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Coding Denials Specialist
About the role
Radiology Business Unit at Ventra Health focuses on revenue cycle management for radiology practices. The Coding Denials Specialist investigates and resolves health plan denials, generates appeals, and ensures accurate coding per payer guidelines. Coimbatore, on-site, full-time.
What you’ll do
- Investigate and resolve claim denials
- Generate and submit appeals per payer guidelines
- Validate denial reasons and ensure coding accuracy
- Prioritize work queues according to policies
- Escalate unresolved appeals for resolution
- Maintain knowledge of workflow and tools
- Adhere to production and quality standards
- Complete special projects as assigned
What you’ll bring
- High school diploma or equivalent
- 1-3 years physician medical billing experience
- Current AAPC or AHIMA certification
- Knowledge of ICD-10-CM and CPT coding
- Familiarity with Excel and data analysis
Benefits
- Performance-based incentive plan
- Referral bonus
Education
High School