- Review and resolve medical coding-related denials for US healthcare claims.

- Analyze rejected and denied claims to identify coding errors and discrepancies.

- Perform charge corrections and claim rebilling wherever required.

- Review medical records and clinical documentation to validate coding accuracy.

- Apply appropriate CPT, ICD-10-CM, and HCPCS codes based on documentation and applicable guidelines.

- Identify and apply appropriate modifiers as per coding guidelines and payer requirements.

- Investigate coding-related denial reasons and determine appropriate corrective actions.

- Work on aged AR accounts and support recovery of outstanding receivables.

- Ensure timely resolution of coding denials within defined turnaround times.

- Maintain accuracy, productivity, and quality standards.

- Escalate complex coding issues to the Manager or designated team lead.

- Follow HIPAA regulations and client-specific compliance requirements.

Required Skills & Qualifications





- 26 years of experience in US Medical Coding.

- Robust understanding of CPT, ICD-10-CM, and HCPCS coding.

- Knowledge of coding denials and claim rejection management.

- Good understanding of modifiers and their appropriate usage.

- Experience in charge corrections and rebilling.

- Ability to interpret medical documentation and identify coding discrepancies.

- Strong analytical and problem-solving skills.

- Good communication and documentation skills.

Preferred Qualifications

- Prior experience in Oncology coding.

- Exposure to Medical Oncology, Radiation Oncology, Infusion, or Chemotherapy coding.

- Experience in US healthcare AR denial management.

- Knowledge of payer-specific coding guidelines and reimbursement processes.

- Experience handling aged AR accounts.

📌 Medical Coder US Healthcare, Oncology (Mysuru)
🏢 Strivant Global India
📍 Mysuru