Medical Coding - OP

r1rcm; Dadri; On-site; INR 350,000 - 600,000; Full time

Job summary

R1 RCM India is seeking an experienced Medical Coder to ensure accurate diagnosis and procedure coding using ICD and CPT. The role requires active certifications and strong CPT/ICD knowledge, with attention to regulatory guidelines and payer requirements.

The incumbent will review medical records, resolve documentation gaps, and coordinate with clinical staff to ensure correct sequencing and coding for optimal revenue integrity and compliance.

Qualifications

• Active CPC/CPC-A/CIC/CCS/COC certifications with strong CPT/ICD coding knowledge.
• Experience validating codes and sequencing according to government and payer rules.
• Ability to review medical records, identify documentation gaps, and query providers.

Responsibilities

• Assign codes to diagnoses and procedures using ICD and CPT.
• Follow up with providers on insufficient or unclear documentation.
• Collaborate with clinical staff to clarify documentation.
• Research coding questions in complex or unusual cases.

Skills

CPC/CPC-A/CIC/CCS/COC certification

ICD/CPT coding

Medical coding experience

Job description

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transforming the healthcare industry with our innovative revenue cycle management services. Our goal is to 'make healthcare simpler' and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Job Description

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.

Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.

Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organization’s infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

Responsibilities

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Communicate with other clinical staff regarding documentation.
• Search for information in cases where the coding is complex or unusual.