Job Summary: Teleperformance is looking for a Multi-Specialty Denial Medical Coder who is experienced and ready to join our healthcare team in Chennai, India. An in-depth knowledge of coding reimbursement norms and concepts across a range of medical disciplines characterizes the ideal applicant. It will be your job as a Multi-Specialty Denial Medical Coder to precisely assign the right diagnostic and procedure codes to maximize payment and adhere to legal regulations.Responsibilities:Verify and update precise CPT, HCPCS, modifiers and ICD-10-CM codes for a range of coding specialties not limited to E&M, Surgery, Infusion/high-cost drugs, Radiology, Pathology.Should be expert in RCM reimbursement, able to resolve coding denials and get reimbursement ASAP, ability to explore EOB and reason codes to figure out the right issue, should have knowledge of LCD’s, Modifier requirements, NCCI edits, medical necessity, knowledge on payor specific guidelines.Examine and analyze medical records to obtain pertinent data for coding assignment, making sure all documentation is accurate and comprehensive. Ascertain that coding operations adhere to all relevant coding standards, laws, and recommendations, such as those issued by the AMA, CMS, and other regulatory organizations.Rotational Shift: Day - 07:00 AM to 04:00 PM and Night - 05.30 PM to 02:30 AMJob Location: Chennai (Ambattur Ambit IT Park)Work Mode: Working from office only (Immediate joiners preferred).Speciality : E/M with surgery Denial coders and Infusion Coding denials (Preferred EPIC working knowledge)Experience: Minimum 7+yearQualifications:Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credential preferred.Minimum 7+ year of experience in multi-specialty denial medical coding (E/M, Surgery, Denials, etc.,).In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems.Familiarity with EPIC (EHR) systems and Encoder pro coding software.Strong analytical and problem-solving skills.Excellent communication and interpersonal skills.Ability to work independently and as part of a collaborative team.Immediate joiners will be preferred.Life Science graduates or equivalent required.Additional certification in medical coding or related field preferred.Ongoing participation in relevant continuing education programs.Key Roles and responsibilities: • Handling Coding transition and responsible for delivery management of various outsourcing partners and hospital groups from US. • Provide required training and assistance for all Coding requirements of the organization. Leadership and management skills to handle a team of Coders. • Ability to understand the exact requirement of each client and provide them more than the expected results both in terms of productivity and quality. • Transition of new projects across various specialties. • Decision making- Good in taking right decision at right time and capable of working with minimal supervision. • Good research and analytical skills to help gain required information from various sources for finding answers for different difficult issues. • A good trainer and mentor for the coders to make them the best in class by tuning and fine tuning based on the requirement in the project. • Work in close conjunction with the higher management by understanding the requirement and by meeting the expectation levels. • Ability to understand and create coding guidelines and document of understanding from federal and payer sources (CMS, Medicare, Commercial Payers) and client updates • Ability to lead client calls for Coding production deliverables and quality discussions • Team management of multispecialty coders Managers, Team LeaderPreferred Skills:Strong communication skills in EnglishCritical Competencies:Good analytical skillsMust be very good with data representationMust be very good with MS ExcelTime Management
Job Title
Manager Multi-Specialty (Denial Medical Coder)