Graduates in life sciences with 3-5 years of experience in Medical Coding and Denial Management
Experience in Anesthesia & Should be CPC certified and expertise in Anesthesia coding. Ensure CPC certification should not have Apprenticeship. Certification renewal date needs to be verified and should not be expired
Abstracting and Coding information from provider patient medical records and hospital ancillary records per facility and/or state requirements.
Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-10 CM coding guidelines.
Querying client when code in the record is inadequate, ambiguous or unclear for coding purposes.
Evaluate and interpret the cause of denied/rejected claims and initiate timely refiling in line with payer-specific
guidelines, in order to ensure optimal reimbursement * Review the medical documentation available for different specialties like Pain management, Anesthesia... on the Billing/Document management system and determine the most appropriate CPT-4/ICD 10 CM /Modifiers and make necessary code corrections based on the denial reason prior to refiling
Perform an in-depth review of the denied/rejected claims for different fields such as patient's age, gender, Date of service, Place of Service, medical specialty etc. before the selection of appropriate codes while refiling
Research, recommend, and appeal claims with appropriate explanation in the format required by the respective payers, along with supporting medical records as necessary, especially on cases of medical necessity denials
Working hours is 10 hours.Ability to work scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST and the shift timings can be changed as per client requirements. - Flexibility to accommodate overtime and work on weekend's basis business requirement. - Ability to communicate (oral/written) effectively in English to exchange information with our client.
Work from office - As per company norms you should return to office as and when needed.
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