Porur Chennai Tamil Nadu Medical coding Jobs – 124 Open Jobs Today

Claims Examiner II
Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
- Hybrid work
- 12th Pass
- Communication skills
Quick apply
Immediate hiring for IPDRG Coder
Takein Teki info solutions —Chennai, Tamil Nadu
- ₹60,000 - ₹70,000 a month
- Full-time
- In-person
Quick apply
Medical Coder/ Senior Medical Coder – Anesthesia
Medical Billing Wholesalers —Chennai, Tamil Nadu
- Email
- Health insurance
Financial Credit Risk Modeler
OneMagnify —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Finance
- Paid holidays
- Health insurance
DRG VALIDATION
Sistechwork —Chennai, Tamil Nadu
- ₹95,000 - ₹1,00,000 a month
- Full-time
- Remote
- Analysis skills
- Medical terminology
- Communication skills
Quick apply
Senior GL Specialist
The Lincoln Electric Company —Chennai, Tamil Nadu
- English
- Microsoft Office
- Finance
CDI Coder
Medcode Services Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- Nursing
- Anatomy knowledge
- Bachelor's degree
Quick apply
7d
GL Specialist
The Lincoln Electric Company —Chennai, Tamil Nadu
- English
- Microsoft Office
- Bachelor's degree
ED CDI Specialist
Intigniz Solutions —Chennai, Tamil Nadu
- Anatomy knowledge
- Master's degree
- Bachelor's degree
Lead Assistant Manager
EXL Service —Chennai, Tamil Nadu
- Full-time
- SQL
- Agile
- AI
Executive - Operations
EXL Service —Chennai, Tamil Nadu
- Full-time
- Analysis skills
- Data entry
- Communication skills
Hospital Billing, Insurance & Tally Executive
Ropheka Multi Speciality Hospitals —Pudupalaiyam, Tamil Nadu
- ₹15,000 - ₹25,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- English
Quick apply
10d
Surgery Coder (Min - 3 yrs exp)
WCIA —Chennai, Tamil Nadu
- From ₹15,000 a month
- Full-time
- Hybrid work
- English
- Analysis skills
- Bachelor's degree
Quick apply
Assistant Manager- Qaulity
MedExpert Billing and Consulting —Chennai, Tamil Nadu
- Bachelor's degree
- Communication skills
Quick apply
AR caller – Hospital billing(Night)
SolvEdge —Chennai, Tamil Nadu
- Email
- Patient monitoring
- EMR systems
- Care plans
- Health insurance
Manager
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Nursing
Hiring AR Caller Physican billing(CMS1500)
QWay Technologies Private Limited —Chennai, Tamil Nadu
- Full-time
Quick apply
Medical Coder/ Sr Medical Coder
Desirous Global Consulting —Chennai, Tamil Nadu
- Full-time
Assistant Manager-Auditors-Surgery
EXL Service —Chennai, Tamil Nadu
- Full-time
- Research
- Quality control
Accounts Receivable Caller
JUARA IT SOLUTIONS —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- English
- Microsoft Office
Quick apply

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Claims Examiner II

Smart Data Solutions LLC -
Perungudi, Chennai, Tamil Nadu

Quick apply

Job details

Qualifications

Content management systems
12th Pass
CPT coding
Communication skills

Full job description

Claims Examiner II

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Claims Examiner II, to join our team!

What you’ll be doing?

Summary

The Claims Examiner II is responsible for accurately reviewing, adjudicating, and resolving moderately complex medical, dental, and vision claims in accordance with client-specific policies, regulatory guidelines, and standard operating procedures. Depending on business needs, this role may also support claim repricing, provider and member demographic updates, and related claim administration tasks. The Claims Examiner II works independently and may assist with escalated issues or mentoring junior staff.

Duties and Responsibilities:

Review, research, and adjudicate healthcare claims (professional, institutional, dental, vision) based on plan documents, contracts, and applicable regulations (e.g., CMS, HIPAA).
Process claims using standard claim forms (CMS-1500, UB-04, ADA) and appropriate coding systems (ICD-10, CPT, HCPCS, Modifiers).
Resolve system pends, edits, and denials through investigative research and documentation.
Apply proper payment methodologies including fee schedules, capitation, COB, and other reimbursement rules.
Update provider records to ensure accurate claims routing and payment
Process updates to member information in alignment with system rules and business requirements
Independently manage assigned claims to meet turnaround time and quality standards
Respond to inquiries or escalations, including shared email inboxes, within established SLAs.
Accurately document actions and resolutions in claim systems, ensuring transparency and audit readiness.
Collaborate with internal departments to resolve cross-functional claim issues.
Maintain updated knowledge of client-specific workflows, benefit plans, policies, and procedures.
Support process improvement activities, peer review tasks, and training efforts as needed.
Ensure compliance with data privacy standards and internal security protocols (HIPAA, etc.).
Participate in department meetings, calibration sessions, and continuing education.

Qualifications

High school diploma or equivalent required
2+ year(s) of experience in healthcare claims processing
Experience with CMS-1500, UB-04 and ADA forms
Familiarity with claims lifecycle workflows and COB
Knowledge and experience with medical code sets ICD 10, HCPCS, CPT and modifiers
Experience in repricing or demographic updates
Strong attention to detail and accuracy
Effective written and verbal communication
Ability to prioritize work and meet deadlines in a high-volume environment
Comfortable working independently and adapting to process changes

Preferred candidates possess:

3+ year(s) of experience in health plan or TPA claims environment
Knowledge of Medicare, Medicaid, or other government programs
Exposure to repricing tools or claim pricing methodologies

Why this is the company for you?

Top Benefits & Perks:

A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success!
A professional development and growth-oriented workplace
Work-life balance with a 5-day work week and leaves as per the Labor Law of India
A flexible environment with hybrid and remote work opportunity.

Location: 6th Floor, Block 4A, Millenia Business Park, Phase II MGR Salai, Kandanchavadi, Perungudi, Chennai- 600096

Who is Smart Data Solutions?

Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.

4PM - 1 AM

Quick apply

Refine Your Search

medical coding jobs in porur chennai tamil nadu

Claims Examiner II

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Medical Coder/ Senior Medical Coder – Anesthesia

Financial Credit Risk Modeler

DRG VALIDATION

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CDI Coder

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ED CDI Specialist

Lead Assistant Manager

Executive - Operations

Hospital Billing, Insurance & Tally Executive

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Assistant Manager- Qaulity

AR caller – Hospital billing(Night)

Manager

Hiring AR Caller Physican billing(CMS1500)

Medical Coder/ Sr Medical Coder

Assistant Manager-Auditors-Surgery

Accounts Receivable Caller

I want to receive the latest job alerts for medical coding in porur chennai tamil nadu

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