Location
Chennai, India (Hybrid)
Job Type
Full-time
Job Summary
The Medical Coding Analyst is responsible for delivering accurate and compliant medical coding to support revenue cycle outcomes. The role involves coding clinical documentation across multiple specialties, validating documentation accuracy, resolving coding discrepancies, and ensuring alignment with applicable coding guidelines and internal standards. The position reports to the Medical Coding Manager.
Team Overview
The Medical Coding team supports healthcare revenue cycle and clinical documentation processes by ensuring accurate coding of medical conditions, procedures, medications, and related clinical information. The team collaborates across clinical operations, statistics, and research functions to ensure coding consistency and data integrity. It also supports coding guideline maintenance, reporting accuracy, and downstream operational use of coded data in healthcare and clinical study environments.
Key Responsibilities
Medical Coding & Validation
Code clinical documentation using CPC/CCS (or equivalent) standards
Perform multi-specialty coding across:
E/M outpatient (OP) coding
E/M inpatient (IP) coding
Neuro coding
Surgery coding
Denial coding
Validate coding outputs against clinical documentation and coding guidelines
Ensure accuracy and consistency in diagnosis and procedure code assignment
Denial Management & Discrepancy Resolution
Identify coding-related causes of claim denials
Support denial correction and resolution workflows
Research and resolve coding discrepancies using documentation and guideline references
Collaborate with internal teams to correct coding issues and reduce rework
Documentation & Reporting
Document coding decisions and rationale in required systems
Maintain audit-ready records for compliance and traceability
Run and review coding-related reports to ensure data completeness and accuracy
Support reporting validation for operational and analytical use cases
Root Cause Analysis & Quality Improvement
Perform root cause analysis for recurring coding errors
Identify patterns in coding discrepancies and denial trends
Support corrective actions and process improvement initiatives
Contribute to reducing coding errors and improving consistency
Guideline Support & Collaboration
Support maintenance and updates of coding guidelines and internal references
Participate in quality calibration sessions to align coding interpretations
Assist in cross-functional discussions involving coding implications for clinical and operational workflows
Contribute to training and knowledge-sharing initiatives
Technology & Workflow Support
Support implementation and validation of computer output and coding workflows
Use coding systems and reporting tools to manage daily work
Leverage AI-enabled tools (where available) to assist with documentation review, while independently validating outputs using coding standards and source records
Required Qualifications
Education & Certification
CPC or CCS certification (or equivalent) required
Experience
2–4 years of experience in medical coding or revenue cycle operations
Experience in:
E/M outpatient coding
E/M inpatient coding
Neuro coding
Surgery coding
Denial coding or coding-related rework workflows
Healthcare RCM knowledge preferred
Skills & Competencies
Strong understanding of medical coding guidelines and documentation standards
Ability to perform root cause analysis on coding issues
Strong attention to detail and documentation accuracy
Ability to work with SOP-driven processes and audit requirements
Strong analytical and problem-solving skills
Ability to work effectively in a hybrid environment (Chennai, India)
Additional Information
Travel requirement: Not applicable
Work model: Hybrid
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Japan | Saitama |Tokyo :
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