Job Description IBR Reviewer

Job Location: Hyderabad
Experience: 3-6 Years
Shift: 5:30 PM 2:30 AM
Cab Facility: Available

Job Summary

We are looking for experienced IBR Reviewers with hands-on experience in denial coding, hospital billing, and UB-04 forms. Candidates should have a solid understanding of healthcare claims, medical coding, payer policies, and reimbursement processes. Candidates with a nursing background are preferred/required.

Key Responsibilities

- Review hospital itemized bills to identify billing, coding, and reimbursement errors.
- Analyze healthcare claims and identify discrepancies in hospital billing.
- Handle denial coding and understand payer-specific policies and reimbursement guidelines.
- Review and validate UB-04 forms and supporting medical billing documentation.
- Calculate and verify claim review findings accurately.
- Document review findings and upload supporting information clearly.




- Monitor claim status, turnaround time, and client-specific requirements.
- Maintain productivity and quality standards.
- Stay updated on medical coding guidelines, AHA Coding Clinic updates, and payer policies.
- Ensure compliance with data privacy and confidentiality standards.

Required Skills

- 3-6 years of relevant experience in denial coding, hospital billing, or IBR review.
- Hands-on experience with UB-04 forms and hospital billing processes.
- Strong knowledge of healthcare claims, billing, coding, and denial resolution.
- Understanding of payer policies and reimbursement guidelines.
- Nursing background preferred/required.
- CPC certification is an added advantage.
- Good analytical, documentation, and communication skills.

📌 IBR Reviewer (Hyderabad)
🏢 V3 Staffing
📍 Hyderabad