Key Responsibilities

• Review and analyze patient medical records, physician notes, and clinical documentation.

• Assign accurate ICD-10-CM, CPT, and HCPCS codes based on established coding guidelines.

• Ensure coding accuracy and compliance with payer, client, and regulatory requirements.

• Meet established productivity and quality benchmarks.

• Identify documentation gaps and initiate provider queries when necessary.

• Support denial analysis and provide coding-related clarification to revenue cycle teams.

• Stay updated on coding regulations, payer policies, and industry changes.

• Participate in internal audits and quality assurance initiatives.

Qualifications

• Active CPC, CCS, or equivalent coding certification preferred.

• Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Pharmacy, Physical Therapy) is an advantage.

• At least 1–3 years of medical coding experience (level dependent).

• Strong understanding of Revenue Cycle Management processes.

• Familiarity with EMR/EHR systems and coding platforms.

• Strong analytical skills with high attention to detail.

• Ability to work in a fast-paced, performance-driven environment.

Preferred Experience

• Experience supporting US healthcare accounts (payer or provider).

• Exposure to inpatient, outpatient, emergency department, or specialty coding.

• Background in denial management or audit support is a plus.