Denial Medical Coder - US Healthcare RCM TPA Claim Denials Malad West Mumbai US Night Shift 6 30 PM - 3 30 AM Job Summary We are hiring an experienced Denial Medical Coder to support our growing US Healthcare TPA RCM operations The ideal candidate will focus on resolving coding-related denials analyzing trends and ensuring compliance with payer guidelines This role directly contributes to improving first-pass resolution and overall revenue cycle performance Key Responsibilities Review denied medical claims and determine coding- documentation- or policy-related root causes Correct and re-code claims based on ICD-10 CPT HCPCS and payer-specific rules Coordinate with billing auditing and AR teams to resolve coding-driven denials Track denial trends and provide actionable insights to improve denial prevention Conduct denial audits and support continuous process improvements Stay updated with NCCI edits compliance changes and payer policy updates Maintain strict confidentiality and ensure HIPAA compliance at all times What You ll Bring Strong understanding of denial management processes within US RCM Ability to read and interpret EOBs CARC RARC codes and identify denial root causes In-depth knowledge of coding combinations ICD CPT POS provider specialties etc Strong analytical ability and problem-solving skills Effective verbal and written communication skills Required Qualifications 4-7 years of experience in Denial Coding or Denial Management for US Healthcare Proficiency in ICD-10-CM CPT and HCPCS coding Experience in TPA RCM or payer-side operations Working knowledge of CMS-1500 and UB-04 claim forms Understanding of HIPAA ERISA and payer guidelines Preferred certifications CPC COC CPMA CCS Familiarity with Microsoft Office and claim management tools Preferred Experience Background in AR follow-up denial analysis and recoding denied claims Experience with systems such as Trizetto Facets or VBA Prior work experience with US insurance payers or TPA environments Why Work With Us Opportunity to grow within a rapidly expanding US healthcare domain Collaborative team workplace with continuous learning opportunities Role with direct impact on claim accuracy and revenue outcomes Apply Now If you re passionate about denial resolution coding accuracy and making an impact in the RCM process we d love to hear from you Job Type Full-time Pay 700 000 00 - 1 200 000 00 per year Benefits Health insurance Leave encashment Paid sick time Paid time off Provident Fund Ability to commute relocate Malad Mumbai Maharashtra Reliably commute or planning to relocate before starting work Preferred Application Question s What s your current location Have you worked on coding-related claim denials corrections and re-submissions Experience Denial Medical Coding 4 years Preferred Shift availability Night Shift Preferred Overnight Shift Preferred Work Location In person

📌 Denial Medical Coder (Maharashtra)
🏢 Jaincotech
📍 Maharashtra