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 Robust knowledge of ICD-10-CM, CPT, and HCPCS.
Valuable 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