Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

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: ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment

Coder – Profee Multispecialty Denial

Job ID: 39007
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 healthcare operations organization is hiring an experienced Coder – Profee Multispecialty Denial to join its medical coding team in India. This role is ideal for professionals with expertise in professional fee coding, denial management, multispecialty medical coding, healthcare claims review, ICD-10-CM, CPT, and HCPCS coding systems.

The selected candidate will be responsible for reviewing patient clinical documentation, accurately assigning standardized medical codes, supporting denial resolution workflows, and ensuring compliance with quality, productivity, and turnaround time expectations.

This opportunity is well-suited for healthcare coding professionals looking to grow in medical coding, healthcare reimbursement, revenue cycle management, denial analysis, and clinical documentation review.

Key Responsibilities

  • Accurately assign diagnosis and procedural codes using ICD-10-CM, CPT, and HCPCS coding classification systems.
  • Perform professional fee (Profee) multispecialty denial coding based on payer guidelines, client requirements, and healthcare coding compliance standards.
  • Review denied healthcare claims and identify coding-related issues impacting reimbursement.
  • Process assigned daily coding volumes within defined turnaround times.
  • Review case allocations assigned by Team Leads and maintain productivity benchmarks.
  • Interpret patient medical records across multiple specialties with accuracy and compliance.
  • Maintain consistent monthly coding quality performance with 95% or higher accuracy.
  • Collaborate with Team Leads, Quality Analysts, and coding teams for performance reviews, audits, and workflow improvements.
  • Participate in weekly QA sessions, team meetings, and coding feedback discussions.
  • Work efficiently both independently and in a collaborative healthcare operations environment.
  • Ensure compliance with organizational information security, patient confidentiality, and data protection policies.
  • Report information security incidents and compliance concerns through designated channels.

Required Qualifications

  • Bachelor’s or Master’s degree in Life Sciences, Paramedical Sciences, Healthcare, or related medical disciplines
  • 1 to 2 years of professional experience in medical coding
  • Strong expertise in:
    • ICD-10-CM coding
    • CPT coding standards
    • HCPCS coding
    • Multispecialty denial coding
    • Professional fee (Profee) coding
    • Emergency department coding
    • Radiology coding exposure
  • Strong analytical skills for reviewing denied claims and coding discrepancies
  • Excellent interpersonal, communication, and organizational skills
  • Ability to work efficiently with speed, precision, and attention to detail
  • Strong documentation review and problem-solving capabilities

Preferred Skills

Candidates with the following qualifications will be preferred:

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