We are Hiring Denial Medical Coder
Job Description:
We are looking for an experienced Denial Medical Coder to join our team. The ideal candidate will have expertise in reviewing denied claims, identifying coding errors, ensuring accurate code assignment, and supporting timely claim resolution to maximize reimbursement.
Roles & Responsibilities:
- Review denied medical claims and identify the root cause of denials.
- Analyze medical records and assign accurate ICD-10-CM, CPT, HCPCS, and modifiers.
- Correct coding-related denials and resubmit claims as required.
- Ensure compliance with payer guidelines, CMS regulations, and coding standards.
- Collaborate with AR, billing, and provider teams to resolve coding-related issues.
- Monitor denial trends and recommend corrective actions to reduce future denials.
- Maintain productivity and quality standards as per organizational requirements.
- Stay updated with coding guideline changes and payer-specific policies.
Required Skills:
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
- Experience in handling coding-related denials and appeals.
- Good understanding of payer guidelines and reimbursement processes.
- Excellent analytical and problem-solving skills.
- Strong communication and documentation skills.
- Ability to work independently and meet productivity targets.
Eligibility:
- Experience: 3 to 6 Years (Denial Coding)
- Certification: AAPC (CPC/COC/CIC) or AHIMA (CCS/CCA) – Mandatory
- Immediate joiners or candidates with a notice period up to 30 days preferred.
- Interested candidates can reach: Madhushika HR- 9384270038