Job Title: Medical Coder – Surgery (US Healthcare)
Location:
Gurgaon (Remote)
Industry:
US Healthcare | Revenue Cycle Management (RCM)
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 either Orthopedic Surgery or Cardiothoracic/Vascular Surgery 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, including SDS (Same Day Surgery / Ambulatory Surgery) cases.
Must-Have Requirements
• Minimum
2 years of hands-on experience in Surgery Coding from scratch
•
CPC certification is mandatory
• 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•
Mandatory hands-on experience in at least ONE of the below specialties:
- Orthopedic Surgery OR
- Cardiothoracic / Vascular Surgery
Mandatory Surgical Coding Expertise (Any ONE Required)
1. Orthopedic Surgery Coding
• 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
OR
2. Cardiothoracic & Vascular Surgery Coding
• 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
Good-to-Have / Plus Specialties (Not Mandatory)
SDS / Ambulatory Surgery Coding (Highly Preferred)
• Same Day Surgery (SDS) / ASC coding workflows• Understanding of outpatient surgical bundling and modifiers• Knowledge of payer-specific outpatient surgery guidelines
OB-GYN Surgery Coding
• Cesarean sections• Hysterectomies (Open, Vaginal, Laparoscopic)• Laparoscopic gynecological procedures• Fertility and reproductive surgeries• Knowledge of maternity global packages
Gastrointestinal (GI) Surgery Coding
• Diagnostic and therapeutic endoscopic procedures• Bowel resections• Hernia repairs• Bariatric surgeries• Cholecystectomy• Upper GI surgical procedures
Key Responsibilities
• Accurately code complex surgical procedures across assigned 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 and SDS cases
• Focused exposure to
core surgical specialties (Ortho / Cardio)
• Competitive compensation and growth opportunities• Supportive and learning-driven work environment
