Medical Coder
Job Description
Hello,
Edvak is a US-based SaaS company that transforms the healthcare sector with our innovative AI solutions. We are dedicated to excellence, creativity, and innovation, delivering exceptional services to our clients. Our operations in India are based in the vibrant city of Hyderabad.
As we continue to expand, we are looking for a dynamic Content Strategist/Marketer to lead our content marketing efforts and drive Edvak’s success in a competitive market.
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Job Description: Outpatient Medical Coders (3 Years Experience)
Position: Outpatient Medical Coders
Experi ence: Minimum 3 Years in Outpatient Coding
Location: Hyderabad
Employment Type: Full-time
Work mode: Office
Shift timing: 2pm to 11pm
Roles & Responsibilities:
- Review outpatient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
- Ensure coding is compliant with CMS, AMA, NCCI edits, and payer-specific guidelines.
- Code charts for outpatient services such as OPD visits, diagnostic services, minor procedures, therapy, labs, and radiology.
- Validate medical necessity and ensure alignment between documentation and assigned codes.
- Collaborate with providers to clarify documentation and improve accuracy.
- Work with billing and AR teams to resolve coding-related denials and support appeals.
- Conduct periodic self-audits to maintain high accuracy levels.
- Stay updated with coding rules, annual guideline updates, and regulatory changes.
Skills Required:
- Strong knowledge of outpatient coding rules and guidelines.
- Expertise in ICD-10-CM, CPT, HCPCS Level II, and E/M outpatient guidelines.
- Hands-on experience with EHR/EMR systems and coding platforms.
- Ability to read and interpret provider documentation accurately.
- Good understanding of outpatient billing workflow and payer policies.
- Strong analytical and problem-solving skills.
- Excellent communication and attention to detail.
Preferred Certifications (Any One):
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CCS (Certified Coding Specialist)
- CCS-P (Certified Coding Specialist –Physician-based)
We are looking for candidates who are imme diately available, serving notice period or can join within one week.