Roles and Responsibilities:
Review and analyze denied claims to identify reasons for denial and assign appropriate ICD-10, CPT, and HCPCS codes.
Resolve coding-related denials by making necessary corrections and ensuring compliance with payer-specific guidelines.
Work closely with billing and accounts receivable teams to resubmit corrected claims promptly.
Investigate trends in claim rejections and implement strategies to minimize denial rates.
Liaise with healthcare providers and teams to clarify documentation discrepancies affecting claim approvals.
Ensure claims meet industry standards and payer-specific policies for successful reimbursement.
Maintain accurate records of denial cases and resolutions for reporting purposes.
Stay up to date on coding guidelines, healthcare regulations, and payer policy updates.
Meet productivity and quality benchmarks established by the organization.
Maintain confidentiality and adhere to HIPAA regulations in handling patient information.

📌 Denials Medical Coder Bengaluru
🏢 Vee Healthtek Private
📍 Bengaluru