Denial Coder, Anesthisia coder,

Hrcs Services; United States; Hybrid; USD 55,000 - 85,000; Full time

Job summary

HRCS Services Pvt Ltd is hiring Denial Coders and Anesthesia Coders to join our growing Revenue Cycle Management (RCM) team. The Certified Denial Coder is responsible for reviewing, analyzing, and resolving insurance claim denials to ensure maximum reimbursement.

The ideal candidate holds an active CPC or CCS/CPB certification and has 2+ years of denial management experience. The role requires strong knowledge of ICD-10-CM, CPT, and HCPCS coding, EHR experience, and the ability to work with

Qualifications

• Active CPC, CCS, CPB, or equivalent certification.
• 2+ years of medical coding or denial management experience.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Experience with electronic health records (EHR) systems.

Responsibilities

• Review denied insurance claims to determine root cause of denial.
• Correct coding errors related to ICD-10-CM, CPT, and HCPCS codes.
• Prepare and submit appeals with appropriate documentation.
• Communicate with insurance payers regarding claim status and disputes.
• Ensure compliance with federal regulations and payer guidelines.
• Identify denial trends and recommend process improvements.
• Maintain productivity and accuracy standards.

Skills

Medical coding expertise

Denial management

Attention to detail

Analytical skills

Education

CPC/CCS/CPB certification

Job description

Job Description:

HRCS Services Pvt Ltd is hiring Denial Coders And Anesthesia Coders to join our growing Revenue Cycle Management (RCM) team. The role involves reviewing denied claims, correcting codes, and ensuring compliance with payer guidelines to support smooth claim resolution and reduce denial rates.

Job Summary

The Certified Denial Coder is responsible for reviewing, analyzing, and resolving insurance claim denials to ensure maximum reimbursement. This role requires strong knowledge of medical coding guidelines, payer policies, and denial management processes. The ideal candidate holds an active certification from AAPC or AHIMA.

Key Responsibilities

• Review denied insurance claims to determine root cause of denial
• Correct coding errors related to ICD-10-CM, CPT, and HCPCS codes
• Prepare and submit appeals with appropriate documentation
• Communicate with insurance payers regarding claim status and disputes
• Ensure compliance with federal regulations and payer guidelines
• Identify denial trends and recommend process improvements
• Maintain productivity and accuracy standards

Required Qualifications

• Active CPC, CCS, CPB, or equivalent certification
• 2+ years of medical coding or denial management experience
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• Experience with electronic health records (EHR) systems
• Understanding of payer policies and reimbursement guidelines
• Strong analytical and problem-solving skills

Preferred Qualifications

• Experience in hospital or multi-specialty practice setting
• Knowledge of Medicare and Medicaid guidelines
• Prior experience in revenue cycle management

Skills & Competencies

• Attention to detail
• Strong written and verbal communication skills
• Ability to work independently and meet deadlines
• Proficiency in medical billing software

Work Environment

• Onsite, hybrid, or remote opportunities available
• Full-time position