Medical Coder

5 days ago


Hyderabad, Telangana, India PractoPulse Healthcare Services Private Limited Full time ₹ 1,20,000 - ₹ 1,80,000 per year

MEDICAL CODER / MEDICAL BILLER

Job Description

We are looking for a detail-oriented and proactive Eligibility Executive to manage insurance verification and benefits validation for patients in the revenue cycle process. The ideal candidate will have experience working with U.S. healthcare insurance systems, payer portals, and EHR platforms to ensure accurate eligibility checks and timely updates for claims processing.

Key Responsibilities

  1. Verify patient insurance coverage and benefits through payer portals, IVR, or direct calls to insurance companies.
  2. Update and confirm insurance details in the practice management system or EHR platforms accurately and in a timely manner.
  3. Identify policy limitations, deductibles, co-pays, and co-insurance information and document clearly for billing teams.
  4. Coordinate with patients and internal teams (billing, front desk, scheduling) to clarify eligibility-related concerns.
  5. Perform eligibility checks for scheduled appointments, procedures, and recurring services.
  6. Handle real-time and batch eligibility verifications for various insurance types including commercial, Medicaid, Medicare, and TPA.
  7. Escalate discrepancies or inactive coverage to the concerned team and assist in resolving issues before claim submission.
  8. Maintain up-to-date knowledge of payer guidelines and insurance plan policies.
  9. Ensure strict adherence to HIPAA guidelines and maintain confidentiality of patient data.
  10. Meet assigned productivity and accuracy targets while following internal SOPs and compliance standards.

1Preferred Skills & Tools

  • Experience with EHR/PM systems like eCW, NextGen, Athena, CMD
  • Familiarity with major U.S. insurance carriers and payer portals
  • Strong verbal and written communication skills
  • Basic knowledge of medical billing and coding is a plus
  • Ability to work in a fast-paced, detail-focused environment

Qualifications

ANY LIFE SCIENCE DEGREE

BSc, MSc, B.Pharm, M.Pharm, BPT

NOTE

CPC certification preferable

Shift & Work Details:

  • Shift Timing: Night Shift 9:00 PM to 7:00 AM
  • Work Days: [Monday to Friday]
  • Gender: Male candidates only (due to night shift operational requirements)

  • Medical Coder

    2 weeks ago


    Hyderabad, Telangana, India Harmony United Psychiatric Care Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Title: Medical CoderLocation: Hyderabad, TelanganaCompany: Harmony United Medsolutions Pvt. Ltd. About Us:Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of...

  • Medical Coder

    7 days ago


    Hyderabad, Telangana, India Harmony United Medsolutions Full time

    Job Title: Medical CoderLocation: Hyderabad, TelanganaCompany: Harmony United Medsolutions Pvt. Ltd.About Us:Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience,...

  • Medical Coders

    1 week ago


    Hyderabad, Telangana, India Smartclues Technologies LLP Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionAt Smartclues Technologies LLP, we are dedicated to providing reliable and efficient IT services to small businesses. Our team of experienced IT professionals ensures that our clients achieve their goals by leveraging the latest technologies and best practices. We offer a wide range of IT services, including network setup and maintenance,...

  • Medical Coder

    2 weeks ago


    Hyderabad, Telangana, India Medcode Services Full time ₹ 1,44,000 - ₹ 2,16,000 per year

    Medical Coders with Interest in HCC CodingWith CPC / CRC or Any AAPC certification can ApplyPreferring Immediate JoinersJob Type: Full-timePay: ₹15, ₹18,000.00 per monthWork Location: In person

  • Medical Coder

    2 weeks ago


    Hyderabad, Telangana, India Med code services Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    MEDICAL CODER - HCC SPECIALITYExperience : 0-4years of experienceCertification is mandatoryLocation : HyderabadImmediate Joiners preferredJob Types: Full-time, Permanent, FresherBenefits:Provident FundWork Location: In person

  • Medical Coder

    2 weeks ago


    Hyderabad, Telangana, India Softcode Solutions Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    We are looking for experienced HCC Medical Coding Professionals to join our team as Team Leads, Subject Matter Experts (SMEs), and Trainers. The ideal candidates will have in-depth knowledge of HCC Risk Adjustment coding, the CMS-HCC and Rx-HCC models, and strong leadership or mentoring experience.Role & responsibilitiesReview and code medical records...


  • Hyderabad, Telangana, India Axis Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Role & responsibilitiesHiring Home Health Medical Coders || Certified Experienced Medical Coders ||Specialization : HHC coders & QALocation : HyderabadEligibility Criteria :Experience:Min 1+ year for Coder (First 6 months will be Work form Office)Min 5 years for QA (Work from Home)Package:Up to 60K for CodersUpto 1L for QAPrefers Immediate joiner onlyAny one...


  • Hyderabad, Telangana, India Teraclick It Solutions Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    KICK START YOUR CARREER AS MEDICAL CODERS A Medical Coding job typically involves , assigning ICD-10-CM, CPT, and HCPCS codes. Bsc(life sciences), Bpharm , Biotech,Mpharm.Yop: selected will undergo training with placement. Required Candidate profilecandidates with graduation in lifesciences are eligible with knowledge on computers and selected candidates...

  • Medical Coder

    1 week ago


    Hyderabad, Telangana, India 2coms Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    SUMMARY About ClientClient is a leading healthcare services organization that partners with healthcare providers to improve clinical, financial, and operational outcomes. With a focus on technology-enabled solutions and process excellence, delivers services such as medical coding, revenue cycle management, clinical documentation, and patient engagement. The...


  • Hyderabad, Telangana, India Doctus Data Services Private Limited Full time US$ 90,000 - US$ 1,20,000 per year

    SDS Coder:We are hiring experienced, certified Senior Same Day Surgery Medical Coders with extensive knowledge of CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documents and excellent communication skills.Responsibilities:⦁ A minimum of the last 5+ years' experience required coding medical records for Inpatient and Outpatient Surgical...