Medical Coder & AR Management Executive

Role & Responsibilities

- Review patient medical records, clinical documentation, and physician notes to ensure accurate coding.
- Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on documentation.
- Ensure coding compliance with CMS guidelines and payer-specific requirements.
- Review claims for coding accuracy, modifiers, and medical necessity.
- Manage insurance accounts receivable (AR) and follow up on outstanding claims.
- Analyze claim denials, identify root causes, and take corrective actions.
- Handle claim rejections, appeals, reconsiderations, and resubmissions.
- Conduct insurance follow-ups through payer portals and phone calls.
- Identify underpayments, payment discrepancies, and opportunities for revenue recovery.
- Coordinate with billing, coding, and other teams to resolve claim-related issues.
- Maintain AR aging reports and ensure timely resolution of outstanding accounts.
- Meet assigned productivity,



quality, and accuracy targets.

Preferred Candidate Profile

- 13 years of experience in US healthcare medical coding and/or AR management.
- Valuable understanding of ICD-10-CM, CPT, HCPCS, and medical terminology.
- Knowledge of US healthcare insurance processes, including Medicare, Medicaid, and commercial payers.
- Hands-on experience in medical coding, denial management, AR follow-ups, or claims processing.
- Familiarity with E/M coding, modifiers, claim submission, and denial resolution.
- Experience with EMR and practice management systems is preferred.
- CPC certification would be an added advantage.
- Strong analytical, problem-solving, and communication skills.
- Ability to manage deadlines and meet productivity and quality benchmarks.

📌 Accounts Receivable Executive (Ahmedabad)
🏢 Quantix Health
📍 Ahmedabad