Immediate Openings For E&M Denial coder

ob Overview

•      We are seeking an experienced Medical Coding Auditor with strong expertise in Dermatology and Evaluation & Management (E/M) coding. The ideal candidate will be responsible for performing detailed coding audits, ensuring adherence to payer and compliance guidelines, and driving continuous improvement in coding accuracy and documentation quality.

•      This role requires advanced knowledge of ICD-10-CM, CPT, and HCPCS codes, with a focus on dermatology procedures, office visits, biopsies, excisions, and E/M documentation levels. The position is based in Chennai (Work-from-Office) and is suitable for candidates with 2 to 4 years of experience in medical coding and auditing within specialty practices.

Qualifications and Skills

•      2 - 4 years of experience in Dermatology Coding and E/M Coding Audits.

•      In-depth understanding of ICD-10-CM, CPT, and HCPCS Level II coding.

•      Strong grasp of dermatology procedures, diagnoses, modifier usage, and E/M levelling (2023 AMA Guidelines).

•      Working knowledge of coding compliance, payer-specific rules, and CMS/AAPC/AMA standards.

•      Experienced in conducting and managing Federal, Medicare, and Commercial insurance audits to ensure accurate coding practices and compliance with payer and regulatory guidelines.

•      Experience in denial management and root cause analysis preferred.

•      Excellent analytical and documentation review skills with a high attention to detail.

•      Strong verbal and written communication abilities for coder and provider feedback.

•      Experience working with EHR systems, audit tools, and quality tracking dashboards.

•      Certification: CPC, CCS, or CPMA (preferred).

Roles and Responsibilities

•      Conduct comprehensive coding audits for dermatology and E/M encounters to ensure coding accuracy, compliance, and documentation completeness.

•      Validate assigned codes against provider documentation for specificity, medical necessity, and payer guidelines.

•      Assess E/M levels for new, established, and consultation visits in line with AMA 2023 guidelines.

•      Identify coding and documentation gaps, provide feedback, and recommend corrective training.

•      Collaborate with coders and providers to clarify coding discrepancies and ensure guideline consistency.

•      Prepare and present audit reports, accuracy metrics, and performance dashboards.

•      Drive continuous improvement initiatives by tracking error trends and coder performance.

•      Stay current on coding updates, payer policies, and CMS regulations affecting dermatology and E/M services.

•      Participate in compliance reviews, internal QA sessions, and process improvement discussions.

•      Support new coder training and onboarding, sharing insights from audit findings.

Key Attributes

•      Strong analytical and problem-solving mindset.

•      Proactive approach to quality, compliance, and accuracy.

•      Ability to manage multiple audits and deliver within deadlines.

•      Commitment to continuous learning and professional growth in coding standards.

Please contact: 8072388578