MEDICAL CODING ANALYST
Company: athenahealth
Location: Chennai, India (Hybrid)
Job Requisition ID: R15157
Job Type: Full-Time
JOB OVERVIEW
The Medical Coding Analyst is responsible for accurately coding and validating clinical documentation while ensuring compliance with coding guidelines and revenue cycle requirements. The role involves coding across multiple specialties, including E/M Outpatient, E/M Inpatient, Neuro Coding, Surgery Coding, and Denial Coding. The analyst will work closely with clinical and revenue cycle teams to improve coding accuracy, support claims processing, and ensure audit readiness.
ROLE SUMMARY
Deliver accurate and compliant medical coding to support revenue cycle outcomes. Ensure diagnosis and procedure codes are assigned correctly according to CPC, CCS, and other applicable coding guidelines. Research coding discrepancies, resolve denials, and contribute to coding quality improvement initiatives.
TEAM OVERVIEW
The Medical Coding team supports the accurate capture of:
Historical medical conditions
Baseline signs and symptoms
Adverse events
Medication information
Non-drug therapies
Clinical study documentation
The team collaborates with Clinical Research, Clinical Operations, Statistics, and Revenue Cycle Management teams to ensure coding accuracy and regulatory compliance.
KEY RESPONSIBILITIES
Medical Coding
Code clinical documentation accurately using CPC, CCS, or equivalent coding standards.
Apply coding across:
E/M Outpatient (OP)
E/M Inpatient (IP)
Neuro Coding
Surgery Coding
Denial Coding
Ensure coding aligns with industry standards and internal guidelines.
Documentation Validation
Validate coded outputs against clinical documentation.
Ensure diagnosis and procedure selections are properly supported.
Verify compliance with coding guidelines and documentation requirements.
Denial Management
Investigate coding-related denials.
Identify root causes of claim denials.
Support corrective actions and coding adjustments.
Assist in reducing future denial rates.
Coding Quality Review
Research coding discrepancies.
Review coding edits and guideline updates.
Perform quality checks on coding assignments.
Ensure audit readiness and compliance.
Reporting & Analysis
Run coding-related reports.
Monitor coding performance metrics.
Analyze recurring coding errors.
Perform root cause analysis for coding discrepancies.
Recommend process improvements.
AI & Technology Utilization
Utilize AI-enabled tools for coding support.
Review AI-generated coding suggestions.
Validate AI recommendations against source documentation.
Maintain coding accuracy while leveraging automation.
Training & Continuous Improvement
Participate in coding calibration sessions.
Support cross-validation activities.
Share coding knowledge and best practices.
Contribute to coding guideline updates.
Assist with training initiatives.
EDUCATIONAL QUALIFICATIONS
Bachelor’s Degree in:
Life Sciences
Pharmacy
Healthcare-related Discipline
CERTIFICATION REQUIREMENTS
Mandatory
CPC (Certified Professional Coder)
OR
CCS (Certified Coding Specialist)
OR Equivalent Medical Coding Certification
EXPERIENCE
2–4 Years of Experience
Preferred experience in:
Medical Coding
Healthcare Revenue Cycle Management (RCM)
Clinical Documentation Review
Coding Audits
Claims Processing
Denial Management
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