Client Partner - Coding Denial Management

This role is for a highly skilled Client Partner specializing in Coding Denial Management. The primary focus of this position is to address and resolve coding-related claim denials by ensuring accurate coding and resubmission. The ideal candidate will have a strong foundation in medical coding, a commitment to continuous improvement, and a dedication to upholding ethical standards.

Responsibilities

• Perform a variety of activities involving the coding of medical records, assigning accurate diagnosis and CPT codes according to ICD-10 and CPT-4 coding systems.
• Address coding denials by accurately editing and resubmitting claims that were submitted with errors.
• Maintain a high degree of professional and ethical standards in all aspects of work.
• Focus on continuous improvement by working on projects that enable customers to prevent revenue leakage while ensuring compliance with industry standards.
• Update coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.

Skills

• Expertise in medical coding systems, including CPT-4, ICD-9, ICD-10, and HCPCS coding.
• Strong understanding of medical billing and coding systems, regulatory requirements, auditing concepts, and principles.
• Ability to analyze and resolve coding denials.
• High level of attention to detail and accuracy.
• Excellent communication skills for professional and ethical conduct.

Qualifications

• Graduates in life sciences with relevant experience in Medical Coding, specifically in Coding Denial Management.
• Freshers with strong knowledge of medical terminology, human anatomy, and physiology are also encouraged to apply.
• A current coding certification with valid proof is a must.
• A CCS, CPC, CPC-H, CIC, or COC certification from AAPC/AHIMA is a plus.