- 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.
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Medical Coder
Found in: Appcast Linkedin IN C2 - 1 day ago
CorroHealth Chennai, IndiaGreetings from Corrohealth · Immediate Openings for QA (Medical Coding) · Speciality: Edits & Denials, EM With Surgery, IPDRG, Surgery with I&I, IVR · Location: Chennai, Hyderabad, Bangalore, Noida (WFO) · Experience: Min 4yrs - Max8yrs · Interview Process: Virtual (MS Teams) · C ...
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Medical Coder
Found in: Talent IN 2A C2 - 6 hours ago
Thryve Digital Health LLP Chennai, IndiaThryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning ...
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Medical Coder
Found in: Talent IN 2A C2 - 1 day ago
CorroHealth Chennai, IndiaGreetings from Corrohealth · We have openings for Trainer & Process Coach · Eligibility Criteria: · Minimum 1 years of experience in required (HCC Domain) · Location: Chennai / Hyderabad/ Coimbatore · Shift: Day (WFO) · Must be able to join immediately · For any clarifications, C ...
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Certified Medical Coder
Found in: Talent IN 2A C2 - 6 hours ago
CorroHealth Chennai, IndiaWe are hiring HCC Coder for Quality analyst, Senior Coder @ Chennai, HYD, Coimbatore and NCR location. · Roles and Responsibilities · Experience in Coding specialty HCC coding · Strong knowledge of anatomy, physiology, and medical terminology · Familiarity with ICD-10 codes and p ...
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Senior Medical Coder
Found in: Talent IN C2 - 3 days ago
FLY Consulting Services Chennai, India Full timeJob description · Dear Candidate, · Greetings from FLY Consulting Services · We have an immediate requirement with one of our client for Medical coders. Request you to go through below job profile below and apply accordingly. · Role:- Medical Coder · Location:- Chennai · CTC 8LPA ...
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Trainee - Medical Coder
Found in: Talent IN C2 - 1 day ago
episource Chennai, IndiaRoleDescription · Employment : Fulltime · Job Nature : Medical coding(HCC) · Work location :Chennai · Work shifts : General / Rotationalshifts · Work Timings : 09:00 AM 06:30PM · Work Days : Monday to Friday (Sat & Sunholiday) · Points to note: · Ouroffices are operating with req ...
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Senior Medical Coder
Found in: Talent IN 2A C2 - 6 hours ago
CorroHealth Chennai, IndiaDear Candidates, · Greetings from Corrohealth · Immediate Openings for Multispecialty coding - QA · Specialty: EM With Surgery / Surgery with ED Facility / IVR (CIRCC) / IPDRG · Location: Noida (WFO) · Experience: Min 1yrs - Max6yrs · Interview Process: Virtual (MS Teams) · Certi ...
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Hcc Medical Coder With Certification
Found in: Talent IN C2 - 2 days ago
Nityo Infotech Chennai, IndiaCPC , CRC , Description , India , Job , Level , Location , Medical , PAN Experience Required · 2 - 4 Years · Industry Type · IT · Employment Type · Permanent · Location · India · Expertise & Qualification · Certification (CPC/CRC/COC), Certification (CPC/CRC/COC) · ...
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ar caller
Found in: Talent IN 2A C2 - 4 days ago
STARWORTH GLOBAL SOLUTIONS Chennai, IndiaDear Medical Coders, · Greetings from Starworth Global Solutions... · We have Huge Opening in IPDRG Coder / QCA / Team Lead · Location : Chennai, Bangalore and Hyderabad · Only Work from Office and strictly No Fresher · Job description: · 1 to 7+ Years of work experience in IP DR ...
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Team Coach
Found in: Talent IN 2A C2 - 4 days ago
Artifex HR Private Limited Chennai, IndiaArtifex HR is hiring for US healthcare company in Chennai. · Roles & Responsibilities: · Periodically assessing the coders proficiency and routinely carrying out RCA. · Identify training gaps and conduct training. · Responsible for conducting the knowledge checks and providing fe ...
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Medical Recs Coding
Found in: Talent IN C2 - 1 day ago
NTT DATA Services Chennai, IndiaIn this Role you will be Responsible For : - The coder reads the documentation to understand the patient's diagnoses assigned - Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes - Creating uniform vocabular ...
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Medical Recs Coding
Found in: beBee S2 IN - 10 hours ago
NTT DATA Services Chennai, IndiaIn this Role you will be Responsible For : · The coder reads the documentation to understand the patient's diagnoses assigned · Transforming of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes · Creating uniform vocabula ...
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Medical Coding Jobs For Freshers
Found in: Talent IN 2A C2 - 2 days ago
I Skills Solutions Chennai, IndiaCT HR Padma Whats App) · Position: Medical Coder · Job Description: · Medical Coding is the process of conversion of text information related to healthcare services into numeric Diagnosis (Medical Problems) and Procedure (Treatments) Codes using ICD-10 CM and CPT code books. · Re ...
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Medical Coding
Found in: Talent IN C2 - 2 days ago
MiraMed Ajuba Chennai, IndiaSince 2015, it has been a particularly exciting time for medical coders in the healthcare industry. · As a field that is constantly evolving, MiraMed Ajuba provides all the right learning and upskilling platforms. You will get the opportunity to work with great minds and very go ...
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Client Partner
Found in: Talent IN C2 - 2 days ago
Access Healthcare Services Chennai, IndiaJob Description · Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guid ...
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Senior Executive EXL/SE/994522
Found in: Talent IN C2 - 3 days ago
exl Chennai, IndiaJob Description · Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specifi ...
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Group Leader
Found in: Talent IN C2 - 2 days ago
Access Healthcare Services Chennai, IndiaWe're actively hiring an experienced medical coder with passion to lead teams to join us in Chennai. The eligible candidate needs to have a minimum of 6 years of experience in medical coding specializing in Surgery. We are always interested in talking to inspired, talented, and m ...
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Senior Executive EXL/SE/994516
Found in: Talent IN C2 - 3 days ago
exl Chennai, IndiaJob Description · Overview CPC certification. Overall 3+ years of coding experience in Multispecialty SurgerySpecialty worked: Outpatient surgery, basic injection and infusion knowledge and IVR, Radiation oncology APC Facility coding is an added advantageGood communication, flex ...
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Medical Coding Associate
Found in: Talent IN C2 - 2 days ago
Athenahealth Chennai, India Full timeJoin us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. · Medical Coding Associate is responsible for effective and efficient operations by enhancing various operational procedure in the areas of information fl ...
Senior Medical Coder - Chennai, India - Iskills Solutions
Description
DESCRIPTION :
ELIGIBILITY :
AAPC's CPC or AHIMA's CCS certified Medical coders
Salary: 15000 to 25000 per month