Job Role: Senior Profee Coder

Location: Noida/Hyderabad/Vizag

Working Days: 5 days

Shifts: 9AM-6PM

About the Role

We are looking for an experienced and certified Senior Profee Medical Coder with strong expertise in professional fee (Profee) coding. The ideal candidate should have excellent knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifiers, along with robust communication and analytical skills.

Responsibilities
Accurately assign ICD-10-CM, CPT, HCPCS Level II codes, and modifiers.
Review clinical documentation and identify missing or unclear information.
Follow up with providers/physicians for documentation clarification.
Communicate with clinical teams regarding coding-related queries.
Research and interpret coding guidelines for complex or unusual cases.
Ensure coding accuracy, completeness, and compliance with applicable payer guidelines.




Support the team as a subject matter expert on Profee coding-related matters.

Qualifications
Science graduate/postgraduate preferred.
Current AHIMA and/or AAPC certification is mandatory.

Required Skills
7–10 years of overall medical coding experience.
5–10 years of Profee coding experience across multiple specialties.
Robust knowledge of Medicare and non-Medicare state payer policies.
Robust understanding of ICD-10-CM, CPT, HCPCS Level II, and modifiers.
Excellent verbal and written English communication skills.
Strong attention to detail and ability to handle complex coding cases.
Preferred Specialty Experience Cardiovascular, OB-GYN, Pediatrics, Gastroenterology, Orthopedics, Family Medicine, Dermatology, Psychiatry, Allergy & Immunology, and Endocrinology.

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