: Pathology Medical Coder (CPC Certified)

Job Title: Pathology Medical Coder

Experience: 2-3 Years

Certification: Mandatory CPC (Certified Skilled Coder - AAPC)

Location: Work from Office

Employment Type: Full-Time

Shift: 9-6

Job Summary

We are seeking a detail-oriented and experienced Pathology Medical Coder with 2-3 years of US healthcare coding experience and an active CPC certification. The ideal candidate will have hands-on experience in coding pathology and laboratory services, ensuring accurate assignment of CPT, ICD-10-CM, and HCPCS codes while maintaining compliance with payer guidelines, regulatory requirements, and coding standards.

The candidate will work closely with pathologists, laboratory personnel, providers, and revenue cycle teams to maximize coding accuracy, reimbursement, and compliance.

Key Responsibilities

- Assign accurate CPT, ICD-10-CM, and HCPCS codes for Pathology and Laboratory services.
- Review pathology reports, laboratory results, and physician documentation to determine appropriate code assignment.

- Code services related to

- Surgical Pathology

- Clinical Pathology

- Cytopathology

- Hematology

- Histology

- Molecular Pathology

- Microbiology

- Laboratory Testing
- Ensure coding compliance with CMS, Medicare, Medicaid, commercial payers, and coding guidelines.
- Review and resolve coding edits, denials, and claim rejections related to pathology services.
- Identify documentation deficiencies and communicate with providers for clarification when required.




- Participate in coding audits and quality assurance reviews.
- Maintain productivity and quality standards as established by the organization.
- Stay updated with annual coding changes, payer regulations, and compliance requirements.

Required Qualifications

- Bachelor's degree or equivalent education in Life Sciences, Healthcare, Medical Coding, or related field.
- 2-3 years of experience in Pathology Medical Coding for US Healthcare.
- Active CPC (Certified Professional Coder) certification from AAPC.

- Strong knowledge of
- ICD-10-CM

- CPT

- HCPCS Level II

- Medical Terminology

- Anatomy and Physiology
- Experience working with pathology and laboratory coding guidelines.
- Familiarity with EHR/EMR systems and coding software.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.

Preferred Qualifications

- Additional certifications such as CPC-A, CCS, CCS-P, or COC are a plus.
- Experience in pathology billing and denial management.
- Knowledge of CAP, CLIA, Medicare, and payer-specific regulations.
- Experience working with pathology laboratories, hospital systems, or physician groups.

Required Skills

- Pathology Coding
- CPT Coding
- ICD-10-CM Coding
- HCPCS Coding
- Medical Documentation Review
- Denial Management
- Revenue Cycle Knowledge
- Compliance & Audit Readiness
- Attention to Detail
- Time Management

Interested Candidates can share the profile's / CV's on [email protected]

📌 Pathology Medical Coder (CPC Certified) (Mumbai)
🏢 Medmecs Billing Services
📍 Mumbai