Senior Software Engineer

Billient; Bengaluru; On-site; INR 600,000 - 1,000,000; Full time

Job summary

Billient is seeking a senior medical coder who will analyze medical records to assign ICD-10-CM, CPT, and HCPCS codes. The role requires ensuring accuracy, compliance, and proper documentation to support medical necessity and service levels.

Qualified candidates will have a bachelor’s degree in Health Information Management or Medical Coding, 5–8 years’ experience in US healthcare, and certification such as CPC, CCS or CCA is preferred.

Qualifications

• Bachelor’s degree in Health Information Management, Medical Coding or related field.
• 5–8 years hands-on medical coding experience in US healthcare.
• Strong knowledge of ICD-10-CM, CPT and HCPCS coding systems.
• Understanding of CMS guidelines, NCCI edits and payer requirements.
• Certification such as CPC, CCS, CCA preferred.

Responsibilities

• Review and analyze medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with coding guidelines and payer rules.
• Validate documentation to support medical necessity and level of service.
• Identify discrepancies and potential compliance issues.
• Perform chart audits and quality checks to minimize denials.
• Collaborate with physicians and billing teams on queries and documentation.
• Stay updated on ICD-10-CM, CPT, HCPCS and CMS guidelines.
• Support coding education and feedback on documentation issues.
• Work with AI-assisted coding workflows to improve accuracy and efficiency.

Skills

ICD-10-CM CPT HCPCS knowledge

Analytical thinking

Attention to detail

Communication skills

US healthcare domain knowledge

Education

Bachelor’s degree in Health Information Management or Medical Coding

Tools

EHR/EMR systems

Practice management systems

AI-assisted coding platforms

Job description

• 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."