IBR Reviewer

Job Description IBR Reviewer

Job Location: Hyderabad
Experience: 3–6 Years
Shift: 5:30 PM – 2:30 AM
Cab Facility: Available

Job Summary

We are looking for experienced IBR Reviewers with hands-on experience in denial coding, hospital billing, and UB-04 forms. Candidates should have a strong understanding of healthcare claims, medical coding, payer policies, and reimbursement processes. Candidates with a nursing background are preferred/required.

Key Responsibilities

• Review hospital itemized bills to identify billing, coding, and reimbursement errors.
• Analyze healthcare claims and identify discrepancies in hospital billing.
• Handle denial coding and understand payer-specific policies and reimbursement guidelines.
• Review and validate UB-04 forms and supporting medical billing documentation.
• Calculate and verify claim review findings accurately.
• Document review findings and upload supporting information clearly.
• Monitor claim status, turnaround time, and client-specific requirements.
• Maintain productivity and quality standards.
• Stay updated on medical coding guidelines, AHA Coding Clinic updates, and payer policies.
• Ensure compliance with data privacy and confidentiality standards.

Required Skills

• 3–6 years of relevant experience in denial coding, hospital billing, or IBR review.
• Hands-on experience with UB-04 forms and hospital billing processes.
• Strong knowledge of healthcare claims, billing, coding, and denial resolution.
• Understanding of payer policies and reimbursement guidelines.
• Nursing background preferred/required.
• CPC certification is an added advantage.
• Good analytical, documentation, and communication skills.