Certified Medical Coder

• Please Note:

• English language proficiency is required for this role.
• This is a full-time, work from office role.
• This requires a U.S. schedule - India Night shift.

• Paid training
• Team-oriented work environment
• Growth opportunity
• Generous Incentive opportunity
• Comprehensive benefits package available: including medical insurance, paid time off and paid holidays!
• Transport facility (As per policy and shift) - Transportation provided
• Working 5 days/week

We are seeking a Certified Medical Coder to join our growing team. In this role, you will be responsible for reviewing and coding both hospital and physician-billed charges for accuracy and compliance with established billing and coding guidelines. You will also analyze supporting medical documentation and address coding-related denials to ensure optimal reimbursement. This role reports directly to a Supervising Attorney or Supervisor and requires the ability to work onsite.

• Review and assign appropriate codes for both facility (hospital) and professional (physician) billed services
• Ensure accuracy of ICD-10-CM, CPT, HCPCS, and modifier usage per payer guidelines
• Evaluate and resolve claim denials, including medical necessity and timely filing issues
• Provide feedback on payer denials and assist with the appeal process when appropriate
• Reference and interpret UB04, CMS-1500, EOBs, and RAs to support coding validation
• Collaborate with internal teams and external partners to resolve coding discrepancies
• Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations
• Work independently and maintain productivity standards in an onsite setting
• Use electronic health record (EHR) systems and documentation tools to access and update coding information
• Refer to written training resources and coding references as needed

• 
  Certified Billing and Coding Specialist (CBCS) or AAPC Coder Certification (Advanced level required)
• Minimum of 2 years of experience coding hospital and/or physician claims
• Strong knowledge of ICD-10-CM, CPT, HCPCS, UB04, and CMS-1500 forms
• Familiarity with Medicare, Medicaid, HMOs, PPOs, and managed care plan guidelines
• Proficient in medical terminology, healthcare documentation, and coding best practices
• Strong comprehension, problem-solving, and conflict resolution skills
• Excellent verbal and written communication skills in English
• Ability to work independently with minimal supervision

Preferred Skills:

• Experience working in a fully remote coding or RCM environment
• Prior involvement in denial resolution and payer appeals
• Comfortable using multiple healthcare platforms and EHR systems
• Ability to analyze coding patterns and identify billing trends

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