Multispecialty - Denial coder

Black And White Business Solutions is actively seeking Certified Multi Specialty Denial Coders. This critical role requires hands-on experience in denial analysis across various medical specialties and a strong understanding of coding guidelines, modifiers, and payer-specific requirements. You will be instrumental in identifying root causes for denials, implementing corrective coding actions, and collaborating with internal teams to ensure timely resubmission of claims and maximize revenue recovery.

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: Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp: 8431371654 Email: [Confidential Information] | Website: www.blackwhite.in