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ED Denials Quality Analyst - Medical coding in Chennai

5 - 10 years

4 - 6 Lacs

Posted:5 days ago| Platform: Naukri logo

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Job Description

Hi Candidate,

Job Title:

Department:

Designation:QA

Location:

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Salary:

Work mode:

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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.

  • 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.

  • 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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