Walk-in Drive in Cotiviti Pune For Certified Medical Coders

0 - 3 years

4 - 6 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Skills Required

Work Mode

Work from Office

Job Type

Full Time

Job Description

  • Conduct reviews of medical records and claims in support of fraud, waste and abuse investigations or for other program integrity initiatives.
  • Prepare written medical review summaries outlining rationale for claims determinations.
  • Conduct research in support of investigations.
  • Use knowledge of healthcare coding conventions, fraud schemes, areas of vulnerability, reimbursement methodologies, and relevant laws to help detect suspicious patterns in claims data, provider enrollment data, and other sources.
  • Maintain current knowledge of relevant regulations and standards, including, but not limited to, federal and state policies and coding guidelines.
  • Participates in special projects as required.

  • Any Graduate
  • CPC Certification is Mandatory.

  • 0-3 years of exp in Medical Coding. E/M preferred.
  • Good team player with strong interpersonal skills and high integrity.
  • Must be flexible to work in any shifts.

  • Should be ready to work from office.

    .

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