ED Denials Quality Analyst - Medical coding in Chennai Global Healthcare Billing Partners

5.0 - 10.0 years

4 - 6 Lacs

Chennai

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Hi Candidate, Job Title: ED- Denials -QA Department: Medical Coding / Revenue Cycle Management Designation: QA Location: Velachery - Chennai Reports to: Coding Supervisor / Manager Salary: Max 55k CTC Work mode: WFO Notice period: Max 1Month Job Summary: The ED Denials Quality Analyst is responsible for ensuring the accuracy, compliance, and quality of emergency department coding, with a focus on denied claims. This role involves auditing coded records, identifying trends in denials, and collaborating with coders and billing teams to improve coding practices and reduce denial rates. Key Responsibilities: Quality Audits & Reviews: Conduct regular audits of ED-coded records, especially those associated with denials. Ensure compliance with ICD-10, CPT, and HCPCS coding standards. Validate that documentation supports the codes assigned. Denial Analysis & Resolution: Analyze denial trends and root causes. Collaborate with coders and billing teams to resolve coding-related denials. Assist in preparing appeal documentation when necessary. Qualifications: Experience: 4+ years in ED coding and at least 1 year in a quality or audit role. Skills: Strong analytical, communication, and problem-solving skills. Tools: Proficiency in EHR systems, coding software, and Microsoft Office Suite. If you are interested ping me 9677726344(Call or whatsapp) Regards, Vijayalakshmi Logaiah HR Team-TA

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Immediate hiring For Denials coder- Multi Specialty Sutherland

1.0 - 6.0 years

3 - 7 Lacs

Hyderabad, Chennai

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Roles and Responsibilities: - Denial Radiology and IVR: Life science graduate is mandatory Coder should have 2+ years of experience in Rad denial experience and IVR experience will be added advantage. Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity. Experience in creating appeals letters, claim corrections, and payer interactions Denial Coder Multispecialty: Life science graduate is mandatory Coder should have 2+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc. Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity. Experience in creating appeals letters, claim corrections, and payer interactions Desired Candidate Profile: - Should be a Science Graduate. Minimum of 1+ years of experience in Denials. Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements. Timings & Transport 1. Shift timings 8.30am 5.30Pm 2. FIVE DAYS WORKING (MONDAY - FRIDAY) 3. Need to be Comfortable with WFO-Work from office. Contact Details: HR - Aravind - 7286960006

Posted 1 month ago

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