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Coder, Denials

Medmetrix
2 years
preferred by company
10 Jan. 19, 2026
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Coder – Denials
Requisition ID: 2984
Location: India
Employment Type: Full-Time
Job Family: Revenue Excellence / Coding
Pay Type: Hourly
Posted On: January 13, 2026


Job Overview

Med-Metrix is seeking a skilled Coder – Denials to support invoice reviews and provide expert coding guidance to billing teams. This role plays a critical part in ensuring accurate medical coding, compliance with regulatory requirements, and optimized claim reimbursement outcomes. The ideal candidate will demonstrate strong analytical skills, attention to detail, and in-depth knowledge of CPT and ICD-10 coding standards within a healthcare revenue cycle environment.


Key Responsibilities

  • Perform detailed audits and coding reviews to ensure accuracy, completeness, and compliance of medical documentation, including work performed by co-sourcing partners.

  • Assign, validate, and sequence CPT and ICD-10 codes for services rendered, as required.

  • Collaborate with billing teams and system work queues to support timely and accurate claim payments.

  • Ensure adherence to Medicare policies, national coding initiatives, and payer-specific guidelines.

  • Independently manage assigned coding work queues while meeting productivity and quality benchmarks.

  • Maintain strict confidentiality and uphold professional conduct at all times.

  • Safeguard patient Protected Health Information (PHI) in full compliance with HIPAA and information security policies.

  • Participate in additional tasks or projects as assigned by management.


Required Qualifications

  • CPC (AAPC) or CCS (AHIMA) certification is mandatory.

  • High School diploma or equivalent qualification.

  • Minimum 2 years of hands-on medical coding experience, preferably in Denials, IP DRG, OP, SDS, or related specialties.

  • Working knowledge of Microsoft Word, Excel, and Outlook.

  • Ability to efficiently use job-related coding and billing software.


Preferred Skills & Experience

  • Surgical coding experience is an advantage.

  • Strong interpersonal and communication skills, with the ability to interact effectively across organizational levels.

  • Excellent problem-solving and analytical abilities with sound decision-making skills.

  • High level of integrity, accuracy, and attention to detail.

  • Results-driven mindset with the ability to work under deadlines.

  • Customer-focused approach with professional and courteous communication.


Working Conditions

  • Physical Requirements: Primarily sedentary role with occasional movement, use of computers, office equipment, and communication devices.

  • Mental Requirements: Ability to manage workload independently, collaborate with teams, and perform effectively in a structured, deadline-driven environment.

  • Work Environment: Professional office setting with minimal noise levels.


Equal Opportunity Statement

Med-Metrix is an equal opportunity employer and is committed to fostering a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected characteristic.aa