MEDICAL CODING ANALYST
Company: athenahealth
Location: Chennai, India (Hybrid)
Job Requisition ID: R15158
Job Type: Full-Time
JOB OVERVIEW
The Medical Coding Analyst is responsible for delivering accurate and compliant medical coding while supporting healthcare revenue cycle operations. The role involves coding and validating clinical documentation across multiple specialties, including E/M Outpatient, E/M Inpatient, Neuro Coding, Surgery Coding, and Denial Coding. The analyst ensures all coding selections comply with industry guidelines, documentation standards, and internal quality requirements.
ROLE SUMMARY
Deliver accurate, compliant medical coding and support revenue cycle outcomes by coding, validating, reviewing, and resolving documentation and coding-related issues. The role requires expertise in clinical documentation review, coding guidelines, denial management, and coding quality improvement.
TEAM SUMMARY
The Medical Coding team supports the accurate capture of:
Historical medical conditions
Baseline signs and symptoms
Adverse events
Medications
Non-drug therapies
Clinical documentation
The team works closely with Clinical Research, Clinical Operations, Statistics, Revenue Cycle Management, and Compliance teams to ensure accurate coding and regulatory adherence.
ESSENTIAL JOB RESPONSIBILITIES
Medical Coding
Code medical documentation accurately using CPC, CCS, or equivalent coding standards.
Perform coding across:
E/M Outpatient (OP)
E/M Inpatient (IP)
Neuro Coding
Surgery Coding
Denial Coding
Ensure coding accuracy and compliance with applicable coding guidelines.
Clinical Documentation Validation
Validate coded outputs against source clinical documentation.
Verify diagnosis and procedure selections.
Ensure coding rules and documentation standards are met.
Coding Discrepancy Management
Research coding discrepancies and inconsistencies.
Review documentation, coding edits, and guideline references.
Resolve coding-related issues and improve coding accuracy.
Denial Management
Investigate coding-related claim denials.
Identify root causes of denials.
Support corrective and preventive actions.
Assist in denial reduction initiatives.
Documentation & Audit Compliance
Document coding decisions and research findings.
Maintain traceability and audit readiness.
Ensure compliance with coding standards and quality requirements.
Reporting & Analytics
Generate and review coding-related reports.
Monitor coding performance metrics.
Analyze recurring coding issues.
Perform root cause analysis and recommend improvements.
AI-Assisted Coding
Utilize AI-supported coding tools when available.
Review AI-generated coding suggestions.
Validate recommendations against source documentation and coding standards.
ADDITIONAL RESPONSIBILITIES
Support implementation of coding workflow automation and computer-assisted coding processes.
Participate in coding validation and quality review activities.
Contribute to updating coding guidelines and reference materials.
Participate in coding calibration sessions.
Support cross-validation initiatives.
Assist in training and mentoring activities.
Monitor coding trends and recommend quality improvements.
EDUCATIONAL QUALIFICATIONS
Bachelor’s Degree in:
Life Sciences
Pharmacy
Healthcare Sciences
Allied Health Disciplines
CERTIFICATION REQUIREMENTS
Mandatory
CPC (Certified Professional Coder)
OR
CCS (Certified Coding Specialist)
OR Equivalent Medical Coding Certification
EXPERIENCE
Required Experience: 2–4 Years
Experience in:
Medical Coding
Healthcare Revenue Cycle Management (RCM)
Clinical Documentation Review
Coding Audits
Claims Processing
Denial Management
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