We are looking for a skilled Medical Coder – Level 2 to independently review medical records and accurately assign ICD-10, CPT, and HCPCS codes for US Healthcare clients. The role involves handling moderate-complexity coding assignments, ensuring compliance with coding guidelines, and achieving productivity and quality targets.
The ideal candidate should possess strong coding knowledge, attention to detail, and the ability to work efficiently in a fast-paced healthcare revenue cycle management environment.
Key ResponsibilitiesMedical Coding
- Review medical records and clinical documentation to assign accurate diagnosis and procedure codes.
- Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.
- Ensure accurate code selection based on physician documentation.
- Maintain coding quality and compliance with industry standards.
- Handle moderate-complexity coding assignments independently.
Productivity Management
- Meet daily productivity and turnaround time (TAT) targets.
- Complete coding assignments within defined service levels.
- Maintain consistent output while ensuring coding accuracy.
- Prioritize workloads effectively to manage deadlines.
Compliance & Quality
- Adhere to HIPAA, CMS, ICD-10, CPT, HCPCS, and payer-specific guidelines.
- Ensure compliance with client-specific coding requirements.
- Participate in internal quality reviews and audits.
- Address quality feedback and implement corrective actions.
Documentation Review
- Analyze patient records for coding completeness and accuracy.
- Identify documentation gaps and inconsistencies.
- Ensure proper coding support through detailed chart review.
- Maintain confidentiality and data security standards.
Audit & Process Support
- Support coding audits and quality improvement initiatives.
- Assist in resolving coding-related discrepancies.
- Work closely with Quality, Training, and Team Lead functions.
- Stay updated with coding guideline revisions and regulatory changes.
Collaboration
- Coordinate with Team Leads, Auditors, and Managers for issue resolution.
- Participate in team meetings and knowledge-sharing sessions.
- Support organizational quality and productivity objectives.
Key Performance Indicators (KPIs)
- Coding Accuracy: 95%+
- Daily Productivity Targets
- Turnaround Time (TAT) Compliance
- Audit Performance Scores
- Quality Compliance Metrics
- Error Reduction Targets
- Client SLA Adherence
Required Qualifications
- Bachelor's Degree in Life Sciences, Pharmacy, Nursing, Biotechnology, Healthcare Administration, or related field.
- CPC certification preferred.
- CCS, CCS-P, RHIT, or equivalent certifications will be an added advantage.
Experience Required
- 3–5 years of Medical Coding experience.
- Experience working on US Healthcare coding projects.
- Strong understanding of ICD-10, CPT, and HCPCS coding systems.
- Exposure to coding quality and compliance requirements.
Required Skills
- ICD-10-CM Coding
- ICD-10-PCS Coding
- CPT & HCPCS Coding
- Medical Record Review
- Healthcare Documentation Analysis
- Coding Compliance
- Productivity Management
- Attention to Detail
- Time Management
- Problem Solving
Preferred Specialty Experience
- Outpatient Coding
- Inpatient Coding
- Emergency Department Coding
- Professional Fee Coding
- Surgery Coding
- HCC Coding
- Multi-Specialty Coding
Compensation & Benefits
- Competitive Salary Package
- Performance-Based Incentives
- Certification Support Programs
- Career Growth Opportunities
- Continuous Learning & Development Programs
Pay: ₹100,000.00 - ₹110,000.00 per year
Work Location: In person
