Urgent: Experienced Medical Coder Required

1 week ago

Kannur, Kerala, India beBeeMedicalCoder Full time ₹ 10,00,000 - ₹ 13,00,000
Job Summary

We are seeking a skilled Medical Coder to join our team. The successful candidate will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) guidelines.

Main Responsibilities:

  • Review and analyze medical records to ensure accurate coding and compliance with regulatory guidelines.
  • Conduct Risk Adjustment / HCC coding to identify and accurately code chronic conditions.
  • 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 needed 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 (if applicable).
  • Maintain confidentiality and security of patient data.

Key Qualifications:

  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) from recognized bodies.
  • Educational Qualification: Bachelor's degree 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 & physiology.
  • Proficiency with ICD-10-CM, CPT, HCPCS (if needed), 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 (Excel, Word), coding / auditing software.
  • Experience with payer policies, Medicare Advantage, Medicaid, RADV audits.
  • Prior experience in facility setting (inpatient / outpatient) coding, or surgery / pathology etc specialties.
  • Ability to mentor / train junior coders.
  • Familiarity with coding compliance, appeals / denials handling.

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