Medical coder Fresher

Hilightsurgicalequipments; Chennai, Tiruchirappalli, Coimbatore District; On-site; INR 350,000 - 550,000; Full time

Job summary

Hilightsurgicalequipments in Chennai is seeking a Medical Coding Specialist to review complex healthcare claims and patient records, ensure compliance, and prevent fraudulent billing. The role requires graduates in medical/healthcare fields and supports adherence to CPT, ICD-10, and guidelines.

The ideal candidate will perform claims audits, align coding with documentation, and ensure adherence to client policies and US healthcare regulations.

Qualifications

• Role targets medical and healthcare graduates.
• Eligible degrees include BHMS, BAMS, BUMS, BPT, MPT, M.Pharm, B.Sc Nursing and BDS.

Responsibilities

• Review complex healthcare claims and patient records to identify discrepancies, subrogation issues, or payables.
• Prevent reimbursement of non-compliant, fraudulent, or abusive billing practices using clinical judgment.
• Cross-reference clinical documentation against CPT, ICD-10 diagnosis codes, and CMC guidelines.
• Ensure that processed claims adhere to client policies and US state/federal healthcare compliance guidelines.

Skills

Medical coding

Claims audit

Fraud prevention

Education

BHMS

BAMS

BUMS

BPT

MPT

M.Pharm

B.Sc Nursing

BDS

Job description

Role & responsibilities

Hiring for Medical coding

Core Responsibilities

• * Claims Audit & Investigation: Review complex healthcare claims and patient medical records to identify and resolve discrepancies, subrogation issues, or payables.
• * Fraud Prevention: Prevent the reimbursement of non-compliant, fraudulent, or abusive billing practices using clinical judgment.
• * Coding Alignment: Cross-reference clinical documentation against standard CPT, ICD-10 diagnosis codes, and CMC guidelines.
• * Compliance Adherence: Ensure that all processed claims strictly adhere to specific client policies as well as US state and federal healthcare compliance guidelines.

Preferred candidate profile

Required Qualifications & Skills

• * Educational Background: The role is explicitly targeted toward medical and healthcare graduates. Eligible degrees include BHMS, BAMS, BUMS, BPT, MPT, M.Pharm, B.Sc Nursing, and BDS