QA - HIM Services
NoidaFull-time3–5 yrsPosted over a month ago
Mid-level quality assurance role at CorroHealth Infotech in Noida. Needs 3–5 years and a BBA.
About the role
The Medical Coding Edits and Denial Quality Analyst is responsible for analyzing, reviewing, and resolving coding-related claim edits and insurance denials. This role involves performing root-cause analysis on denied claims, identifying coding trends that lead to financial loss, and providing feedback to the coding and clinical teams.
What you'll do
- This position may perform all or most of the primary duties listed below
- Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team…
- Auditing and reviewing medical documentation for appropriate ICD and CPT coding
- And ensuring that codes tally with doctors’ diagnosis
- Asking explanation from physicians when code assignments are not straightforward or
What you need
- Medical coding
- Root cause analysis
- POS
- Tally
- Pharmacology