EnM IP/OP Medical Coder

CorroHealth; Dadri, Bengaluru; On-site; INR 350,000 - 550,000; Part time

Job summary

CorroHealth seeks an experienced E/M IP/OP Medical Coder to review clinical documentation and assign accurate billing codes for inpatient and outpatient encounters.

The candidate will apply ICD-10-CM, CPT, HCPCS, and E/M principles, ensure compliance, and support audits and denial analysis while maintaining HIPAA confidentiality.

Qualifications

• Graduate in Life Sciences, Nursing, Pharmacy, Medical Sciences, or related healthcare field.
• Certification preferred: CPC, CCS, CCS-P, CRC, COC, or equivalent.
• Strong understanding of E/M coding guidelines for IP & OP services.
• Knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Excellent analytical, communication, and documentation review skills.
• Familiarity with EMR/EHR systems.

Responsibilities

• Review inpatient and outpatient records to assign E/M codes based on documentation.
• Analyze physician documentation for coding guideline compliance.
• Apply ICD-10-CM, CPT, HCPCS and E/M coding principles accurately.
• Identify documentation deficiencies and query providers when required.
• Maintain coding quality, productivity, and turnaround targets.

Skills

EM coding

IP/OP coding

ICD-10-CM

CPT & HCPCS

Medical terminology

Anatomy & physiology

Compliance & regulatory knowledge

Quality auditing

Denial analysis

Attention to detail

Education

Graduate in Life Sciences, Nursing, Pharmacy, Medical Sciences, or related healthcare field

Tools

EMR/EHR systems

Job description

Job Summary

We are seeking an experienced E&M IP/OP Medical Coder responsible for reviewing clinical documentation and assigning accurate Evaluation & Management (E&M) codes for Inpatient (IP) and Outpatient (OP) encounters. The role requires strong knowledge of medical coding guidelines, payer regulations, documentation standards, and quality assurance processes to ensure coding accuracy and compliance.

Key Responsibilities

• Review inpatient and outpatient medical records to assign appropriate E/M codes based on documentation.
• Analyze physician documentation to ensure compliance with coding guidelines and regulatory requirements.
• Apply ICD-10-CM, CPT, HCPCS, and E/M coding principles accurately.
• Identify documentation deficiencies and communicate queries to providers when required.
• Ensure coding quality, productivity, and turnaround time targets are met.
• Stay updated with changes in coding regulations, CMS guidelines, and payer-specific requirements.
• Participate in internal audits and quality improvement initiatives.
• Maintain confidentiality and comply with HIPAA and organizational policies.
• Support denial management by reviewing coding-related rejections and providing corrective actions.

Required Qualifications

• Graduate in Life Sciences, Nursing, Pharmacy, Medical Sciences, or related healthcare field.
• Certification preferred: CPC, CCS, CCS-P, CRC, COC, or equivalent.
• Strong understanding of E/M coding guidelines for inpatient and outpatient services.
• Knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.
• Excellent analytical, communication, and documentation review skills.
• Familiarity with EMR/EHR systems.

Experience

• 1-5+ years of experience in E/M coding (Inpatient/Outpatient).
• Experience in US Healthcare Revenue Cycle Management (RCM) preferred.
• Audit and quality review experience is an added advantage.

Key Skills

• E/M Coding
• Inpatient & Outpatient Coding
• ICD-10-CM
• CPT & HCPCS
• Medical Terminology
• Anatomy & Physiology
• Compliance & Regulatory Knowledge
• Quality Auditing
• Denial Analysis
• Attention to Detail

Preferred Competencies

• Strong productivity and accuracy standards.
• Critical thinking and problem-solving skills.
• Ability to work independently and in a team environment.
• Effective communication with providers and internal stakeholders.

Certification -Any certification is mandatory (CPC.CIC,CCS)