Website:
shunyahealth.com
Job details:
Company Description
Kairos Health (formerly Shunya Health) helps healthcare providers accelerate patient access to care by automating complex administrative workflows across benefits verification, prior authorization and revenue cycle management.
About the role
We are looking for an experienced Senior Medical Coder to support coding and revenue-cycle operations for US urgent-care clinics.
This is a hands-on role involving encounter coding, documentation review, pre-bill claim validation and resolution of coding-related rejections and denials. The coder will also work with clinical, operations and technology teams to establish accurate and scalable coding workflows.
Location: Koramangala, Bengaluru
Work arrangement: Work from office
Employment type: Full-time
Experience: 5+ years
Joining: Immediate joiners preferred
Key Responsibilities
- Review SOAP notes, diagnoses, procedures, laboratory results and other encounter documentation.
- Assign accurate ICD-10-CM, CPT, HCPCS Level II and modifier codes.
- Code office and outpatient E/M visits based on patient status and documented MDM or time.
- Code common urgent-care services, including:
- Acute sick visits
- Wound care, dressing changes, suture removal and laceration repair
- Point-of-care tests such as urinalysis, glucose, Strep, COVID-19, influenza, RSV, HbA1c, lipid panel, mono and pregnancy testing
- EKG tracing and interpretation components
- Apply correct coding based on the service performed, test method, units and supporting documentation.
- Understand CLIA-waived testing and application of the QW modifier, including applicable exceptions.
- Apply NCCI edits, bundling rules, global-period rules and modifiers such as 25 and 59 when supported.
- Identify missing or unclear documentation and send compliant provider queries.
- Validate diagnosis pointers, place of service, rendering provider, units and other claim-critical fields before submission.
- Investigate coding-related claim rejections and denials and recommend corrections or appeals.
- Maintain coding SOPs, payer-specific guidance and documentation checklists.
- Support coding audits, provider education and training of junior coders as volumes grow.
Required Qualifications
- Minimum 5 years of US medical coding experience.
- Hands-on experience in urgent care, outpatient E/M, primary care or emergency medicine coding.
- Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers and official coding guidelines.
- Professional certification such as CPC, COC, CCS or CCS-P.
- Experience with Medicare, Medicaid and commercial payer requirements.
- Familiarity with CMS-1500/837P claims, clearinghouse rejections and denial workflows.
- Strong understanding of documentation requirements for wound repair, POC testing, EKGs and E/M services performed with procedures.
- High degree of accuracy and attention to detail.
- Strong written and verbal English communication skills.
- Ability to work independently and manage multiple priorities in a fast-moving environment.
Preferred Qualifications
- Experience with CLIA-waived laboratory coding and outpatient procedure bundling.
- Experience with payer portals, clearinghouses and EHR/billing platforms.
- Prior experience in coding audits, provider education or mentoring junior coders.
- Familiarity with US rural-health or multi-location clinic billing is an advantage.
Apply
Please share your updated profile at sohil@kairosagents.ai with the subject:
Application – Senior Medical Coder, US Urgent Care
Click on Apply to know more.