Walk-in | Senior Medical Coder

Opx Global; Coimbatore District; On-site; INR 600,000 - 1,200,000; Full time

Job summary

Opx Global is seeking a Senior Medical Coder to review and accurately code complex medical records using ICD-10-CM, CPT, and HCPCS Level II. The role ensures CMS/HIPAA compliance and supports revenue cycle integrity.

The coder will perform quality audits, mentor junior coders, and collaborate with physicians to improve clinical documentation. EHR and payer-policy experience are essential.

Qualifications

• Bachelor's or Master's degree in Life Sciences, Paramedical Sciences, Nursing, Pharmacy, Physiotherapy, Biotechnology, or related healthcare discipline.
• Certified Professional Coder (CPC) from AAPC or equivalent certification from AHIMA; active certification preferred.
• Minimum of 35 years of professional medical coding experience.
• Hands-on experience in inpatient and outpatient E/M coding, surgery coding, multispecialty coding, and denial management.
• Experience with EHR and coding applications (eClinical Works preferred).
• Experience with U.S. coding guidelines, payer policies, and reimbursement methodologies.

Responsibilities

• Review and analyze complex medical records from inpatient, outpatient, emergency, and specialty care settings to assign ICD-10-CM, CPT, and HCPCS Level II codes accurately.
• Ensure coding accuracy and compliance with CMS, HIPAA, NCCI edits, payer-specific guidelines, and organizational policies.
• Collaborate with physicians, nurses, and other healthcare providers to clarify incomplete or conflicting clinical documentation through queries.
• Perform coding quality audits and provide timely feedback to improve accuracy, documentation quality, and compliance.
• Mentor, train, and support junior medical coders on complex coding scenarios and best practices.
• Participate in denial analysis and appeals by identifying coding-related issues and recommending corrective actions.
• Contribute to continuous process improvement related to coding, billing, documentation, and revenue cycle management.
• Stay up to date with ICD-10-CM, CPT, HCPCS Level II, and payer guideline updates.
• Generate coding quality, productivity, and compliance reports; assist management with revenue integrity analytics.
• Support internal and external coding audits and ensure adherence to regulatory and accreditation requirements.

Skills

ICD-10-CM

CPT

HCPCS Level II

Attention to detail

Analytical skills

Communication skills

Excel

Team collaboration

Education

Bachelor's or Master's in Life Sciences

Tools

eClinicalWorks

Job description

Job Title Senior Medical Coder

Job Summary The Senior Medical Coder is responsible for reviewing, analyzing, and accurately coding complex medical records using ICD-10-CM, CPT, and HCPCS Level II coding systems. This role ensures compliance with federal regulations, payer guidelines, and organizational policies while supporting revenue cycle integrity. The Senior Medical Coder also conducts coding quality reviews, mentors junior coders, collaborates with healthcare providers to improve clinical documentation, and contributes to continuous process improvement initiatives.

Key Responsibilities

Review and analyze complex medical records from inpatient, outpatient, emergency, and specialty care settings to ensure accurate code assignment. Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes based on clinical documentation and established coding guidelines. Ensure coding accuracy and compliance with CMS, HIPAA, NCCI edits, payer-specific guidelines, and organizational policies. Collaborate with physicians, nurses, and other healthcare providers to clarify incomplete or conflicting clinical documentation through appropriate queries. Perform coding quality audits and provide timely feedback to improve coding accuracy, documentation quality, and compliance. Mentor, train, and support junior medical coders by providing guidance on complex coding scenarios and industry best practices. Participate in denial analysis and appeals by identifying coding-related issues and recommending corrective actions. Contribute to continuous process improvement initiatives related to coding, billing, documentation, and revenue cycle management. Stay up to date with annual ICD-10-CM, CPT, HCPCS Level II, and payer guideline updates. Generate coding quality, productivity, and compliance reports and assist management with revenue integrity analytics. Support internal and external coding audits and ensure adherence to regulatory and accreditation requirements.

Qualifications

Education Bachelor's or Master's degree in Life Sciences, Paramedical Sciences, Nursing, Pharmacy, Physiotherapy, Biotechnology, or another related healthcare discipline. Certifications Certified Professional Coder (CPC) from AAPC or an equivalent certification from AHIMA Active certification is preferred. Experience Minimum of 35 years of professional medical coding experience. Hands-on experience in inpatient and outpatient Evaluation and Management (E/M) coding, surgery coding, multispecialty coding, and denial management. Experience performing coding quality audits and providing coding guidance. Proficiency in Electronic Health Records (EHR), and coding applications. (e Clinical Works preferred) Experience working with U.S. healthcare coding guidelines, payer policies, and reimbursement methodologies. Skills & Competencies Advanced knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems. Strong understanding of medical terminology, anatomy, physiology, and disease processes. Thorough knowledge of CMS regulations, HIPAA, NCCI edits, and payer-specific coding guidelines. Excellent analytical, problem-solving, and attention-to-detail skills. Strong verbal and written communication skills. Ability to work independently while effectively collaborating with cross-functional teams. Leadership, mentoring, and coaching skills to support junior coders. Proficiency in Microsoft Office applications, particularly Excel, and coding/reporting tools. Strong organizational and time management skills with the ability to meet productivity and quality targets. Commitment to continuous learning and staying current with industry standards and coding updates.