Coders

About the Role

The Certified Coding Claim Editor is a full-time, on-site role based in Chennai. This role is responsible for reviewing medical claims and associated documentation to ensure accurate coding, compliance with payer guidelines, and adherence to regulatory standards.

Key Responsibilities

• Validate procedure and diagnosis codes.
• Identify and correct coding errors.
• Ensure claims are complete and ready for submission.
• Work with internal teams to clarify documentation, reduce denials, and support efficient revenue cycle processes.
• Maintain up-to-date knowledge of coding standards.
• Participate in quality improvement initiatives.

Requirements & Tech Stack

• Proficiency with healthcare information systems, claim editing tools, and basic office software.

Qualifications

• Certified in medical coding (e.g., CPC, CCS, or equivalent).
• Strong understanding of ICD, CPT, and HCPCS coding systems.
• Experience in claim review, editing, and medical billing.
• Knowledge of payer rules and compliance requirements.
• Ability to interpret clinical documentation and apply appropriate codes with high accuracy and attention to detail.
• Strong analytical, problem-solving, and organizational skills.
• Ability to manage a consistent workload.
• Effective written and verbal communication skills.
• Ability to collaborate with clinical and administrative teams.
• Diploma or bachelor’s degree in a healthcare-related field, health information management, or equivalent practical experience.
• Prior experience in hospital or clinic coding, revenue cycle, or RCM environments is preferred.