Medical Coder

SUMMARY

About Client

Client is a leading healthcare services organization that partners with healthcare providers to improve clinical, financial, and operational outcomes. With a focus on technology-enabled solutions and process excellence, delivers services such as medical coding, revenue cycle management, clinical documentation, and patient engagement. The company operates globally, with a strong presence in India and the United States, supporting some of the largest healthcare groups and physician organizations.

Job Title : Medical Coder

Reporting To : Team Manager

Designations Reporting to this Role : None

Department : Medical Coding

Location : Hyderabad / Mumbai

Profile Description

The role involves the retrieval, review, and analysis of medical documentation from various client EMR systems to ensure accurate and compliant medical coding. The candidate must possess strong analytical skills, attention to detail, and a sound understanding of coding guidelines and payer-specific requirements.

Key Responsibilities

Process Responsibilities :

• Retrieve the correct medical records of patients from client EMR systems.
• Review and validate the completeness of documentation, including signatures and diagnostic test orders.
• Review, validate, assign, or modify providers, dates of service, CPT codes, diagnoses, and modifiers in compliance with general coding guidelines, payer specifications, and client-specific instructions.
• Ensure adherence to Standard Operating Procedures (SOPs) and process instructions related to coding activities.
• Identify and communicate documentation deficiencies or any issues that hinder compliant coding.
• Maintain up-to-date knowledge of medical coding standards, payer policies, and industry updates through continuous self-learning.