Certified Medical Coder

**Please Note**:

- ** English** language proficiency is **required**for this role.
- This is a **full-time**, **work from office** role.
- This requires a U.S. schedule - India **_Night shift._**

**Work Location**: This is a **Work from Office**position and location is **Bangalore** at:
Block 12B, Pritech Park,3rd Floor,
SEZ Survey No 51-64/4,
Bellandur,Village. Bldg 9A Rd,
Bengaluru -Karnataka 560103

**_
Shift: _**_Night_

**_ Contact:_** _Nirmala 911 301 5045_

Build Your Future Come join our thriving team as a Certified Medical Coder We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the RCM Healthcare arena.

**Why should you consider TSI (part of TSI family of companies)?**
- Paid training
- Team-oriented work environment
- Growth opportunity
- Generous Incentive opportunity
- Comprehensive benefits package available: including medical insurance, paid time off and paid holidays
- Transport facility (As per policy and shift) - Transportation provided
- Working 5 days/week

We are seeking a **Certified Medical Coder** to join our growing team. In this role, you will be responsible for reviewing and coding both **hospital and physician-billed charges** for accuracy and compliance with established billing and coding guidelines. You will also analyze supporting medical documentation and address coding-related denials to ensure optimal reimbursement. This role reports directly to a Supervising Attorney or Supervisor and requires the ability to work onsite.
- Review and assign appropriate codes for both **facility (hospital)** and **professional (physician)** billed services
- Ensure accuracy of **ICD-10-CM, CPT, HCPCS**, and modifier usage per payer guidelines
- Evaluate and resolve claim denials, including **medical necessity** and **timely filing** issues
- Provide feedback on payer denials and assist with the appeal process when appropriate
- Reference and interpret **UB04, CMS-1500, EOBs**, and **RAs** to support coding validation
- Collaborate with internal teams and external partners to resolve coding discrepancies
- Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations
- Work independently and maintain productivity standards in an onsite setting
- Use electronic health record (EHR) systems and documentation tools to access and update coding information
- Refer to written training resources and coding references as needed
- **
Certified Billing and Coding Specialist (CBCS)** or **AAPC Coder Certification** (Advanced level required)
- Minimum of **2 years of experience coding hospital and/or physician claims**:

- Strong knowledge of **ICD-10-CM, CPT, HCPCS, UB04**, and **CMS-1500** forms
- Familiarity with **Medicare, Medicaid, HMOs, PPOs**, and managed care plan guidelines
- Proficient in medical terminology, healthcare documentation, and coding best practices
- Strong comprehension, problem-solving, and conflict resolution skills
- Excellent verbal and written communication skills in English
- Ability to work independently with mínimal supervision

**Preferred Skills**:

- Experience working in a fully remote coding or RCM environment
- Prior involvement in denial resolution and payer appeals
- Comfortable using multiple healthcare platforms and EHR systems
- Ability to analyze coding patterns and identify billing trends

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws

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