Hiring For Denial Coder & Surgery Coder

Med-Metrix; Chennai; On-site; INR 350,000 - 550,000; Full time

Job summary

Med-Metrix in Chennai is seeking a Surgery Coder / Denial Coder with 1-3 years of hands-on experience in Surgical Coding and/or Denial Management. You will review operative reports and clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes, and analyze and resolve coding-related claim denials.

The candidate must ensure compliance with coding guidelines, payer regulations, and client requirements while maintaining quality and productivity standards.

Qualifications

• 1-4 years of experience in Surgery Coding and/or Denial Coding.
• Proficient in CPT, ICD-10-CM, HCPCS, and medical terminology.
• Knowledge of modifier application and surgical coding guidelines.
• Experience with denial analysis and appeals management; payer policies.
• Excellent analytical and communication skills; ability to work independently.

Responsibilities

• Review operative reports and docs for accurate code assignment.
• Assign ICD-10-CM, CPT, HCPCS codes for surgical services.
• Ensure compliance with CMS/AMA and client guidelines.
• Analyze documentation to resolve coding denials.
• Apply modifiers and sequencing rules.
• Review and resolve denial appeals with supporting docs.
• Assist audits and participate in process improvements.
• Stay updated on coding guideline changes.

Skills

CPT Coding

ICD-10-CM

HCPCS Coding

Medical Terminology

Anatomy & Physiology

Modifier Guidelines

Denial Analysis

Payer Policies

Job description

Job Title: Surgery Coder / Denial Coder

Experience: 1-4 Years

Department: Medical Coding

Shift: 8:30 AM - 5:30 PM

Work Location: Chennai

HR Contact: Sowndharya Boopathi 9080417748

Interview Venue

Campus-4A, RMZ Millenia Business Park-II
Kodandarama Nagar, Perungudi,
Chennai, Tamil Nadu - 600096

Job Summary

We are seeking a detail-oriented and experienced Surgery Coder / Denial Coder with 1-3 years of hands-on experience in Surgical Coding and/or Denial Management. The ideal candidate will be responsible for reviewing operative reports and clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes, as well as analyzing and resolving coding-related claim denials. The candidate should ensure compliance with coding guidelines, payer regulations, and client requirements while maintaining quality and productivity standards.

Key Responsibilities

• Review operative reports, physician documentation, and medical records for accurate code assignment.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes for surgical procedures and related services.
• Ensure compliance with CMS, AMA, payer-specific, and client-specific coding guidelines.
• Analyze documentation to determine correct coding and identify opportunities for clarification from providers.
• Apply appropriate modifiers and sequencing rules to surgical claims.
• Review, analyze, and resolve coding-related claim denials from insurance payers.
• Identify root causes of denials and recommend corrective actions to prevent recurrence.
• Prepare and submit appeals with proper coding justification and supporting documentation when required.
• Maintain productivity and quality standards as established by organizational requirements.
• Participate in coding audits, quality reviews, and process improvement initiatives.
• Stay updated on coding guideline changes, regulatory updates, payer policies, and industry best practices.
• Support internal and external audit requirements and implement corrective actions as needed.

Required Qualifications

• 1-4 years of experience in Surgery Coding and/or Denial Coding.
• Strong knowledge of:
  • Surgical CPT Coding
  • ICD-10-CM
  • HCPCS Coding
  • Medical Terminology
  • Anatomy & Physiology
  • Modifier Application and Surgical Coding Guidelines
  • Denial Analysis and Appeals Management
  • Payer Policies and Reimbursement Guidelines
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently while meeting productivity and quality targets.

Mandatory Certification

Candidates must possess at least one active certification from the following:

• CPC (Certified Professional Coder)
• CRC (Certified Risk Adjustment Coder)
• CCS (Certified Coding Specialist)

Preferred Notice Period

Immediate Joiners to 15 Days Notice Period Preferred.

Important Note

Candidates without a valid CPC, CRC, or CCS certification will not be considered for this opportunity.

Regards,

Sowndharya Boopathi
9080417748