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Medical Coder jobs in Pune, Maharashtra

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Job Post Details

Medical Officer- Non clinical
₹3,00,000 - ₹4,50,000 a year
Full-time

Job details

₹3,00,000 - ₹4,50,000 a year
Health insurance, Paid sick time, Provident Fund
Full-time
Pune, Maharashtra

Full job description

Job description

Role : Medical Officer

Work from Office only

Job Descriptions:

  • Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
  • Scrutinize the claims, as per the terms and conditions of the insurance policy
  • Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
  • Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
  • Verify the required documents for processing claims and raise an IR in case of an insufficiency.
  • Coordinate with the LCM team in case of higher billing and with the provider team in case of non- availability of tariff.
  • Approve or deny the claims as per the terms and conditions within the TAT. Role & responsibilitiesRequired Qualification : BAMS and BHMS doctors only

Job Type: Full-time

Pay: ₹300,000.00 - ₹450,000.00 per year

Benefits:

  • Health insurance
  • Paid sick time
  • Provident Fund

Application Question(s):

  • Do you have a degree in BAMS/BHMS
  • Current CTC
  • Expected CTC

Work Location: In person

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