Certified CPC Coder (RCM)

Position Overview

Job Title:

About This Role

Certified CPC Coder

Key Responsibilities

Medical Coding & Compliance

• Code Review & Validation:

  Review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies ensuring 99%+ accuracy rates

• Documentation Analysis:

  Analyze radiology reports and ensure proper coding compliance with CMS guidelines and payer-specific requirements

• Quality Assurance:

  Conduct regular audits of coded studies to maintain high-quality standards and identify areas for improvement

• Regulatory Compliance:

  Ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols

Revenue Cycle Operations

• Invoice Management:

  Prepare, compile, and submit accurate invoices to partner healthcare facilities based on contracted fee schedules

• Reconciliation:

  Validate invoice line items against study volumes, modality types, and applicable reimbursement rates

• Payment Tracking:

  Monitor invoice submission status, follow up on approvals, and track payment receipts through completion

• Collections Support:

  Assist in resolving payment delays, rejected claims, and coding-related billing issues

Collaboration & Communication

• Cross-functional Coordination:

  Work closely with radiologists, technologists, and operations teams to resolve coding discrepancies and missing documentation

• Stakeholder Management:

  Communicate effectively with facility billing departments and insurance representatives

• Issue Resolution:

  Escalate and resolve complex billing issues including underpayments, denials, and coding appeals

Reporting & Analytics

• Performance Metrics:

  Generate comprehensive reports on coding accuracy, invoice status, aging analysis, and collection metrics

• Data Management:

  Maintain detailed billing logs, reconciliation spreadsheets, and monthly facility billing records

• Process Improvement:

  Identify opportunities to streamline billing processes and improve revenue cycle efficiency

Required Qualifications

Education & Certification

• Bachelor's degree

  in Accounting, Finance, Business Administration, Healthcare Administration, or related field

• CPC Certification

  from AAPC (American Academy of Professional Coders) -

  Required

• Additional certifications in radiology coding (CPC-A, CIRCC) -

  Preferred

Professional Experience

• Minimum 3 years

  of hands-on experience in US medical billing and coding

• Radiology billing experience

  strongly preferred (CT, MRI, X-ray, Ultrasound, Nuclear Medicine)
• Proven track record of maintaining high coding accuracy (95%+ preferred)
• Experience with denial management and appeals processes

Technical Skills

• Advanced proficiency

  in Microsoft Excel (VLOOKUP, pivot tables, macros, advanced formulas)

• Billing Software Experience:

  Proficiency with RCM platforms such as:
• Kareo, AdvancedMD, eClinicalWorks, Epic, Cerner, or similar systems

• EDI Knowledge:

  Understanding of electronic data interchange formats (837P, 837I, 835, 277, 276)

• Database Management:

  Experience with SQL queries and database management -

  Preferred

Core Competencies

• Analytical Excellence:

  Strong problem-solving skills with attention to detail and accuracy

• Communication Skills:

  Excellent written and verbal English communication abilities

• Time Management:

  Ability to manage multiple priorities and meet tight deadlines

• Independence:

  Self-motivated with ability to work autonomously across different time zones

• Adaptability:

  Flexibility to adapt to changing healthcare regulations and billing requirements

What We Offer

Competitive Compensation

• Base Salary:

  40,000 - 55,000 per month

• Performance-based increases

  and annual salary reviews

• Shift allowances

  for non-standard hours

Comprehensive Benefits Package

• Health Insurance:

  Medical coverage for employee and family

• Paid Time Off:

  Generous leave policy including vacation, sick leave, and personal days

• Flexible Work Arrangements:

  Hybrid work options and flexible shift timings

• Professional Development:

  Training budget for continuing education and certifications

• Career Advancement:

  Clear promotion pathways within RCM and Finance departments

Additional Perks

• Modern Workspace:

  State-of-the-art office facilities in Bengaluru

• Technology Allowance:

  Latest hardware and software tools

• Team Building:

  Regular team events and company-wide celebrations

• Wellness Programs:

  Fitness memberships and mental health support

Growth Opportunities

Career Progression Path

• Senior CPC Coder

  (12-18 months)

• RCM Team Lead

  (2-3 years)

• RCM Supervisor/Manager

  (3-5 years)

• Director of Revenue Cycle Operations

  (5+ years)

Skill Development

• Advanced Coding Certifications

  (CCS, RHIA, CIRCC)

• Healthcare Analytics

  and business intelligence training

• Leadership Development

  programs

• Cross-functional

  exposure to clinical operations and IT systems

Application Process

How to Apply

Ready to advance your career in healthcare revenue cycle management? We want to hear from you!

Application Requirements:

• Updated resume highlighting relevant RCM experience
• Cover letter demonstrating knowledge of radiology billing
• Copies of CPC certification and relevant credentials
• References from previous healthcare billing roles

Next Steps:

1. Application Review:

   2-3 business days

2. Technical Assessment:

   Online coding and Excel proficiency test

3. HR Interview:

   Initial screening and culture fit assessment

4. Technical Interview:

   RCM knowledge and problem-solving scenarios

5. Final Interview:

   Meeting with RCM Manager and team

Why Join Our Team?

Innovation:

We are an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, or any other characteristic protected by law.

Application Deadline:

Max exp

Do we provide cab?

Shift timings

Working Days & Week offs

Location in Bangalore

Salary date

Other benefits