RCM Coding Specialist

ModMed; Hyderabad; On-site; INR 800,000 - 1,400,000; Full time

Benefits offered by this job

Meals & Snacks

Health & life insurance

Wellness allowance

Leave benefits

Parental leave

Celebration leave

Company holidays

Job summary

ModMed Hyderabad is seeking a seasoned RCM Coding Specialist to ensure accurate and compliant medical coding across the revenue cycle. You will act as a SME, bridging gaps between Global Partners and US-based teams to minimize denials and optimize patient outcomes.

The role emphasizes auditing, denial resolution, trend analysis, and preventive strategies, with strong Excel reporting skills and documentation discipline. Location: Hyderabad, India; remote work not indicated.

Qualifications

• 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.

Responsibilities

• Quality Assurance & Auditing of coding by Global Partners; provide timely feedback to resolve denied claims.
• Denial Management: review and resolve coding denials from payers; ensure accurate resubmission and revenue recovery.
• Subject Matter Expert: primary contact for coding questions for the MMI team.
• Trend Analysis: review claims to identify trends; collaborate with Client Advisors when education/intervention is needed.
• Preventive Strategy: analyze denial data and recommend scrub edits and provider training.
• Continuous Learning: stay current with payer guidelines and participate in coding education/webinars.
• Production Support: assist in production coding for client specialties and scopes as needed.

Skills

English communication

Analytical skills

MS Excel

Independent working

Education

Bachelor’s/Master in Human Science (Anatomy)

B.Sc/M.Sc/B.Pharma

CPC (AAPC) or CCS (AHIMA)

Tools

MS Excel

Job description

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 Year

Job Description Summary

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.

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.

ModMed Benefits Highlight

• 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.

It takes more than just a great product to modernize medicine. It takes a great team. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. The work we do makes a difference. Our web and mobile applications are transforming healthcare information technology to increase practice efficiency and improve patient outcomes. Our innovative and collaborative culture fuels our growth and creates rewarding and empowering experiences for our team.