Medical Coder Multispecialty Denials (radiology & Pathology) Job in Q Way Technologies

Medical Coder Multispecialty Denials (Radiology & Pathology)

Location: Chennai

Experience: Minimum 1 Year

Department: Revenue Cycle Management (RCM)

Employment Type: Full-time

About the Role

We are looking for a detail-oriented and experienced Medical Coder specializing in Radiology and Pathology denials management to join our growing Revenue Cycle Management (RCM) team. In this role, you will be responsible for identifying root causes of coding-related denials, reworking claims, and submitting appeals in alignment with payer guidelines. You will work closely with AR, billing, and compliance teams to drive timely resolution of denied claims.

Key Responsibilities

• Review and analyze denied claims specifically in Radiology and Pathology specialties.
• Identify denial trends related to coding and take corrective actions.
• Apply accurate CPT, ICD-10, and HCPCS codes based on clinical documentation.
• Draft and submit coding appeals with appropriate justifications, coding references, and documentation.
• Collaborate with AR and billing teams to resolve complex denials and ensure clean claim submission.
• Adhere to payer-specific guidelines, LCDs/NCDs, and industry-standard coding protocols.
• Maintain coding accuracy, compliance, and productivity benchmarks as per company standards.

Required Skills & Qualifications

• Minimum 1 year of hands-on experience in medical coding, specifically in Radiology and Pathology denials.
• Solid understanding of US Healthcare RCM processes, denial workflows, and appeal procedures.
• Strong command of CPT, ICD-10, and HCPCS coding systems.
• Experience with medical coding tools such as EncoderPro, Optum360, or similar platforms.
• Familiarity with payer-specific guidelines, including Medicare LCD/NCD policies.
• Excellent analytical and problem-solving skills.
• Effective written and verbal communication skills to support appeal writing and inter-team collaboration.

Preferred Qualifications

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification is an added advantage.
• Experience working in an RCM/BPO/KPO environment is preferred.
• Exposure to additional specialties or multispecialty coding is a plus.

What We Offer

• Competitive salary and performance-based incentives
• Training and development programs for career growth
• A collaborative and supportive work environment
• Exposure to a wide range of specialties and payer systems