Medical Coder

WritingJob Description

Medical Coder – ICD-10-CM, CPT & Clinical DocumentationJob Summary

We are seeking a detail-oriented and knowledgeable Medical Coder to review clinical documentation and assign accurate ICD-10-CM diagnosis codes and CPT procedure codes in support of medical billing, claims processing, and coding quality assurance. The ideal candidate will have a sound understanding of medical terminology, clinical documentation, coding guidelines, and healthcare billing workflows.

Key Responsibilities

Review patient medical records, clinical notes, diagnostic reports, and supporting documentation for coding accuracy and completeness.

Assign appropriate ICD-10-CM diagnosis codes and CPT procedure codes in accordance with applicable coding guidelines and the candidate’s training and scope of practice.

Review clinical documentation to ensure diagnoses and procedures are adequately supported by the medical record.

Identify and flag missing, incomplete, inconsistent, or unclear documentation for clarification by the appropriate provider or authorized team.

Support medical billing and claims review processes by ensuring coding accuracy and minimizing coding-related claim denials.

Maintain coding quality records, audit trails, and documentation of coding discrepancies.

Follow applicable coding standards, payer requirements, confidentiality policies, and healthcare compliance guidelines.

Collaborate with billing teams, clinical staff, and quality assurance personnel to resolve coding-related queries.

Meet established productivity, accuracy, and turnaround-time expectations.

Candidate Requirements

Relevant educational background in life sciences, allied health, nursing, healthcare administration, or a related field preferred.

Working knowledge of ICD-10-CM, CPT, medical terminology, anatomy, and basic clinical documentation practices.

Practical experience in medical coding, medical billing, claims review, or a related healthcare revenue cycle function.

Familiarity with clinical records, coding workflows, and documentation requirements.

Knowledge of coding compliance, medical necessity, and common claim denial reasons is an advantage.

Medical coding certification, such as CPC, CCS, or an equivalent credential, preferred.

Strong attention to detail, analytical skills, and the ability to interpret clinical documentation accurately.

Good written communication skills and the ability to identify and escalate documentation gaps.

Ability to maintain patient confidentiality and handle sensitive healthcare information responsibly.

Preferred Experience

Experience working with medical billing companies, healthcare providers, physician practices, or revenue cycle management teams.

Exposure to electronic health records (EHR), practice management systems, and medical billing software.

Familiarity with payer-specific coding requirements and coding quality audits.

Key Competencies

ICD-10-CM and CPT coding accuracy

Clinical documentation review

Medical terminology and anatomy

Claims review and billing support

Documentation gap identification

Coding quality assurance

Compliance and confidentiality

Attention to detail and time management

Role Objective

To ensure accurate, compliant, and well-supported medical coding that facilitates efficient billing workflows, improves claims quality, and reduces coding-related errors and denials.

Job Type

Full-time / Contract (as applicable)

Experience Level

Entry-level to experienced candidates, depending on practical coding proficiency and certification.

Certification

Preferred, not mandatory.

Pay

₹300,000.00 - ₹600,000.00 per year

Work Location

In person