Modmed India hiring drive For RCM Coding specialist - Hyd location

ModMed Technologies India Private Limited; Hyderabad; Sur place; INR 500 000 - 900 000; Plein temps

Résumé du poste

ModMed Technologies India Private Limited in Hyderabad is hiring an RCM Coding Specialist to ensure accurate, compliant coding across the revenue cycle. You will act as SME, bridge between global partners and US teams, and help reduce denials.

The role requires CPC/CCS/COC certification or equivalent, 5+ years in provider RCM, and strong proficiency in CPT/ICD coding with modifiers. Office-based role with 10:00–19:00 shifts, weekends off.

Qualifications

• Bachelor/Master degree in Human Science or related field.
• CPC (AAPC) or CCS/COC (AHIMA) certification is highly preferred.

Responsabilités

• Quality Assurance & Auditing: Audit coding performed by global partners and provide timely feedback to resolve denied claims quickly.
• Denial Management: Review and resolve coding denials to ensure accurate resubmission and revenue recovery.
• Subject Matter Expertise: Act as primary contact for coding questions and clarifications for the MMI team.
• Trend Analysis: Review claims to identify coding issue trends; collaborate with clients for education/intervention.
• Preventive Strategy: Analyze denials to suggest scrub edits, provider training, and internal action plans.
• Continuous Learning: Stay updated with payer guidelines and participate in ongoing coding education.

Connaissances

English communication

MS Excel

Formation

Bachelor/Master in Human Science or related field

CPC (AAPC) or CCS/COC (AHIMA) certification

Description du poste

MODMED India Hiring Drive RCM Medical Coding Specialist

Location: Hyderabad

Hiring Drive Date: Saturday, 14th November 2026

MODMED India is conducting a hiring drive for RCM Medical Coding Specialist roles in Hyderabad.

Interview Process

1. Coding Assessment – Offline
2. Candidates who successfully qualify in the assessment will be invited for a Face-to-Face interview on 14th November 2026.

Please feel free to share this opportunity with suitable candidates in your network.

Job role - RCM Coding Specialist

Location: Hyderabad

Reports to: Manager, Medical Coding

Mode of Work - Work from Office

Shift timings - 10:00AM to 7:00PM

Saturday and Sunday - Fixed off

Who We Are

At ModMed, we are on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical-practice success and improves patient outcomes.

We live by our core values:

• Create Customer Delight and Save Time.
• Innovate Boldly, then make things happen.
• Align Passion with Purpose.
• Think Big. Have Fun. Do Good.

The Role

The RCM Coding Specialist is a vital new role designed to make our team self-sufficient across the entire Revenue Cycle Management (RCM) cycle. This position serves as a Subject Matter Expert (SME), ensuring that medical coding is accurate, compliant, and optimized to reduce denials. You will bridge the gap between our global partners and US-based teams, providing the technical expertise necessary to improve patient outcomes and practice success.

What Youll Do

• Quality Assurance & Auditing : Audit coding performed by Global Partners and provide timely feedback to resolve denied claims quickly.
• Denial Management : Review and resolve coding denials from payers, ensuring accurate resubmission and revenue recovery.
• Subject Matter Expertise : Act as the primary point of contact for coding questions and clarifications for the MMI team.
• Trend Analysis : Review claims assigned to practices due to coding issues to identify trends; collaborate with Client Advisors (CAs) when practice education or intervention is needed.
• Preventive Strategy : Analyze denial data to recommend preventive measures, such as scrub edits, provider training, and internal action plans.
• Continuous Learning : Stay current with Payer Guidelines and participate in ongoing coding educational opportunities and webinars.
• Production Support : Assist in production coding for various client specialties and scopes as needed.

What You Bring

• Education & Certification: * Bachelors or Masters degree in Human Science (Anatomy background), B.Sc, M.Sc, or B.Pharma.but graduation mandatory.
• CPC (AAPC) or CCS or COC (AHIMA) certification is highly preferred.
• Experience: * At least 5 years of overall experience in Provider RCM.
• A minimum of 2 years of core experience as a QA or SME within a Coding Department.
• Require clear relieving letters from previous organisations
• Specialized Knowledge: * Expert-level knowledge in supplying, auditing, and analyzing CPT and ICD codes with appropriate modifiers.
• Proven ability to resolve coding-related denials and a deep understanding of payer guidelines.
• Strong coding knowledge in specialties including Gastroenterology, Orthopedics, Ophthalmology, Dermatology, and Podiatry.
• Skills: * Excellent written and verbal English communication skills.
• Ability to work independently and collaborate effectively across multiple countries.
• Strong analytical skills with proficiency in MS Excel for reporting and trend analysis.