Coding Denial Management - CPC Coders with Calling experience
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At Clarus, we inspire you to explore your passions, nurture and cultivate your talent. We equip you to work with your clients and help them achieve outstanding results through superior quality of service. Innovate with Clarus, work on some of the most exciting projects in the industry and learn & grow with us.
If you are a certified medical coder with excellent voice, skills, please review the job description below and apply online:
Location: Pasig, Manila
Responsibilities
Evaluate and interpret the cause of denied claims in the form of reason codes and initiate timely refiling with accurate code sets in line with payer-specific coding guidelines, in order to ensure optimal reimbursement
Review the medical documentation available for various specialties on the revenue cycle system and determine the most appropriate CPT-4/ICD 10 CM /Modifiers and make necessary code corrections based on the denial reason prior to refiling
Perform an in-depth review of the denied claims for different fields such as patient’s age, gender, Date of service, Place of Service, medical specialty etc. that have bearing on the selection of appropriate codes while refiling
Research, recommend, and appeal claims with sub-optimal reimbursement by providing explanation in the format required by the respective payers, along with supporting medical records as necessary, especially on cases of medical necessity denials
Analyze historical coding denial trends categorized by reasons and initiate proactive action plans to prevent the same in the future
Maintains high degree of professional and ethical standards
Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while following the standards
Desired Skills/Traits
Graduates in life sciences with 1-2 years of experience in Medical Coding and Denial Management
Experience in specialties such as Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, Evaluation & Management (E/M) and others
Current coding certification with valid proof of certifications
Highly motivated to work in Medical coding domain
Willing to work in night shifts continously
Benefits
Attractive Salary package
Saturday & Sunday fixed off
Other Benefits
Walk-in Venue:
Clarus RCM, 11th Floor, 22, Emerald Avenue , Ortigas Center, Pasig City , PH- 1605
