Medical Recs Coding & Transc. Sr. Assoc

Year Chennai, Tamil Nadu, India

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Graduates in life sciences with 3 TO 5 years of experience in Medical Coding and Denial Management
Experience in Anesthesia coding. CPC certified
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 coding 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
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.
Work from office - Mandatory

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