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Mid-level, generalist operations role in metro Hyderabad with common title attracts high applicant density.
Requires specific medical coding credentials and healthcare claims expertise, limiting cross-industry transferability.
Mandatory 5+ years experience and required certified coder credential increases shortlisting strictness.
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Develop, build, and test data driven claims edits for physician and facility claims using industry-standard coding sources.
Collaborate cross-functionally with Operations, Sales, and IT to ensure edit scalability, functionality, and alignment with business growth initiatives.
Provide coding expertise and support client inquiries with documentation and rationale while ensuring HIPAA compliance and quality assurance.
5+ years experience in healthcare or related industry.
Current certified coder credential (CCS, CCS-P, CPC) or related certifications (RHIA, RHIT) or RN/LPN with coding knowledge required.
Proficiency in Microsoft Word and PowerPoint; Intermediate to Advanced Excel skills preferred.
Current, active CPC or equivalent credentialing required; Bachelor’s degree preferred but not mandatory.
Experienced with coding standards and healthcare claims editing leveraging industry coding knowledge (AMA, CPT, AAPC, CMS).
Capable of managing multiple projects simultaneously with strong analytical, communication, and problem-solving skills relevant to healthcare data and coding.
Comfortable working in a collaborative environment interfacing with operations, sales, and IT teams to translate business needs into scalable edit solutions.