Medical Coder Executive

4 - 9 years

4 - 6 Lacs

Posted:15 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

About the Role

CIC Certified Medical Billing Coder

Key Responsibilities

  • Review inpatient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes in compliance with

    CPT, ICD-10-CM, and CMS guidelines

    .
  • Perform

    DRG validation

    and ensure correct sequencing of diagnoses and procedures.
  • Collaborate with the billing and audit teams to minimize claim denials and rejections.
  • Verify the accuracy and completeness of clinical documentation before billing.
  • Stay current with

    coding updates, payer regulations, and compliance requirements

    .
  • Identify and resolve coding discrepancies by coordinating with physicians and clinical teams.
  • Participate in periodic audits and contribute to improving coding accuracy and revenue capture.

Required Qualifications

  • Certification:

    CIC (Certified Inpatient Coder) – Mandatory
  • Experience:

    4 to 9 years of experience in

    Hospital Billing / Inpatient Coding

    (US Healthcare).
  • Strong understanding of

    DRG assignment, UB-04 billing process

    , and inpatient revenue cycle management.
  • Proficient in

    medical terminology, anatomy, and physiology

    .
  • Knowledge of payer-specific rules, LCD/NCD guidelines, and compliance standards.
  • Hands-on experience with EHR and coding platforms (Epic, Cerner, Meditech, etc.).
  • Excellent communication and analytical skills.

Preferred Qualifications

  • Additional certifications such as

    CPC, CCS, or COC

    are an advantage.
  • Experience in

    coding audits, denial management

    , and compliance review.
  • Strong attention to detail with proven productivity and quality performance.

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