Job Title: Surgery Coder / Denial Coder

Experience: 1-4 Years
Department: Medical Coding
Shift: 8:30 AM - 5:30 PM
Work Location: Chennai

HR Contact: Sowndharya Boopathi (phone hidden)

Interview Venue

Campus-4A, RMZ Millenia Business Park-II
Kodandarama Nagar, Perungudi,
Chennai, Tamil Nadu - 600096

Job Summary

We are seeking a detail-oriented and experienced Surgery Coder / Denial Coder with 1-3 years of hands-on experience in Surgical Coding and/or Denial Management. The ideal candidate will be responsible for reviewing operative reports and clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes, as well as analyzing and resolving coding-related claim denials. The candidate should ensure compliance with coding guidelines, payer regulations, and client requirements while maintaining quality and productivity standards.

Key Responsibilities

- Review operative reports, physician documentation, and medical records for accurate code assignment.
- Assign appropriate ICD-10-CM, CPT, and HCPCS codes for surgical procedures and related services.
- Ensure compliance with CMS, AMA, payer-specific, and client-specific coding guidelines.
- Analyze documentation to determine correct coding and identify opportunities for clarification from providers.
- Apply appropriate modifiers and sequencing rules to surgical claims.
- Review, analyze, and resolve coding-related claim denials from insurance payers.
- Identify root causes of denials and recommend corrective actions to prevent recurrence.




- Prepare and submit appeals with proper coding justification and supporting documentation when required.
- Maintain productivity and quality standards as established by organizational requirements.
- Participate in coding audits, quality reviews, and process improvement initiatives.
- Stay updated on coding guideline changes, regulatory updates, payer policies, and industry best practices.
- Support internal and external audit requirements and implement corrective actions as needed.

Required Qualifications

- 1-4 years of experience in Surgery Coding and/or Denial Coding.
- Strong knowledge of:
- Surgical CPT Coding
- ICD-10-CM
- HCPCS Coding
- Medical Terminology
- Anatomy & Physiology
- Modifier Application and Surgical Coding Guidelines
- Denial Analysis and Appeals Management
- Payer Policies and Reimbursement Guidelines

- Excellent analytical, problem-solving, and communication skills.
- Ability to work independently while meeting productivity and quality targets.

Mandatory Certification

Candidates must possess at least one active certification from the following:

- CPC (Certified Professional Coder)
- CRC (Certified Risk Adjustment Coder)
- CCS (Certified Coding Specialist)

Preferred Notice Period

Immediate Joiners to 15 Days Notice Period Preferred.

Important Note

Candidates without a valid CPC, CRC, or CCS certification will not be considered for this chance.

Regards,
Sowndharya Boopathi
(phone hidden)

📌 Hiring For Denial Coder & Surgery Coder (Chennai)
🏢 Med-Metrix
📍 Chennai