Chennai Tamil Nadu Medical coding Jobs – 113 Open Jobs Today

Claims Examiner II
Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
- Hybrid work
- 12th Pass
- Communication skills
Quick apply
3d
Senior Medical Coder IP DRG
Guidehouse —Chennai, Tamil Nadu
- Microsoft Excel
- Microsoft Office
- Analysis skills
Medical Coding Trainer
DREAM CADD —Ambattur, Chennai, Tamil Nadu
- ₹12,000 - ₹15,000 a month
- Part-time
- Nursing
- Anatomy knowledge
- Analysis skills
- Paid sick time
Quick apply
Trainee Coder
as medical codingtech —Chennai, Tamil Nadu
- Medicine
- Anatomy knowledge
- B.Sc
Medical Record Technician - Fresher
SAJDA COSMETICS —Chennai, Tamil Nadu
- ₹15,000 - ₹22,000 a month
- Full-time
- B.Sc
- Bachelor's degree
- In-person
Quick apply
Consultant – Medical Coder (E&M with MIPS)
SolvEdge —Chennai, Tamil Nadu
- Email
- Anatomy knowledge
- Microsoft Excel
- Patient monitoring
- Health insurance
Medical Coder / Senior Medical Coder
Allzone Management Services —Chennai, Tamil Nadu
- Day shift
- Walk-in
- Nursing
- Diploma
Medical Coder/ Senior Medical Coder – E&M
Medical Billing Wholesalers —Chennai, Tamil Nadu
- Email
- Health insurance
Medical Records Technician
Shri Vetrivel Murugan —Chennai, Tamil Nadu
- ₹15,000 - ₹22,000 a month
- Full-time
- B.Sc
- Bachelor's degree
- In-person
Quick apply
Billing and Coding Specialist (Jun)
MedExpert Billing and Consulting —Chennai, Tamil Nadu
- Customer service
- 12th Pass
- Data entry
Quick apply
8d
Delivery Manager – Operations (Coding)
AccessHealthcare —Chennai, Tamil Nadu
- Team management
- Communication skills
Senior Executive - Quality Auditor
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- B.Sc
- Bachelor's degree
Senior Medical Coder
Precision for Medicine —Chennai, Tamil Nadu
- Online application
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Quick apply
1d
Assistant Director – Operations (Coding)
AccessHealthcare —Chennai, Tamil Nadu
- Project management
- Team management
- Leadership
RCM Trainer (US Healthcare)
SolvEdge —Chennai, Tamil Nadu
- Email
- Patient monitoring
- Microsoft Office
- Presentation skills
- Health insurance
Coder - Facility OP ED/EM
Guidehouse —Chennai, Tamil Nadu
- Microsoft Office
- Travel
- Organizational skills
IPDRG & E/M Specialty Coder – Chennai
Meddata RCM Pvt Ltd —Chennai, Tamil Nadu
- ₹10,153.12 - ₹43,053.84 a month
- Part-time
- Presentation skills
- Mentoring
- In-person
Quick apply
10d
Certified Medical Coder/ Senior Medical Coder
Medical Billing Wholesalers —Chennai, Tamil Nadu
- Email
Medical Coder/ Senior Medical Coder – Surgery
Medical Billing Wholesalers —Chennai, Tamil Nadu
- Email
- Health insurance
Team Leader - EM Coding
Starlink Healthcare Administration —Chennai, Tamil Nadu
- ₹30,000 - ₹55,000 a month
- Full-time
- Classroom experience
- In-person
- Leadership
- Health insurance
Quick apply

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Claims Examiner II

Smart Data Solutions LLC -
Perungudi, Chennai, Tamil Nadu

Quick apply

Job details

3 days ago

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 chennai tamil nadu

Claims Examiner II

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Medical Coding Trainer

Trainee Coder

Medical Record Technician - Fresher

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IPDRG & E/M Specialty Coder – Chennai

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