Job Title Senior Medical Coder :Send your resumes to [email protected] ,

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Job Title Senior Medical Coder

Job Summary The Senior Medical Coder is responsible for reviewing, analyzing, and accurately coding complex medical records using ICD-10-CM, CPT, and HCPCS Level II coding systems. This role ensures compliance with federal regulations, payer guidelines, and organizational policies while supporting revenue cycle integrity.

The Senior Medical

Coder also conducts coding quality reviews, mentors junior coders, collaborates with healthcare providers to improve clinical documentation, and contributes to continuous process improvement initiatives.

Key Responsibilities Review and analyze complex medical records from inpatient, outpatient, emergency, and specialty care settings to ensure accurate code assignment. Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes based on clinical documentation and established coding guidelines. Ensure coding accuracy and compliance with CMS, HIPAA, NCCI edits, payer-specific guidelines, and organizational policies.

Collaborate with physicians, nurses, and other healthcare providers to clarify incomplete or conflicting clinical documentation through appropriate queries. Perform coding quality audits and provide timely feedback to improve coding accuracy, documentation quality, and compliance. Mentor, train, and support junior medical coders by providing guidance on complex coding scenarios and industry best practices.

Participate in denial analysis and appeals by identifying coding-related issues and recommending corrective actions. Contribute to continuous process improvement initiatives related to coding, billing, documentation, and revenue cycle management. Stay up to date with annual ICD-10-CM, CPT, HCPCS Level II, and payer guideline updates.

Generate coding quality, productivity,



and compliance reports and assist management with revenue integrity analytics. Support internal and external coding audits and ensure adherence to regulatory and accreditation requirements.

Qualifications Education Bachelor's or Master's degree in Life Sciences, Paramedical Sciences, Nursing, Pharmacy, Physiotherapy, Biotechnology, or another related healthcare discipline.

Certifications Certified Professional Coder (CPC) from AAPC or an equivalent certification from AHIMA Active certification is preferred.

Experience Minimum of 35 years of professional medical coding experience. Hands-on experience in inpatient and outpatient Evaluation and Management (E/M) coding, surgery coding, multispecialty coding, and denial management.

Experience performing coding quality audits and providing coding guidance. Proficiency in Electronic Health Records (EHR), and coding applications. (e Clinical Works preferred) Experience working with U.S. healthcare coding guidelines, payer policies, and reimbursement methodologies.

Skills &

Competencies Advanced knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems. Robust understanding of medical terminology, anatomy, physiology, and disease processes. Thorough knowledge of CMS regulations, HIPAA, NCCI edits, and payer-specific coding guidelines.

Excellent analytical, problem-solving, and attention-to-detail skills. Strong verbal and written communication skills. Ability to work independently while effectively collaborating with cross-functional teams.

Leadership, mentoring, and coaching skills to support junior coders. Proficiency in Microsoft Office applications, particularly Excel, and coding/reporting tools. Strong organizational and time management skills with the ability to meet productivity and quality targets.

Commitment to continuous learning and staying current with industry standards and coding updates.

📌 Walk-in || Senior Medical Coder (Coimbatore)
🏢 Opx Global
📍 Coimbatore