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Coder – Profee Multispecialty Denial

Guidehouse
Guidehouse
1-2 years
preferred by company
PAN-India, India
1 May 12, 2026
Job Description
Job Type: Full Time Education: M.Pharm/B.Pharm or M.Sc. Skills: ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology

Coder – Profee Multispecialty Denial

Job ID: 39079
Job Category: Medical Coding / Healthcare Operations
Department: Coding Operations (India)
Location: India
Travel Requirement: None
Security Clearance: Not Required
Experience Required: 1–2 Years (Freshers Not Eligible)
Employment Type: Full-Time

About the Role

A leading global healthcare consulting and services organization is hiring a Coder – Profee Multispecialty Denial to support its medical coding and revenue cycle operations team in India. This opportunity is ideal for experienced healthcare coders with expertise in professional fee coding, denial management, multispecialty medical coding, ICD-10-CM, CPT, and HCPCS coding systems.

The selected candidate will be responsible for reviewing clinical documentation, accurately assigning medical codes, supporting denial resolution workflows, and ensuring coding compliance, productivity, and quality standards are consistently achieved.

This role offers excellent career growth for professionals seeking advancement in medical coding, healthcare claims management, denial analysis, and revenue cycle optimization.

Key Responsibilities

  • Accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS coding systems.
  • Perform coding for professional fee (Profee) multispecialty denial cases in accordance with payer guidelines, coding standards, and client-specific protocols.
  • Review denied healthcare claims and identify coding-related correction opportunities.
  • Ensure daily coding assignments are completed within designated turnaround time requirements.
  • Process workloads assigned by team leadership while maintaining coding accuracy and productivity targets.
  • Interpret patient medical records across multiple specialties with precision and compliance.
  • Maintain operational quality standards with 95%+ coding accuracy on a consistent monthly basis.
  • Collaborate with Team Leads, Quality Analysts, and coding teams for feedback, audits, and continuous quality improvement.
  • Participate in weekly QA reviews, workflow discussions, and performance meetings.
  • Work independently while contributing effectively in a collaborative healthcare operations environment.
  • Maintain confidentiality, data integrity, and compliance with organizational information security policies.
  • Report any data security or compliance incidents to the appropriate internal teams.

Required Qualifications

  • Bachelor’s or Master’s degree in Life Sciences, Paramedical Sciences, Healthcare, or related medical disciplines
  • 1 to 2 years of hands-on medical coding experience
  • Strong knowledge of:
    • ICD-10-CM coding
    • CPT coding guidelines
    • HCPCS coding systems
    • Multispecialty professional fee coding
    • Denial coding workflows
    • Emergency department coding
    • Radiology coding exposure
  • Strong analytical ability to review denied claims and identify coding discrepancies
  • Excellent communication, listening, and interpersonal skills
  • Strong organizational and documentation review capabilities
  • Ability to maintain speed, productivity, and accuracy in a high-volume coding environment

Preferred Skills

Candidates with the following experience will be preferred:

  • Proficiency in Microsoft Excel and MS Office
  • Experience with medical coding tools such as:
    • 3M Encoder
    • TruCode
    • Optum Encoder
  • Familiarity with EHR / EMR platforms, including:
    • EPIC
    • Cerner
  • Experience across multiple coding specialties such as:
    • Emergency Department (ED)
    • Outpatient E/M
    • Inpatient coding
    • Multispecialty denial management