CPC Certified Medical Coder – Surgery (US Healthcare)

Job Title: Medical Coder – Surgery (US Healthcare) Location: Gurgaon (Remote) Industry: US Healthcare | Revenue Cycle Management (RCM) About the Role We are looking for an experienced Surgery Medical Coder with strong hands-on expertise in coding surgical cases from scratch.

The ideal candidate will have deep exposure to either Orthopedic Surgery or Cardiothoracic/Vascular Surgery coding , handling complex procedures with accuracy while ensuring compliance with CMS guidelines, payer policies, and coding regulations.

This role plays a key part in reducing denials and ensuring clean claim submissions for high-impact surgical specialties, including SDS (Same Day Surgery / Ambulatory Surgery) cases.

Must-Have Requirements • Minimum 2 years of hands-on experience in Surgery Coding from scratch • CPC certification is mandatory • Strong expertise in CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and CMS guidelines • Proven experience handling complex surgical claims with minimal errors and denials • Ability to independently code operative reports and surgical documentation • Mandatory hands-on experience in at least ONE of the below specialties: Orthopedic Surgery OR Cardiothoracic / Vascular Surgery Mandatory Surgical Coding Expertise (Any ONE Required) 1.

Orthopedic Surgery Coding • Joint replacements (Hip, Knee, Shoulder, etc.) • Fracture repairs • Arthroscopic procedures • Spine and spinal fusion surgeries • Strong understanding of global surgery rules, modifiers, and NCCI edits OR 2.

Cardiothoracic & Vascular Surgery Coding • Coronary Artery Bypass Grafting (CABG) • Valve repair and replacement surgeries • Pacemaker and cardiac device insertions • Flexible bronchoscopy • VATS (Video-Assisted Thoracoscopic Surgery) • Vascular interventions • Experience with bundled services, add-on codes, and modifier usage Good-to-Have / Plus Specialties (Not Mandatory) SDS / Ambulatory Surgery Coding (Highly Preferred) • Same Day Surgery (SDS) / ASC coding workflows • Understanding of outpatient surgical bundling and modifiers • Knowledge of payer-specific outpatient surgery guidelines OB-GYN Surgery Coding • Cesarean sections • Hysterectomies (Open, Vaginal, Laparoscopic) • Laparoscopic gynecological procedures • Fertility and reproductive surgeries • Knowledge of maternity global packages Gastrointestinal (GI) Surgery Coding • Diagnostic and therapeutic endoscopic procedures • Bowel resections • Hernia repairs • Bariatric surgeries • Cholecystectomy • Upper GI surgical procedures Key Responsibilities • Accurately code complex surgical procedures across assigned specialties • Ensure compliance with CMS, payer policies, and coding guidelines • Apply appropriate modifiers and resolve bundling issues • Review operative notes and clinical documentation for coding accuracy • Support denial reduction through accurate and compliant coding practices • Maintain productivity and quality benchmarks as per organizational standards Preferred Skills • Strong analytical and attention-to-detail skills • Ability to interpret complex operative reports • Familiarity with EHR systems and coding tools • Good communication skills for internal collaboration • Strong understanding of HIPAA and data security standards Why Join Us? • Opportunity to work on high-complexity surgical and SDS cases • Focused exposure to core surgical specialties (Ortho / Cardio) • Competitive compensation and growth opportunities • Supportive and learning-driven work environment Powered by JazzHR