Risk Specialist I , CRC - Variable
Amazon·Bengaluru
- Can I apply
- Needs BBA or CFA · 3–6 yrs
- Pay
- Pay not stated
- Source
- From the company's careers page · yesterday
- How to apply
- On Amazon's site: account needed, ~10–15 min
Medical Coding Auditor/Denial Coders (Payment Integrity)
CoverSelf·Bengaluru
Pay not stated1–3 yrsFull-time
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About the role
This role focuses on hands-on claims review, coding validation, and RCM processes. The Coding Auditor will identify incorrect coding/billing, support denials management, and ensure compliance with payer and CMS guidelines to improve payment accuracy.
What you'll do
- Perform manual claims review and identify coding/billing errors
- Support denials management & pre/post payment review
- Analyze claims using RCM workflows & reimbursement methodologies
- Flag incorrect claims and recommend corrections
- Ensure compliance with CMS, NCCI, Medicare/Medicaid guidelines
What you need
- 1–3 yrs of experience
- Medical coding
- Communication
- MBBS or BDS or B.Pharm or M.Pharm
Good to have
- Six Sigma
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