RCM Coding Specialist

Modernizing Medicine, Inc.; Hyderabad; On-site; INR 800,000 - 1,200,000; Full time

Benefits offered by this job

Complimentary office lunches & dinners

Comprehensive health, accidental, and life insurance plans

Annual wellness allowance

Paid parental leaves

Celebration leave

Company-paid holidays

Job summary

Modernizing Medicine, Inc. is seeking a RCM Coding Specialist in Hyderabad. This role ensures the accuracy and compliance of medical coding while managing denials and providing expert knowledge on Revenue Cycle Management.

The ideal candidate will have 5+ years in Provider RCM, with specialized knowledge in various medical specialties. A Bachelor's or Master's degree in Human Science and relevant certifications are required. The position offers competitive benefits and supports a culture of excellence.

Qualifications

• 5+ years of overall experience in Provider RCM.
• 2+ years of core experience as a QA or SME in a Coding Department.
• Strong coding knowledge in Gastroenterology, Orthopedics, Ophthalmology, Dermatology, and Podiatry.

Responsibilities

• Audit coding performed by Global Partners and provide timely feedback.
• Review and resolve coding denials from payers.
• Act as primary point of contact for coding questions for the team.
• Analyze denial data to recommend preventive measures.
• Assist in production coding for various client specialties.

Skills

Excellent written and verbal English communication skills

Strong analytical skills with proficiency in MS Excel

Expert-level knowledge in CPT and ICD codes

Ability to work independently and collaborate effectively

Education

Bachelor’s or Master’s degree in Human Science

CPC (AAPC) or CCS (AHIMA) certification

Tools

MS Excel

Job description

## RCM Coding SpecialistApplyremote type: Onsitelocations: Hyderabad, Indiatime type: Full timeposted on: Posted 2 Days Agojob requisition id: R4140**Join the Team Modernizing Medicine**At **ModMed**, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: **we hired doctors and taught them how to code.** This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.**A Culture of Excellence**When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:* **Consistently ranked as a Top Place to Work*** **2025 Globee Business Awards:** Gold Globee for “Technology Team of the Year”* **2025 Black Book Awards:** Ranked #1 EHR in 11 Specialties* **Florida Venture Forum:** Venture-Backed Company of the YearWe are growing fast, thinking big, and we are just getting started.**Ready to modernize medicine with us?****Job Description Summary:**## **RCM Coding Specialist****Location:** Hyderabad**Reports to:** Sr. Manager, MMI (Administrative) | Manager, Medical## ## **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 You’ll Do*** **Quality Assurance & Auditing (25%):** Audit coding performed by Global Partners and provide timely feedback to resolve denied claims quickly.* **Denial Management (20%):** Review and resolve coding denials from payers, ensuring accurate resubmission and revenue recovery.* **Subject Matter Expertise (20%):** Act as the primary point of contact for coding questions and clarifications for the MMI team.* **Trend Analysis (15%):** 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 (10%):** Analyze denial data to recommend preventive measures, such as scrub edits, provider training, and internal action plans.* **Continuous Learning (5%):** Stay current with Payer Guidelines and participate in ongoing coding educational opportunities and webinars.* **Production Support (5%):** Assist in production coding for various client specialties and scopes as needed.## ## **What You Bring*** **Education & Certification:** \* Bachelor’s or Master’s degree in Human Science (Anatomy background), B.Sc, M.Sc, or B.Pharma.* **CPC (AAPC)** or **CCS (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.* **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.## ## **Why Join ModMed?**You will be an integral part of a team that empowers medical practices to thrive. By ensuring coding accuracy, you directly contribute to our goal of saving time for doctors and improving the healthcare experience for patients.*ModMed is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.****ModMed Benefits Highlight:*** At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:* Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,* Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,* Allowances: Annual wellness allowance to support your well-being and productivity,* Earned, casual, and sick leaves to maintain a healthy work-life balance,* Bereavement leave for difficult times and extended medical leave options,* Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,* Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.