Coding Specialist
Requisition ID: 2026-6746
Location: Guindy, Chennai, Tamil Nadu, India
Work Mode: Onsite
Employment Type: Full-Time
Business Unit: Legacy Arcmed
Department: Coding
Shift: Day Shift
Position Summary
The Coding Specialist is responsible for reviewing medical documentation, identifying diagnoses and procedures, and assigning accurate medical codes in accordance with current coding guidelines. The role ensures coding compliance, supports quality assurance activities, and contributes to accurate reimbursement and revenue cycle management.
Key Responsibilities
Medical Coding & Documentation Review
Review medical records and clinical documentation to identify diagnoses and procedures.
Ensure encounters are coded accurately and compliantly.
Apply current coding guidelines and industry standards.
Recognize and communicate documentation deficiencies or inaccuracies.
Coding Assignment
Assign appropriate:
ICD-10-CM diagnosis codes
CPT procedure codes
CPT modifiers
Ensure coding reflects documented services and diagnoses.
Apply CMS, CPT, and company-specific coding guidelines.
Quality Assurance & Auditing
Perform coding quality reviews and audits.
Conduct Provider Quality Assurance (QA) reviews as required.
Perform MIPS (Merit-based Incentive Payment System) reviews.
Document coding discrepancies and errors.
Assist with client and provider audit activities.
Training & Team Support
Support coding management with operational activities.
Review coding work completed by new coders during training.
Provide feedback regarding coding discrepancies and deficiencies.
Respond to coding-related questions from team members.
Assist in maintaining coding quality standards.
Compliance & Regulatory Adherence
Maintain compliance with:
HIPAA requirements
CMS regulations
CPT and ICD-10 coding guidelines
Company policies and procedures
Protect the confidentiality of patient, financial, and medical information.
Documentation Improvement
Identify documentation gaps and deficiencies.
Provide timely feedback to coding leadership regarding documentation concerns.
Support initiatives to improve coding accuracy and compliance.
Minimum Requirements
Education
High School Diploma or equivalent.
Certifications
RHIT (Registered Health Information Technician) and/or
CPC (Certified Professional Coder) – Required
Experience
Minimum 1 year of medical billing experience preferred.
Experience with 2023 Medical Decision Making (MDM) Guidelines required.
Required Expertise
Technical Competencies
ICD-10-CM Coding
CPT Coding
Medical Billing
Medical Record Review
Coding Compliance
Documentation Analysis
Medical Decision Making (MDM) Guidelines
CMS Regulations
HIPAA Compliance
Revenue Cycle Management
Clinical Knowledge
Medical Terminology
Human Anatomy
Disease Classification
Procedure Coding
Documentation Requirements
Software & Systems
Microsoft Outlook
Microsoft Word
Microsoft Excel
Medical Billing Software
Electronic Medical Records (EMR/EHR) Systems
Key Skills & Abilities
Analytical Skills
Ability to interpret clinical documentation accurately.
Strong attention to detail and coding accuracy.
Ability to identify coding errors and compliance risks.
Communication Skills
Strong verbal and written communication skills.
Ability to communicate professionally with providers and team members.
Ability to provide constructive coding feedback.
Professional Competencies
Time Management
Organization Skills
Problem Solving
Adaptability
Team Collaboration
Confidentiality & Ethics
Ideal Candidate Profile
Certified coder with strong ICD-10-CM and CPT expertise.
Knowledge of medical billing and reimbursement processes.
Experience performing coding audits and quality reviews.
Strong understanding of healthcare compliance and documentation requirements.
Ability to work independently in a fast-paced revenue cycle environment.
Excellent attention to detail and commitment to coding accuracy.
Career Focus Areas
Medical Coding
Revenue Cycle Management (RCM)
Healthcare Compliance
Clinical Documentation Improvement (CDI)
Medical Billing & Reimbursement
Coding Quality Assurance
Healthcare Operations
Risk & Audit Management
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