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Medical Coding Claims Specialist

Wipro

Chennai, Mumbai

·

4 w

·

Full time

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Healthcare

Minimum

₹1,200,000 Per Year

Maximum

₹1,300,000 Per Year

The Medical Coding Claims Specialist manages and processes medical claims to ensure accurate and timely reimbursement. This role involves reviewing coded data, preparing claims, and resolving claim-related issues with insurance companies. Key responsibilities include analyzing claims data, ensuring compliance with payer requirements, and communicating with healthcare providers to address claim issues. The specialist also tracks claim status and provides recommendations for improving claim processing. Strong knowledge of coding standards, claims processing, and insurance regulations is essential. A degree in health information management or a related field, along with coding certification (e.g., CPC, CCS), is required. Experience in claims processing and medical coding is preferred.