Key Responsibilities
- Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes to medical records, operative notes, and physician documentation
- Review and interpret clinical documentation, including physician notes, lab reports, radiology findings, and discharge summaries
- Ensure coding compliance with Official Coding Guidelines, payer-specific policies, and CMS regulations
- Query physicians and clinical staff for documentation clarification to support accurate code assignment
- Maintain productivity and quality benchmarks as defined by the organization (coding accuracy ≥95%)
- Support charge capture and claim submission processes to minimize denials and rejections
- Analyze and resolve coding-related claim denials; prepare and submit coding-related appeals
- Coordinate with billing team on correct modifier usage, bundling rules, and NCCI edits
- Stay current with updates to coding guidelines, payer bulletins, and regulatory changes (annual ICD-10, CPT updates)
- Maintain confidentiality of all patient health information (PHI) in compliance with HIPAA regulations
Eligibility & Requirements
- Education: Graduate in any discipline; B.Sc. / B.Pharm / BMLT / Life Sciences preferred
- Certification: CPC / CCS (AAPC or AHIMA) – active certification mandatory
- 3 years of hands-on medical coding experience in a US healthcare / RCM environment
Pay: ₹35,000.00 - ₹50,000.00 per month
Benefits:
Work Location: In person
