Quality Analyst- Denial Coding

Savista; Chennai; On-site; INR 800,000 - 1,100,000; Full time

Job summary

Savista is seeking an experienced Medical Coding Auditor in Chennai with 2+ years in medical coding, auditing, or denial management. The role emphasizes accuracy in EM and Surgery coding, ICD-10-CM, CPT, HCPCS, and NCCI edits, plus strong analytical and communication skills.

The candidate should be proficient in MS Excel, Word, and PowerPoint, with CPC/CCS/COC/CIC certifications preferred. Collaboration with denial management and operations teams is essential to reduce denials.

Qualifications

• Experience in Medical Coding, Auditing, or Denial Management.
• CPC/CCS/COC/CIC certification preferred.
• Strong analytical, communication, and reporting skills.

Responsibilities

• Audit denied claims to identify coding errors, documentation gaps, and denial root causes.
• Review EM and Surgery coding for accuracy and compliance.
• Validate ICD-10, CPT, HCPCS, modifiers, and supporting documentation.
• Analyze denial trends, perform root cause analysis, and recommend corrective actions.
• Provide feedback, training, and quality improvement support to coding teams.
• Maintain audit reports, denial trackers, and MIS.
• Collaborate with coding, denial management, and operations teams to reduce denials.

Skills

EM Coding

Surgery Coding

ICD-10-CM

CPT

HCPCS

Modifiers

NCCI Edits

Auditing

Denial Analysis

Analytical Skills

Communication

Root Cause Analysis

Tools

MS Excel

MS Word

PowerPoint

Job description

Job Summary

Minimum 2+ years of experience in Medical Coding, Auditing, or Denial Management. Strong knowledge of EM, Surgery Coding, ICD-10-CM, CPT, HCPCS, modifiers, and NCCI edits. Experience in coding audits and denial analysis preferred. CPC/CCS/COC/CIC certification preferred. Good analytical, communication, and reporting skills. Proficient in MS Excel, Word, and PowerPoint.

Responsibilities

• Audit denied claims to identify coding errors, documentation gaps, and denial root causes.
• Review EM and Surgery coding for accuracy and compliance.
• Validate ICD-10, CPT, HCPCS, modifiers, and supporting documentation.
• Analyze denial trends, perform root cause analysis, and recommend corrective actions.
• Provide feedback, training, and quality improvement support to coding teams.
• Maintain audit reports, denial trackers, and MIS.
• Collaborate with coding, denial management, and operations teams to reduce denials.

Requirements

• Strong knowledge of EM, Surgery Coding, ICD-10-CM, CPT, HCPCS, modifiers, and NCCI edits.
• Experience in coding audits and denial analysis preferred.
• CPC/CCS/COC/CIC certification preferred.
• Good analytical, communication, and reporting skills.
• Proficient in MS Excel, Word, and PowerPoint.
• Ability to identify denial trends, conduct root cause analysis, and support coder education.
• Ensure compliance with coding guidelines, payer policies, and regulatory requirements.

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.