MODERNIZING MEDICINE HIRING MEDICAL CODING SPECIALIST [ ₹6.2 LAKHS PER YEAR]

MODERNIZING MEDICINE HIRING MEDICAL CODING SPECIALIST [ ₹6.2 LAKHS PER YEAR]

Modernizing Medicine, Inc. (ModMed) is a dynamic healthcare technology company dedicated to revolutionizing the healthcare industry. Our mission is to place doctors and patients at the forefront of care through innovative, specialty-specific cloud platforms. With a global presence and a team of over 3400 dedicated professionals, we are committed to improving medical practice success and patient outcomes.

Job Description:
As a Medical Coding Auditor 3 at Modernizing Medicine, Inc., you will play a crucial role in ensuring the accuracy and efficiency of our medical coding processes. Reporting to a specialty lead, you will be responsible for auditing coding work, providing timely feedback, resolving coding denials, and serving as a subject matter expert (SME) for coding-related queries. Your expertise in medical coding, along with strong analytical and communication skills, will contribute to the success of our operations.

Qualification B.Pharm, M.Pharm, Msc, Bsc, Pharm.D, MBBS, BDS

Location: Hyderabad, India

Key Responsibilities:

  • Audit coding work done by Global Partners and provide feedback for resolution of denied claims
  • Review and resolve coding denials from payers
  • Act as a coding SME for internal teams, offering guidance and clarification
  • Analyze coding denials to identify trends and implement preventive measures
  • Participate in coding educational opportunities to stay updated on industry guidelines
  • Assist in coding production for clients across various specialties, if needed

Skills & Requirements:

  • 5+ years of experience in medical coding, with at least 2 years as an SME/Quality Auditor
  • Certification: CPC (Certified Professional Coder) mandatory
  • Strong knowledge in Gastroenterology, Orthopaedics, Ophthalmology, Dermatology, and Podiatry preferred
  • Hands-on experience in resolving coding denials and familiarity with payer guidelines
  • Excellent written and verbal communication skills in English
  • Ability to work independently during night shifts in India
  • Proficiency in MS Excel for report generation and analysis
  • Expertise in CPT, ICD codes, and modifiers
  • Bachelor’s or Master’s degree in Science with a background in Anatomy

ModMed Benefit Highlights (India Specific):

  • Competitive benefits package including medical coverage for employees, their families, and dependent parents
  • Paid time off for volunteering in the community
  • Opportunities for professional development and growth
  • Collaborative and award-winning culture
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