Payer Denial Coder -Chennai

Access Healthcare; Chennai; On-site; INR 300,000 - 600,000; Full time

Job summary

Access Healthcare in Chennai is seeking a Payer Denial Medical Coder to review denied claims, analyze denial reasons, and support resubmissions to improve reimbursement.

The role requires expertise in ICD-10-CM, CPT, HCPCS, modifiers and medical necessity, with certification preferred/required, and immediate joiners or up to 15 days notice.

Candidate should have relevant coding experience, be able to coordinate with billing and denial teams, and maintain productivity and accuracy.

Qualifications

• Relevant medical coding experience with payer denial handling.
• Certification and practical coding knowledge are essential.
• Immediate joiners or candidates joining within 15 days.

Responsibilities

• Review payer-denied medical claims and identify the root cause of denials.
• Analyze denial reasons related to ICD-10-CM, CPT, HCPCS, modifiers, and medical necessity.
• Review medical records and verify coding accuracy and documentation completeness.
• Identify coding errors, authorization issues, and payer-specific denial trends.
• Support claim corrections, resubmissions, and appeals as applicable.
• Follow payer guidelines, coding standards, and compliance requirements.
• Maintain productivity, accuracy, and turnaround-time targets.
• Coordinate with billing, coding, and denial management teams to resolve claim issues.

Skills

Payer denial handling

Medical coding

Documentation review

Education

Certified medical coder

Tools

ICD-10-CM guidelines

CPT/HCPCS guidelines

Job description

Job Title: Payer Denial Medical Coder
Location: Chennai, Tamil Nadu
Experience: 1 To 5
Joining: Immediate joiners or candidates who can join within 15 days
Certification: Certified medical coder preferred/required

Job Summary

We are looking for a skilled Payer Denial Medical Coder to review medical claims denials, identify coding-related issues, analyze denial reasons, and support claim resolution to improve reimbursement and reduce denial rates.

Key Responsibilities

• Review payer-denied medical claims and identify the root cause of denials.
• Analyze denial reasons related to ICD-10-CM, CPT, HCPCS, modifiers, and medical necessity.
• Review medical records and verify coding accuracy and documentation completeness.
• Identify coding errors, authorization issues, and payer-specific denial trends.
• Support claim corrections, resubmissions, and appeals as applicable.
• Follow payer guidelines, coding standards, and compliance requirements.
• Maintain productivity, accuracy, and turnaround-time targets.
• Coordinate with billing, coding, and denial management teams to resolve claim issues.

Candidate Requirements

• Work Location: Chennai.
• Joining Preference: Immediate joiners or candidates serving a notice period of up to 15 days.
• Relevant medical coding experience with demonstrated payer denial handling skills.
• Certification and practical coding knowledge are essential.