Radiology & Pathology

Q Way Technologies

1 - 6 years

3 - 8 Lacs

Chennai

Posted:3 weeks ago| Platform:

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Skills Required

Pathology Claims HCPCS Compliance Coding Analytical Billing Radiology Appeals US healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Experience:

Minimum 1 Year

Shift:

Day Shift

Job Summary: We are seeking an experienced Medical Coder specializing in denials management for Radiology and Pathology to join our RCM team. The ideal candidate will be responsible for analyzing denied claims, identifying root causes, and accurately re-coding or appealing based on payer guidelines.

Key Responsibilities:
Review and analyze denied claims specifically in Radiology and Pathology specialties.

Identify coding-related denial reasons and rework claims accordingly.

Apply accurate CPT, ICD-10, and HCPCS codes based on medical documentation.

Prepare and submit coding appeals with appropriate justifications and references.

Collaborate with AR and billing teams for resolution of complex denials.

Ensure adherence to compliance standards and payer-specific guidelines.

Maintain productivity and quality benchmarks as per company standards.

Required Skills:

Strong knowledge of Radiology and Pathology coding.

Experience handling denials and appeals in a US Healthcare RCM environment.

Proficiency with coding tools and systems (e.g., EncoderPro, Optum360, or similar).

Familiarity with payer-specific policies and LCD/NCD guidelines.

Strong analytical, written, and verbal communication skills.

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