Medical Coder
2 days ago
Job Description – Medical Coder (Primary Care & Hospital Visits)
Location: Chennai, India
Shift: Day Shift (Mon–Fri)
Department: Medical Coding – RCM Division
About the Role
We are seeking experienced Medical Coders with strong expertise in Primary Care and Hospital Visit coding. The ideal candidate should have a solid foundation in ICD-10-CM, CPT, HCPCS, and E/M coding, with exposure to both outpatient physician billing and inpatient hospital services.
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).
- Accurately apply 2021 E/M guidelines for office visits and CMS guidelines for hospital visits.
- 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.
Job Type: Full-time
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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