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Coding Denials Specialist
About the role
Radiology Coding Denials Team at Ventra Health ensures accurate claim processing and denial resolution for physician services. The specialist investigates health plan denials, validates coding, generates appeals, and escalates unresolved cases while adhering to departmental quality standards. Coimbatore office, on-site work model, with performance-based incentive plan and referral bonus available.
What you’ll do
- Investigate and resolve health plan denials
- Validate coding accuracy and denial reasons
- Prepare and submit appeals per payer guidelines
- Escalate exhausted appeals for resolution
- Maintain production and quality standards
- Complete special projects as assigned
- Stay current with workflow, systems, and tools
What you’ll bring
- 1-3 years physician medical billing experience
- Current AAPC or AHIMA certification
- High school diploma or equivalent
- Knowledge of ICD-10-CM and CPT coding
- Proficient in Excel and Microsoft Office
- Strong analytical and organizational skills
- Ability to work independently and collaboratively
Skills
Benefits
- Performance-based incentive plan
- Referral bonus
Education
High school diploma