Coder – Denials
Requisition ID: 2984
Location: India
Employment Type: Full-Time | Hourly
Job Family: Revenue Cycle Management (RCM)
Domain: Medical Coding | Denials Management
Posted On: January 13, 2026
Role Overview
Med-Metrix is seeking a highly skilled Coder – Denials to support invoice reviews and provide expert-level coding guidance to billing and revenue cycle teams. This role is critical to ensuring accurate medical coding, claim compliance, and optimized reimbursement outcomes across payer types, including Medicare.
The ideal candidate will bring strong expertise in ICD-10, CPT, and denial coding, along with a deep understanding of compliance, audit standards, and healthcare reimbursement workflows.
Key Responsibilities
Conduct coding audits and detailed chart reviews to ensure complete, accurate, and compliant documentation, including work completed by co-source partners.
Assign and sequence ICD-10-CM/PCS and CPT codes for inpatient, outpatient, surgical, and denial-related services as required.
Collaborate closely with billing and revenue cycle teams to support proper claim submission and timely payment resolution.
Review and work assigned system work queues (WQs) independently and efficiently.
Ensure full compliance with Medicare policies, national coding initiatives, and regulatory guidelines.
Maintain strict confidentiality and safeguard Protected Health Information (PHI) in accordance with HIPAA regulations.
Adhere to organizational information security policies and ensure minimum necessary access to patient data.
Demonstrate professionalism, accountability, and a high standard of ethical conduct at all times.
Perform additional duties as assigned by management to support operational goals.
Required Qualifications & Experience
Certification (Mandatory):
CPC (AAPC) or CCS (AHIMA) certification.
Education:
High School Diploma or equivalent (required).
Experience Level:
Mid-Level | Minimum 2+ years of hands-on medical coding experience, specifically in one or more of the following areas:
Denials Coding
Inpatient DRG (IP)
Outpatient (OP)
Same-Day Surgery (SDS)
Technical Skills:
Strong working knowledge of ICD-10-CM/PCS, CPT, and payer-specific coding guidelines.
Proficiency in Microsoft Word, Excel, and Outlook.
Ability to efficiently use job-related coding and billing software systems.
Preferred Skills:
Surgical coding experience is an advantage.
Familiarity with healthcare compliance and audit workflows.
Core Competencies
Strong analytical and problem-solving abilities with attention to detail.
Excellent written and verbal communication skills.
Ability to communicate effectively across all organizational levels.
High degree of integrity, dependability, and results orientation.
Customer-focused mindset with a professional and approachable demeanor.
Ability to work independently while managing priorities in a fast-paced environment.
Working Conditions
Physical Requirements:
Ability to sit for extended periods and perform routine office tasks, including computer and telephone use.
Mental Requirements:
Capacity to follow instructions, collaborate with team members, and manage workload-related stress effectively.
Work Environment:
Office-based setting with minimal noise levels.
Equal Opportunity Statement
Med-Metrix is an equal opportunity employer and is committed to creating an inclusive work environment. Employment decisions are made without regard to race, color, religion, sex, gender identity, sexual orientation, age, disability, genetic information, military or veteran status, or any other characteristic protected by applicable laws.
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