Overview
Department: Finance and Billing
Role Category: Medical Coding – Revenue Cycle Support
Working Location: Pune, Maharashtra
Employment Type: Full-time / On-site
Experience Range: 2 to 6 Years (preferably in medical coding within a hospital or third-party billing setup)
Salary Range (INR): ₹3,00,000 – ₹7,00,000 per annum (depending on qualifications, certifications, and hospital scale)
Bachelor’s Degree in Life Sciences / Paramedical / Nursing / Healthcare Administration (Mandatory)
Certification in CPC (AAPC), CCS (AHIMA) or ICD-10/CPT coding (Preferred & often required)
Working knowledge of HIS, RCM, and EMR/EHR systems is desirable
Responsibilities
- Assign accurate ICD-10, CPT, and HCPCS codes based on physician documentation and medical records
- Review patient charts to ensure coding reflects procedures, diagnoses, and services rendered
- Coordinate with medical staff for clarification and proper documentation when needed
- Ensure coding compliance with hospital policies, payer rules, and government regulations
- Support clean claim submission by reducing coding errors and preventing insurance denials
- Maintain coding logs, quality audit reports, and productivity trackers
- Assist with training junior coders and staying up-to-date on code changes and payer policies
- Work closely with the billing team to support timely and accurate reimbursement
- Contribute to NABH/JCI audit preparation through coding accuracy and documentation standards
- Maintain confidentiality and accuracy of patient health and billing information
Qualifications
- ICD-10, CPT, HCPCS Coding Expertise
- Knowledge of RCM (Revenue Cycle Management)
- Familiarity with Medical Terminology & Clinical Documentation
- EMR/HIS Software Proficiency (e.g., Insta, Medisoft, e-Hospital)
- Insurance Claim Support & Denial Prevention
- Coding Quality Audits
- Attention to Detail & Analytical Skills
- Compliance with Coding Guidelines (AAPC, AHIMA)
- Strong Communication with Clinicians & Billing Teams
- Data Accuracy & Confidentiality