WritingJob Description: Medical Coder – ICD-10-CM, CPT & Clinical DocumentationJob Summary

We are seeking a detail-oriented and knowledgeable Medical Coder to review clinical documentation and assign accurate ICD-10-CM diagnosis codes and CPT procedure codes in support of medical billing, claims processing, and coding quality assurance. The ideal candidate will have a sound understanding of medical terminology, clinical documentation, coding guidelines, and healthcare billing workflows.

Key Responsibilities

- Review patient medical records, clinical notes, diagnostic reports, and supporting documentation for coding accuracy and completeness.
- Assign appropriate ICD-10-CM diagnosis codes and CPT procedure codes in accordance with applicable coding guidelines and the candidate’s training and scope of practice.
- Review clinical documentation to ensure diagnoses and procedures are adequately supported by the medical record.
- Identify and flag missing, incomplete, inconsistent, or unclear documentation for clarification by the appropriate provider or authorized team.
- Support medical billing and claims review processes by ensuring coding accuracy and minimizing coding-related claim denials.
- Maintain coding quality records, audit trails, and documentation of coding discrepancies.
- Follow applicable coding standards, payer requirements, confidentiality policies, and healthcare compliance guidelines.
- Collaborate with billing teams, clinical staff, and quality assurance personnel to resolve coding-related queries.
- Meet established productivity, accuracy, and turnaround-time expectations.

Candidate Requirements

- Relevant educational background in life sciences, allied health, nursing, healthcare administration, or a related field preferred.
- Working knowledge of ICD-10-CM, CPT, medical terminology, anatomy,



and basic clinical documentation practices.
- Practical experience in medical coding, medical billing, claims review, or a related healthcare revenue cycle function.
- Familiarity with clinical records, coding workflows, and documentation requirements.
- Knowledge of coding compliance, medical necessity, and common claim denial reasons is an advantage.
- Medical coding certification, such as CPC, CCS, or an equivalent credential, preferred.
- Strong attention to detail, analytical skills, and the ability to interpret clinical documentation accurately.
- Good written communication skills and the ability to identify and escalate documentation gaps.
- Ability to maintain patient confidentiality and handle sensitive healthcare information responsibly.

Preferred Experience

- Experience working with medical billing companies, healthcare providers, physician practices, or revenue cycle management teams.
- Exposure to electronic health records (EHR), practice management systems, and medical billing software.
- Familiarity with payer-specific coding requirements and coding quality audits.

Key Competencies

- ICD-10-CM and CPT coding accuracy
- Clinical documentation review
- Medical terminology and anatomy
- Claims review and billing support
- Documentation gap identification
- Coding quality assurance
- Compliance and confidentiality
- Attention to detail and time management

Role Objective

To ensure accurate, compliant, and well-supported medical coding that facilitates effective billing workflows, improves claims quality, and reduces coding-related errors and denials.

Job Type: Full-time / Contract (as applicable)

Experience Level: Entry-level to experienced candidates, depending on practical coding proficiency and certification.

Certification: Preferred, not mandatory.

Pay: ₹300,000.00 - ₹600,000.00 per year

Work Location: In person

📌 Medical Coder (Lucknow)
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