Outpatient Coder Pathology Jobs in Chennai

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. 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

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. 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