MEDICAL CODING ASSOCIATE
Company: athenahealth
Location: Chennai, India (Hybrid)
Job Requisition ID: R14992
Job Type: Full-Time
JOB OVERVIEW
The Medical Coding Associate is responsible for ensuring coding accuracy and supporting revenue cycle efficiency through multi-specialty medical coding. The role involves coding and validating clinical documentation across E/M Outpatient, E/M Inpatient, Neuro Coding, Surgery Coding, and Denial Coding while maintaining coding quality, compliance, and operational excellence.
ROLE SUMMARY
Drive coding accuracy and operational performance by applying medical coding guidelines to ensure proper documentation-to-code mapping. Support coding quality initiatives, discrepancy resolution, denial management, root cause analysis, and process improvement efforts to strengthen revenue cycle outcomes.
TEAM SUMMARY
The Medical Coding team supports:
Clinical documentation coding
Revenue cycle management
Coding quality assurance
Denial prevention and resolution
Operational reporting
Audit readiness and compliance
The team collaborates with Revenue Cycle, Billing, Clinical Operations, Compliance, and Quality teams to ensure accurate coding and reimbursement processes.
ESSENTIAL JOB RESPONSIBILITIES
Medical Coding
Code medical records accurately using approved coding guidelines.
Perform coding across:
E/M Outpatient (OP)
E/M Inpatient (IP)
Neuro Coding
Surgery Coding
Denial Coding
Ensure coding selections are accurate and compliant.
Documentation Validation
Validate diagnosis and procedure coding against clinical documentation.
Ensure documentation adequately supports assigned codes.
Review coding accuracy and completeness.
Quality Review
Review coded outputs for consistency and quality.
Ensure adherence to coding standards and internal guidelines.
Maintain coding accuracy targets.
Coding Discrepancy Resolution
Investigate coding discrepancies.
Compare documentation against coding guidelines.
Identify coding errors and recommend corrections.
Denial Management
Identify coding-related denial issues.
Support claim correction workflows.
Assist in reducing coding-related rework and denials.
Documentation & Compliance
Document coding decisions and discrepancy findings.
Maintain audit-ready records.
Follow coding compliance standards and SOPs.
Reporting & Analytics
Support reporting accuracy.
Analyze coding trends and recurring issues.
Conduct root cause analysis for coding errors.
Recommend process improvements.
AI-Assisted Coding
Utilize AI-enabled coding support tools when available.
Review AI-generated suggestions.
Apply professional coding judgment before finalizing coding decisions.
ADDITIONAL RESPONSIBILITIES
Participate in coding calibration sessions.
Support coding standardization activities.
Contribute to training and knowledge-sharing initiatives.
Maintain coding references and guideline updates.
Support audit readiness activities.
Assist with special projects and process improvement initiatives.
Collaborate with cross-functional teams to resolve coding workflow issues.
EDUCATIONAL QUALIFICATIONS
Bachelor’s Degree in:
Life Sciences
Pharmacy
Nursing
Allied Health Sciences
Healthcare-related Disciplines
CERTIFICATION REQUIREMENTS
Preferred
CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
Equivalent Medical Coding Certification
EXPERIENCE
Required Experience: 6–8 Years
Experience in:
Medical Coding
Revenue Cycle Management
Clinical Documentation Review
Denial Management
Coding Quality Assurance
Healthcare Claims Processing
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