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Modernizing Medicine Hiring Medical Coding Specialist [ ₹6.2 lakhs per year]

Modernizing Medicine, Inc. (ModMed) is a dynamic healthcare technology company dedicated to revolutionizing the healthcare industry. Our mission is to place doctors and patients at the forefront of care through innovative, specialty-specific cloud platforms. With a global presence and a team of over 3400 dedicated professionals, we are committed to improving medical practice success and patient outcomes.

Job Description:
As a Medical Coding Auditor 3 at Modernizing Medicine, Inc., you will play a crucial role in ensuring the accuracy and efficiency of our medical coding processes. Reporting to a specialty lead, you will be responsible for auditing coding work, providing timely feedback, resolving coding denials, and serving as a subject matter expert (SME) for coding-related queries. Your expertise in medical coding, along with strong analytical and communication skills, will contribute to the success of our operations.

Qualification : B.Pharm, M.Pharm, Msc, Bsc, Pharm.D, MBBS, BDS

Location: Hyderabad, India

Key Responsibilities:

  • Audit coding work done by Global Partners and provide feedback for resolution of denied claims
  • Review and resolve coding denials from payers
  • Act as a coding SME for internal teams, offering guidance and clarification
  • Analyze coding denials to identify trends and implement preventive measures
  • Participate in coding educational opportunities to stay updated on industry guidelines
  • Assist in coding production for clients across various specialties, if needed

Skills & Requirements:

  • 5+ years of experience in medical coding, with at least 2 years as an SME/Quality Auditor
  • Certification: CPC (Certified Professional Coder) mandatory
  • Strong knowledge in Gastroenterology, Orthopaedics, Ophthalmology, Dermatology, and Podiatry preferred
  • Hands-on experience in resolving coding denials and familiarity with payer guidelines
  • Excellent written and verbal communication skills in English
  • Ability to work independently during night shifts in India
  • Proficiency in MS Excel for report generation and analysis
  • Expertise in CPT, ICD codes, and modifiers
  • Bachelor’s or Master’s degree in Science with a background in Anatomy

ModMed Benefit Highlights (India Specific):

  • Competitive benefits package including medical coverage for employees, their families, and dependent parents
  • Paid time off for volunteering in the community
  • Opportunities for professional development and growth
  • Collaborative and award-winning culture

Application Link

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