RCM Jobs in Gurgaon

Medical Coder, Revenue Cycle Management (RCM) Location: Gurugram, India Employment Type: Full-time Department: Global Operations About Commure Commure develops AI-powered healthcare solutions to reduce administrative burdens on providers, enabling them to focus on patient care. Our technologies cover clinical documentation, revenue cycle management, patient engagement, and more supporting over 250,000 clinicians across hundreds of care sites nationwide. Role Overview We are looking for an experienced Inpatient Medical Coder with expertise in ICD-10-PCS, DRG assignment, and facility-based Emergency Department (ED) coding. The ideal candidate is detail-oriented, quality-focused, and adept at delivering accurate and compliant coding aligned with regulatory and payer guidelines. Key Responsibilities Assign accurate ICD-10-PCS and DRG codes for inpatient and facility-based ED records. Ensure coding compliance with regulations and payer-specific rules. Collaborate with onshore and India teams to resolve coding queries and ensure timely processing. Keep updated on coding guidelines, regulatory changes, and payer requirements. Consistently meet daily productivity and quality targets. Required Qualifications CCS (Certified Coding Specialist) credential (mandatory). Minimum 1 year of inpatient facility coding experience (preferably 2-3 years). Strong knowledge of: DRG assignment ICD-10-PCS coding Facility-based ED coding Experience with US inpatient medical records. Excellent attention to detail and documentation review skills. Preferred Qualifications Dual certification with CPC (AAPC) along with CCS. CIC (AAPC) certification holders must also have CPC and inpatient coding expertise. Familiarity with coding software platforms and EMR systems. Mission-Driven: Impact healthcare by simplifying provider workflows. Strong Investor Support: Backed by General Catalyst, Sequoia, Y Combinator, and more. Rapid Growth: Achieved over 500% YoY growth before merger; continuing fast scaling. Competitive Benefits: Flexible PTO, medical, dental, vision, parental leave (location dependent).

Senior Analyst, Rejection Management Location: Gurugram, India Employment Type: Full-time Department: Global Operations About Commure Commure builds AI-powered healthcare technology to reduce administrative burden, helping providers focus on patient care. Our suite of tools includes revenue cycle management, clinical documentation, patient engagement, and more supporting over 250,000 clinicians nationwide. Role Overview As a Senior Analyst on the Rejection Management team, you will manage claim rejections by identifying issues, collaborating with insurers and billing teams, and driving timely resolution. Your efforts will improve revenue cycle efficiency and help ensure accurate claim submissions. Key Responsibilities Analyze rejected claims to determine reasons for rejection and gather info for resubmission. Work with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures. Track and document claim rejections, resolutions, and resubmissions in internal systems. Monitor claim rejection trends and suggest process improvements to reduce future rejections. Educate and train staff on best practices for claims submissions and billing procedures. Participate in team meetings to discuss issues, share insights, and improve revenue cycle performance. Requirements 2-3+ years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices (ICD-10, CPT, HCPCS). Familiarity with payer-specific guidelines and billing policies. Strong communication, interpersonal, and problem-solving skills. Detail-oriented with excellent organizational and time management abilities. Proficient with billing software and Microsoft Office Suite. Ability to thrive in a fast-paced, high-pressure environment. Mission-Driven: Work to transform healthcare and support providers. Strong Backing: Supported by top investors like Sequoia, Y Combinator, and General Catalyst. Rapid Growth: Over 500% YoY growth pre-merger with strong funding and runway. Competitive Benefits: Flexible PTO, healthcare coverage, parental leave (location dependent).