Senior Medical Coding Specialist

1 day ago

Meerut, Uttar Pradesh, India beBeeCoding Full time ₹ 6,00,000 - ₹ 11,00,000
Medical Coding Specialist

Job Description:

The Medical Coding Specialist plays a vital role in ensuring accurate and compliant coding practices within our organization. As a key member of the team, you will be responsible for reviewing clinical documentation, assigning diagnosis and procedure codes, and conducting risk adjustment/HCC coding to identify chronic conditions.

Responsibilities:

  • Review clinical documentation to assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
  • Conduct Risk Adjustment/HCC coding to identify and code chronic conditions accurately.
  • Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • Ensure coded data adhere to payer/regulatory guidelines and internal compliance standards.
  • Resolve queries with providers or documentation authors when medical records are unclear or missing details.
  • Maintain productivity and accuracy targets as set by the team/project.
  • Stay updated with coding changes, industry regulations, payer policies, and coding certification requirements.
  • Participate in ongoing training and process improvement initiatives.
  • Assist in denial management, claims adjudication, revenue leakage identification, and support payment integrity.
  • Maintain confidentiality and security of patient data.

Required Skills and Qualifications:

To succeed in this role, you must possess the following skills and qualifications:

  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder).
  • Educational Qualification: Graduate degree preferably in Life Sciences.
  • Experience: Typically 1-3 years coding experience in U.S. healthcare/risk adjustment/HCC/multispecialty coding.
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
  • Good analytical skills, attention to detail, ability to work under deadlines.
  • Communication skills: both written and verbal.
  • Computer skills: comfortable using EHR/EMR tools, basic MS Office, and coding/software.
  • Experience with payer policies, Medicare Advantage, Medicaid, RADV audits.
  • Prior experience in facility setting/facility-based specialties.
  • Ability to mentor/train junior coders.
  • Familiarity with coding compliance/appeals/denials handling.

Benefits:

This role offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

What We Offer:

We offer a collaborative and dynamic work environment that values teamwork, innovation, and continuous learning. Our organization is committed to attracting, retaining, and developing top talent to drive success and excellence in all aspects of our business.

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