Senior Denial Coder

Sutherland; Hyderabad; On-site; INR 3,00,000 - 7,00,000; Full time

Job summary

An established industry player is seeking skilled denial coders and auditors to join their dynamic team. This role requires a life science graduate with a strong background in denial radiology and IVR. The ideal candidate will possess excellent communication skills and the ability to work independently while adapting to process changes. Responsibilities include analyzing denial trends, creating appeal letters, and providing support to the team. Join a collaborative environment where your contributions will directly impact the quality of healthcare services.

Qualifications

• Minimum 1+ years of experience in denials.
• Ability to work independently and adapt to changes.

Responsibilities

• Analyze denial trends and propose solutions.
• Provide education and support to the team.

Skills

Denial Radiology

IVR

Medical Terminology

Payer Policies Knowledge

Claim Corrections

Communication Skills

Education

Life Science Graduate

CPC or CCS Certification

Job description

Roles and Responsibilities:

1. Denial Radiology and IVR:
   • Life science graduate is mandatory.
   • Coder should have 2+ years of experience in Rad denial; IVR experience is an added advantage.
   • Knowledge of all modalities and denial workflows is required.
   • In-depth knowledge of payer policies and denial concepts such as NCCI edits, MUE, and medical necessity.
   • Experience in creating appeal letters, claim corrections, and payer interactions.
2. Denial Coder Multispecialty:
   • Life science graduate is mandatory.
   • 2+ years of experience in denial radiology, E/M IP and OP, surgery, IVR, etc.
   • Knowledge of all modalities and denial workflows.
   • In-depth knowledge of payer policies, denial concepts, NCCI edits, MUE, and medical necessity.
   • Experience in creating appeal letters, claim corrections, and payer interactions.
3. Denial Radiology Quality Auditor:
   • Life science graduate is mandatory.
   • 4+ years of experience in Rad denial; IVR experience is an added advantage.
   • Ability to analyze denial trends and propose solutions.
   • Provide education and support to the team.
   • Work independently with good verbal and written communication skills.
   • Knowledge of all modalities and denial workflows.
   • In-depth knowledge of payer policies, denial concepts, NCCI edits, MUE, and medical necessity.

Desired Candidate Profile:

1. Science graduate.
2. Minimum 1+ years of experience in denials.
3. Basic understanding of medical terminology and anatomy.
4. Willing to work from the office.
5. Effective verbal and written communication skills, capable of responding properly to clients and stakeholders.
6. Active CPC or CCS certification during joining, verified.
7. Ability to work independently and adapt to business/process changes.

Timings & Transport:

1. Shift timings: 8:30 AM - 5:30 PM
2. Five days a week (Monday - Friday)
3. Willing to work from the office.

Contact Details:

HR - Aravind - 7286960006