Medical Coder

Job Description – Medical Coder (Primary Care & Hospital Visits)

Location: Chennai, India
Shift: Day Shift (Mon–Fri)
Department: Medical Coding – RCM Division

About the Role

We are seeking experienced Medical Coders with strong expertise in Primary Care and Hospital Visit coding. The ideal candidate should have a solid foundation in ICD-10-CM, CPT, HCPCS, and E/M coding, with exposure to both outpatient physician billing and inpatient hospital services.

This role is part of our expanding RCM operations in Chennai, supporting U.S.-based physician practices.

Key Responsibilities

• Review and abstract diagnosis (ICD-10-CM), procedures (CPT/HCPCS), and E/M codes from medical records for primary care office visits and hospital-based encounters (admission, subsequent visits, discharge).
• Accurately apply 2021 E/M guidelines for office visits and CMS guidelines for hospital visits.
• Ensure compliance with payer-specific, federal, and state regulations to minimize denials and audit risks.
• Work closely with the coding quality and audit team to maintain 95%+ coding accuracy.
• Collaborate with billing, AR, and provider education teams to resolve coding-related rejections/denials.
• Stay updated with CPT/ICD-10 updates, NCCI edits, payer bulletins, and compliance guidelines.
• Meet productivity benchmarks while ensuring high accuracy.
• Support documentation improvement by identifying gaps and providing feedback to the operations/QA team.

Qualifications & Skills

• Certifications: CPC (AAPC) or CCS (AHIMA) required. COC/CCS-P is a plus.
• Experience: 2–4 years in Primary Care coding with at least 1 year exposure to hospital visit coding (inpatient/observation).
• Strong knowledge of E/M leveling, preventive care, chronic disease management, and hospital visit coding.
• Proficiency in ICD-10-CM, CPT, and HCPCS Level II.
• Familiarity with U.S. healthcare, RCM workflow, and insurance guidelines (Medicare/Medicaid/commercial payers).
• Ability to work independently and meet productivity & quality targets.
• Good communication skills (verbal & written).

Why Join Us?

• Opportunity to be part of a growing RCM division in Chennai.
• Exposure to end-to-end U.S. healthcare revenue cycle management.
• Structured career growth & certification support.
• Day shift role – work-life balance.

Job Type: Full-time

Pay: Up to ₹40,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Experience:

• Medical coding: 2 years (Preferred)

Work Location: In person