Medical Coding Professional

15 hours ago


Vellore, Tamil Nadu, India beBeeCoding Full time ₹ 8,00,000 - ₹ 12,00,000

Job Title: Clinical Coding Specialist

About the Role:

We are seeking a highly skilled and detail-oriented Clinical Coding Specialist to join our team. As a key member of our coding department, you will be responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, and conducting risk adjustment/HCC coding.

The ideal candidate will have a strong understanding of ICD-10-CM, CPT, and HCPCS guidelines, as well as experience with EHR/EMR tools and basic MS Office software. You will also possess excellent analytical skills, attention to detail, and the ability to work under deadlines.

In this role, you will have the opportunity to stay up-to-date with coding changes, industry regulations, and payer policies, ensuring that coded data adheres to regulatory guidelines and internal compliance standards.

Key Responsibilities:
  • Review clinical documentation and assign accurate diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) 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 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.
Required Skills and Qualifications:
  • Certification: CPC and/or CRC from recognized bodies.
  • 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, coding/auditing software.
  • Experience with payer policies, Medicare Advantage, Medicaid, RADV audits.
Benefits:

This is an exciting opportunity to join a dynamic team and contribute to the success of our organization. We offer a competitive salary and benefits package, including opportunities for professional growth and development.

Others:

We are an equal opportunities employer and welcome applications from diverse candidates. If you are a motivated and organized individual who is passionate about coding, we encourage you to apply for this role.



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