Medical Coder IVR

PYXIDIA TECHLAB; Mumbai; On-site; INR 600,000 - 900,000; Full time

Job summary

PYXIDIA TECHLAB is seeking a Senior Medical Coder specializing in IVR (Interventional Radiology) in Mumbai with additional locations in Hyderabad. The role emphasizes accurate ICD-10-CM, CPT, and HCPCS coding for complex interventional procedures within US healthcare guidelines.

The ideal candidate holds a CPC certification, 2–4 years of IVR/Radiology coding experience, and a strong grasp of vascular anatomy.

Qualifications

• CPC Active certification is mandatory.
• 2–4 years hands-on IVR/Radiology coding experience.
• In-depth understanding of vascular anatomy and complex surgical procedures.
• Experience with US healthcare billing systems; Epic proficiency preferred.

Responsibilities

• Review physician documentation, operative reports and imaging to assign accurate codes for vascular and non-vascular interventional procedures.
• Ensure coding adheres to CMS guidelines, NCCI edits, and payer requirements to maintain high accuracy (95%+).
• Identify discrepancies in documentation and coordinate with providers for clarification.
• Review and resolve coding-related claim denials to minimize revenue loss.
• Navigate EMR/EHR systems (Epic, 3M Encoder) to extract data and post charges.
• Participate in internal/external audits providing documentation and rationale for coded charts.

Skills

CPC Certification

IVR/Radiology coding

Vascular anatomy knowledge

Epic software

3M Encoder

US healthcare billing

Attention to detail

Verbal/written communication

Tools

Epic

3M Encoder

Job description

Job Descrip on: Senior Medical Coder – IVR (Interven onal Radiology)

Loca ons: Mumbai, Maharashtra | Madhapur, Hyderabad

Certifica on Requirement: CPC (AAPC) – Mandatory

Job Purpose

We are seeking a highly skilled and detail-oriented IVR Coder to join our Revenue Cycle Management team. The successful candidate will be responsible for accurately assigning medical codes (ICD-10-CM, CPT, and HCPCS) to complex Interven onal Radiology procedures, ensuring compliance with US healthcare regula ons and opmizing reimbursement.

Key Responsibili es

• Specialized Coding: Review and analyze physician documenta on, opera ve reports, and imaging findings to assign accurate codes for vascular and non-vascular interven onal procedures.
• Compliance & Accuracy: Ensure all coding strictly adheres to CMS guidelines, NCCI edits, and payer-specific requirements to maintain a high quality-accuracy benchmark, typically 95% or higher.
• Documenta on Clarifica on: Iden fy discrepancies or missing clinical informa on and collaborate with healthcare providers or clinical teams for documenta on improvement.
• Denial Management: Review and resolve coding-related claim denials and rejec ons to minimize revenue loss.
• System U liza on: Efficiently navigate EMR/EHR pla orms such as Epic or 3M Encoder to abstract clinical data and post charges.
• Audit Support: Par cipate in internal and external quality audits, providing necessary documenta on and ra onale for coded charts.

Mandatory Qualifica ons & Skills

• Cer fica on: Ac ve CPC (Cer fied Professional Coder) is mandatory.
• Experience: Minimum of 2–4 years of hands-on experience specifically in IVR/Radiology coding.
• Technical Knowledge: In-depth understanding of vascular anatomy, catheter placements, and complex surgical procedures.
• So ware Proficiency: Experience with US Healthcare billing systems and coding so ware; proficiency in Epic is highly preferred.
• So Skills: Strong analy cal skills, high a en on to detail, and excellent wri en/verbal communica on for provider interac on.
• Skills: cpt,hcpcs,ivr,icd-10-cm,claims management,denials,vascular,us healthcare,epic,cpc,interven onal radiology,radiology