Medical Coder CPC Certified (Freshers & Experienced)

Location: Hyderabad

Job Summary

We are hiring CPC Certified Medical Coders to support medical coding, coding validation, claims review, and investigation activities. This opportunity is open to both freshers and experienced candidates with a clinical educational background and strong knowledge of medical coding principles.

The role involves reviewing medical records, assigning accurate medical codes, identifying coding discrepancies, investigating documentation gaps, and ensuring compliance with coding guidelines and healthcare regulations.

Key Responsibilities

Medical Coding

- Review medical records and assign accurate CPT, ICD-10-CM, and HCPCS codes.
- Ensure coding accuracy and compliance with coding guidelines and payer requirements.
- Analyze clinical documentation to support appropriate code assignment.
- Maintain productivity and quality standards while meeting turnaround times.

Coding Investigation & Claims Review

- Review claims and corresponding medical records to validate coding accuracy.
- Investigate coding discrepancies, documentation gaps, and billing inconsistencies.
- Identify potential coding errors and recommend corrective actions.
- Document findings and support coding-related investigations.
- Ensure compliance with coding standards, policies, and regulatory requirements.

Quality & Compliance

- Adhere to AAPC coding guidelines, HIPAA regulations, and organizational policies.
- Participate in coding audits and quality assurance activities.
- Maintain confidentiality and data security standards.
- Stay updated on coding changes, payer guidelines, and industry best practices.

Collaboration & Reporting





- Work closely with quality, operations, and business teams to resolve coding-related issues.
- Participate in training sessions, calibration exercises, and process improvement initiatives.
- Prepare reports and maintain documentation related to coding reviews and investigations.

Required Qualifications

Educational Qualification (Mandatory)

Candidates must possess any one of the following clinical degrees:

- BPT / MPT
- B. Sc Nursing / M. Sc Nursing
- BHMS
- BUMS
- BAMS
- BDS

Certification (Mandatory)

- Certified Professional Coder (CPC) Mandatory

Required Skills

- Strong knowledge of:
- Medical Terminology
- Anatomy & Physiology
- CPT Coding
- ICD-10-CM Coding
- HCPCS Coding

- Good analytical and problem-solving skills.
- Strong attention to detail and quality orientation.
- Positive verbal and written communication skills.
- Basic knowledge of MS Office applications.

Experience

Freshers

- CPC-certified freshers with the above-mentioned clinical degrees are eligible to apply.

Experienced Candidates

- Experience in Medical Coding, Claims Review, Coding Validation, Audit, Payment Integrity, or Healthcare Operations will be an added advantage.

Preferred Skills

- Knowledge of healthcare claims and reimbursement processes.
- Exposure to coding audits, payment integrity, or investigation activities.




- Ability to identify coding trends, discrepancies, and compliance risks.
- Strong organizational and documentation skills.

Eligibility Criteria

Clinical Degree (BPT / MPT / B. Sc Nursing / M. Sc Nursing / BHMS / BUMS / BAMS / BDS)

CPC Certification (Mandatory)

Freshers & Experienced Candidates can apply

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📌 Clinical / Medical Coder - Madhavi (India)
🏢 VDart Software Services
📍 India