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Senior Medical coder

2 - 7 yrs
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Clicking apply will take you to the company’s website

Not Disclosed by Recruiter Openings: 1 Posted 30+ days ago Job Applicants: Less than 10 Job Views: 1307

Job Description

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    Job Description

    •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 Clientrsquos 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 clientrsquos 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.

    Desired Profile

    •AAPCrsquos CPC or AHIMArsquos CCS certified Medical coders

    •Good knowledge of ICD-9-CM/ICD-10 guidelines or classification, ER, CPT codes, medical terminology and anatomy & physiology.

    •Fresher /Experienced in Medical coding

    •Laboratory coding experience is preferred


    •Open for working in US shift timings

    •5 days working

    •Free transportation

Salary: Not Disclosed by Recruiter

Industry: BPO, Call Centre, ITeS

Functional Area: ITES , BPO , KPO , LPO , Customer Service , Operations

Role Category:Back Office/Web/Transaction Processing

Role:Associate/Senior Associate -(NonTechnical)

Employment Type: Permanent Job, Full Time

Other Keyskills


UG: Any Graduate - Any Specialization

PG:Post Graduation Not Required

Company Profile:

Iskills Solutions

Iskills Solutions is one of the reckoned names in the training sector imparting Medical Coding and Transcription training services to Private business enterprises, institutions and individuals. Since our inception, we have done a commendable job in creating value and confidence in every assignment. Our spectrum of training services meets the demands of various sectors.

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Clicking apply will take you to the company’s website

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