Medical Coder

Best Course News; Mumbai; On-site; INR 319,500 - 390,500; Full time

Job summary

A leading HealthTech and InsurTech company is seeking a Medical Coder for insurance claims in Mumbai. This entry-level position welcomes fresh graduates with qualifications such as BHMS, BAMS, BDS, or BPT. Key responsibilities include analyzing medical records, ensuring accurate coding, and coordinating with internal teams on billing queries. Ideal candidates have strong communication skills and attention to detail. Competitive salary offered.

Qualifications

• Strong understanding of medical terminology and clinical documentation.
• Basic knowledge of ICD coding and medical billing processes.
• Ability to work in rotational shifts and meet claim processing timeline.

Responsibilities

• Review and analyze medical records and insurance claims to ensure accurate coding and claim assessment.
• Interpret ICD coding and verify diagnosis and treatment documentation.
• Scrutinize claims in accordance with insurance policy terms and conditions.
• Evaluate co-payment details, room rent eligibility, and non-medical expenses.
• Coordinate with internal teams for high-value billing queries.

Skills

Medical terminology

ICD coding

Analytical skills

Attention to detail

Communication skills

Education

BHMS / BAMS / BDS / BPT

Job description

#### Medical Coder##### Medi Assist Insurance TPA Pvt. Ltd* Bengaluru#### Description\*Job Title : Medical Coder – Insurance Claims\*\*Company\* : Medi Assist Insurance TPA Pvt. Ltd.\*Experience\* : Freshers / Entry Level\*Qualification\* : BHMS / BAMS / BDS / BPT\*Job Locations\* : Bengaluru, Mumbai, Noida\*CTC\* : ₹3.55 LPA\*About the Company\*Medi Assist Insurance TPA Pvt. Ltd. is one of India’s leading HealthTech and InsurTech organizations providing Third Party Administration (TPA) services to insurance companies. The company acts as an intermediary between insurers, policyholders, and healthcare providers, managing health benefits and claims administration efficiently.With a network of 18,000+ hospitals across 1,069 cities and towns in 31 states and union territories, Medi Assist delivers seamless healthcare benefits management for employers, retail policyholders, and government health schemes through its subsidiaries Medi Assist TPA and Raksha TPA.\*Key Responsibilities\*\* Review and analyze medical records and insurance claims to ensure accurate coding and claim assessment.\* Interpret ICD coding and verify diagnosis and treatment documentation.\* Scrutinize claims in accordance with insurance policy terms and conditions.\* Evaluate co-payment details, room rent eligibility, non-medical expenses, and tariff capping.\* Differentiate between open billing and package billing structures.\* Understand and process Pre-Authorization (PA) and Reimbursement (RI) claims as per guidelines.\* Verify required documents for claim processing and raise Information Requests (IR) in case of missing or insufficient documentation.\* Coordinate with internal teams such as the LCM team for high-value billing queries and provider teams for tariff-related issues.\* Approve or recommend denial of claims within the defined Turnaround Time (TAT) as per policy guidelines.\* Handle escalations and respond to claim-related queries through internal communication channels.\*Required Skills & Competencies\*\* Strong understanding of medical terminology and clinical documentation\* Basic knowledge of ICD coding and medical billing processes\* Analytical and decision-making skills\* Attention to detail in reviewing medical and insurance documents\* Good communication and email etiquette\* Ability to work in rotational shifts and meet claim processing timelineRegards,Placement TeamHenry Harvin Education#### Role and Responsibilities* \* Review and analyze medical records and insurance claims to ensure accurate coding and claim assessment. \* Interpret ICD coding and verify diagnosis and treatment documentation. \* Scrutinize claims in accordance with insurance policy terms and conditions. \* Evaluate co-payment details, room rent eligibility, non-medical expenses, and tariff capping. \* Differentiate between open billing and package billing structures. \* Understand and process Pre-Authorization (PA) and Reimbursement (RI) claims as per guidelines. \* Verify required documents for claim processing and raise Information Requests (IR) in case of missing or insufficient documentation. \* Coordinate with internal teams such as the LCM team for high-value billing queries and provider teams for tariff-related issues. \* Approve or recommend denial of claims within the defined Turnaround Time (TAT) as per policy guidelines. \* Handle escalations and respond to claim-related queries through internal communication channels.| Designation | : | Medical Coder || Work experience | : | 0–1 |### Skills: