Job Opening For Medical Coder - E/M

Epicle Solutions Pvt Ltd; Chennai; On-site; INR 700,000 - 1,100,000; Full time

Job summary

Epicle Solutions Pvt Ltd is seeking a detail-oriented Multi-Specialty Medical Coder to oversee coding and charge capture for Ob/Gyn and Family Practice. The role focuses on complex surgical coding, unlisted procedures, and payer-specific guidelines, with emphasis on auditing backlogs and providing clear coding rationale to practice management and providers.

The ideal candidate will have active CPC/COC/COCOG or CCS/CCS-P credentials, strong research skills, and a meticulous approach to ensuring

Qualifications

• Expertise in complex surgical coding including unlisted procedures and payer-specific rules.
• Experience clearing high-volume claim backlogs and auditing charge reviews.
• Ability to research payer guidelines and provide clear coding rationale.

Responsibilities

• Outpatient E/M coding for Family Practice and Obstetrics & Gynecology.
• Apply modifiers correctly (e.g., 25, 59, XE/XS/XP/XU, 79) to separate services.
• Review ICD-10-CM codes for specificity and link to procedures to ensure medical necessity.
• Code complex operative reports and unlisted procedures (e.g., 58999, 58579).
• Identify NCCI bundles and provide payer-specific recommendations.

Skills

E/M Coding

Unlisted procedure coding

NCCI compliance

Education

CPC/COC/COCOG certification

CCS/CCS-P certification

Job description

Dear Candidate,

We have job opening for E/M Coders.

JOB DESCRIPTION :

Speciality EM OP with Multi-Specialty (Family practice / Obstetrics & Gynecology)

DEPARTMENT: Coding

REPORTS TO: Coding Operations Lead

POSITION OVERVIEW

We are seeking a detail-oriented, highly analytical Multi-Specialty Medical Coder to oversee coding and charge capture operations for our Ob/Gyn and Family Practice specialties.

The ideal candidate brings deep expertise in complex surgical coding (including unlisted procedures and payer-specific unbundling/CCI guidelines), alongside strong skills in clearing high-volume claim backlogs and auditing charge reviews. This position requires strong critical thinking to research payer guidelines and provide clear, clinical-grade feedback and coding rationale to practice management and providers.

KEY RESPONSIBILITIES

Family Practice & Routine Services

Outpatient & Primary Care Coding: Code Evaluation and Management (E/M) office visits, routine injections, preventive care, and minor primary care procedures.

Modifier Application: Correctly assign appropriate modifiers (e.g., Modifiers 25, 59, XE/XS/XP/XU, 79) to separate distinct E/M services from procedures or injections performed on the same date.

Diagnosis Specificity (ICD-10-CM): Review and refine diagnosis codes for maximum clinical specificity (avoiding unspecified codes) and link them appropriately to procedures to ensure medical necessity.

Gynecology (GYN) Specialty & Complex Coding

Surgical & Complex Procedure Coding: Review and code complex operative reports, surgical cases, and in-office procedures (e.g., IUD insertions/removals, iron infusions, minor gynecologic surgeries).

Unlisted Procedure Documentation & Research: Evaluate unlisted surgical codes (58999, 58579, etc.) by auditing EHR operative documentation for medical necessity, comparable CPT benchmark codes, and written rationale required for payer submission.

NCCI & Bundling Compliance: Identify bundled services, mutually exclusive procedures, and component codes using National Correct Coding Initiative (NCCI) edits and payer-specific rules.

Provider Feedback & Rationale: Formulate clear, concise coding feedback—supported by official CPT guidelines, NCCI edits, or commercial payer policies—when a code is bundled, unbillable, or requires alternative coding approaches.

QUALIFICATIONS & REQUIREMENTS

Certifications (Holding Active Certification is an added advantage)

AAPC: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Specialty Coding Certification (COCOG preferred).

AHIMA: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P).