SCALE Healthcare
Website:
scale-healthcare.com
Job details:
Company Description Scale Healthcare, founded in 2019, is dedicated to managing the revenue cycle for complex, multisite healthcare organizations. The company focuses on organizations with multiple locations, varied specialties, different EHRs, and diverse payer contracts, addressing challenges that traditional single-site vendors often cannot handle. Led by experienced operators with more than 16 years in healthcare operations and revenue cycle management, Scale Healthcare designs solutions informed by real-world turnaround and billing rebuild experience. The organization has expanded its specialty coverage, technology capabilities, and institutional knowledge through hundreds of client engagements. Scale Healthcare remains committed to being a long-term, dependable revenue cycle partner that clients do not need to replace.
Role Description This is a full-time, remote Denial Coder role based in India. The Denial Coder will review and analyze denied medical claims and related documentation to identify coding, billing, and compliance issues. Responsibilities include correcting and updating diagnosis and procedure codes, preparing accurate claim resubmissions, and documenting root causes of denials for process improvement. The role involves collaborating with billing teams, providers, and revenue cycle staff to resolve coding discrepancies, minimize future denials, and support overall reimbursement goals. The Denial Coder will also stay current with payer guidelines, coding standards, and regulatory changes relevant to multisite healthcare organizations.
Qualifications
- Strong knowledge of medical coding systems (ICD-10, CPT, HCPCS) and healthcare denial management processes.
- Experience reviewing denied claims, identifying coding and documentation errors, and preparing corrected claims for resubmission.
- Familiarity with payer policies, EHR/medical billing software, and revenue cycle workflows in multisite or multi-specialty settings.
- Attention to detail, analytical problem-solving skills, and the ability to interpret clinical documentation accurately.
- Effective written and verbal communication skills and the ability to collaborate with cross-functional teams remotely.
- Relevant certification such as CPC, CCS, or equivalent medical coding credential preferred.
- Previous experience in medical billing, coding, or denial management within a healthcare or RCM organization is an advantage.
- Ability to work independently, manage workload efficiently, and meet productivity and quality targets in a remote environment.
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