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Senior Medical Coder- Claim Edits
Senior Medical Coder- Claim EditsDoctus Data Services Private Limited • India
Senior Medical Coder- Claim Edits

Senior Medical Coder- Claim Edits

Doctus Data Services Private Limited • India
1 day ago
Job description

Coding Claim Edits Professionals

Coding Claim Edits Coder :

We are hiring experienced, certified Senior Medical Coders with extensive knowledge of ICD-10-CM, PCS, CPT, HCPCS-II & Modifiers, NCCI Edits, LCD, NDC, etc., and excellent communication skills.

  • 5 to 10 years of experience in Medical Coding and with 2-5 years of claim editing experience.
  • Strong knowledge of Surgery coding or Multi-speciality procedure-based E / M coding, modifiers, NCCI Edits, MUE, NCD, LCD, infusions & injections.
  • In-depth knowledge of ICD 10, CPT, Surgery procedures, Revenue codes, and medical terminologies.

Responsibilities :

  • Process Coding-related payer-specific edits for the hospital and professional claims.
  • Review charge sessions that require resolution via claims system edits.
  • Resolution of coding-related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application and using updated coding guidelines.
  • Identify and resolve issues with denied or rejected claims.
  • Minimum Requirements :

  • Education : Science Graduate or Postgraduate.
  • Credentials : Must possess current AHIMA / AAPC certificate(s).
  • Communication : Possess outstanding verbal and written proficiency in English.
  • Work location : Ready to work from the office.
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    Senior Medical Coder • India

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