Senior Medical Coder Job in I Skills Solutions
Senior Medical Coder
I Skills Solutions
4+ weeks ago
- Chennai, Tamil Nadu
- Not Disclosed
- Full-time
- Permanent
Job Summary
- Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
- Coding and clinical review for medical necessity of claims post adjudication that are in the pre-payment stage and have been identified as requiring such review;
- Documentation of clinical rationale supporting findings of review based on Client s coverage policies and procedures.
- Assistance in any later stages of the cases reviewed, including possible Technical Assessment and Medical Policy review and update.
- Review and validate all information pertaining to the claim including member, provider and plan information.
- Any clinical and coding support of client s Investigation process as otherwise requested.
- Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
- Investigate rejected claim to see why denial was issued.
- Investigate insurance fraud and report if found.
Experience Required :
Fresher
Vacancy :
2 - 4 Hires
Similar Jobs for you
×
Help us improve JobGrin
Need Help? Contact us