Clustrex Data Private Limited logo

Lead RCM Billing & Coding Specialist

8 years

0 Lacs

chennai tamil nadu india

Posted:1 week ago| Platform: Linkedin logo

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Skills Required

billing coding drive programming development management resolve cpt compliance cms audits support workflow healthcare communication documentation certification analytics reporting optimization collaborative compensation leadership

Work Mode

On-site

Job Type

Full Time

Job Description

Hiring: Lead RCM Billing & Coding Specialist

Location:

Experience: 8+

Employment Type:


About the Role

We are looking for an experienced Lead RCM Billing & Coding professional

Note:


Key Responsibilities

  • Lead end-to-end

    Revenue Cycle Management (RCM)

    operations
  • Oversee

    medical billing, coding, charge entry, and claim submission

  • Review and resolve claim rejections, denials, and underpayments

  • Ensure accurate application of ICD-10, CPT, HCPCS, and modifiers

  • Monitor AR aging

    , follow up with payers, and drive timely collections
  • Ensure compliance with

    payer rules, CMS guidelines, and HIPAA

  • Perform audits on coding and billing to reduce errors and revenue leakage

  • Mentor and support junior billing/coding staff

  • Coordinate with internal teams on workflow improvements and reporting


Required Qualifications

  • 8+ years of experience in

    US Healthcare RCM

  • Strong hands-on experience in medical billing and coding

  • Excellent knowledge of:

  • ICD-10, CPT, HCPCS

  • Payer guidelines and denial management

  • Medicare, Medicaid, and commercial payers

  • Experience leading or supervising billing/coding teams

  • Strong analytical, communication, and documentation skills

  • Ability to work independently and take ownership of outcomes


Preferred Qualifications

  • CPC, CCS, or equivalent certification (preferred)
  • Experience working with EHRs, billing systems, and clearinghouses
  • Exposure to analytics, reporting, or process optimization is a plus


What We Offer

  • Opportunity to lead and shape RCM operations
  • Collaborative, growth-oriented work environment
  • Competitive compensation based on experience
  • Long-term career growth and leadership opportunities

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