Medical Coder

About Company:

Our client is a global professional services firm that offers advisory, technology, and managed services to commercial and government clients, focusing on areas like healthcare, financial services, energy, and national security to help with complex challenges like digital transformation, risk management, and operational efficiency. They provide expertise in consulting, outsourcing, and technology-driven solutions, operating as an AI-led firm with a strong public and private sector focus. 

An Ideal Candidate:

The ideal candidate should have experience in surgery coding - same day surgery coding. Should be a professional with a bachelor's degree in a relevant field or equivalent work experience (1 Year – 6 Years) in Medical Coding with the Certifications - (CCS /CPC) organizational and multitasking skills. Excellent communication and interpersonal skills. Excellent problem-solving and analytical skills, Ability to work collaboratively in a team with work environment.

Key Competencies:

• Initiate calls requesting status of claims in queue.
• Contact insurance companies for further explanation of denials and underpayments
• Take appropriate action on claims to guarantee resolution.
• Ensure accurate and timely follow-up where required.
• Document actions taken in claims billing summary notes
• To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
• Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
• Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets.
• Shall report incidents related to security of information to concerned authorities.