Sr. Manager - Medical coding (IPDRG multispecialty, Surgery Denial coding) - Chennai / Bangalore
Location: Chennai, Bangalore
• Experience: Senior Level
• Openings: 2
Job description
Job Title - Medical coding (IPDRG multispecialty,
Surgery Denial coding) - Sr. Manager
Location - Chennai / Bangalore
Key Responsibilities:
12+ years’ Experience in Medical
coding (IPDRG multispecialty, Surgery Denial coding)
Review inpatient medical records and
assign accurate ICD and DRG codes as per IPDRG guidelines.
Perform coding for multispecialty
cases including cardiology, orthopaedics, gastroenterology, and general
surgery.
Analyse clinical documentation to
ensure correct code assignment and sequencing.
Handle surgery denial cases by
reviewing payer feedback and identifying root causes.
Recode denied claims to improve
reimbursement and reduce revenue loss.
Ensure compliance with coding
standards, payer guidelines, and regulatory requirements.
Collaborate with physicians and
clinical staff for documentation clarification.
Conduct audits on coded records to
maintain accuracy and quality benchmarks.
Maintain TAT (Turnaround Time) while
ensuring high coding accuracy.
Track and report denial trends and
suggest preventive measures.
Use coding software and hospital
information systems efficiently.
Stay updated with coding guideline
changes and payer policies.
Participate in internal and external
audits related to coding quality.
Support revenue cycle management by
optimizing claim approvals.
Ensure confidentiality and security of
patient health information.