13 Nov
|
Strivant Global India
|
Mysuru
13 Nov
Strivant Global India
Mysuru
- Lead and manage a team of medical coders handling US Oncology coding denials and AR-related activities.
- Review, analyze, and resolve complex coding-related denials.
- Demonstrate strong knowledge of Oncology coding, including CPT, ICD-10-CM, HCPCS, and relevant coding guidelines.
- Handle coding denials involving modifiers, charge corrections, and claim rebilling.
- Identify coding errors, documentation gaps, and reimbursement-related discrepancies.
- Analyze denial trends and implement corrective actions to minimize recurring denials.
- Work on aged AR accounts, particularly accounts outstanding beyond 150 and 240 days.
- Provide hands-on coding support and assist the team in resolving complex denial cases.
- Train and mentor coders on Oncology coding, denial resolution, modifiers, and payer-specific requirements.
- Ensure accuracy, productivity, quality, and turnaround time across the team.
- Collaborate with US client stakeholders and internal operations teams.
- Prepare operational reports, productivity dashboards, denial analysis, and performance updates.
- Ensure compliance with HIPAA regulations and applicable US healthcare coding standards.
Required Skills & Qualifications
- 812+ years of experience in US Medical Coding.
- Strong experience in Coding Denial Management and AR Denial Resolution.
- Hands-on knowledge of Oncology coding is highly preferred.
- Robust understanding of CPT, ICD-10-CM, HCPCS, and modifier applications.
- Experience handling coding-related denials, charge corrections, and rebilling.
- Strong knowledge of US insurance and payer denial processes.
- Experience managing and mentoring coding teams.
- Excellent analytical, communication, and problem-solving skills.
- Ability to work independently in a hands-on operational leadership role.
Preferred Experience
- Oncology coding experience involving medical oncology, radiation oncology, or infusion services.
- Experience with aged AR and high-value denial accounts.
- Knowledge of US Oncology payer guidelines and reimbursement processes.
- Experience working with US healthcare clients.
Note: Candidates with strong US medical coding denial
📌 Manager Medical Coding Oncology experience must (Mysuru)
🏢 Strivant Global India
📍 Mysuru