Base Career helps you apply smarter for this job.
Key skills for this role
Location: Hyderabad
Reports to: Sr. Manager, MMI (Administrative) | Manager, Medical
At ModMed, we are on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical-practice success and improves patient outcomes.
Create Customer Delight and Save Time.
Innovate Boldly, then make things happen.
Align Passion with Purpose.
Think Big. Have Fun. Do Good.
The RCM Coding Specialist is a vital new role designed to make our team self-sufficient across the entire Revenue Cycle Management (RCM) cycle. This position serves as a Subject Matter Expert (SME), ensuring that medical coding is accurate, compliant, and optimized to reduce denials. You will bridge the gap between our global partners and US-based teams, providing the technical expertise necessary to improve patient outcomes and practice success.
Quality Assurance & Auditing (25%): Audit coding performed by Global Partners and provide timely feedback to resolve denied claims quickly.
Denial Management (20%): Review and resolve coding denials from payers, ensuring accurate resubmission and revenue recovery.
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
Boca Raton, USA
, USA
Hyderabad, IND
, USA
, USA
, USA
, USA
Boca Raton, USA
Boca Raton, USA
Subject Matter Expertise (20%): Act as the primary point of contact for coding questions and clarifications for the MMI team.
Trend Analysis (15%): Review claims assigned to practices due to coding issues to identify trends; collaborate with Client Advisors (CAs) when practice education or intervention is needed.
Preventive Strategy (10%): Analyze denial data to recommend preventive measures, such as scrub edits, provider training, and internal action plans.
Continuous Learning (5%): Stay current with Payer Guidelines and participate in ongoing coding educational opportunities and webinars.
Production Support (5%): Assist in production coding for various client specialties and scopes as needed.
You will be an integral part of a team that empowers medical practices to thrive. By ensuring coding accuracy, you directly contribute to our goal of saving time for doctors and improving the healthcare experience for patients.
ModMed is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
Allowances: Annual wellness allowance to support your well-being and productivity,
Earned, casual, and sick leaves to maintain a healthy work-life balance,
Bereavement leave for difficult times and extended medical leave options,
Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels. We do not:
Charge any fees, processing charges, or amount by any nomenclature, whether as a fee or deposit at any stage of the recruitment process;
Authorise any individual, employee, or third party to collect any such payments (regardless of nomenclature) to offer or facilitate or recruitment opportunities; or
Conduct hiring via informal messaging apps or personal email IDs.
All official communication is made only through verified channels, our website, and recognised recruitment platforms. We strongly advise candidates not to share personal/financial information or make any payments in response to suspicious communications. Any such instances may be reported to us at hrcompliance@modmed.com. ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.
ModMed (Modernizing Medicine) provides specialty-specific EHR systems, practice management, and revenue cycle management software designed to simplify clinical workflows for medical practices.
Visit company websiteJobs and hiring trendsFull-time
Mid · 5+ years experience
Onsite
Apply faster on company sites with our extension.