VANAA TECH

Job Title: Medical Coder – US Healthcare

Department: Medical Coding / RCM

Industry: US Healthcare / Revenue Cycle Management (RCM)

Experience: 2–5 Years

Employment Type: Full-Time

Location: Mohali

Shift: US Shift / Night Shift

Work Mode: Work from Office

Job Summary

We are looking for an experienced Medical Coder with strong knowledge of US Healthcare Medical Coding and hands-on experience in Wound Care, Mental Health/Behavioral Health, Infusions, and Ketamine services.

The candidate must have a valid AAPC – CPC (Certified Professional Coder) certification and a good understanding of CPT, ICD-10-CM, HCPCS, medical documentation, and coding guidelines.

Key Responsibilities

• Review medical records and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Perform coding for Wound Care, Mental Health/Behavioral Health, Infusions, and Ketamine services.
• Ensure coding is compliant with US healthcare coding guidelines and payer requirements.
• Identify missing, incomplete, or conflicting documentation and communicate appropriately for clarification.
• Apply appropriate modifiers, units, and coding guidelines where applicable.
• Review claims and coding-related issues to help prevent denials and ensure clean claim submission.
• Maintain accuracy, productivity, and quality standards.
• Stay updated with changes in CPT, ICD-10-CM, HCPCS, and payer coding guidelines.

Required Qualifications

• AAPC CPC (Certified Professional Coder) certification – Mandatory.
• 2–5 years of relevant experience in US Healthcare Medical Coding.
• Hands-on coding experience in one or more of the following specialties:
• Wound Care – Required
• Mental Health / Behavioral Health – Required
• Infusion Coding – Required
• Ketamine Coding – Required
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding.
• Understanding of US healthcare billing and Revenue Cycle Management (RCM).
• Good knowledge of medical terminology and clinical documentation.
• Strong attention to detail and analytical skills.
• Good written and verbal communication skills.

Preferred Skills

• Experience working with US-based healthcare providers, clinics, or billing companies.
• Knowledge of payer-specific coding requirements.
• Experience handling coding audits, denials, and documentation-related queries.
• Ability to meet daily productivity and quality targets.

Why Join Us?

• Opportunity to work on specialized US Healthcare Medical Coding projects.
• Exposure to multiple specialty-based coding processes.
• Professional growth and learning opportunities.
• Collaborative work environment.

Note: Candidates without a valid AAPC CPC certification will not be considered.

RCM Analytics Specialist – US Healthcare

Job Title: RCM Analytics Specialist

Department: Revenue Cycle Management (RCM)

Industry: US Healthcare / Medical Billing

Experience: 2–5 Years

Employment Type: Full-Time

Location: Mohali

Shift: US Shift / Night Shift

Work Mode: Work from Office

Job Summary

We are looking for an experienced RCM Analytics Specialist to analyze US Healthcare RCM data, prepare performance reports, identify trends and revenue gaps, and provide actionable insights to improve collections, reduce denials, and enhance operational performance.

Key Responsibilities

• Analyze US Healthcare RCM data to identify trends, gaps, operational issues, and areas for improvement.
• Prepare and maintain daily, weekly, and monthly RCM performance reports and dashboards.
• Analyze denial trends and identify root causes, including eligibility, authorization, coding, documentation, and payer-related issues.
• Track payer-wise and client-wise performance and identify potential revenue leakage.
• Analyze AR aging buckets and identify high-value or aging accounts requiring immediate attention.
• Develop reports to help management monitor team productivity, collections, quality, and financial performance.
• Prepare MIS reports, dashboards, ad-hoc analysis, and business insights for management.
• Present analytical findings and recommendations to management and operational stakeholders.

Required Skills & Qualifications

• 3–5 years of experience in US Healthcare RCM, Medical Billing Analytics, MIS, Business Analytics, or Healthcare Operations.
• Strong analytical and problem-solving skills.
• Good understanding of RCM metrics, reports, and operational KPIs.
• Ability to analyze large datasets and identify trends, discrepancies, and opportunities for improvement.

Preferred Skills

• Experience with Power BI or other BI/dashboarding tools.
• Knowledge of SQL and database querying.
• Advanced Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, SUMIFS/COUNTIFS, charts, and dashboards.
• Experience in developing automated MIS/RCM dashboards.

What We Offer

• Competitive Salary: ₹40,000 – ₹70,000 per month
• Attractive Incentives for experienced candidates
• Growth and career development opportunities
• Professional and collaborative work environment