ED Denials Quality Analyst - Medical coding in Chennai @ Global Healthcare

Job Description

Hi Candidate,

Job Title: ED- Denials -QA

Department: Medical Coding / Revenue Cycle Management

Designation: QA

Location: Velachery - Chennai

Reports to: Coding Supervisor / Manager

Salary: Max 55k CTC

Work mode: WFO

Notice period: Max 1Month

Job Summary:

The ED Denials Quality Analyst is responsible for ensuring the accuracy, compliance, and quality of emergency department coding, with a focus on denied claims. This role involves auditing coded records, identifying trends in denials, and collaborating with coders and billing teams to improve coding practices and reduce denial rates.

Key Responsibilities:

• Quality Audits & Reviews:
  
• Conduct regular audits of ED-coded records, especially those associated with denials.
• Ensure compliance with ICD-10, CPT, and HCPCS coding standards.
• Validate that documentation supports the codes assigned.
• Denial Analysis & Resolution:
  
• Analyze denial trends and root causes.
• Collaborate with coders and billing teams to resolve coding-related denials.
• Assist in preparing appeal documentation when necessary.

Qualifications:

• Experience: 4+ years in ED coding and at least 1 year in a quality or audit role.
• Skills: Strong analytical, communication, and problem-solving skills.
• Tools: Proficiency in EHR systems, coding software, and Microsoft Office Suite.

If you are interested ping me 9677726***(Call or whatsapp)

Regards,

Vijayalakshmi Logaiah

HR Team-TA

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Keyskills:   Denials coder Medical coding ED coder ED coding Denial Coding Medical coder