Medical Coder

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.