Senior Coding Specialist

We are hiring experienced medical coders who specialize in denial resolution across multiple specialties. This is not an entry-level seat. You will own denied claims end-to-end, identify root causes, apply correct coding, and drive first-pass resolution. If you take pride in accuracy, ownership, and outcomes, you will fit here.

What You Will Do

1. Investigate denials thoroughly. Review denial reasons, claim details, and payer policy. Identify the root cause, not just the symptom.
2. Code accurately using ICD-10-CM, CPT, HCPCS, and modifiers per documentation and specialty-specific guidelines.
3. Ensure documentation supports every code reported. Query providers when clarification is needed.
4. Follow compliance and ethics rigorously. No upcoding, no unbundling, full patient confidentiality.
5. Submit complete, accurate, and legible resubmissions with all required supporting documentation.
6. Communicate clearly with payers, providers, and internal teams. Escalate when needed.
7. Work denials promptly based on age and revenue impact. Meet turnaround time goals consistently.
8. Stay current with coding guidelines, payer policies, and specialty updates. Apply lessons learned to prevent repeat denials.
9. Collaborate with billers, auditors, AR teams, and providers to achieve shared targets.
10. Focus on quality and outcomes. Aim for first-pass resolution, track trends, and help reduce overall denial rates.

Must Have

• Minimum 2 years of hands-on medical coding experience with active denial handling exposure
• Active CPC, COC, CCS, or equivalent AAPC/AHIMA certification
• Strong command of ICD-10-CM, CPT, HCPCS, and modifier application
• Working knowledge of payer policies (Medicare, Medicaid, commercial)
• Multi-specialty coding experience (E/M, surgery, radiology, pathology, or others)
• Familiarity with CARC, RARC codes, and standard denial workflows
• Ability to read EOBs, payer correspondence, and clinical documentation accurately
• Strong written English for payer appeals and internal communication
• Willing and able to work from our Perungudi, Chennai office, Monday to Saturday, 10 AM to 7 PM IST

Preferred

• Specialty certifications (CEMC, CRC, CASCC, CIRCC, etc.)
• Experience with U.S. clients (hospitals, physician groups, rural health, FQHCs)
• Exposure to EHR/PM systems such as Epic, Athena, eClinicalWorks, Kareo, AdvancedMD
• Prior work in an offshore RCM or coding KPO environment

What You Get

• Direct exposure to U.S. healthcare clients and decision-makers
• Clear growth path into senior coder, audit, and team lead roles
• Performance-based incentives tied to accuracy and resolution rates
• A team that values ownership, accuracy, and zero-shortcut work

Important

This is a fully on-site role at our Perungudi office. We are not considering remote or hybrid candidates. Please apply only if you can commit to in-person work, six days a week.