Job Title: QCA – Denials / EM / Surgery

Job Location: Chennai

Work Model: Work from office

Candidate Expectations Total and Relevant Experience – 3 Years to 6 Years

Candidate Location - Anywhere

Skills – QCA, Denials, E&M;, or Surgery coding

Candidate Industry (Life science)

Diversity – No

Education and Certification Qualification: Any Life Science Graduate

Specific Remarks: Distance education not accepted.

Certification

- CPC – Certified Professional Coder
- CCS – Certified Coding Specialist
- CIC – Certified Inpatient Coder
- Relevant medical coding certifications.

Detailed QCA – Quality Coding Audit

- Perform quality audits of medical coding records to ensure coding accuracy.
- Review ICD-10-CM, CPT, and HCPCS codes for compliance.
- Identify coding errors, provide feedback, and recommend corrective actions.
- Monitor coding accuracy, productivity, and quality metrics.
- Conduct root cause analysis and support coder training.

Denials Management

- Review medical coding-related claim denials and identify root causes.
- Analyze denials related to incorrect coding, modifiers, medical necessity, and documentation.
- Review EOBs, payer guidelines, and denial reason codes.
- Support claim corrections, appeals, and resubmissions.




- Work on denial prevention and improvement initiatives.

E&M; – Evaluation & Management

- Review and assign appropriate E&M; codes based on provider documentation.
- Understand office visits, hospital visits, consultations, and emergency department coding.
- Apply appropriate medical decision-making (MDM) and time-based coding guidelines.
- Ensure accurate code selection as per current CPT guidelines.

Surgery Coding

- Review operative reports and assign appropriate CPT codes.
- Apply knowledge of surgical procedures, anatomy, and medical terminology.
- Ensure correct usage of modifiers and bundling/unbundling guidelines.
- Understand NCCI edits and global surgical package rules.
- Ensure coding compliance with payer and regulatory guidelines.

Key Skills

- Robust knowledge of ICD-10-CM, CPT, and HCPCS.
- Good understanding of medical terminology and anatomy.
- Knowledge of coding compliance and payer guidelines.
- Experience in QCA, Denials, E&M;, or Surgery coding.
- Strong analytical and communication skills.
- Ability to meet quality and productivity targets.

Other Specific Remarks Additional Requirements: Proper documents for entire career and PF Form 16 Mandatory

📌 Medical Coding - QCA - Associate - GO/JC/4941/2026 (Chennai)
🏢 Golden Opportunities
📍 Chennai