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

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Professional, Coding (Hyderabad)
🏢 Advantum Health
📍 Hyderabad