Minimum 2 years 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
Requirements:
Accurately code complex surgical procedures across multiple specialties and ensure compliance with CMS and payer policies
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
Job description
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
