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Medical Coding Auditor/Denial Coders (Payment Integrity)

CoverSelfJayanagar, BangalorePosted a month ago
  • Entry level
  • On-site
  • Full time
  • 1 to 3 years
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About the role

CoverSelf provides a claims and payments platform for US healthcare payers. The auditor reviews claims, validates coding, supports denials management and helps translate payment policies into review rules.

What you'll do

  • Review claims and identify coding or billing errors
  • Validate CPT, ICD, HCPCS codes and modifiers
  • Support denials management and pre- and post-payment reviews
  • Apply payer, CMS, NCCI and reimbursement guidelines
  • Recommend claim corrections and policy rule improvements

Skills

Must have

  • Medical coding
  • Claims audit
  • Claims validation
  • Revenue cycle management
  • Denials management
  • Cpt
  • Icd
  • Hcpcs
  • Ncci

Nice to have

  • Lean six sigma

Tools

Who it's for

Degree
medicine, nursing, pharmacy, life sciences
Experience
1 to 3 years
Domain
healthtech

About CoverSelf

CoverSelf has 4 open roles in Bangalore, at CoverSelf Bengaluru. See every CoverSelf role.

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