Medical Coder & QA - Denials (Multi-Specialty) Navi Mumbai

ECLAT Health Solutions; Mumbai; On-site; INR 600,000 - 1,200,000; Full time

Job summary

ECLAT Health Solutions in Mumbai, India, seeks a Medical Coding Analyst to analyze and resolve denials across specialties, ensuring accurate reimbursement and compliance.

You will review medical records, payer guidelines, and claim edits, correcting coding errors, resubmitting claims, and supporting payer appeals with documentation.

Qualifications

• Experience analyzing denied claims and identifying root causes.
• Familiarity with CPT, ICD-10-CM, HCPCS coding and payer guidelines.

Responsibilities

• Review and analyze denied claims for coding and billing discrepancies.
• Identify root causes of denials related to CPT, ICD-10-CM, HCPCS, modifiers, and documentation.
• Correct coding errors and resubmit claims for reimbursement.
• Prepare and submit payer appeals with supporting medical documentation.
• Monitor denial trends and recommend corrective actions.
• Ensure compliance with CMS, payer-specific, and coding guidelines.
• Collaborate with providers, billers, and revenue cycle teams.
• Perform denial audits to improve coding quality and reduce denial rates.
• Maintain productivity and accuracy standards.

Skills

Denials Management

Multi-Specialty Coding

CPT Coding

ICD-10-CM Coding

HCPCS Coding

Appeals & Reconsiderations

Revenue Cycle Management

Medical Necessity Review

Documentation Review

Coding Compliance

Tools

Coding Platforms

EMR Systems

Job description

1 to 8

Full-Time

Job Summary

Experienced in analyzing and resolving coding-related denials across multiple specialties by reviewing medical records, payer guidelines, and claim edits to ensure accurate reimbursement and compliance.

• Review and analyze denied claims for coding and billing discrepancies.
• Identify root causes of denials related to CPT, ICD-10-CM, HCPCS, modifiers, and documentation.
• Correct coding errors and resubmit claims for reimbursement.
• Prepare and submit payer appeals with supporting medical documentation.
• Monitor denial trends and recommend corrective actions.
• Ensure compliance with CMS, payer-specific, and coding guidelines.
• Collaborate with providers, billers, and revenue cycle teams.
• Perform denial audits to improve coding quality and reduce denial rates.
• Maintain productivity and accuracy standards.

Key Skills

• Denials Management
• Multi-Specialty Coding
• CPT Coding
• ICD-10-CM Coding
• HCPCS Coding
• Appeals & Reconsiderations
• Revenue Cycle Management (RCM)
• Medical Necessity Review
• Documentation Review
• Coding Compliance

Required Skills