- 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 Qualified 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 toensure coding accuracy.

- Review ICD-10-CM, CPT, and HCPCS codes for compliance.

- Identify coding errors, provide feedback, and recommendcorrective actions.

- Monitor coding accuracy, productivity, and qualitymetrics.

- 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 Strong 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 (Chennai)
🏢 Golden Opportunities
📍 Chennai