Denials SMC (Specialty Medical Coding)

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

Job summary

A healthcare solutions firm in Bengaluru is seeking a Denials SMC Specialist with 1 to 5 years of experience. The role involves analyzing and resolving specialty-specific denial cases while ensuring compliance with coding standards. Candidates must have a Life Sciences degree and relevant certification in Specialty Medical Coding. This position offers a salary ranging from ₹25,000 to ₹65,000 per month.

Qualifications

• 1 to 5 years of experience in specialty medical coding.
• Certification in Specialty Medical Coding or Denials Management is required.

Responsibilities

• Analyze and resolve denials in specialty medical coding areas.
• Address specialty-specific coding discrepancies to minimize claim rejections.
• Liaise with healthcare providers for documentation and clarification.
• Prepare and submit corrected claims to payers as needed.
• Ensure adherence to specialty coding guidelines and regulatory updates.

Skills

Expertise in specialty medical coding

Strong problem-solving skills

Attention to detail

Excellent communication abilities

Organizational skills

Education

Life Sciences Graduate

Certification in Specialty Medical Coding

Job description

About the job Denials SMC (Specialty Medical Coding)

JD for Denials SMC (Specialty Medical Coding)

Job Title: Denials SMC Specialist

Experience: 1 to 5 years

Salary: 25,000 to 65,000 per month

Educational Qualification:

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

Job Overview:
We are hiring an experienced Denials SMC Specialist to handle specialty-specific denial cases, ensuring accurate analysis and resolution while maintaining compliance with medical coding standards.

Key Responsibilities:

• Analyze and resolve denials in specialty medical coding areas (e.g., radiology, cardiology, oncology).
• Address specialty-specific coding discrepancies to minimize claim rejections.
• Liaise with healthcare providers for documentation and clarification.
• Prepare and submit corrected claims to payers as needed.
• Ensure adherence to specialty coding guidelines and regulatory updates.

Required Skills:

• Expertise in specialty medical coding (e.g., radiology, cardiology, oncology).
• Strong problem-solving and attention-to-detail skills.
• Excellent communication and organizational abilities.