Multispecialty - Denial coder

Certified Multi Specialty Denial Coders

Must Have Skills

• Certification in medical coding (CPC, CCS, or equivalent)

  : Mandatory professional certification to demonstrate foundational knowledge and expertise in medical coding.

• Hands-on experience with denial analysis across multiple specialties

  : Proven practical experience in analyzing and resolving denied claims for a diverse range of medical fields such as cardiology, orthopedics, neurology, etc.

• Strong knowledge of modifiers, coding edits, and payer-specific requirements

  : In-depth understanding of how modifiers impact claims, familiarity with National Correct Coding Initiative (NCCI) edits, and awareness of unique billing and coding rules set by different insurance payers.

• Good communication skills and detail-oriented approach

  : Ability to articulate coding issues clearly and concisely, both verbally and in writing, coupled with meticulous attention to detail to ensure coding accuracy.

Good to Have Skills

• Comprehensive knowledge and expertise gained through a strong background as a Certified Multi Specialty Denial Coder.

Roles and Responsibilities

• Review and analyze denied claims

  comprehensively across various medical specialties to ascertain the reasons for rejection.

• Identify root causes for denials

  (e.g., medical necessity issues, coding errors, incorrect modifier usage, lack of documentation) and

  take appropriate corrective coding actions

  to resolve them.

• Collaborate closely with the denial management and billing teams

  to ensure the timely and accurate resubmission of corrected claims.

• Maintain exceptional coding accuracy

  and strict adherence to official coding guidelines (ICD-10-CM, CPT, HCPCS) and specific payer requirements.

• Utilize coding systems

  such as

  ICD-10-CM, CPT, and HCPCS

  effectively for accurate code assignment.

• Provide valuable feedback and input

  for the development and implementation of effective denial prevention strategies.

• Ensure strict coding compliance

  as per regulatory standards (e.g., HIPAA) and client-specific protocols.

Qualification

• Any Graduate and Above

CTC Range

• 3 to 5.4 LPA (Lakhs Per Annum)

Notice Period

• Immediate

Interview Mode

• Virtual

Contact: