Supervisor, Coding Denials

Ventra Health; Hyderabad; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Ventra Health is seeking a Coding Denial Supervisor to lead a team of Coding Denial Specialists, directing denial investigations and resolutions. The role focuses on ensuring timely handling of health plan denials and developing denial management processes.

The supervisor will train staff, monitor denial trends, and escalate issues when needed to improve accuracy and efficiency within the revenue cycle.

Qualifications

• Five years' experience in physician medical billing with emphasis on research and claim denials.
• Graduate with life science background; paramedic/alternate medicine background is preferred.
• Valid AAPC/AHIMA coding certification; specialty certification is preferred.

Responsibilities

• Ensuring the timely investigation and resolution of health plan denials.
• Assist in Implementing and maintaining policies and procedures for denial management.
• Providing training and support to the team members to enhance their skills and knowledge.
• Escalate coding and processing issues, based on denial trending.

Skills

Medical billing

Denials management

Team supervision

Education

Life sciences degree

AAPC/AHIMA certification

Specialty certification preferred

Job description

Overview

Coding Denial Supervisor to provide direction to a team of Coding Denial Specialists, who are responsible for working on assigned claim edits and rejection work queues. The Coding Denial Supervisor will ensure timely investigation and resolution of health plan denials. Additionally, the Coding Denial Supervisor will assist in determining appropriate actions and providing resolutions for health plan denials.

Responsibilities

• Ensuring the timely investigation and resolution of health plan denials
• Assist in Implementing and maintaining policies and procedures for denial management
• Providing training and support to the team members to enhance their skills and knowledge
• Escalate coding and processing issues, based on denial trending.

Qualifications

• Five years' experience in physician medical billing with emphasis on research and claim denials.
• Graduate with life science background, paramedic/alternate medicine background is preferred
• Valid AAPC/AHIMA coding certification; specialty certification is preferred