Medical Coding Professional -Multispecialty (Denials)

enGen Global; Chennai District; On-site; INR 600,000 - 900,000; Full time

Job summary

enGen Global is seeking a Physician Billing Denial Specialist to lead a skilled team and deliver timely, high quality solutions in a challenging environment.

Ideal candidates have 2–4 years of PB denial coding experience in multispecialty settings, hospital provider coding, and AHIMA or AAPC certification, plus strong Excel and communication skills.

You should be detail oriented, able to multitask, and comfortable documenting processes and collaborating with clients.

Qualifications

• Graduation/BSc in life sciences or clinical fields.
• AAPC or AHIMA coding certification required.
• 2-4 years of PB denial coding experience.
• Experience in multispecialty and hospital provider coding.

Responsibilities

• Review and code medical records to billable codes (Revenue Code, CPT, modifiers, diagnosis).
• Ensure documentation compliance with quality standards and policies.
• Provide information to clients based on expectations and improve workflows to boost accuracy and efficiency.
• Collaborate with team to document work, enrollment follow-up, and in-process tasks within systems.

Skills

PB Denial Coding

Multispecialty Coding

Hospital Coding

Excel

Education

Life Sciences Degree

Job description

Role Summary

This job takes the lead in providing effective team handling and timely delivery of assigned tasks and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and proven job knowledge in Physician Billing Denial (Multispecialty).

Job Summary

This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead own the Development of any Technical deliverables assigned to him/her thereby delivering high quality Innovative solutions for the client. Should be an excellent Team player have excellent Problem solving communication skills

Essential Responsibilities

• Review medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.
• Review all file documentation for compliance with quality standards and relevant policies.
• Prepare and provide information to client based on their expectation.
• Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.
• Adhere to all company and department policies regarding security and confidentiality.

Education

• Required: Graduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, and Pharmacy etc.
• Certification: AAPC or AHIMA coding certifications required for all candidates

Experience

• Required: 2 - 4 years of experience in PB Denial coding and Multispecialty coding
• Should have handled Hospital Provider Coding

Preferred

• Good communication skills.
• Must be extremely detail oriented and able to multitask
• Possess a high level of Self-motivation and energy with minimal supervision
• Highly developed oral and written communication skills
• Ability to work both independently and in a team-oriented environment.
• Possess good organizational skills and strong attention to detail.
• Work in a standard protocols/documents to accurately complete the work assigned.
• Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames
• Should develop knowledge about payor policies
• Develop the team's talent, drive employee retention and engagement.