* Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage
* Review and analyze denied claims and identify root causes
* Initiate outbound calls to provider offices for denial clarification and
resolution
* Document call outcomes and update claim status in systems
* Ensure timely follow-up on pending claims to maximize reimbursement
* Adhere to client-specific guidelines and project requirements
* Maintain quality and productivity benchmarks as defined by the client
* Prepare reports and track performance using MS Excel / PPT
RESPONSIBILITIES
* Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage
* Review and analyze denied claims and identify root causes
* Initiate outbound calls to provider offices for denial clarification and
resolution
* Document call outcomes and update claim status in systems
* Ensure timely follow-up on pending claims to maximize reimbursement
* Adhere to client-specific guidelines and project requirements
* Maintain quality and productivity benchmarks as defined by the client
* Prepare reports and track performance using MS Excel / PPT
QUALIFICATIONS
Qualifications & Skills (8–10 Points)
* Denial Experience (EM + Surgery) and 3+ Years after CPC/CCS is not mandatory
* Strong knowledge of CPT, ICD-10-CM, modifiers, E&M;, and surgical coding
* Positive understanding of Anatomy & Physiology
* Mandatory certification: CPC or CCS (No Apprentice credentials)
* Excellent communication skills with neutral accent (mandatory for calling
role)
* Prior experience in voice process is an added advantage
* Ability to work in Eastern (US) shift
* High energy level with proactive and spontaneous approach
* Strong analytical and problem-solving skills
* Proficiency in MS Office (Excel & PowerPoint)
* Ability to understand client requirements and deliver accordingly
Telecommuting Requirement
* Must be comfortable working in a telecommuting (remote/hybrid) setup as per
business requirements
* Ensure stable internet connectivity
📌 Senior Executive (Chennai)
🏢 EXL
📍 Chennai