Job Title: Medical Coder - RCM

Location: Hyderabad, India

Business Unit: Revenue Cycle Management

Role Summary:

The Medical Coder will be responsible for accurately reviewing and assigning appropriate medical codes for diagnoses, procedures, and services performed by healthcare providers. This role requires solid expertise in coding systems such as ICD-10-CM, CPT, and HCPCS, ensuring compliance with payer and regulatory guidelines.

The coder will support revenue cycle operations by ensuring clean claim submissions, minimizing denials, and maintaining coding accuracy.

This position requires hands-on experience in US Healthcare Provider-side coding and adherence to quality, compliance, and productivity standards.

This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovations possible in orthopedics and beyond with brands such as DonJoy, Aircast and Exos.

Key Responsibilities:

- Review patient medical records, including physician notes, lab reports, and operative reports
- Assign accurate ICD-10-CM, CPT, and HCPCS codes based on documentation
- Ensure coding compliance with CMS guidelines, payer requirements, and coding standards
- Validate medical necessity and ensure proper linkage between diagnosis and procedures
- Identify documentation gaps and coordinate with providers for clarification (query process)
- Work on specialties such as IP/OP, ED, Surgery,



Radiology, or Evaluation Management (EM) depending on project requirements
- Perform coding audits and assist in improving coding accuracy and quality
- Maintain productivity and quality benchmarks as per SLA requirements
- Support denial analysis related to coding errors and implement corrective actions
- Stay updated with coding guidelines, regulatory updates, and payer-specific rules
- Ensure compliance with HIPAA and data privacy regulations
- Participate in internal quality checks, audits, and training sessions

Required Skills:

- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
- Expertise in medical terminology, anatomy, and physiology
- Understanding of EM coding guidelines and modifiers usage
- Familiarity with NCCI edits, LCD/NCD policies, and payer rules
- Experience in provider-side coding (mandatory)
- Ability to interpret clinical documentation accurately
- Proficiency in EMR/EHR systems (Epic, Cerner, Athena, etc.)
- Good analytical and problem-solving skills
- Strong attention to detail and accuracy
- Good communication skills for handling provider queries
- Ability to meet productivity and quality benchmarks

Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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