Job Description

Role Description :

The Certified Medical Coder will be responsible for accurately coding medical records, ensuring compliance with coding guidelines, and optimizing revenue.

Daily tasks include reviewing and analyzing patient records, assigning appropriate codes, and collaborating with healthcare professionals to clarify information.

The role also involves monitoring coding accuracy and staying updated with coding regulations and standards.

Location :

Hyderabad

Education :

Bachelor's degree in Nursing, Allied Health, Life Sciences, or a related healthcare field

Qualifications :

CPC, CCS certified or equivalent credential. 2-5 years of experience in clinical documentation review, medical coding, utilization review, or related healthcare documentation work. Strong understanding of medical terminology, disease processes, and healthcare documentation standards. Excellent analytical, written communication, and summarization skills. Familiarity with EHR/EMR systems (e.g., Epic, Cerner, Meditech) and Microsoft Office tools.

Responsibilities :

Review and evaluate medical records, progress notes, discharge summaries, and other clinical documentation for accuracy and completeness. Prepare concise and comprehensive clinical summaries highlighting key diagnoses, treatments, medications, and outcomes. Ensure documentation aligns with coding, billing, and compliance requirements (e.g., ICD-10, CPT, CMS, HIPAA). Identify gaps, inconsistencies, or missing information in clinical documentation and escalate for clarification or correction. Support preauthorization, claims, and medical necessity reviews by providing clinical context and supporting summaries. Collaborate with physicians, nurses, coders, and case managers to maintain high-quality clinical documentation. Maintain confidentiality and data integrity in accordance with HIPAA and organizational policies. Participate in internal audits, training sessions, and process improvement initiatives related to documentation standards.
Job Types: Full-time, Permanent

Pay: ₹360,000.00 - ₹540,000.00 per year

Work Location: In person