MULTI-SPECIALTY MEDICAL CODER

OptiClaim; India; On-site; INR 600,000 - 900,000; Full time

Job summary

OptiClaim is seeking a Multi-Specialty Medical Coder to join our clinical coding team. You will assign ICD-10-CM, CPT, HCPCS codes across outpatient specialties, perform denial analysis, and support revenue integrity initiatives in a fast-paced environment.

You should have at least 2 years of outpatient coding experience, CPC/CCS/COC or equivalent, and strong Excel skills to develop reports and dashboards for performance metrics and audits.

Qualifications

• Certification: CPC, CCS, COC, or equivalent coding credential preferred.
• Minimum 2+ years of medical coding experience in outpatient and/or professional fee coding.
• Experience handling outpatient denials and payer-specific requirements.
• Strong Microsoft Excel skills required.
• Experience with EHR systems, practice management systems, and coding software.

Responsibilities

• Accurately assign ICD-10-CM, CPT, HCPCS, and modifier codes for professional and outpatient services across multiple specialties.
• Review and code encounters for ED, PCP, Orthopedics, Pain Management, Neurology, Neurosurgery, Interventional Radiology (IR), and Surgical specialties.
• Analyze and resolve outpatient coding denials, underpayments, and payer rejections.
• Ensure compliance with CMS guidelines, NCCI edits, LCD/NCD policies, and payer-specific requirements.
• Perform coding audits and support documentation improvement initiatives.
• Develop productivity, denial, and operational reports using Microsoft Excel.

Skills

ICD-10-CM

CPT

HCPCS

Modifier coding

Excel

Analytical thinking

Communication

Education

CPC/CCS/COC or equivalent credential

Tools

EHR systems

Practice management systems

Coding software

Job description

MULTI-SPECIALTY MEDICAL CODER

Job description OptiClaim Business Solutions is a leading provider of healthcare reimbursement and medical coding services. We are committed to excellence in our field, ensuring accurate, efficient, and compliant billing practices. Join our dynamic team of professionals and contribute to our mission of delivering top-notch coding solutions to our clients.

Role Overview

As a Multi-Specialty Medical Coder, you will play a critical role in ensuring coding accuracy, denial prevention, compliance, and revenue optimization across multiple outpatient specialties. The ideal candidate will possess expertise in specialty coding, denial analysis and resolution, and strong Microsoft Excel skills to support reporting, auditing, productivity tracking, and operational analytics.

Key Responsibilities

• Accurately assign ICD-10-CM, CPT, HCPCS, and modifier codes for professional and outpatient services across multiple specialties.
• Review and code encounters for ED, PCP, Orthopedics, Pain Management, Neurology, Neurosurgery, Interventional Radiology (IR), and Surgical specialties.
• Analyze and resolve outpatient coding denials, underpayments, and payer rejections.
• Ensure compliance with CMS guidelines, NCCI edits, LCD/NCD policies, and payer-specific requirements.
• Perform coding audits and support documentation improvement initiatives.
• Develop productivity, denial, and operational reports using Microsoft Excel.

Essential Skills & Competencies

• ICD-10-CM, CPT, HCPCS, and modifier expertise.
• Strong knowledge of outpatient professional coding and denial management.
• Knowledge of Medicare guidelines, NCCI edits, and payer policies.
• Strong analytical, communication, and problem-solving skills.

Must-Have Expertise in the Following Areas

• PCP (Primary Care)
• Orthopedics
• Pain Management
• Neurology
• Neurosurgery
• Interventional Radiology (IR)
• Surgical Coding
• E/M Coding
• Outpatient Denials and Appeals

Advanced Microsoft Excel Skills

• Pivot Tables and Pivot Charts
• VLOOKUP, HLOOKUP, XLOOKUP
• INDEX/MATCH
• IF, SUMIFS, COUNTIFS, AVERAGEIFS
• Conditional Formatting
• Data Validation
• Dashboard Creation and KPI Reporting
• Large Dataset Analysis and Reconciliation

Qualifications

• Certification: CPC, CCS, COC, or equivalent coding credential preferred.
• Minimum 2+ years of medical coding experience in outpatient and/or professional fee coding.
• Experience handling outpatient denials and payer-specific requirements.
• Strong Microsoft Excel skills required.
• Experience with EHR systems, practice management systems, and coding software.

Be part of the OptiClaim difference. Your expertise powers better healthcare outcomes.