Pain Management Coder (Work from Home )

Job Title: Medical Coder – RCM (Pain Management Specialty)
Department: Revenue Cycle Management
Location: WORK FROM HOME
Job Type: Full time

Position Summary:

We are seeking a highly skilled Certified Professional Coder (CPC) with specialized experience in Pain Management to join our RCM team. The ideal candidate will have in-depth knowledge of coding guidelines, compliance standards, and payer-specific policies to ensure accurate and timely billing and reimbursement. This position plays a vital role in maximizing revenue integrity while maintaining compliance with federal, state, and payer regulations.

Key Responsibilities:

• Review, analyze, and accurately assign ICD-10, CPT, and HCPCS Level II codes for Pain Management procedures.
• Ensure proper documentation supports all codes assigned for services rendered.
• Perform coding and charge entry for pain management-related services including but not limited to injections, nerve blocks, spinal procedures, and implantable devices.
• Collaborate with physicians, clinical staff, and billing teams to resolve coding queries and documentation gaps.
• Work within the RCM workflow to reduce claim denials and support accurate reimbursement.
• Stay updated with CPT/ICD coding updates, payer guidelines, and NCCI edits specific to pain management.
• Assist in denial management and appeals as needed by providing coding rationales and documentation support.
• Maintain compliance with HIPAA and other applicable laws and regulations.
• Meet productivity and accuracy benchmarks consistently.

Required Qualifications:

• CPC (Certified Professional Coder) certification from AAPC – mandatory.
• Minimum 2 years of coding experience in Pain Management – required.
• Solid understanding of RCM workflows, including charge capture, claim submission, and denial resolution.
• Strong knowledge of CMS guidelines, modifiers, and medical necessity documentation.
• Proficiency with EHR/EMR and coding software (e.g., EncoderPro, 3M, Epic, etc.).
• High attention to detail and accuracy.
• Strong analytical, organizational, and communication skills.

Preferred Qualifications:

• Additional certifications (e.g., CPMA, COC, CRC) are a plus.
• Experience working in a multi-specialty or ASC (Ambulatory Surgery Center) environment.
• Familiarity with commercial and federal payers (Medicare/Medicaid).

Job Type: Full-time

Pay: ₹300,000.00 - ₹600,000.00 per year

Work Location: In person