Denials MC (Medical Coding)

Nexgenhiringexperts; Bengaluru; On-site; INR 279,000 - 725,400; Full time

Job summary

A healthcare services provider seeks a skilled Denials MC Specialist in Bengaluru, India. The role involves analyzing medical coding denials, collaborating with healthcare providers, and ensuring compliance with coding guidelines. Candidates must have a Life Sciences degree and certification in Medical Coding or Denials Management, along with strong analytical and communication skills.

Qualifications

• 1 to 5 years of experience in medical coding or related fields.
• Certification in medical coding or denials management is required.

Responsibilities

• Analyze denial reasons related to medical coding and identify solutions.
• Correct coding discrepancies to facilitate claim approvals.
• Collaborate with healthcare providers to clarify and resubmit claims.
• Maintain accurate documentation of denial resolutions and actions taken.
• Stay updated on the latest coding guidelines and compliance requirements.

Skills

Strong knowledge of medical coding systems (e.g., ICD, CPT, HCPCS)

Analytical and problem-solving skills

Effective communication and teamwork abilities

Education

Life Sciences Graduate

Certification in Medical Coding or Denials Management

Job description

About the job Denials MC (Medical Coding)

JD for Denials MC (Medical Coding)

Job Title: Denials MC Specialist

Experience: 1 to 5 years

Salary: 25,000 to 65,000 per month

Educational Qualification:

• Mandatory: Life Sciences Graduate
• Certification: Certification in Medical Coding or Denials Management is required.

Job Overview:
We are looking for a skilled Denials MC Specialist to manage medical coding-related denial cases, ensuring proper analysis and resolution. The role involves working with healthcare providers and payers to address denials efficiently.

Key Responsibilities:

• Analyze denial reasons related to medical coding and identify solutions.
• Correct coding discrepancies to facilitate claim approvals.
• Collaborate with healthcare providers to clarify and resubmit claims.
• Maintain accurate documentation of denial resolutions and actions taken.
• Stay updated on the latest coding guidelines and compliance requirements.

Required Skills:

• Strong knowledge of medical coding systems (e.g., ICD, CPT, HCPCS).
• Analytical and problem-solving skills.
• Effective communication and teamwork abilities.