Medical Coder | CPC / ICD-10 | US Healthcare

Medical Coder | CPC / ICD-10 | US Healthcare | Noida

Location: Noida

Work Mode: Work from Office / Hybrid

Employment Type: Full-Time

Experience: 2-6 Years

About the Role

We are looking for an experienced Medical Coder with hands-on experience in US healthcare medical coding. The ideal candidate should have strong knowledge of ICD-10-CM, CPT and HCPCS coding, medical terminology, clinical documentation and US healthcare coding guidelines.

CPC-certified candidates with experience supporting US healthcare providers, hospitals, physician practices or RCM operations will be preferred.

Key Responsibilities

• Review medical records and clinical documentation for accurate coding.
• Assign ICD-10-CM, CPT and HCPCS codes based on documentation.
• Review physician notes, operative reports and other clinical records.
• Apply current US healthcare coding guidelines.
• Identify missing or unclear documentation and escalate queries.
• Support accurate claim preparation and submission.
• Review coding-related claim denials and identify coding issues.
• Maintain coding quality and productivity standards.
• Perform coding audits and quality checks.
• Stay updated on changes to ICD-10-CM, CPT and HCPCS guidelines.
• Ensure HIPAA compliance and confidentiality of patient information.
• Coordinate with Medical Billing, AR, Clinical Documentation and RCM teams.
• Support client-specific coding requirements and process improvements.

Key Software

Microsoft Excel, Google Sheets, EncoderPro, 3M Encoder, Optum Encoder, TruCode, Epic, Cerner, Athenahealth, NextGen; experience with other EHR, EMR, encoder or medical coding systems will also be considered.

Medical Coding & Healthcare Knowledge

ICD-10-CM, CPT, HCPCS, Medical Terminology, Diagnosis Coding, Procedure Coding, E&M Coding, Clinical Documentation, DRG, HCC Coding, Medical Records Review, Coding Audits, Claims Coding, Revenue Cycle Management, US Healthcare, HIPAA, Payer Guidelines.

Qualifications & Skills

• Graduate degree in Medical Coding, Life Sciences, Healthcare Administration, Nursing, Pharmacy or a related field preferred.
• CPC certification preferred; CCS / CCA will be an advantage.
• 2-6 years of relevant US Medical Coding experience.
• Strong ICD-10-CM, CPT and HCPCS knowledge.
• Strong medical terminology and clinical documentation skills.
• Experience with EHR / EMR and coding encoder systems preferred.
• Strong attention to detail and coding accuracy.
• Ability to meet quality and productivity targets.
• Excellent analytical, communication and problem-solving skills.
• Experience supporting US healthcare providers, hospitals or RCM companies preferred.