

Interested candidates feel free to contact Shobana HR Via whatsapp - 7708002624 or drop a mail - shobana.s@qwayhealthcare.com

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Q Way Technologies

Information Technology / Logistics

San Francisco

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