Senior Medical coder
Iskills Solutions
Chennai, India
3d ago

Job Description

  • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
  • Coding and clinical review for medical necessity of claims post adjudication that are in the pre-payment stage and have been identified as requiring such review;
  • Documentation of clinical rationale supporting findings of review based on Client’s coverage policies and procedures.
  • Assistance in any later stages of the cases reviewed, including possible Technical Assessment and Medical Policy review and update.
  • Review and validate all information pertaining to the claim including member, provider and plan information.
  • Any clinical and coding support of client’s Investigation process as otherwise requested.
  • Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
  • Investigate rejected claim to see why denial was issued.
  • Investigate insurance fraud and report if found.
  • Desired Profile

  • AAPC’s CPC or AHIMA’s CCS certified Medical coders
  • Good knowledge of ICD-9-CM / ICD-10 guidelines or classification, ER, CPT codes, medical terminology and anatomy & physiology.
  • Fresher / Experienced in Medical coding
  • Laboratory coding experience is preferred
  • Graduate
  • Open for working in US shift timings
  • 5 days working
  • Free transportation
  • Apply
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