ABOUT AMORA
AMORA Healthcare Solutions is a U.S.-focused Revenue Cycle Management company operating from Bengaluru. We work with physician practices across all specialties in the United States — internal medicine, cardiology, pulmonology, critical care, family practice, orthopaedics, and more, managing their entire billing operation end-to-end.
From the clinical note to the collected payment, every step passes through us. Charge capture, medical coding, claim scrubbing, submission, payment posting, denial management, and appeals, we own it all. Our physician clients trust us completely with their revenue. That trust is only possible because of the quality of the people on our team.
We are a lean, serious, and deeply competent operation. We do not hire for volume. We hire for excellence.
ROLE OVERVIEW
This is a dual-function position, you will own both the medical coding and the accounts receivable function for AMORA's physician clients. This is not a role where you do one or the other. You will do both, and you will do both exceptionally well.
You will be the person every claim depends on before it leaves our system. You will be the person every denied claim comes back to. You will be the standard by which AMORA's quality is measured. This is a role for a serious professional.
WHAT YOU WILL DO
Medical Coding
- Read and interpret physician clinical notes across all specialties and assign accurate ICD-10-CM diagnosis codes coded to the highest level of specificity
- Assign correct CPT procedure codes — E/M visits, surgical procedures, radiology, pathology, critical care, and all other service types
- Apply the correct 2021 AMA E/M levelling guidelines for all office, outpatient, hospital, and telehealth encounters
- Assign and justify all applicable modifiers — 25, 59, 95, GT, FS, FT, 76, 77, and others — with full clinical documentation support
- Apply NCCI PTP edits and MUE limits before any claim leaves the system Validate diagnosis sequencing, primary vs secondary diagnoses, and apply Excludes1 and Excludes2 rules correctly
- Identify documentation deficiencies and send professional, precise physician queries to obtain the information needed to code the claim correctly
- Hold claims that cannot be defensibly coded until physician clarification is received
- Maintain current knowledge of ICD-10-CM FY2026, CPT 2026, HCPCS Level II, and all applicable
- CMS and payer-specific coding guidelines
- Conduct retrospective coding audits and identify patterns that may indicate documentation or compliance risk
Accounts Receivable & Denial Management
- Work the AR aging queue daily — prioritise claims approaching timely filing limits and high-dollar outstanding balances
- Follow up directly with U.S. insurance payers via payer portals (Availity, Navicent, and others) and by phone to obtain claim status and resolve outstanding balances
- Read and post Electronic Remittance Advice (ERA/835 files) accurately — payments, contractual adjustments, patient responsibility, and write-offs
- Reconcile ERA payment amounts against bank deposit totals and flag any discrepancies immediately
- Categorise every denial by root cause — CO, PR, OA codes — and take the correct action: appeal, correct and resubmit, or bill patient
- Draft and submit first-level denial appeals with supporting clinical documentation, medical necessity arguments, and correct regulatory citations
- Track denial trends by payer, denial code, and physician to identify systemic issues and recommend process improvements
- Maintain AR days below 45 days and denial rate below 8% across all clients
- Produce weekly AR and denial KPI reports with accurate, actionable data
- Identify underpayments against contracted fee schedules and flag for re-billing or dispute*
WHO WE ARE LOOKING FOR
Experience:
1.5 to 3 years of hands-on medical coding experience in a U.S. physician billing environment Multi-specialty experience strongly preferred (internal medicine, cardiology, pulmonology, family practice, etc.)
Critical care coding experience (CPT 99291/99292) is a significant advantage Experience reviewing AI or computer-assisted coding (CAC) output is a plus
Certification (at least one required):
CPC — Certified Professional Coder (AAPC) CPC-A — Certified Professional Coder Apprentice (AAPC) with relevant experience
CBCS — Certified Billing & Coding Specialist (NHA) CCS — Certified Coding Specialist (AHIMA)
Technical Knowledge:
ICD-10-CM FY2026 — coding to highest specificity, sequencing rules, Excludes1/Excludes2 CPT 2026 — E/M levelling (2021 AMA guidelines), surgical coding, radiology, pathology
HCPCS Level II — supplies, injections, DME codes NCCI edits — PTP edits, MUEs, modifier usage to bypass edits
Modifier logic — when to apply, when not to, documentation requirements CMS E/M Services Guide — 2021 office/outpatient E/M guidelines
Soft Skills:
Strong written English — physician queries must be professional and precise Detail-oriented — one wrong digit in an ICD-10 code can mean a denial or audit
Comfortable working independently with minimal supervision Willing to work morning shift (9:00 AM – 5:00 PM IST) to overlap with U.S. East Coast
WHAT WE OFFER
- Competitive salary based on experience (share expectations in your application) Direct exposure to AI-assisted coding workflows — the future of RCM Internal certification support — AMORA supports CBCS/CPC exam fees for strong performers 5-day work week Growth path to Senior Coder and QA Lead as AMORA scales A small, serious team where your work directly impacts company performance
OUR NON-NEGOTIABLES
- Clean background — no prior healthcare fraud or compliance violations HIPAA training must be completed on Day 1 before accessing any patient data Coding decisions must always be based on documentation — no upcoding, no assumptions You must be comfortable telling us when a note is not codeable and needs a physician query
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HOW TO APPLY
Send your resume and a short note (3–5 sentences) explaining your coding experience and which specialties you have worked in to:
[email protected]
Subject line: Medical Coder Application — [Your Name]
Applications without a subject line or without relevant coding experience will not be reviewed. We read every application personally.
Pay: From ₹18,000.00 per month
Benefits:
Experience:
- Medical coding: 1 year (Required)
Work Location: In person
