ENM with Surgery, Denials , ENM OP/IP, Surgery Coders

Key Responsibilities:

• Review and abstract clinical documentation for ENM (Office Visits, Consults), Surgical Procedures, and Hospital OP/IP encounters.
• Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes following official guidelines and client requirements.
• Handle coding-related denials – identify root causes, correct coding errors, and reprocess or appeal denied claims.
• Collaborate with QA and billing teams to ensure compliance and coding integrity.
• Maintain productivity and accuracy benchmarks as per SLA.
• Stay up to date on coding guidelines, payer-specific policies, and NCCI edits.

Eligibility Criteria:

• Education: Any Life Sciences/Paramedical Graduate (B.Sc, BPT, BDS, BPharm, etc.)
• Certification:
• AAPC or AHIMA certified – CPC, COC, CCS, or equivalent (mandatory)
• Experience:
• 1–4 years of hands-on experience in coding ENM, Surgery, or OP/IP cases
• Experience in denial management and appeals process is a strong plus

Required Skills:

• Deep knowledge of medical terminology, anatomy, and physiology
• Strong understanding of ICD-10, CPT, HCPCS, Modifiers, and coding guidelines
• Hands-on experience with coding platforms (3M, EncoderPro, TruCode, etc.)
• Familiarity with payer-specific rules and documentation compliance
• Strong analytical, communication, and documentation skills
• Ability to manage time, meet deadlines, and work independently