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Coding Claim Edits Coder/SME:
We are hiring experienced, certified Senior Medical Coders with extensive knowledge of ICD-10-CM, PCS, CPT, HCPCS-II & Modifiers, NCCI Edits, LCD, NDC, etc., and excellent communication skills.
· 5 to 10 years of experience in Medical Coding and at least 2-5 years of claim editing experience.
· Strong knowledge of Surgery coding or Multispecialty procedure-based E/M coding, modifiers, NCCI Edits, MUE, NCD, LCD, infusions & injections.
· In-depth knowledge of ICD 10, CPT, Surgery procedures, Revenue codes, and medical terminologies.
Responsibilities:
· Process Coding-related payer-specific edits for the hospital and professional claims.
· Review charge sessions that require resolution via claims system edits.
· Resolution of coding-related edits and denials (NCCI, NCD, LCD, MUE) with appropriate modifier application and using updated coding guidelines.
· Identify and resolve issues with denied or rejected claims.
Minimum Requirements:
· Education: Science Graduate or Postgraduate.
· Credentials: Must possess current AHIMA/ AAPC certificate(s).
· Communication: Possess outstanding verbal and written proficiency in English.
· Work location: Ready to work from the office.
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