Medical Coder - Multi Specialty

3 - 5 years

0 Lacs

Posted:1 month ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Senior Medical Coder

As part of our healthcare coding team, you will ensure compliant coding practices to support optimal reimbursement and reduce audit risks. You will also act as a knowledge resource for junior coders and support quality improvement initiatives.

Role & responsibilities:

  • Review and analyze clinical documentation for accuracy and completeness.
  • Assign appropriate

    ICD-10-CM

    ,

    CPT

    , and

    HCPCS Level II

    codes for diagnoses, procedures, and services across multiple specialties.
  • Ensure compliance with

    federal, state, and payer-specific regulations

    .
  • Work collaboratively with providers and clinical staff for documentation improvement and coding clarifications.
  • Perform

    quality assurance reviews

    of coded data and support internal and external audits.
  • Provide

    mentoring/guidance

    to junior coders when required.
  • Stay updated on changes in coding guidelines, payer rules, and industry standards.
  • Meet daily/weekly productivity and accuracy standards.

Preferred candidate profile

  • Certification from AAPC or AHIMA (e.g.,

    CPC

    ,

    CPC-H

    ,

    CCS

    , or

    CCS-P

    )

    mandatory

    .
  • 35 years

    of hands-on coding experience in a

    multispecialty outpatient/inpatient

    setting.
  • Proficiency in coding for

    Optometry, Podiatry, Chiropractic, Dermatology, and General Medicine

    .
  • In-depth understanding of

    medical terminology

    ,

    anatomy & physiology

    , and

    healthcare reimbursement

    .
  • Familiarity with

    EMR/EHR systems

    (e.g., Epic, Cerner, eClinicalWorks, or similar).
  • Strong attention to detail and problem-solving skills.
  • Excellent verbal and written communication abilities.

Preferred Skills:

  • Experience with

    denial management

    and

    claim resubmission

    .
  • Prior experience with

    risk adjustment coding

    or

    HCC coding

    is a plus.
  • Knowledge of

    HIPAA

    ,

    CMS

    , and payer-specific guidelines.
  • Ability to handle

    high-volume

    coding while maintaining quality standards.

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