Specialty Medical Coder

17 hours ago

Chennai, Tamil Nadu, India SRM Technologies Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Role Summary: We are seeking experienced and certified Emergency Department (ED) Professional & Facility Coders to join our growing healthcare coding team.

Job Overview:As an ED Professional & Facility Coder, you will be responsible for reviewing clinical documentation, assigning appropriate codes for procedures and diagnoses, and ensuring compliance with payer-specific and regulatory requirements. The role involves close collaboration with internal teams and clients to deliver high-quality coding outcomes and identify opportunities for process improvement.

Key Responsibilities:

Professional Coding (Physician Services):

  • Review physician documentation and assign appropriate CPT, ICD-10-CM, and modifiers for ED professional services.
  • Ensure coding accuracy according to E/M levelling, payer guidelines, and compliance standards.
  • Validate documentation sufficiency and query providers when clarification is needed.
  • Support accurate charge capture and minimize under coding or over coding risks.

Facility Coding (Hospital Services):

  • Assign Revenue Codes, CPT/HCPCS, and Diagnosis codes for hospital ED facility encounters.
  • Ensure compliance with CMS, payer, and hospital billing regulations.
  • Accurately link procedure and diagnosis codes to reflect services rendered in the ED.
  • Collaborate with billing and denial management teams to resolve coding-related rejections and denials.

Cross-functional & Leadership Responsibilities:

  • Review and analyse claim denials to identify root causes and recommend corrective actions.
  • Maintain detailed coding documentation per internal and client standards.
  • Utilize Microsoft Excel and analytics tools to identify trends and performance gaps.
  • Mentor junior coders, support skill development, and foster a high-quality work culture.
  • Adhere to all organizational policies on data security, HIPAA, and confidentiality.

Education & Certifications:

  • Bachelors Degree in any discipline (Science/Healthcare background preferred).
  • Mandatory Certification: CPC, COC, or CCS/equivalent AHIMA/AAPC credential.

Experience Requirements:

  • 0.64 years of hands-on experience in Emergency Department (ED) Professional and Facility Coding.
  • Strong understanding of CPT, ICD-10-CM, HCPCS, and Revenue Codes.
  • Prior exposure to EHR and billing systems such as Epic, Cerner, or Meditech preferred.
  • Experience in denial management, audit readiness, and process improvement.

Key Skills & Competencies:

  • In-depth knowledge of ED coding guidelines, modifiers, and payer-specific policies.
  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication abilities.
  • High attention to detail and accuracy.

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