Denial Coder

A Denial Coder reviews and resolves denied or rejected healthcare claims by analyzing the reasons for denial, correcting errors, and resubmitting claims with appropriate documentation and coding. They play a crucial role in ensuring accurate billing and maximizing revenue for healthcare providers.

Key Responsibilities of a Denial Coder:

1>>Review and Analyze Denied Claims:
Examine denied claims to identify the root cause of the denial, which could stem from coding errors, incorrect modifiers, missing documentation, or non-compliance with payer guidelines.
2>>Correct Coding Errors:
Update and correct inaccurate or incomplete medical codes (ICD-10, CPT, HCPCS) and modifiers based on the denial reason.
3>>Prepare and Submit Appeals:
Compile supporting documentation and craft professional appeals to insurance companies to challenge claim denials.
4>>Collaborate with Stakeholders:
Work closely with billing, coding, and clinical staff to resolve claim issues and improve overall revenue cycle performance.
5>>Maintain Coding Accuracy:
Ensure adherence to coding guidelines, payer-specific policies, and regulatory requirements (e.g., HIPAA).
6>>Track Denial Trends:
Monitor and analyze denial patterns to identify areas for process improvement and contribute to denial prevention strategies.

🌟 HIRING MEDICAL CODERS🌟

📅 Experience: 1 – 7 Years
📜 Requirement: Certified Coders Only
🏢 Mode: Work From Office

OPENINGS POSITION:

Denial Coder – CHENNAI