MEDICAL CODING ANALYST
Company: athenahealth
Location: Chennai, India
Employment Type: Full Time
Work Mode: Hybrid
Job Requisition ID: R15158
JOB OVERVIEW
The Medical Coding Analyst is responsible for delivering accurate, compliant medical coding and supporting revenue cycle outcomes through coding, validation, denial analysis, and documentation review. The role involves coding across multiple specialties, including E/M outpatient, E/M inpatient, neuro coding, surgery coding, and denial coding while ensuring compliance with coding standards and healthcare regulations.
KEY RESPONSIBILITIES
• Medical Coding
Accurately code medical documentation using CPC, CCS, or equivalent coding standards.
Apply coding guidelines across multiple specialties.
Perform coding for:
E/M Outpatient (OP)
E/M Inpatient (IP)
Neuro Coding
Surgery Coding
Denial Coding
Ensure coding selections are supported by clinical documentation.
• Coding Validation
Validate coded outputs against source documentation.
Review diagnosis and procedure code selections.
Ensure compliance with coding rules and payer requirements.
Maintain coding accuracy and quality standards.
• Denial Management
Investigate coding-related denials.
Identify root causes of denied claims.
Support correction and resubmission processes.
Minimize recurring coding-related denials.
• Coding Research & Resolution
Research coding discrepancies using:
Clinical documentation
Coding guidelines
Internal references
Coding edits
Resolve coding conflicts and documentation gaps.
Maintain audit-ready coding documentation.
• Reporting & Analytics
Run coding-related reports.
Review reporting accuracy and completeness.
Analyze coding trends and discrepancies.
Support coding performance monitoring.
• Root Cause Analysis
Investigate recurring coding errors.
Identify process gaps and improvement opportunities.
Recommend corrective and preventive actions.
Support quality improvement initiatives.
• AI-Assisted Coding
Utilize AI-enabled coding assistance tools.
Review AI-generated coding suggestions.
Validate outputs against official coding guidelines.
Ensure final coding accuracy through manual verification.
ADDITIONAL RESPONSIBILITIES
Support implementation of computer-assisted coding workflows.
Participate in coding quality calibration sessions.
Assist in updating coding guidelines and internal references.
Support internal and external audits.
Participate in cross-validation and quality review activities.
Provide knowledge sharing and training support.
Monitor coding performance metrics and quality indicators.
EDUCATION
Bachelor's Degree in Life Sciences, Healthcare, Nursing, Pharmacy, Medical Sciences, or related field.
CERTIFICATIONS
Mandatory
CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
Equivalent recognized certifications may be considered.
EXPERIENCE
2–4 Years
Medical Coding Experience
Revenue Cycle Management (RCM) Experience
Healthcare Documentation Review
Coding Quality Assurance
Denial Coding Experience
Uttar Pradesh :
Agra | Gajraula | Gautam buddha Nagar | Ghaziabad | Gorakhpur | Greater Noida | Jhansi | kanpur | Lucknow | Mathura | Noida | Park City | Prayagraj | Satyamev | Varanasi |Gujarat :
Ahmedabad | Ankleshwar | Baroda | Bharuch | Gandhinagar | Gujarat | Halol | Jhagadia | Mehsana | surat | Tarasadi | Vadodara | Vapi |Maharashtra :
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amritsar | Bathinda | Bela | Chandigarh | ludhiana | Moga | Mohali | Patiala | Phagwara | Punjab | Rajpura |Andra Pradesh :
Anakapali | Anantapur | Bhimavaram | Chittoor | Guntur | Gurgaon | Kakinada | Mangalagiri | Nellore | Pydibimavaram | Tirupathi | Vijayawada | Visakhapatnam |Tamil Nadu :
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Dehradun | Halifax | Nainital | Rishikesh | Roorkee |Delhi :
Delhi | Gangtok | New Delhi | PAN-India |Assam :
Dibrugarh | Diburghar | Guwahati |West Bengal :
Digha | Kolkata | Mukundapur |Goa :
Goa | Panaji | Verna |Bihar :
Hajipur | Patna |Kerala :
Kannur | Kochi | Malappuram | Thiruvananthapuram | Trivandrum |Pondicherry (Puducherry) :
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Ranchi |Sikkim :
Rangpo |India :
Remote, India | Siliguri |Illinois :
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Appleton | Kenosha | Pleasant Prairie | Portage | Waukesha |United states :
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Germany | GErmany |Lower Saxony :
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Ingelheim am Rhein | Mainz |Schleswig Holstein :
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Rostock |Saarland :
Saarbrucken |Switzerland :
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Belgrade | Serbia |Hungary :
Budapest |BULGARIA :
Bulgaria | Vedant |Denmark :
Copenhagen | Denmark |Europe :
Europe | France | Latvia | Lendava | Leuven | Poland | Slovenia | Spain |Finland :
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Istanbul | Turkey |Norway :
Norway | NOrway |Romania :
Romania |Belgium :
Wavre |Tipperary :
Ballydine |Cork :
Brinny | Ringaskiddy |Carlow :
Carlow |Republic of Ireland :
Cork | Dublin | Limerick | Waterford |Ulster :
Donegal |Meath :
Dunboyne |Dún Laoghaire :
Dún Laoghaire |Galway :
Galway |County Dublin :
Swords |Republic of China :
Beijing |China :
China | Quarry Bay |Liaoning :
Dalian |Zhejiang :
Hangzhou |Tokiyo :
Osaka | Tokyo |Shanghai Sai :
Shanghai Shi |Hubei :
Wuhan |Capital of Netherland :
Amsterdam |North Brabant :
Breda |Noord Holland :
Haarlem |South Holland :
Leiden |Netherlands :
Netherlands |Remote Australia :
Arkansas | Remote Australia |New South Wales :
Ballina | Sydney |Republic of Western Australia :
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Queensland |Melbourne :
South Yarra |United Kingdom :
England | Harlow | Leeds | London | Maidenhead | Salt Lake City | Stevenage | Stirling | United Kingdom |North Yorkshire :
Harrogate |South Yorkshire :
Sheffield |Oxfordshire :
Witney |Ontario :
Renfrew | Mississauga | Richmond Hill | Australia | North York | Uxbridge |Canada :
Canada |Quebec :
Montreal |Brussels :
Brussels |Antwerp :
Heist op den Berg |Flemish Brabant :
Zaventem |South America :
Argentina | Peru |Brazil :
Brazil | Sao paulo |Attica :
Koropi | Athens |Greece :
Greece |North Island :
Auckland |New Zealand :
New Zealand |Austria :
Austria |Vienna :
Vienna |Catalonia :
Barcelona |Madrid :
Madrid |Cebu Province :
Cebu City |Philippines :
Manila |Croatia :
Croatia |Zagreb :
Zagreb |Estonia :
Estonia | Tartu |Harju County (Maakond) :
Tallinn |Hà Nội :
Hà Nội | Hanoi |Ho Chi Minh :
Ho Chi Minh City |Italy :
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Saitama | Japan |Tokyo :
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Remote Korea |Republic of Korea :
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Kyiv |Lima Region :
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South Africa | Midrand |Nišava District :
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