Job Description

Senior Medical Coder- Claim Edits

We are hiring experienced, certified

Senior Medical Coders

with deep expertise in

facility (hospital) claim edits and denials management

. Candidates must demonstrate advanced proficiency in

ICD-10-CM/PCS, CPT, HCPCS-II, modifiers, NCCI edits, LCD/NCD guidance, MUEs

, and payer-specific compliance requirements. Strong communication skills and effective collaboration across revenue cycle teams are essential.

Experience Requirements

5-10 years of medical coding experience

, with demonstrated mastery of

Coding Clinics, CPT Assistant guidance, NCCI Guidelines/Policy Manual

, and hands-on experience with

3M, Epic

, and

FinThrive

applications.

2-5 years of claim edit experience

, including charge review, revenue code validation, with a focus on revenue integrity. Expertise across

multi-specialty facility edits

and

denial management

for: E/M services Surgical coding (Series 1-6) Pathology Radiology Medicine services Skilled in identifying edit conflicts, applying correct modifiers, and resolving denials based on

NCCI, MUE, LCD/NCD

, and payer policies.

Advanced facility coding exposure

, including: Coding for

ED

facility and professional/critical care services ICD-10-PCS medical/surgical coding (trauma, orthopedic, cardiac, etc.) Appropriate application of modifiers.
Job Types: Full-time, Permanent

Benefits:

Health insurance Provident Fund
Work Location: In person