Medical Coder (Junior Payment Integrity)

Angel and Genie; Bengaluru; On-site; INR 600,000 - 1,200,000; Full time

Benefits offered by this job

Health insurance for Family

Best-in-class compensation

Friendly and Flexible Leave Policy

Certification and Course Reimbursement

Medical Coding CEUs and Membership Re—

Job summary

Angel and Genie in Bengaluru, India focuses on developing clinical content, payment integrity rules, and code edit solutions. The Clinical Content Specialist translates clinical guidelines and payer policies into business logic and automated rules for claims validation.

Freshers with a strong foundation in Pharmacy/clinical concepts are welcome; a research mindset is valued. The role is office-based in Bengaluru with opportunities for growth, training reimbursements, and health benefits.

Qualifications

• Freshers with a strong foundation in Pharmacy/Clinical concepts and a research mindset.
• Ability to translate clinical guidelines into logical rules and business logic.
• Excellent communication and interpretation skills with attention to detail.
• Willingness to learn new products and tools.
• Experience in research work, thesis, or complex case analysis.

Responsibilities

• Develop and maintain payment integrity rules, edits, and policies.
• Translate Healthcare Payer guidelines → business rules.
• Build code edit solutions to detect incorrect payments.
• Assist with testing configured rules and validating results.

Skills

Analytical thinking

Interpretation skills

Communication skills

Willingness to learn

Office-based work

Education

MBBS / Medical Degree

Nursing (BSc / MSc)

Pharmacist Degree

Life Science degree

Job description

This role focuses on developing clinical content, payment integrity rules, and code edit solutions. The Clinical Content Specialist will translate clinical guidelines and payer policies into business logic, algorithms, and rule frameworks for automated claims validation.

Key Responsibilities:

• Develop and maintain payment integrity rules, edits, and policies
• Translate Healthcare Payer guidelines → business rules
• Build code edit solutions to detect incorrect payments
• Conduct research on medical policies and reimbursement methodologies

Requirements:

• Passionate about working in the clinical domain, with a focus on learning and growth
• Strong foundation in clinical concepts, Ability to convert clinical guidelines into logical rules
• Demonstrated experience in research work, college thesis, or complex case study analysis
• Strong research mindset with the ability to interpret clinical and medical literature
• Excellent communication, articulation, and interpretation skills
• Ability to translate complex clinical information into clear and structured insights
• Sound clinical knowledge with attention to detail and accuracy
• Support the configuration of payment integrity rules/solutions based on business requirements.
• Assist with testing configured rules and validating results to ensure expected outcomes.

Qualifications

Education & Certification (one of the following required):

• Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc)
• Nursing: Bachelor/Master of Science in Nursing
• Pharmacist Degree (B.Pharm, M.Pharm or PharmD)
• Life Science -Bachelor/Master

Certification Requirements:

• Must hold any of the following certifications: CPC, CPMA, COC, CIC, CPC-P, CCS or any specialty certifications from AHIMA or AAPC.

Experience:

Freshers with a strong foundation in Pharmacy/Clinical concepts and a research mindset can be considered.

Key Skills:

• Strong analytical & interpretation skills
• Excellent Interpretation and articulation skills
• Strong analytical, critical thinking, and problem-solving skills
• Willingness to learn new products and tools
• Mode: Work from Office
• Best-in-class compensation
• Health insurance for Family
• Friendly and Flexible Leave Policy
• Certification and Course Reimbursement
• Medical Coding CEUs and Membership Renewals