Medical Coder

Bct Consulting; Chennai; On-site; INR 600,000 - 900,000; Full time

Job summary

Bct Consulting is seeking a Denial Coding Specialist in Chennai with 3+ years of experience in healthcare RCM and denial management. You will analyze, review, and resolve coding-related denials to maximize reimbursement and ensure regulatory compliance.

The role requires strong ICD-10, CPT, and HCPCS coding skills, plus experience in appeals and corrections. Immediate joiners preferred for a full-time position in Chennai.

Qualifications

• 3+ years of healthcare RCM experience with denial coding.
• Experience with ICD-10, CPT and HCPCS coding guidelines.
• Experience in appeals, claim corrections, and payment posting concepts.

Responsibilities

• Review and analyze coded denials from insurance payers.
• Identify root causes of denials and implement corrective actions.
• Perform denial coding, re-coding, and claim corrections as required.
• Collaborate with AR, billing, and coding teams to resolve denied claims.
• Ensure compliance with ICD-10, CPT, HCPCS, and payer guidelines.
• Monitor denial trends and recommend process improvements.
• Maintain productivity and quality per organizational standards.
• Prepare and submit appeals with documentation when necessary.
• Stay updated with healthcare coding regulations and payer policies.

Skills

Denial Coding

Denial Management

ICD-10 Coding

CPT Coding

HCPCS Coding

RCM Knowledge

Appeals & Corrections

Documentation & Reporting

Education

CPC/CCS certification

Tools

EMR/EHR platforms

Job description

Job Description Denial Coding Specialist

Position: Denial Coding Specialist
Experience: 3+ Years
Location: Chennai
Notice Period: Immediate Joiners / Maximum 15 Days Notice Period Only
Employment Type: Full-Time

Job Summary

We are looking for an experienced Denial Coding Specialist with a minimum of 3 years of experience in healthcare revenue cycle management (RCM), medical coding, and denial management. The candidate will be responsible for analyzing, reviewing, and resolving coding-related denials to ensure maximum reimbursement and compliance with healthcare regulations.

Key Responsibilities

• Review and analyze coding-related claim denials from insurance payers.
• Identify root causes of denials and implement corrective actions.
• Perform denial coding, re-coding, and claim corrections as required.
• Work closely with AR, billing, and coding teams to resolve denied claims.
• Ensure compliance with ICD-10, CPT, HCPCS, and payer-specific coding guidelines.
• Monitor denial trends and provide recommendations for process improvements.
• Maintain productivity and quality standards as per organizational requirements.
• Prepare and submit appeals with appropriate documentation when necessary.
• Stay updated with healthcare coding regulations and payer policies.

Required Skills

• Strong experience in Denial Coding and Denial Management.
• Hands-on experience with ICD-10, CPT, and HCPCS Coding.
• Knowledge of Medical Billing and Revenue Cycle Management (RCM).
• Experience in appeals, claim corrections, and payment posting concepts.
• Understanding of payer guidelines and insurance claim processes.
• Good analytical and problem-solving skills.
• Strong communication and documentation skills.

Preferred Qualifications

• Certified Professional Coder (CPC), CCS, or equivalent certification is preferred.
• Experience working with US Healthcare processes.
• Familiarity with major EMR/EHR platforms.