Medical Coding Specialist

22 hours ago

Aligarh, Uttar Pradesh, India beBeeMedicine Full time ₹ 8,00,000 - ₹ 13,00,000

Medical Coding Specialist Opportunity

At our organization, we are seeking a skilled professional to join our team as a Medical Coding Specialist. The successful candidate will be responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, and ensuring compliance with industry guidelines.

Key Responsibilities:

  • Review and assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines as applicable.
  • Conduct Risk Adjustment/HCC coding: 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, and certification requirements.
  • Participate in ongoing training and process improvement initiatives.
  • Assist in denial management and claims adjudication if applicable.
  • Maintain confidentiality and security of patient data (HIPAA/local laws).

Required Qualifications:

  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) 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 & 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 (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.

Why Work With Us?

We offer a dynamic and supportive work environment that fosters growth and development. As a Medical Coding Specialist, you will have the opportunity to work with a talented team of professionals who share your passion for delivering high-quality care.

Our Benefits Include:

A competitive compensation package, comprehensive benefits, and opportunities for career advancement.

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