Senior Denial Coder/ Multispecialty
- Sutherland
- 2 - 5 years
- Hyderabad
- 1 month ago
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Job Description
Roles and Responsibilities: -
Denial Radiology and IVR:
- Life science graduate is mandatory
- Denial Coder should have 2+ years of experience in Rad denial experience and IVR experience will be added advantage.
- Should have knowledge in all the modalities and denial workflow
- In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity.
- Experience in creating appeals letters, claim corrections, and payer interactions
Denial Coder Multispecialty:
- Life science graduate is mandatory
- Coder should have 2+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc.
- Should have knowledge in all the modalities and denial workflow
- In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity.
- Experience in creating appeals letters, claim corrections, and payer interactions
Denial Radiology quality auditor:
- Life science graduate is mandatory
- Auditor should have 4+ years of experience in Rad denial experience and IVR experience will be added advantage.
- Able to analyze the denial trend and come up with solutions.
- Need to provide education to the team and support the team wherever is required
- Need to work independently. Should have good verbal and written communication
- Should have knowledge in all the modalities and denial workflow
- In depth knowledge about the payer policy and denial concepts NCCI edits, MEU, medical necessity.
Desired Candidate Profile: -
- Should be a Science Graduate.
- Minimum of 1+ years of experience in Denials.
- Basic knowledge of medical terminology and anatomy.
- Comfortable to work from office.
- Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders.
- Successful completion of CPC or CCS certification must be active during joining and verified.
- Able to work independently and willing to adapt and change as per business/ process requirements.
Timings & Transport
1. Shift timings 8.30am 5.30Pm
2. FIVE DAYS WORKING (MONDAY - FRIDAY)
3. Need to be Comfortable with WFO-Work from office.
Contact Details: HR - Aravind - 7286960***
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: Medical Biller / Coder
Employement Type: Full time
Contact Details:
Company: SutherlandLocation(s): Hyderabad
Keyskills: Denial Coding multi specialty IVR Surgery CPC Radiology Medical Coding
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