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Senior Executive - Coding Auditor at EXL Talent Acquisition Team

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

05 Oct, 26

Salary

0.0

Posted On

07 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

CPT Coding, ICD-10-CM Coding, Medical Coding, Claim Denial Resolution, Medical Billing, Communication Skills, Analytical Skills, Problem Solving, MS Excel, MS PowerPoint, Anatomy & Physiology, E&M Coding, Surgical Coding, Voice Process, CPC Certification, CCS Certification

Industry

Business Consulting and Services

Description

* 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

Responsibilities

Perform accurate medical coding and analyze denied claims to identify root causes. Conduct outbound calls to provider offices to resolve denials and ensure maximum reimbursement.