Job Title: Medical Coder

Department: Medical Billing / Healthcare Revenue Cycle Management

Industry: Healthcare / Medical Billing

Experience: Practical medical-coding experience required

Qualification: Life Sciences / Allied Health / Healthcare-related background preferred

Certification: Medical coding certification preferred

Job Type: Full-Time

About the Role

We are looking for a detail-oriented and quality-focused Medical Coder to review clinical documentation and assign accurate diagnosis and procedure codes for medical billing and claims processing. The candidate will work with clinical records, physician documentation, and billing teams to ensure coding accuracy, completeness, and compliance with applicable coding guidelines.

The ideal candidate should have knowledge of ICD-10-CM, CPT, medical terminology, and clinical documentation, along with the ability to identify documentation gaps and maintain high coding quality standards.

Key Responsibilities

- Clinical Documentation Review: Review patient medical records, physician notes, diagnostic reports, and other clinical documentation to understand the services provided.
- Medical Code Assignment: Assign appropriate diagnosis codes using ICD-10-CM and procedure codes using CPT, according to the applicable coding guidelines and the candidate's training and scope.
- Claims Review: Review medical claims and supporting documentation for coding accuracy, completeness, and consistency before billing submission.
- Documentation Gap Identification: Identify missing, unclear, or inconsistent clinical information and flag documentation gaps for clarification through established procedures.
- Coding Compliance: Follow applicable coding standards, payer requirements, organizational policies, and regulatory guidelines.
- Coding Quality Assurance: Verify assigned codes, review coding errors, and maintain accuracy in medical coding and billing workflows.
- Medical Terminology Interpretation: Apply knowledge of medical terminology, anatomy, physiology, and clinical procedures to interpret documentation accurately.
- Record Maintenance:



Maintain coding logs, quality audit records, error reports, and other required documentation.
- Coordination with Teams: Work with medical billing specialists, claims teams, and authorized clinical staff to resolve coding-related queries.
- Productivity and Accuracy: Meet established productivity, turnaround time, and coding accuracy targets without compromising quality.
- Continuous Learning: Stay updated on applicable coding guidelines, code-set revisions, and changes in payer or billing requirements.
- Confidentiality: Protect patient information and follow applicable data privacy and confidentiality policies.

Candidate Requirements
- Relevant educational background in Life Sciences, Allied Health, Nursing, Pharmacy, or another healthcare-related discipline preferred.
- Practical experience in medical coding, medical billing, or claims review.
- Medical coding certification, such as CPC or CCS, preferred.
- Working knowledge of ICD-10-CM and CPT coding systems.
- Understanding of medical terminology, anatomy, physiology, and clinical documentation.
- Ability to review medical records and identify appropriate diagnosis and procedure codes.
- Solid attention to detail and analytical skills.
- Ability to identify documentation inconsistencies and coding discrepancies.
- Good written communication and documentation skills.
- Understanding of patient confidentiality and healthcare data protection requirements.
- Willingness to learn and follow coding guidelines applicable to the assigned specialty and client.

Required Skills
- ICD-10-CM Diagnosis Coding
- CPT Procedure Coding
- Medical Terminology
- Clinical Documentation Review
- Medical Claims Review
- Medical Billing Workflows




- Coding Quality Assurance
- Documentation Gap Identification
- Healthcare Revenue Cycle Management (RCM)
- Coding Compliance and Guidelines
- Analytical and Problem-solving Skills
- Attention to Detail and Record Maintenance

Key Performance Indicators (KPIs)
- Coding accuracy and quality audit scores.
- Number of records or claims coded within the expected turnaround time.
- Compliance with applicable coding guidelines.
- Identification and resolution of coding discrepancies.
- Documentation of coding errors and quality findings.
- Productivity and adherence to client-specific service standards.

Work Environment The Medical Coder will work in a medical billing company, healthcare provider organization, hospital, or revenue cycle management team. The role involves reviewing clinical records, assigning codes, checking claims, maintaining coding quality records, and coordinating with relevant teams to resolve documentation issues. Ideal Candidate Profile The ideal candidate is a detail-oriented healthcare professional with practical medical-coding experience, a sound understanding of ICD-10-CM and CPT, and the ability to interpret clinical documentation accurately. They should be committed to coding quality, confidentiality, compliance, and efficient claims processing.

Recruiter / Employer Verification

Before finalizing the position, confirm the following with the hiring organization:
- Coding specialty: For example, outpatient, inpatient, physician/professional services, or a specific medical specialty.
- Vacancy status: Confirm that the position is currently open.
- Coding system requirements: Verify whether ICD-10-CM, CPT, HCPCS Level II, or other code sets are required.
- Experience and certification: Confirm the minimum practical experience and whether CPC, CCS, or another certification is mandatory.
- Work arrangement: Confirm location, shift timing, remote or onsite requirements, and compensation range.

Pay: ₹300,000.00 - ₹500,000.00 per year

Work Location: In person

📌 Medical Coder (Lucknow)
🏢 VISUDH AJIVAM
📍 Lucknow