Medical Coder / Biller QA- Hiring

GM Analytics Solutions

4 - 8 years

6 - 10 Lacs

Gurugram

Posted:2 weeks ago| Platform:

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Skills Required

QA US Healthcare Denial Management Medical Billing Cpc Certified Charge Posting E/M HMO ICD RCM PPO

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary:

Medical Coder / Biller QA

Key Responsibilities:

Perform accurate coding and billing of hospital professional services, ensuring compliance with CPT, ICD-10, and HCPCS coding standards.
Review and resolve coding denials for
Inpatient (IP)
and
Outpatient (OP)
claims, with special emphasis on
E/M coding
.
Conduct Quality Assurance (QA) checks on coded and billed claims before submission.
Collaborate with cross-functional teams for accurate claims processing and timely resolution of rejections.
Prepare and analyze reports using
Microsoft Excel
for internal audits, performance tracking, and continuous improvement.
Maintain up-to-date knowledge of payer policies,
HMO
,
PPO
,
Medicare
, and
Medicaid
requirements.
Ensure strict adherence to
HIPAA
and other regulatory compliance guidelines.

Required Qualifications:

Certification:
CPC (Certified Professional Coder) Mandatory
Experience:

Minimum
2+ years
of experience in
hospital professional billing
Minimum
2+ years
of
medical coding experience
, particularly in denials and E/M coding

Technical Skills:

Proficiency in
Microsoft Excel
data handling, formulas, reporting

Insurance Knowledge:

Familiarity with various insurance types such as
HMO
,
PPO
,
Medicare
, and
Medicaid

Desired Competencies:

Strong attention to detail and commitment to coding accuracy
Solid understanding of medical terminology, billing rules, and industry updates
Excellent communication and documentation skills
Ability to manage multiple tasks in a deadline-driven environment

Note:

Apply Now

Contact - Shivi HR - 7428699980

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