Denial Coding Specialist

TP; Chennai District; On-site; INR 400,000 - 700,000; Full time

Job summary

TP in Chennai is seeking a Denial Coding Specialist to join our healthcare revenue cycle team. You will review, analyze, and resolve medical claim denials related to coding errors, ensuring accurate reimbursement and adherence to payer guidelines.

The ideal candidate holds CPC/CCS or equivalent, with strong ICD-10-CM, CPT, and HCPCS expertise, and experience in denial management. You will collaborate with clinical and billing staff to gather documentation for appeals and monitor denial trends to

Qualifications

• Bachelor's degree or diploma in Health Information Management, Medical Coding, or related field.
• Certification CPC/CCS preferred.
• Experience in denial management and revenue cycle operations.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with US payer guidelines and denial resolution processes.

Responsibilities

• Review denied medical claims to identify root causes related to coding inaccuracies.
• Assign and validate correct ICD-10, CPT, and HCPCS codes to resolve denials.
• Coordinate with clinical and billing teams for documentation required for appeals.
• Prepare and submit coding-related denial appeals within payer-specified timelines.
• Monitor denial trends and provide feedback to reduce future coding-related rejections.
• Ensure compliance with payer-specific coding guidelines and regulatory requirements.
• Maintain accurate records of denial resolutions and appeal outcomes.
• Collaborate with the revenue cycle team to improve overall claims acceptance rates.

Skills

ICD-10-CM

CPT/HCPCS

Denial management

Analytical skills

Communication

Education

Bachelor's degree in Health Information Management

Tools

Medical billing software

MS Office

Job description

Denial Coding Specialist

Role Overview

We are seeking a detail-oriented and experienced Denial Coding Specialist to join our team in Chennai. In this role, you will be responsible for reviewing, analyzing, and resolving medical claim denials related to coding errors, ensuring accurate reimbursement and compliance with payer guidelines. The ideal candidate will have a strong understanding of medical coding standards and denial management processes within the healthcare revenue cycle.

Key Responsibilities

• Review and analyze denied medical claims to identify root causes related to coding inaccuracies
• Assign and validate correct ICD-10, CPT, and HCPCS codes to resolve claim denials
• Coordinate with clinical and billing teams to gather documentation required for appeals
• Prepare and submit coding-related denial appeals within payer-specified timelines
• Monitor denial trends and provide feedback to reduce future coding-related rejections
• Ensure compliance with payer-specific coding guidelines and regulatory requirements
• Maintain accurate records of denial resolutions and appeal outcomes
• Collaborate with the revenue cycle team to improve overall claims acceptance rates

Requirements / Qualifications

• Bachelor's degree or diploma in Health Information Management, Medical Coding, or a related field
• Relevant certification such as CPC, CCS, or equivalent is preferred
• Prior experience in denial management, medical coding, or revenue cycle operations
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Familiarity with US healthcare payer guidelines and denial resolution processes
• Proficiency in medical billing software and MS Office applications
• Excellent analytical, problem-solving, and communication skills
• Ability to work effectively under deadlines in a fast-paced environment

About the Company

TP is a global business process outsourcing and customer experience management company that provides end-to-end healthcare revenue cycle, coding, and back-office support services. The company is known for delivering technology-driven solutions that help healthcare organizations optimize their financial and operational performance. .