Medical Coder – E/M, Outpatient & Surgical Coding Position: Medical Coder

Experience:
1 Year Preferred Certification: CPC / CCS / COC Preferred (Not Mandatory) Job Summary We are looking for a skilled, detail-oriented, and motivated Medical Coder with knowledge and practical experience in Evaluation & Management (E/M), outpatient medical coding, and surgical/procedure coding, particularly wound care coding. The ideal candidate should have a strong understanding of ICD-10-CM, CPT, and HCPCS Level II coding systems, along with proficiency in outpatient E/M coding guidelines, including Medical Decision Making (MDM) and time-based coding. Experience in wound care procedures, behavioral health, and wellness-related coding will be an added advantage. The candidate should be capable of independently reviewing clinical documentation, assigning accurate diagnosis and procedure codes, validating medical necessity, and maintaining coding accuracy, productivity, and compliance with current coding guidelines and payer-specific requirements.

Key Responsibilities
• Perform accurate outpatient Evaluation & Management (E/M) coding based on provider documentation and current CPT guidelines.
• Apply E/M coding guidelines, including MDM components such as problems addressed, data reviewed and analyzed, and risk of patient management.
• Determine appropriate E/M levels using MDM or total time, as applicable.
• Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS Level II codes.
• Perform surgical and wound care coding, including:
• Debridement procedures.
• Skin substitute applications.
• Skin graft procedures.
• Wound assessment and related procedures.
• Applicable HCPCS Level II Q-codes.
• Handle behavioral health and wellness-related coding, including anxiety, depression, ADHD, substance-related disorders, weight management, nutritional counseling, and preventive services.




• Ensure appropriate modifier application, medical necessity, diagnosis sequencing, NCCI edits, and payer-specific coding requirements.
• Identify documentation gaps, coding discrepancies, unsupported services, and potential compliance issues; raise queries whenever necessary.
• Maintain coding accuracy, productivity, and turnaround time (TAT) in accordance with established quality benchmarks.
• Follow applicable CMS, AMA, ICD-10-CM, CPT, and HIPAA guidelines.
• Work independently with minimal supervision while collaborating effectively with team members.
• Report coding-related issues, workflow updates, and productivity status to the Team Manager. Required Skills & Qualifications
• Minimum 1 year of medical coding experience preferred.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Good understanding of outpatient E/M coding guidelines.
• Practical knowledge of MDM-based E/M level selection and time-based coding.
• Knowledge of surgical and wound care procedure coding.
• Familiarity with behavioral health, wellness, and preventive care coding.
• Positive understanding of medical terminology, anatomy, physiology, and clinical documentation.
• Knowledge of modifiers, NCCI edits, medical necessity, and diagnosis sequencing.
• Strong analytical skills, attention to detail, and problem-solving abilities.
• Ability to work independently and as part of a team. Preferred Certifications
• CPC – AAPC
• CCS – AHIMA
• COC – AAPC Note: Certification is preferred but not mandatory. Work Expectations
• Report directly to the Team Manager.
• Independently manage assigned charts and meet productivity and quality benchmarks.
• Ensure timely chart completion within defined turnaround times.
• Demonstrate accountability, adaptability, and effective communication.
• Stay updated with coding guidelines, regulatory changes, and payer-specific requirements.

📌 Medical Coder – E/M, Outpatient (India)
🏢 Synergy Health 360
📍 India