Medical Coder

4 days ago

Chennai, India Tech Lead RCM Full time

Job Description – Medical Coder (Primary Care & Hospital Visits)

Location: Chennai, India
Shift: Day Shift (Mon–Fri)
Department: Medical Coding – RCM Division

About the Role

We are seeking experienced Medical Coders with strong expertise in Primary Care and Hospital Visit coding. The ideal candidate should have a solid foundation in ICD-10-CM, CPT, HCPCS, and E/M coding, with exposure to both outpatient physician billing and inpatient hospital services.

This role is part of our expanding RCM operations in Chennai, supporting U.S.-based physician practices.

Key Responsibilities

  • Review and abstract diagnosis (ICD-10-CM), procedures (CPT/HCPCS), and E/M codes from medical records for primary care office visits and hospital-based encounters (admission, subsequent visits, discharge).
  • Accurately apply 2021 E/M guidelines for office visits and CMS guidelines for hospital visits.
  • Ensure compliance with payer-specific, federal, and state regulations to minimize denials and audit risks.
  • Work closely with the coding quality and audit team to maintain 95%+ coding accuracy.
  • Collaborate with billing, AR, and provider education teams to resolve coding-related rejections/denials.
  • Stay updated with CPT/ICD-10 updates, NCCI edits, payer bulletins, and compliance guidelines.
  • Meet productivity benchmarks while ensuring high accuracy.
  • Support documentation improvement by identifying gaps and providing feedback to the operations/QA team.

Qualifications & Skills

  • Certifications: CPC (AAPC) or CCS (AHIMA) required. COC/CCS-P is a plus.
  • Experience: 2–4 years in Primary Care coding with at least 1 year exposure to hospital visit coding (inpatient/observation).
  • Strong knowledge of E/M leveling, preventive care, chronic disease management, and hospital visit coding.
  • Proficiency in ICD-10-CM, CPT, and HCPCS Level II.
  • Familiarity with U.S. healthcare, RCM workflow, and insurance guidelines (Medicare/Medicaid/commercial payers).
  • Ability to work independently and meet productivity & quality targets.
  • Good communication skills (verbal & written).

Why Join Us?

  • Opportunity to be part of a growing RCM division in Chennai.
  • Exposure to end-to-end U.S. healthcare revenue cycle management.
  • Structured career growth & certification support.
  • Day shift role – work-life balance.

Job Type: Full-time

Pay: Up to ₹40,000.00 per month

Benefits:

  • Health insurance
  • Provident Fund

Experience:

  • Medical coding: 2 years (Preferred)

Work Location: In person

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