Senior Process Associate

Knack RCM; Mohali; On-site; INR 350,000 - 550,000; Full time

Job summary

Knack RCM in Mohali, India seeks an experienced Medical Coder specialized in E/M coding to join our Healthcare Revenue Cycle Management team. The role involves reviewing physician documentation and assigning ICD-10-CM, CPT, and HCPCS codes, ensuring compliance with coding guidelines and payer requirements.

The ideal candidate has 1–5 years of Medical Coding experience with hands-on E/M coding, strong knowledge of medical terminology, anatomy, physiology, and regulatory standards.

Qualifications

• Graduate in any discipline.
• Preferred background: Life Sciences, Pharmacy, Nursing, Biotechnology, or Allied Health Sciences.
• CPC, CCS, COC, CIC or equivalent coding certification preferred.
• 1–5 years of Medical Coding experience with hands-on E/M coding required.

Responsibilities

• Review and analyze physician documentation to assign accurate medical codes.
• Apply ICD-10-CM, CPT and HCPCS codes based on clinical documentation.
• Perform E/M coding for office visits, hospital visits, consultations, and other physician services.
• Ensure coding accuracy while maintaining productivity and quality standards.
• Adhere to coding compliance guidelines and payer requirements.
• Identify documentation deficiencies and seek clarifications when necessary.

Skills

E/M Coding

ICD-10-CM

CPT Coding

HCPCS Coding

Medical Terminology

Anatomy & Physiology

Documentation Review

Healthcare Compliance

Attention to Detail

Time Management

Education

Graduate degree

Life Sciences background

Pharmacy background

Nursing background

Biotechnology background

Allied Health Sciences background

CPC Certification

CCS Certification

COC Certification

CIC Certification

Job description

TITLE: Medical Coder – E/M Coding (Experienced)

Location: Mohali

Experience: 1–5 Years

POSITION SUMMARY

We are seeking skilled and detail-oriented Medical Coders with E/M (Evaluation & Management) coding experience to join our growing Healthcare Revenue Cycle Management team. The ideal candidate will be responsible for accurately reviewing physician documentation, assigning appropriate ICD-10-CM, CPT, and HCPCS codes, and ensuring compliance with coding guidelines and payer requirements.

The role requires strong knowledge of E/M coding principles, medical terminology, anatomy, physiology, and healthcare compliance standards.

KEY RESPONSIBILITIES

Medical Coding

• Review and analyze physician documentation to assign accurate medical codes.
• Apply appropriate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
• Perform Evaluation & Management (E/M) coding for office visits, hospital visits, consultations, and other physician services.
• Ensure coding accuracy while maintaining productivity and quality standards.
• Adhere to coding compliance guidelines and payer-specific requirements.
• Identify documentation deficiencies and communicate clarification requirements when necessary.

Coding Quality & Compliance

• Ensure compliance with CMS, AMA, ICD-10, CPT, and payer-specific coding guidelines.
• Maintain high coding quality and accuracy levels.
• Participate in coding audits and quality review programs.
• Implement feedback received from quality and audit teams.
• Stay updated on coding guideline changes and regulatory updates.

Documentation Review

• Review medical records to ensure completeness and coding accuracy.
• Interpret clinical documentation and translate diagnoses and procedures into standardized codes.
• Validate medical necessity and documentation requirements.
• Support providers with coding-related queries and documentation improvement opportunities.

Productivity & Performance

• Meet daily productivity and quality targets.
• Ensure timely completion of coding assignments.
• Maintain turnaround times as per client requirements.
• Contribute to process improvement and quality enhancement initiatives.

EDUCATIONAL QUALIFICATIONS

• Graduate in any discipline
• Preferred:
  • Life Sciences
  • Pharmacy
  • Nursing
  • Biotechnology
  • Allied Health Sciences
• CPC, CCS, COC, CIC, or equivalent coding certification preferred.

DESIRED CANDIDATE PROFILE

• 1–5 years of experience in Medical Coding.
• Hands-on experience in Evaluation & Management (E/M) Coding is mandatory.
• Strong knowledge of:
  • ICD-10-CM
  • CPT Coding
  • HCPCS
  • E/M Coding Guidelines
  • Medical Terminology
  • Anatomy & Physiology
  • Physician Documentation Review
  • Healthcare Compliance Standards
• Experience in Physician Coding will be preferred.
• Good understanding of CMS and payer-specific coding guidelines.
• Strong analytical and attention-to-detail skills.
• Excellent communication and comprehension abilities.
• Ability to work efficiently in a quality-driven environment.

KEY COMPETENCIES

• E/M Coding
• ICD-10-CM Coding
• CPT & HCPCS Coding
• Medical Record Review
• Coding Compliance
• Documentation Analysis
• Medical Terminology
• Attention to Detail
• Quality Assurance
• Time Management
• Problem Solving
• Healthcare Revenue Cycle Knowledge