Experience:
2
- 5 years

Salary:
4.75-5.5 Lacs P.
A. 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




• 1-3 years of experience in US healthcare medical coding and/or AR management.
• Positive 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. Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category:
• Health Informatics

📌 Medical Coder (Ahmedabad)
🏢 Quantix Health
📍 Ahmedabad