Denial Coding Auditor Job in Q Way Technologies
Denial Coding Auditor
Q Way Technologies
4+ weeks ago
- Chennai, Tamil Nadu
- Not Disclosed
- Full-time
Job Summary
Denial Coding Auditor
Location: Chennai
Experience: Minimum 4-8 Years
Job Summary
We are seeking an experienced Denial Coding Auditor to analyze coding-related denials, identify root causes, and recommend effective resolutions. The role involves collaborating closely with Accounts Receivable (AR), coding, and compliance teams to enhance first-pass claim resolution and reduce denials.
Key Responsibilities
- Conduct thorough reviews of denied claims to audit coding accuracy and adequacy of clinical documentation.
- Identify denial trends such as medical necessity issues, bundling errors, and modifier misuse.
- Recommend coding corrections and documentation improvements to prevent recurring denials.
- Work collaboratively with AR and appeal teams to facilitate timely and effective denial resolution.
- Support internal audits, compliance reviews, and quality improvement initiatives related to coding and denials.
Qualifications
- Certified Coding Auditor credentials preferred (CPC-A, CPMA, or CCS-P).
- Minimum 3 years of experience in surgical coding and coding audits.
- Expertise across multiple surgical specialties and thorough knowledge of coding regulations and payer policies.
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