Please reach out to Murali - (phone hidden) if your profile matches the below criteria.

- RCM Coding Specialist(Multispeciality denial coding specialist role)

Location: Hyderabad,

Work from office

Reports to: Manager ( Medical Coding)

Who We Are

At ModMed, we are on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical-practice success and improves patient outcomes.

We live by our core values:

- Create Customer Delight and Save Time.
- Innovate Boldly, then make things happen.
- Align Passion with Purpose.
- Think Big. Have Fun. Do Good.

The Role The RCM Coding Specialist is a vital new role designed to make our team self-sufficient across the entire Revenue Cycle Management (RCM) cycle. This position serves as a Subject Matter Expert (SME), ensuring that medical coding is accurate, compliant, and optimized to reduce denials. You will bridge the gap between our global partners and US-based teams, providing the technical expertise necessary to improve patient outcomes and practice success.

What Youll Do

- Quality Assurance & Auditing : Audit coding performed by Global Partners and provide timely feedback to resolve denied claims quickly.
- Denial Management : Review and resolve coding denials from payers, ensuring accurate resubmission and revenue recovery.
- Subject Matter Expertise : Act as the primary point of contact for coding questions and clarifications for the MMI team.
- Trend Analysis :



Review claims assigned to practices due to coding issues to identify trends; collaborate with Client Advisors (CAs) when practice education or intervention is needed.
- Preventive Strategy : Analyze denial data to recommend preventive measures, such as scrub edits, provider training, and internal action plans.
- Continuous Learning : Stay current with Payer Guidelines and participate in ongoing coding educational opportunities and webinars.
- Production Support : Assist in production coding for various client specialties and scopes as needed.

What You Bring

- Education & Certification: * Bachelors or Master’s degree in Human Science (Anatomy background), B.Sc, M.Sc, or B.Pharma.
- Certification mandatory - CPC/CCS
- Experience: * At least 5 years of overall experience in Provider RCM.
- A minimum of 2 years of core experience as a QA or SME within a Medical coding department.
- Specialized Knowledge: * Expert-level knowledge in supplying, auditing, and analyzing CPT and ICD codes with appropriate modifiers.
- Proven ability to resolve coding-related denials and a deep understanding of payer guidelines.
- Robust coding knowledge in specialties including Gastroenterology, Orthopedics, Ophthalmology, Dermatology, and Podiatry.

Skills:

- Excellent written and verbal English communication skills.
- Ability to work independently and collaborate effectively across multiple countries.
- Strong analytical skills with proficiency in MS Excel for reporting and trend analysis.

📌 Modmed India hiring Multispeciality denail coding specialist - Hyd loc (Hyderabad)
🏢 ModMed Technologies India Private
📍 Hyderabad