Job Description

TRAINING PROVIDED FOR FRESHERS

Review and assign appropriate codes for both

Hospital

billed services Ensure accuracy of

ICD-10-CM, CPT, HCPCS

, and modifier usage per payer guidelines Evaluate and resolve claim denials, including

medical necessity

and

timely filing

issues Provide feedback on payer denials and assist with the appeal process when appropriate Reference and interpret

UB04, CMS-1500, EOBs

, and

RAs

to support coding validation Collaborate with internal teams and external partners to resolve coding discrepancies Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations Work independently and maintain productivity standards in an onsite setting Use electronic health record (EHR) systems and documentation tools to access and update coding information Refer to written training resources and coding references as needed T

TRAINING WILL BE PROVIDED FOR FRESHERS

Certified Billing and Coding Specialist (CBCS)

or

AAPC Coder Certification

or Training will be provided Strong knowledge of

ICD-10-CM, CPT, HCPCS, UB04

, and

CMS-1500

forms Familiarity with

Medicare, Medicaid, HMOs, PPOs

, and managed care plan guidelines Proficient in medical terminology, healthcare documentation, and coding best practices Strong comprehension, problem-solving, and conflict resolution skills Excellent verbal and written communication skills in English Ability to work independently with minimal supervision

Preferred Skills:

Experience working in a fully remote coding or RCM environment Prior involvement in denial resolution and payer appeals Comfortable using multiple healthcare platforms and EHR systems Ability to analyze coding patterns and identify billing trends
Job Type: Full-time

Pay: ₹10,000.00 - ₹15,000.00 per month

Education:

Bachelor's (Preferred)
Work Location: In person