Medical Coder – Surgery (US Healthcare)

Job Title: Medical Coder – Surgery (US Healthcare)

Location: Gurgaon (Remote)Industry: US Healthcare | Revenue Cycle Management (RCM)Experience required – 2 to 3 years

About the Role

We are looking for an experienced Surgery Medical Coder with strong hands-on expertise in coding surgical cases from scratch. The ideal candidate will have deep exposure to multi-specialty surgical coding, handling complex procedures with accuracy while ensuring compliance with CMS guidelines, payer policies, and coding regulations. This role plays a key part in reducing denials and ensuring clean claim submissions for high-impact surgical specialties.

Must-Have Requirements

• Minimum 2 years of hands-on experience in Surgery Coding from scratch
• Strong expertise in CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and CMS guidelines
• Proven experience handling complex surgical claims with minimal errors and denials
• Ability to independently code operative reports and surgical documentation

Good-to-Have Requirements

• Experience in the following surgical specialties(If not all, at least the first two listed below are mandatory)

Candidates without these specialties may still be considered and sent for assessment based on overall surgery coding strength.

Key Surgical Coding Expertise Required

1. Orthopedic Surgery Coding (Mandatory)

• Joint replacements (Hip, Knee, Shoulder, etc.)
• Fracture repairs
• Arthroscopic procedures
• Spine and spinal fusion surgeries
• Strong understanding of global surgery rules, modifiers, and NCCI edits

2. Cardiothoracic & Vascular Surgery Coding (Mandatory)

• Coronary Artery Bypass Grafting (CABG)
• Valve repair and replacement surgeries
• Pacemaker and cardiac device insertions
• Flexible bronchoscopy
• VATS (Video-Assisted Thoracoscopic Surgery)
• Vascular interventions
• Experience with bundled services, add-on codes, and modifier usage is highly preferred

3. OB-GYN Surgery Coding

• Cesarean sections
• Hysterectomies (Open, Vaginal, Laparoscopic)
• Laparoscopic gynecological procedures
• Fertility and reproductive surgeries
• Knowledge of maternity global packages and procedure-specific guidelines

4. Gastrointestinal (GI) Surgery Coding

• Diagnostic and therapeutic endoscopic procedures
• Bowel resections
• Hernia repairs
• Bariatric surgeries
• Cholecystectomy
• Upper GI surgical procedures
• Strong understanding of surgical anatomy, bundling rules, and payer-specific guidelines

Key Responsibilities

• Accurately code complex surgical procedures across multiple specialties
• Ensure compliance with CMS, payer policies, and coding guidelines
• Apply appropriate modifiers and resolve bundling issues
• Review operative notes and clinical documentation for coding accuracy
• Support denial reduction through accurate and compliant coding practices
• Maintain productivity and quality benchmarks as per organizational standards

Preferred Skills

• Strong analytical and attention-to-detail skills
• Ability to interpret complex operative reports
• Familiarity with EHR systems and coding tools
• Good communication skills for internal collaboration
• Strong understanding of HIPAA and data security standards

Why Join Us?

• Opportunity to work on high-complexity surgical coding cases
• Exposure to multiple advanced surgical specialties
• Competitive compensation and growth opportunities
• Supportive and learning-driven work environment