Representative Coding

About the job

Medcare MSO Global is one of the largest USA-based Healthcare IT company in Pakistan, with 1000+ people on board. We implement best practices and adopt state-of-the-art technology tools to achieve results. We are looking for a highly skilled Medical Coder to join our team. The ideal candidate will be responsible for reviewing patient medical records post-visit and translating this information into standardized codes used by insurers for processing claims. You will be part of a professional and collaborative team, ensuring accuracy, efficiency, and compliance with coding standards, regulations, and policies

Position: Medical Coder

Shift Timing: 07:00pm-04:00am

Location: MMalam, Lahore

Key Responsibilities:

  • Review and abstract information from medical records, ensuring accurate coding of diagnoses and procedures.
  • Select diagnostic and procedure codes based on medical records and clinical documentation.
  • Utilize relevant modifiers for claims and coding edits.
  • Ensure coding is accurate, compliant with internal standards, and follows payer guidelines.
  • Code across various specialties (e.g., ER, Radiology, Surgery, Oncology).
  • Oversee and monitor the implementation of the coding program, ensuring correct documentation and compliance with industry regulations.
  • Develop and update training materials and provide necessary in-services to team members.
  • Ensure compliance with coding policies, legal regulations, and payer-specific requirements.
  • Maintain accurate and up-to-date documentation for audits and compliance reviews.

Required Skills & Qualifications:

  • Bachelor’s degree in a related field (Health Information Management, Business, etc.).
  • Strong knowledge of medical terminology, anatomy, and physiology.
  • Proficiency in Microsoft Office tools (Excel, Word, Outlook, Teams, PowerPoint).
  • Ability to read, write, and speak English fluently.
  • 1-3 years of experience in medical coding or healthcare services management.
  • Experience coding across multiple specialties.
  • Proficiency in coding systems (e.g., ICD-10, CPT, HCPCS).
  • Familiarity with coding tools or encoders (e.g., 3M Encoder, Optum360, Codify).
  • Knowledge of healthcare payer systems, coding guidelines, and compliance (e.g., HIPAA).