Perform accurate CPT and ICD-10-CM coding (including modifiers, E&M, surgical coding); review and analyze denied claims, identify root causes, and resolve via outbound calls to provider offices. Document outcomes, update claim status, follow up to maximize reimbursement, adhere to client guidelines, meet quality/productivity benchmarks, and prepare performance reports using Excel and PowerPoint.
- Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage
- Review and analyze denied claims and identify root causes
- Initiate outbound calls to provider offices for denial clarification and resolution
- Document call outcomes and update claim status in systems
- Ensure timely follow-up on pending claims to maximize reimbursement
- Adhere to client-specific guidelines and project requirements
- Maintain quality and productivity benchmarks as defined by the client
- Prepare reports and track performance using MS Excel / PPT
- Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage
- Review and analyze denied claims and identify root causes
- Initiate outbound calls to provider offices for denial clarification and resolution
- Document call outcomes and update claim status in systems
- Ensure timely follow-up on pending claims to maximize reimbursement
- Adhere to client-specific guidelines and project requirements
- Maintain quality and productivity benchmarks as defined by the client
- Prepare reports and track performance using MS Excel / PPT
Qualifications & Skills (8–10 Points)
- Strong knowledge of CPT, ICD-10-CM, modifiers, E&M, and surgical coding
- Good understanding of Anatomy & Physiology
- Mandatory certification: CPC or CCS (No Apprentice credentials)
- Excellent communication skills with neutral accent (mandatory for calling role)
- Prior experience in voice process is an added advantage
- Ability to work in Eastern (US) shift
- High energy level with proactive and spontaneous approach
- Strong analytical and problem-solving skills
- Proficiency in MS Office (Excel & PowerPoint)
- Ability to understand client requirements and deliver accordingly
Telecommuting Requirement - Must be comfortable working in a telecommuting (remote/hybrid) setup as per business requirements
- Ensure stable internet connectivity and a distraction-free work environment for both coding and calling responsibilities q
EXL Chennai, Tamil Nadu, IND Office
Chennai, India
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