Medical Coder

About the Role

This is a full-time, on-site Medical Coder role based in Chennai.

Key Responsibilities

• Review clinical documentation and assign accurate CPT, ICD, and HCPCS codes in line with payer and regulatory guidelines.
• Validate codes for medical necessity.
• Ensure proper charge capture.
• Prepare claims for submission to support the full revenue cycle.
• Work closely with billing and RCM teams on denial management, corrections, and resubmissions.
• Clarify documentation with providers when needed.
• Maintain up-to-date knowledge of coding standards, payer rules, and compliance requirements to help optimize reimbursement and reduce errors.

Requirements & Tech Stack

• Proficiency with medical billing and coding software or practice management/EHR systems.
• Familiarity with US healthcare regulations, payer policies, and compliance standards (e.g., HIPAA, Medicare/Medicaid rules).

Qualifications

• Strong knowledge of medical coding systems and guidelines, including ICD-10, CPT, and HCPCS.
• Understanding of revenue cycle management processes, including charge entry, claims submission, denial management, and payment posting.
• Ability to read and interpret medical records, clinical documentation, and physician notes accurately.
• Attention to detail, analytical thinking, and the ability to identify coding inconsistencies or documentation gaps.
• Effective communication skills to collaborate with physicians, nurses, and RCM team members.
• Relevant certification such as CPC, CCS, or equivalent, and prior experience in medical coding or RCM is highly preferred.
• Ability to work on-site in Chennai, manage time effectively, and meet productivity and accuracy targets.