Medical Coding Specialist

3 days ago

Chennai, Tamil Nadu, India beBeeCoder Full time ₹ 6,00,000 - ₹ 12,00,000

Job Title: Medical Coding Specialist

We are seeking a skilled Medical Coder to join our team at Skillra Technologies. The ideal candidate will have experience in coding medical records and assigning diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.

About the Role:

  • The successful candidate will review clinical documentation and assign appropriate diagnosis and procedure codes.
  • The person in this position will conduct Risk Adjustment/HCC coding: identify and code chronic conditions accurately.
  • This role involves performing chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • The individual in this position will ensure coded data adhere to payer/regulatory guidelines and internal compliance standards.
  • The Medical Coding Specialist will resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
  • The person will maintain productivity and accuracy targets as set by the team/project.
  • This role requires staying updated with coding changes, industry regulations, payer policies, and coding certification requirements.
  • The Medical Coding Specialist will participate in ongoing training and process improvement initiatives.
  • Maintaining confidentiality and security of patient data (HIPAA/local laws) is essential for this role.

Requirements:

  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) from recognized bodies.
  • Educational qualification: Graduate degree preferably in Life Sciences (e.g., B.Sc, B.Pharma, Biotechnology, Microbiology, Nursing, etc.).
  • 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 (for interacting with providers, auditors, etc.).
  • 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 specialties.
  • Ability to mentor/train junior coders.
  • Familiarity with coding compliance, appeals/denials handling.

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