Senior Medical Coder

Btcnxt; Bengaluru; On-site; INR 450,000 - 650,000; Full time

Job summary

Btcnxt is seeking an experienced Medical Coder with strong expertise in ICD-10-CM, CPT, and HCPCS coding to join its India-based team in Bengaluru. This role supports accurate coding across multiple specialties and collaborates with clinicians and billing teams to ensure compliant documentation and optimal revenue cycle outcomes.

The ideal candidate has 5–8 years of hands-on US healthcare coding experience, proficiency in EHR/EMR and practice management systems, and familiarity with AI-assisted

Qualifications

• Minimum 5–8 years of hands-on professional or facility medical coding experience.
• Proficient in ICD-10-CM, CPT, and HCPCS coding.
• Knowledge of US payer requirements and CMS guidelines.
• Certification such as CPC, CCS, or CCA preferred.
• Experience with chart audits and denial prevention.

Responsibilities

• Review and analyze medical records, clinical documentation, and patient charts to assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy, completeness, and compliance with official coding guidelines and payer requirements.
• Validate documentation to support medical necessity, diagnosis, procedures, and level of service.
• Identify coding discrepancies, missing documentation, and potential compliance issues.
• Perform chart audits and quality checks to maintain high coding accuracy and minimize claim denials.
• Collaborate with physicians, clinical teams, billing teams, and RCM stakeholders to resolve coding and documentation queries.
• Stay updated on changes to ICD-10-CM, CPT, HCPCS, CMS regulations, NCCI edits, and other applicable coding guidelines.
• Support coding education and provide feedback on recurring documentation and coding issues.
• Work with AI-assisted coding and technology-enabled workflows to improve coding efficiency and accuracy.
• Maintain productivity and quality standards while meeting assigned turnaround times.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

US revenue cycle

Attention to detail

Analytical thinking

Communication skills

Education

Bachelor’s degree in Health Information Management

Tools

EHR/EMR systems

Practice management systems

AI-assisted coding platforms

Job description

Bachelor Degree in Computer Science or Information Technology or Information Systems

Responsibilities:

• Review and analyze medical records, clinical documentation, and patient charts to assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy, completeness, and compliance with official coding guidelines and payer requirements.
• Validate documentation to support medical necessity, diagnosis, procedures, and level of service.
• Identify coding discrepancies, missing documentation, and potential compliance issues.
• Perform chart audits and quality checks to maintain high coding accuracy and minimize claim denials.
• Collaborate with physicians, clinical teams, billing teams, and RCM stakeholders to resolve coding and documentation queries.
• Stay updated on changes to ICD-10-CM, CPT, HCPCS, CMS regulations, NCCI edits, and other applicable coding guidelines.
• Support coding education and provide feedback on recurring documentation and coding issues.
• Work with AI-assisted coding and technology-enabled workflows to improve coding efficiency and accuracy.
• Maintain productivity and quality standards while meeting assigned turnaround times.

Technical Skills:

• Bachelor’s degree in Health Information Management, Medical Coding, Life Sciences, or a related field.
• 5–8 years of hands-on experience in professional or facility medical coding, preferably in the US healthcare domain.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• In-depth understanding of US healthcare revenue cycle management and clinical documentation.
• Strong knowledge of CMS guidelines, NCCI edits, medical necessity, and payer-specific coding requirements.
• Relevant certification such as CPC, CCS, CCA, or equivalent is preferred.
• Experience coding across multiple specialties is highly desirable.
• Strong understanding of E/M coding, modifiers, diagnosis sequencing, and procedure coding.
• Experience with chart auditing, coding quality assurance, and denial prevention.
• Ability to interpret complex clinical documentation and translate it into accurate medical codes.
• Strong analytical, critical-thinking, and problem-solving skills.
• Excellent attention to detail and ability to identify subtle coding and documentation discrepancies.
• Strong written and verbal communication skills.
• Ability to work effectively with physicians, coders, QA teams, and other healthcare stakeholders.
• Experience working with EHR, EMR, medical coding, and practice management systems.
• Familiarity with AI-assisted medical coding and automated coding validation platforms is a plus.
• Ability to work independently while meeting productivity, accuracy, and turnaround-time targets.