Medical coder Fresher

Role & responsibilities

Hiring for Medical coding

Core Responsibilities

* Claims Audit & Investigation: Review complex healthcare claims and patient medical records to identify and resolve discrepancies, subrogation issues, or payables.

* Fraud Prevention: Prevent the reimbursement of non-compliant, fraudulent, or abusive billing practices using clinical judgment.

* Coding Alignment: Cross-reference clinical documentation against standard CPT, ICD-10 diagnosis codes, and CMC guidelines.

* Compliance Adherence: Ensure that all processed claims strictly adhere to specific client policies as well as US state and federal healthcare compliance guidelines.

Preferred candidate profile

Required Qualifications & Skills

* Educational Background: The role is explicitly targeted toward medical and healthcare graduates. Eligible degrees include BHMS, BAMS, BUMS, BPT, MPT, M.Pharm, B.Sc Nursing, and BDS