Role Description

JD Role Summary The Medical Coder is responsible for accurately assigning diagnosis and procedure codes to patient medical records based on clinical documentation, ensuring compliance with coding standards, payer guidelines, and regulatory requirements. This role requires meticulous attention to detail and a thorough understanding of ICD-10, CPT, and HCPCS coding systems. Medical coders serve as the bridge between clinical documentation and revenue cycle operations—your accuracy directly impacts claim acceptance, reimbursement, and compliance. Key Responsibilities 1. Medical Record Review & Analysis

• Review patient medical records, physician notes, and clinical documentation for coding accuracy
• Identify missing or conflicting clinical information and request clarifications from providers
• Analyze complex cases involving multiple diagnoses and procedures 2. Diagnosis & Procedure Code Assignment
• Assign appropriate ICD-10 diagnosis codes based on clinical documentation
• Assign CPT and HCPCS procedure codes reflecting services provided
• Apply coding guidelines,



conventions, and official coding directives accurately
• Ensure codes reflect the highest level of specificity required 3. Documentation Quality Review
• Flag incomplete or ambiguous documentation that impacts coding accuracy
• Communicate documentation gaps to clinical teams and providers
• Support improvement of clinical documentation practices across the organization 4. Compliance & Audit Readiness
• Maintain knowledge of current coding guidelines and regulatory changes (CMS, payer-specific rules)
• Adhere to compliance standards and internal coding policies
• Prepare records for audits with properly substantiated and accurate coding 5. Code Quality & Accuracy
• Perform self-audits and quality checks on assigned cases
• Respond constructively to QA feedback and coding audits
• Maintain coding accuracy benchmarks and reduce rework/denials 6. Workflow & Productivity Management
• Proces

📌 Associate II (Kochi)
🏢 UST
📍 Kochi