21 Coding Compliance Jobs

Role & responsibilities We are hiring Multispecialty Denial Coders to handle coding-related claim denials across multiple specialties. The role involves reviewing denied claims, identifying root causes, ensuring accurate coding corrections, and re-submitting clean claims. Candidates must be certified and experienced in denial management within US healthcare revenue cycle. Key Responsibilities: Analyze and resolve denied claims across multispecialties (E/M, Surgery, Radiology, etc.) Apply correct ICD-10, CPT, and HCPCS codes per payer guidelines Collaborate with billing, QA, and clinical documentation teams to resolve denials Ensure compliance with coding standards and minimize recurring deni...

Role & responsibilities We are hiring ED Coders with strong expertise in Emergency Department coding . The role involves accurate assignment of ICD-10-CM, CPT, and HCPCS codes for ED services, ensuring compliance with official coding guidelines and payer-specific requirements. The ideal candidate should be detail-oriented, certified, and experienced in working within the US healthcare revenue cycle. Key Responsibilities: Assign correct ICD-10, CPT, and HCPCS codes for ED encounters Ensure coding accuracy, compliance, and quality benchmarks Work with denial management teams to resolve coding-related rejections Stay updated on payer-specific guidelines and coding updates Required Skills: Stron...

Role & responsibilities Review and audit interventional radiology coding performed by coders Ensure coding accuracy and compliance with ICD-10, CPT, and hospital policies Identify coding errors, trends, and provide corrective guidance Collaborate with coders, billing, and clinical teams to resolve discrepancies Maintain quality metrics and generate regular QA reports Participate in training sessions to enhance team knowledge and reduce errors Stay updated with coding guidelines, regulatory changes, and best practices Preferred candidate profile Strong knowledge of interventional radiology procedures (angiography, embolization, stent placement, biopsies, etc.) Attention to detail and analytic...

Role Responsibilities Assign appropriate ICD-10 and CPT codes for oncology diagnoses and treatments Communicate with physicians to resolve documentation or coding issues Review and validate medical records for billing accuracy and compliance Assist with coding audits and documentation improvement initiatives Key Deliverables Ensure accurate, complete, and compliant coding of radiation oncology services Prepare case reports and support timely billing processes Maintain updated knowledge of payer policies and coding standards Train or guide junior coders and coordinate with billing teams as needed

Job Description: HRCS Services Pvt Ltd is hiring Denial Coders to join our growing Revenue Cycle Management (RCM) team. The role involves reviewing denied claims, correcting codes, and ensuring compliance with payer guidelines to support smooth claim resolution and reduce denial rates. Responsibilities: Review and resolve denied claims by applying accurate ICD-10-CM, CPT, and HCPCS codes. Analyze root causes of denials and collaborate with AR/billing teams for resubmissions. Prepare appeals with supporting medical documentation when required. Track and report denial trends to help prevent recurrence. Ensure compliance with payer, federal, and organizational guidelines. Requirements: Graduate...

We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potentia...

The role of an IPDRG Coder/Auditor based in Palghat involves full-time on-site responsibilities of reviewing and accurately coding patient records with the appropriate DRG codes. As an IPDRG Coder/Auditor, your duties will include auditing medical records for compliance, validating procedures, diagnoses, and DRG assignment. It is crucial to ensure accurate coding to optimize revenue and compliance with healthcare regulations. Your daily tasks will revolve around collaborating with healthcare providers for clarification, maintaining coding principles knowledge, and staying updated with industry changes and standards. To excel in this role, you should possess proficiency in ICD-10-CM, ICD-10-P...

Qualification: CPC or COC certification is preferred Minimum of oneyearSame-day Surgery coding experience Minimum Graduation in Life Science or medical sciences Job description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and main...

Qualification: CPC or COC certification is preferred Minimum of oneyearSame-day Surgery coding experience Minimum Graduation in Life Science or medical sciences Job description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and main...

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and mainta...

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and mainta...

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and mainta...

Qualification: CPC or COC certification is preferred Minimum of one year Same-day Surgery coding experience Minimum Graduation in Life Science or medical sciences description: Handle the day-to-day operations of the Same-day Surgery Coding Code records by following prescribed coding standards such as ICD-9/ ICD-10 and CPT Work towards Service Levels and meet the productivity and quality requirements Handle the day-to-day operations of the Coding Assign diagnosis and procedure codes for the patient charts Adherence to the company's Coding Compliance policy/plan internal and External (clients) To improve the performance based on the feedback provided by the reporting manager Prepare and mainta...

As a Medical Coder, your primary responsibility will be to accurately code and abstract patient encounters, ensuring all diagnostic and procedural information, reportable elements, and complications are recorded appropriately. You will play a crucial role in researching and analyzing data for reimbursement purposes, as well as identifying any documentation deficiencies in medical records. Serving as a subject matter expert, you will review documentation to confirm its support for diagnoses, procedures, and treatment outcomes. In addition to coding and abstracting, you will also audit clinical documentation and coded data to validate services rendered for reimbursement and reporting complianc...

As a Same Day Surgery Medical Coder, you will be responsible for handling the day-to-day operations of Same-day Surgery Coding. Your primary tasks will include coding records according to prescribed coding standards such as ICD-9/ICD-10 and CPT, assigning diagnosis and procedure codes for patient charts, and ensuring adherence to the company's Coding Compliance policy/plan. It is essential to have a minimum of two years of Same-day Surgery Coding experience and hold a CPC or COC certification. A graduation in Life Science or medical sciences is also required. Your role will involve working towards service levels to meet productivity and quality requirements. You will be expected to improve p...

Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient services, ensuring compliance with official coding guidelines and client-specific requirements; maintain coding quality and productivity standards. Required Candidate profile 5–7 years of inpatient coding experience; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS, and DRG assignment; strong understanding of coding guidelines and compliance standards.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 6+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 5+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Conduct regular audits of Home Health and Denial coded charts for accuracy and compliance Provide feedback and training to coders based on audit findings Monitor coding trends, error types, and root causes Work closely with team leads Required Candidate profile Ensure compliance with CMS, Medicare, and payer guidelines Maintain and report quality metrics, and support quality improvement initiatives Collaborate with internal teams to ensure documentation Perks and benefits Perks and Benefits

Job Summary The IPDRG Medical Coder is responsible for assigning accurate codes to inpatient medical records, ensuring compliance with coding standards and contributing to the efficiency of healthcare processes. Key Responsibilities Assign IPDRG codes to inpatient medical records based on established guidelines and regulations. Review and interpret clinical documentation to ensure accurate coding. Collaborate with healthcare professionals to resolve documentation discrepancies. Meet coding accuracy and productivity targets. Stay informed about updates to coding standards and practices. Required Qualifications Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Spec...

Job Summary: The IPDRG Quality Assurance (QA) Specialist ensures the accuracy and compliance of coded medical records through detailed audits and reviews, playing a key role in maintaining quality standards. Key Responsibilities: Perform detailed audits of coded inpatient records to verify accuracy and compliance with IPDRG guidelines. Identify and document coding errors or inconsistencies. Provide feedback and training to coders to enhance coding quality. Ensure adherence to company and regulatory quality standards. Assist in resolving complex coding issues with the team. Required Qualifications: Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or ...