Position Summary

We are seeking an experienced E/M coder with strong Outpatient (OP) and Inpatient (IP) coding knowledge to support coding quality, denial prevention, and rejection resolution activities. The individual will serve as a subject matter expert (SME), assisting coders in accurate code assignment, denial analysis, and provider documentation improvement.

Key Responsibilities

- Review and resolve coding-related denials and rejections.

- Perform OP and IP E/M coding audits, Surgery knowledge would be an added advantage.

- Validate E/M level selection based on MDM and time-based guidelines.

- Identify root causes and denial trends.

- Provide coding education and feedback to team members.

- Support quality initiatives and coding accuracy improvements.

- Collaborate with Operations, Quality, and Denial Management teams.

- Assist with provider documentation clarification when needed.

Required Qualifications





- Minimum 3-5 years of E/M coding experience.

- Strong knowledge of OP and IP E/M guidelines.

- Experience reviewing coding denials and payer rejections.

- Ability to interpret medical records and apply coding guidelines accurately.

- Strong analytical and communication skills.

- CPC, CCS, or equivalent coding certification preferred.

Preferred Skills

- Solid understanding of medical necessity requirements.

- Knowledge of modifier usage and payer-specific guidelines.

- Ability to mentor and support junior coders.

- Experience in eCW, Athena, Epic & Cerner

Key Competencies

- Attention to Detail

- Critical Thinking

- Problem Solving

- Quality Focus

- Effective Communication

- Team Collaboration

📌 Professional, Coding (2/11) (Hyderabad)
🏢 Advantum Health Private
📍 Hyderabad