Medical Coder Multispecialty Denials (e/m) Job in Q Way Technologies

Medical Coder Multispecialty Denials (E/M)

Location: Chennai

Experience: Minimum 1 Year

Department: Revenue Cycle Management (RCM)

Employment Type: Full-time

Job Summary

We are seeking a detail-oriented and experienced Medical Coder specializing in Evaluation and Management (E/M) services to support our multispecialty denial management operations. The ideal candidate will be responsible for analyzing denied claims, identifying coding or documentation issues, and executing effective appeal strategies to maximize reimbursement in line with payer-specific guidelines and compliance standards.

Key Responsibilities

• Review and resolve denied claims related to E/M services across multiple specialties.
• Analyze clinical documentation and assign accurate CPT, ICD-10, and HCPCS codes.
• Investigate reasons for denials such as incorrect levels of service, insufficient documentation, or bundling edits.
• Prepare and submit well-documented appeals based on payer-specific rules and coding guidelines.
• Collaborate with Accounts Receivable (AR) and billing teams to ensure timely resolution of denials.
• Ensure adherence to CMS, Medicare, commercial payer, and internal compliance policies.
• Consistently meet or exceed quality and productivity benchmarks set by the organization.

Required Skills & Qualifications

• Minimum 1 year of experience in E/M coding and denial management.
• In-depth knowledge of 2021+ E/M coding guidelines and documentation requirements.
• Experience handling denials in multispecialty environments (e.g., Internal Medicine, Pediatrics, Cardiology, etc.).
• Familiarity with coding tools (e.g., EncoderPro, 3M, Optum360) and EMR/EHR systems.
• Strong understanding of payer-specific rules, including Medicare and commercial insurers.
• Excellent attention to detail, communication, and analytical thinking.
• Ability to work independently as well as in a team-oriented environment.

Preferred Qualifications

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (preferred).
• Previous experience in a US Healthcare RCM setting, especially with denials and appeals workflows.

What We Offer

• Competitive compensation and incentive structure
• Career growth opportunities in a high-impact RCM environment
• Ongoing training and support for certifications and coding updates
• Collaborative and inclusive work culture