Medical Billing / Coding Specialist – RCM | ICD/CPT Coding | Insurance Claims
Experience: 1–3 Years (Hands-on)
Location Preference: Candidates from Tricity (Chandigarh, Mohali, Panchkula) preferred; remote candidates can also apply
Shift: Client-Aligned (US/Healthcare Time Zones)
Joining: Immediate / 15 Days Preferred

Role Overview

We are hiring a Medical Billing / Coding Specialist with hands-on experience in revenue cycle management (RCM) and US healthcare billing processes.
You must understand:
• End-to-end medical billing workflow (charge entry → claim submission → payment posting → denial management)
• Medical coding standards (ICD-10, CPT, HCPCS)
• Insurance claim lifecycle and payer guidelines
• Compliance requirements (HIPAA and documentation standards)
• Use of billing software and EHR/EMR systems
• How automation/AI tools support coding accuracy and billing efficiency
This role is execution-focused. We are not hiring theory-only profiles.

Key Responsibilities

• Perform accurate medical coding using ICD-10, CPT, and HCPCS codes
• Handle charge entry, claim submission, and follow-ups with insurance companies
• Review and resolve denied or rejected claims
• Ensure proper documentation and compliance with healthcare regulations
• Post payments and reconcile accounts
• Maintain billing records and ensure data accuracy
• Coordinate with providers, payers, and internal teams
• Use tools/automation to improve turnaround time and reduce errors

Mandatory Skills

• 1–3 years of hands-on experience in medical billing and/or coding
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• Experience with US healthcare billing and insurance processes
• Familiarity with EHR/EMR and billing software
• Understanding of denial management and AR follow-ups
• High attention to detail and accuracy
• Strong analytical and problem-solving skills

Good to Have

• Certification (CPC, CCS, or equivalent)
• Experience with multiple specialties (e.g., radiology, cardiology, etc.)
• Knowledge of HIPAA compliance and audit processes
• Exposure to automation tools or AI-assisted coding platforms
• Experience working with US-based healthcare clients

Remote Medical Billing / Coding Special...