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Medical Coding Or Denials - Trainee Payment Integrity Analyst

0-1 years
Not Disclosed
10 June 18, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

 

Job Summary

CoverSelf is hiring a Trainee Payment Integrity Analyst – Medical Coding/Denials for its Payment Integrity team in Bengaluru. This is an exciting opportunity for fresh graduates from life sciences, pharmacy, medical, or healthcare backgrounds to build a career in US healthcare claims analysis, medical coding, and denials management. The role involves configuring healthcare claims rules, interpreting medical policies, performing coding audits, and ensuring compliance with federal and state guidelines.


Key Responsibilities

  • Analyze healthcare coding, billing, and reimbursement guidelines to configure system logic.

  • Review contracts, policies, and federal/state regulations to determine edit requirements.

  • Translate regulatory policies into functional configuration specifications.

  • Collaborate with cross-functional teams for medical concept validation and implementation.

  • Troubleshoot configuration discrepancies and perform root cause analysis.

  • Conduct thorough testing and validation of medical coding edits for various claim types.

  • Maintain up-to-date knowledge of Medicare/Medicaid reimbursement, payer payment policies, and CMS guidelines.

  • Utilize AI tools (e.g., ChatGPT, Bard, Claude) for medical content development and automation.

  • Ensure high-quality, accurate, and compliant system configuration.


Required Skills & Qualifications

  • Bachelor’s degree in Nursing, Pharmacy (B.Pharm, M.Pharm, PharmD), Life Sciences (Microbiology, Biotechnology, Biochemistry), Medicine (MBBS, BDS, BPT, BAMS) or equivalent.

  • Preferred certifications: CPC, CPMA, COC, CIC, CPC-P, CCS (AAPC or AHIMA).

  • 0–1 year of experience in medical coding, payment integrity, denials management, or healthcare claims processing.

  • Proficiency in CPT/HCPCS, ICD, Modifiers, DRG, PCS coding.

  • Familiarity with Medicare/Medicaid reimbursement policies and US payer guidelines.

  • Strong analytical, problem-solving, and critical thinking skills.

  • Excellent written and verbal communication.

  • Knowledge of Microsoft Word, Excel, and adaptability to new platforms.

  • Exposure to AI-based tools for content development is an added advantage.


Perks & Benefits

  • Best-in-class compensation package.

  • Health insurance coverage for family.

  • Personal accident insurance.

  • Flexible leave policy.

  • Medical coding CEUs and membership renewals.

  • Reimbursement for certifications and professional courses.

  • Regular health checkups.

  • Positive and inclusive workplace culture.


Company Description

CoverSelf is a leading US healthcare technology platform based in Bengaluru, offering innovative solutions for payment integrity, medical coding, and claims management. With top VC backing, CoverSelf simplifies healthcare claims processes, ensuring accuracy, compliance, and reduced administrative costs for US healthcare payers.


Work Mode

On-site – Jayanagar, Bengaluru, India


Call to Action

Ready to launch your career in medical coding and US healthcare claims? Fresh graduates in life sciences, pharmacy, and healthcare fields are encouraged to apply. Apply now and join CoverSelf's growing Payment Integrity team in Bengaluru!