Medical Coder - Denials & RCM (OBGYN, Anesthesia & Surgery)
- Haryana
- Permanent
- Full-time
Location: Gurgaon (Onsite/Hybrid)
Industry: US Healthcare | Revenue Cycle Management (RCM)About the Role
We are hiring an experienced Medical Coder specializing in denials management and revenue cycle optimization for OBGYN, Anesthesia, and Surgery. This role is critical in ensuring accurate coding, reducing denials, and maximizing reimbursements through compliance with payer guidelines and clinical documentation audits.
Key Responsibilities
- Assign CPT, ICD-10-CM, and HCPCS codes accurately for OBGYN, Anesthesia, and Surgery services, ensuring compliance with AAPC/AHIMA standards.
- Analyze coding-related denials, identify trends, and develop action plans to reduce rejections and optimize reimbursements.
- Collaborate with physicians, billing teams, and RCM specialists to clarify documentation and resolve coding discrepancies.
- Conduct clinical documentation audits, identify gaps, and provide feedback to enhance accuracy and ensure compliance with medical necessity guidelines.
- Stay updated with US healthcare regulations, CMS guidelines, and payer policy changes to maintain compliance and efficiency.
- CPC Certification (Mandatory) – AAPC or AHIMA.
- Minimum one year of experience in medical coding, denials management, or revenue cycle operations.
- Strong knowledge of OBGYN, Anesthesia, and Surgery coding and claim denial resolutions.
- Experience with EHR systems, payer policies, and medical coding software.
- Excellent analytical and problem-solving skills for resolving claim denials.
- Strong communication skills for provider interactions and documentation improvement.
- Compliance with HIPAA regulations and data security policies.
- Opportunity to work with a leading US Healthcare RCM organization.
- Competitive salary, benefits, and career growth opportunities.
- Supportive work culture and a continuous learning environment.