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.
- Strong knowledge of Medicare and non-Medicare state payer policies.
- Strong 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.
📌 Senior Medical Coder (Hyderabad)
🏢 BIG Language Solutions
📍 Hyderabad
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