Medical Coder

3 days ago

Chennai Tamil Nadu, India Tech Lead RCM Full time

**Job Description - Medical Coder (Primary Care & Hospital Visits)**

**Location**: Chennai, India
**Shift**: Day Shift (Mon-Fri)
**Department**: Medical Coding - RCM Division

**About the Role**

This role is part of our expanding RCM operations in Chennai, supporting U.S.based physician practices.

**Key Responsibilities**
- Review and abstract **diagnosis (ICD-10-CM), procedures (CPT/HCPCS), and E/M codes** from medical records for **primary care office visits** and **hospital-based encounters** (admission, subsequent visits, discharge).
- Ensure compliance with **payer-specific, federal, and state regulations** to minimize denials and audit risks.
- Work closely with the **coding quality and audit team** to maintain **95%+ coding accuracy**.
- Collaborate with **billing, AR, and provider education teams** to resolve coding-related rejections/denials.
- Stay updated with **CPT/ICD-10 updates, NCCI edits, payer bulletins, and compliance guidelines**.
- Meet productivity benchmarks while ensuring high accuracy.
- Support **documentation improvement** by identifying gaps and providing feedback to the operations/QA team.

**Qualifications & Skills**
- **Certifications**: CPC (AAPC) or CCS (AHIMA) required. COC/CCS-P is a plus.
- **Experience**: 2-4 years in **Primary Care coding** with at least 1 year exposure to **hospital visit coding** (inpatient/observation).
- Strong knowledge of **E/M leveling, preventive care, chronic disease management, and hospital visit coding**.
- Proficiency in **ICD-10-CM, CPT, and HCPCS Level II**.
- Familiarity with **U.S. healthcare, RCM workflow, and insurance guidelines** (Medicare/Medicaid/commercial payers).
- Ability to work independently and meet **productivity & quality targets**.
- Good communication skills (verbal & written).

**Why Join Us?**
- Opportunity to be part of a **growing RCM division in Chennai**.
- Exposure to **end-to-end U.S. healthcare revenue cycle management**.
- Structured **career growth & certification support**.
- **Day shift role** - work-life balance.

Pay: Up to ₹40,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

**Experience**:

- Medical coding: 2 years (preferred)

Work Location: In person

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