387 Medical Coder jobs in India

Job Description: Certified CPC Coder - Revenue Cycle Management

Job Title: Certified CPC Coder (RCM) - Radiology Specialist

Positions Available: 10 immediate openings

Location: Bengaluru, India

Department: Revenue Cycle Management / Medical Billing

Reports to: RCM Manager

Employment Type: Full-time

Experience Required: Minimum 3 years in US medical billing (Radiology expertise preferred)

Join our growing Healthcare Revenue Cycle Management team as a Certified CPC Coder specializing in radiology billing operations. In this critical role, you'll ensure accurate coding and billing for diagnostic imaging studies while maintaining compliance with US healthcare regulations. This position offers excellent growth opportunities within our expanding RCM division and the chance to work with cutting-edge healthcare technology.

·   Code Review & Validation: Review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies ensuring 99%+ accuracy rates

·   Documentation Analysis: Analyze radiology reports and ensure proper coding compliance with CMS guidelines and payer-specific requirements

·   Quality Assurance: Conduct regular audits of coded studies to maintain high-quality standards and identify areas for improvement

·   Regulatory Compliance: Ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols

·   Invoice Management: Prepare, compile, and submit accurate invoices to partner healthcare facilities based on contracted fee schedules

·   Reconciliation: Validate invoice line items against study volumes, modality types, and applicable reimbursement rates

·   Payment Tracking: Monitor invoice submission status, follow up on approvals, and track payment receipts through completion

·   Collections Support: Assist in resolving payment delays, rejected claims, and coding-related billing issues

·   Cross-functional Coordination: Work closely with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation

·   Stakeholder Management: Communicate effectively with facility billing departments and insurance representatives

·   Issue Resolution: Escalate and resolve complex billing issues including underpayments, denials, and coding appeals

·   Performance Metrics: Generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics

·   Data Management: Maintain detailed billing logs, reconciliation spreadsheets, and monthly facility billing records

·   Process Improvement: Identify opportunities to streamline billing processes and improve revenue cycle efficiency

·   Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field

·   CPC Certification from AAPC (American Academy of Professional Coders) –

·   Additional certifications in radiology coding (CPC-A, CIRCC) - Preferred

·   Minimum 3 years of hands-on experience in US medical billing and coding

·   Radiology billing experience strongly preferred (CT, MRI, X-ray, Ultrasound, Nuclear Medicine)

·   Proven track record of maintaining high coding accuracy (95%+ preferred)

·   Experience with denial management and appeals processes

·   Advanced proficiency in Microsoft Excel (VLOOKUP, pivot tables, macros, advanced formulas)

·   Billing Software Experience: Proficiency with RCM platforms such as:

·   Kareo, AdvancedMD, eClinicalWorks, Epic, Cerner, or similar systems

·   EDI Knowledge: Understanding of electronic data interchange formats (837P, 837I, 835, 277, 276)

·   Database Management: Experience with SQL queries and database management -

Preferred

·   Analytical Excellence: Strong problem-solving skills with attention to detail and accuracy

·   Communication Skills: Excellent written and verbal English communication abilities

·   Time Management: Ability to manage multiple priorities and meet tight deadlines

·   Independence: Self-motivated with ability to work autonomously across different time zones

·   Adaptability: Flexibility to adapt to changing healthcare regulations and billing requirements

·   Performance-based increases and annual salary reviews

·   Shift allowances for non-standard hours

·   Health Insurance: Medical coverage for employee and family

·   Paid Time Off: Generous leave policy including vacation, sick leave, and personal days

·   Flexible Work Arrangements: Hybrid work options and flexible shift timings

·   Professional Development: Training budget for continuing education and certifications

·   Career Advancement: Clear promotion pathways within RCM and Finance departments

·   Modern Workspace: State-of-the-art office facilities in Bengaluru

·   Technology Allowance: Latest hardware and software tools

·   Team Building: Regular team events and company-wide celebrations

·   Wellness Programs: Fitness memberships and mental health support

·   Senior CPC Coder (12-18 months)

·   RCM Team Lead (2-3 years)

·   RCM Supervisor/Manager (3-5 years)

·   Director of Revenue Cycle Operations (5+ years)

·   Advanced Coding Certifications (CCS, RHIA, CIRCC)

·   Healthcare Analytics and business intelligence training

·   Leadership Development programs

·   Cross-functional exposure to clinical operations and IT systems

Ready to advance your career in healthcare revenue cycle management? We want to hear from you!

·   Updated resume highlighting relevant RCM experience

·   Cover letter demonstrating knowledge of radiology billing

·   Copies of CPC certification and relevant credentials

·   References from previous healthcare billing roles

• Application Review: 2-3 business days
• Technical Assessment: Online coding and Excel proficiency test
• HR Interview: Initial screening and culture fit assessment
• Technical Interview: RCM knowledge and problem-solving scenarios
• Final Interview: Meeting with RCM Manager and team