15 Certified Coder jobs in India
Medical Billing executive
Posted 23 days ago
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Job Description
Company Overview
Spandana Hospital is a highly reputed healthcare institution located in Bangalore, dedicated to offering world-class health services at affordable costs. Our experienced team of medical and administrative professionals is committed to delivering high-quality tertiary and critical care. As a leader in the Hospital and Health Care industry, we are focused on patient-centered service for optimal health outcomes. For more information, visit our website .
Job Overview
We are seeking a Junior Medical Billing Executive to join our team in Bengaluru on a full-time basis. The ideal candidate will have 1 to 3 years of experience in the medical billing field. The individual will be responsible for handling multiple aspects of medical billing and collections while ensuring accurate billing processes are followed consistently.
Qualifications and Skills
- Proficient experience with Electronic Health Records (EHR) Software (Mandatory skill).
- Expertise in Claim Submission processes, ensuring timely and accurate transactions (Mandatory skill).
- Skilled in Payment Posting, efficiently processing payments and adjustments (Mandatory skill).
- Knowledge in CPT Coding, successfully using the correct code to expedite the billing process.
- Understanding of ICD-10 Coding, ensuring correct diagnostic labeling for insurance claims.
- Familiarity with HCPCS, effectively categorizing a variety of healthcare services and supplies.
- Revenue Cycle Management capability, overseeing the financial aspects from service delivery to payment.
- Proficient in Denial Management, identifying and appealing denied claims effectively.
Roles and Responsibilities
- Manage patient billing processes, ensuring timely and accurate charge entry into the system.
- Review and verify coding accuracy to comply with standard protocols and prevent rejections.
- Prepare and process claims, adhering to various insurance and billing guidelines.
- Resolve billing issues by routinely examining accounts and addressing discrepancies promptly.
- Post payments received from patients and insurance companies, maintaining precise records.
- Communicate effectively with insurance representatives and patients to reconcile account balances.
- Conduct regular follow-ups on unpaid claims and handle insurance denial appeals.
- Collaborate with the healthcare team to streamline billing operations and enhance efficiency.
Medical Coder
Posted today
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Job Description
**Primary Responsibilities:**
+ Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Clinics, Urgent Care Centres, Inpatient Hospital Setting
+ Ability to code 12 charts per hour and meeting the standards for quality criteria
+ Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines
+ Expertise in determining the EM levels ) based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines
+ Ability to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation
+ Ability to extract and code various screening CPT codes and PQRS codes from the documentation
+ Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly
+ An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity
+ Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines
+ Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records
+ Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Experience: 1+ years in multispecialty Evaluation & Management medical coding.
+ Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA.
+ Hands-on experience in coding multispecialty Evaluation & Management services such as Internal Medicine, Family Medicine, Urgent Care, Dermatology, Gastroenterology, Cardiology, Otolaryngology, etc.
+ Sound knowledge in Medical Terminology, Human Anatomy & Physiology
+ Proficient in ICD-10-CM, CPT, and HCPCS guidelines
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
Medical Coder
Posted 5 days ago
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Job Description
Job Summary:
We are seeking an experienced and detail-oriented Medical Coder – HCC (Hierarchical Condition Category) to join our dynamic healthcare team. The ideal candidate will have a strong background in HCC coding, with at least 3 years of relevant experience, and must be comfortable working night shifts . The role involves reviewing medical records and assigning accurate diagnosis codes to ensure compliance with CMS risk adjustment guidelines.
Key Responsibilities:
- Review and analyze medical records to assign accurate HCC/ICD-10-CM diagnosis codes
- Ensure coding is in compliance with all CMS and organizational guidelines
- Abstract and validate patient data to capture all applicable chronic conditions
- Collaborate with providers and documentation specialists to clarify diagnoses
- Meet coding productivity and quality benchmarks
- Stay updated on industry regulations, payer policies, and coding changes
- Maintain strict patient confidentiality and adhere to HIPAA regulations
Required Qualifications:
- Minimum 3 years of experience in HCC coding
- Certification from AAPC or AHIMA (e.g., CPC, CRC, CCS, CCS-P)
- Strong knowledge of ICD-10-CM coding guidelines and risk adjustment models
- Proficient in using EMR/EHR systems and coding tools
- Excellent analytical and communication skills
- Ability to work independently with high accuracy
- Willingness to work night shifts is mandatory
Preferred Qualifications:
- Experience with Medicare Advantage Plans and Risk Adjustment Programs
- Familiarity with RADV audits and suspect conditions validation
- Prior experience in remote coding environments
Benefits:
- Competitive salary & shift allowances
- Health insurance and other benefits
- Opportunities for career growth and upskilling
- Supportive work environment
Medical Coder
Posted 5 days ago
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Job Description
Designation: Medical Coder/Sr Coder/QA
Primary Responsibilities
1. Assigning Codes
2. Abstracting Information
3. Maintaining Knowledge
4. Ensuring Accuracy and Quality
- Review and analyse patient medical records for accurate code assignment
- Ensure adherence to coding guidelines and regulatory requirements
- Learn to use medical coding software
- Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes
- Stay updated on industry changes and attend relevant training sessions
- Ensure confidentiality and security of all patient information
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so.
Medical Coder
Posted 5 days ago
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Job Description
Openings for CPC Certified Freshers!
Position: Medical Coding Fresher
Location: Kochi
Eligibility:
- CPC or equivalent certification is mandatory
- Life Science or Paramedical graduates (Excluding Chemistry, Botany, Zoology)
- Minimum 60% in 10th, 12th, and UG
- 2024 & 2025 Passed outs
Perks & Benefits:
- Salary best in market
Interested Candidates Contact Madhumitha-
Email ID -
Senior Medical Coder
Posted 5 days ago
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Job Description
Position: Senior Medical Coding Specialist – AI/ML Audit & Training (Athena Experience
Preferred)
Company: OlleyaHealth |
Location: Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings)
Schedule: Full-Time | English Fluency Required | CST Overlap
About the Organization:
AI-Driven Coding Automation for U.S. Healthcare Providers
At OlleyaHealth, we are advancing medical coding with cutting-edge machine learning. Our
platform is built to support the unique needs of U.S.-based providers by combining expert
knowledge of CPT and ICD coding with advanced AI models. We help healthcare
organizations reduce denials, improve compliance, and streamline operations—empowering
your team to focus on delivering high-quality care.
About the Role:
OlleyaHealth is developing AI-driven medical coding automation and is seeking a Senior
Medical Coding Specialist to lead audit and knowledge transfer efforts between clinical
coding and machine learning teams. This is a critical role for ensuring model accuracy, audit
integrity, and real-world compliance. Prior experience in ENT and Anesthesiology coding is
highly preferred.
Key Responsibilities:
• Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness,
and alignment with payer guidelines.
• Provide subject matter expertise to the ML development team, helping explain
documentation requirements, billing logic, and workflow details—particularly within
the Athena EHR platform.
• Identify edge cases and guide the creation of test cases and labeled datasets for
model improvement.
• Perform quality assurance reviews and root-cause analysis of audit errors, offering
structured feedback for continuous learning.
• Lead knowledge-sharing efforts across teams and support documentation of best
practices.
Required Qualifications:
• 10+ years of experience in medical coding with deep knowledge of CPT and ICD-10
coding standards.
• Prior work with Athena EHR or similar outpatient-focused systems.
• Strong communication skills in English to collaborate with US and India-based teams.
• Attention to detail and a process-oriented mindset to support audit integrity and
training initiatives.
• Must be based in Mumbai or Bangalore, with flexibility for occasional onsite
meetings.
Preferred:
• Certified Professional Coder (CPC) or equivalent.
• Prior coding experience in ENT and Anesthesiology specialties.
• Background in coding audits, training, or automation support.
HCC Medical Coder
Posted 5 days ago
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Job Description
! Huge Openings for HCC Coding! (WFO)
Job description:
- Eligibility: 1+ Yrs Exp in HCC Coding is Mandatory
- Certification is mandatory (CPC,CRC,CCS)
- Work Location: Chennai/Bangalore
- Shift: Day
- Open Position: Coder, Sr.Coder
- Work From Office Only
- Salary: As Per Industry
- Interview Process - Virtual
For More Info Contact Below
Durga HR :
Email ID:
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Medical Coder - Mumbai
Posted 2 days ago
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Job Description
The role involves the retrieval, review, and analysis of medical documentation from various client EMR systems to ensure accurate and compliant medical coding. The candidate must possess strong analytical skills, attention to detail, and a sound understanding of coding guidelines and payer-specific requirements.
Key ResponsibilitiesProcess Responsibilities:
Retrieve the correct medical records of patients from client EMR systems.
Review and validate the completeness of documentation, including signatures and diagnostic test orders.
Review, validate, assign, or modify providers, dates of service, CPT codes, diagnoses, and modifiers in compliance with general coding guidelines, payer specifications, and client-specific instructions.
Ensure adherence to Standard Operating Procedures (SOPs) and process instructions related to coding activities.
Identify and communicate documentation deficiencies or any issues that hinder compliant coding.
Maintain up-to-date knowledge of medical coding standards, payer policies, and industry updates through continuous self-learning.
Medical Coder - Coimbatore
Posted 4 days ago
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Job Description
The role involves the retrieval, review, and analysis of medical documentation from various client EMR systems to ensure accurate and compliant medical coding. The candidate must possess strong analytical skills, attention to detail, and a sound understanding of coding guidelines and payer-specific requirements.
Key ResponsibilitiesProcess Responsibilities:
Retrieve the correct medical records of patients from client EMR systems.
Review and validate the completeness of documentation, including signatures and diagnostic test orders.
Review, validate, assign, or modify providers, dates of service, CPT codes, diagnoses, and modifiers in compliance with general coding guidelines, payer specifications, and client-specific instructions.
Ensure adherence to Standard Operating Procedures (SOPs) and process instructions related to coding activities.
Identify and communicate documentation deficiencies or any issues that hinder compliant coding.
Maintain up-to-date knowledge of medical coding standards, payer policies, and industry updates through continuous self-learning.
Radiology Medical Coder - CPC
Posted 2 days ago
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Job Description
Job Title: Radiology Medical Coder
Years of Experience: 1 year
No of openings: 15
Notice period: Immediate to 15days
Work from Office Location Chennai Guindy
Job Summary:
We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards.
Key Responsibilities:
Review and analyze radiology reports to assign accurate diagnosis and procedure codes.
Ensure coding compliance in accordance with ACR, CMS, and payer guidelines.
Code a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology.
Collaborate with radiologists, billing staff, and auditors to resolve coding discrepancies.
Stay updated with coding guidelines, NCCI edits, and regulatory changes.
Meet daily productivity and accuracy benchmarks as established by the department.
Assist in internal and external audits as needed.
Qualifications:
Certified Professional Coder (CPC)
Minimum of (1- 2) years of hands-on experience in radiology coding (IR preferred).
MIPS Coding is Mandatory.
In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes
Familiarity with payer-specific rules and LCD/NCD policies.