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Senior Associate, Revenue Cycle Case & Escalation Management, Medical Coding

Athena Health
Athena Health
3-6 years
preferred by company
10 Jan. 9, 2026
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Senior Associate – Revenue Cycle Case & Escalation Management (Medical Coding)
Job Category: Revenue Cycle Management | Medical Coding | Customer Success | US Healthcare
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time | Permanent
Job ID: R13855
Experience Required: 3–6 Years
Posted Date: November 19, 2025


Job Overview

ThePharmaDaily.com is hiring for a Senior Associate – Revenue Cycle Case & Escalation Management (Medical Coding) role with a leading global healthcare technology organization. This position is ideal for experienced US healthcare medical coding and revenue cycle professionals who thrive in resolving complex client escalations and driving operational excellence.

As part of the Revenue Cycle Case & Escalation Management (RCCEM) team, you will act as the final escalation point for high-impact and sensitive cases. Your expertise in medical coding and revenue cycle workflows will directly influence product improvements, client satisfaction, and overall revenue performance.


Key Responsibilities

Customer & Stakeholder Management

  • Manage complex revenue cycle and medical coding escalations to resolution using CRM tools such as Salesforce

  • Maintain proactive and transparent communication with internal teams and external clients

  • Provide actionable feedback to improve service delivery, product performance, and client outcomes

Analytical & Problem-Solving Excellence

  • Investigate root causes of escalations using available tools, reports, and data sets

  • Identify trends, quality gaps, and workflow inefficiencies impacting case volumes

  • Recommend and support process improvements to reduce escalations and enhance client sentiment

Case & Project Management

  • Develop structured action plans with clear timelines and priorities

  • Coordinate cross-functional tasks and resources to ensure timely resolution

  • Anticipate risks or blockers and proactively implement mitigation strategies

Mentorship & Knowledge Sharing

  • Lead team discussions and knowledge-sharing initiatives on escalations and best practices

  • Mentor peers on effective escalation handling, stakeholder communication, and case management

  • Support peer development through coaching, feedback, and call shadowing


Education & Experience Requirements

  • Bachelor’s degree or equivalent professional experience

  • Certified Professional Coder (CPC) or equivalent medical coding certification

  • 3–6 years of experience in US healthcare revenue cycle management, medical coding, billing, or claims operations

  • Strong understanding of US healthcare workflows or demonstrated ability to learn complex healthcare systems quickly


Required Skills & Competencies

  • Strong customer-centric mindset with empathy and advocacy

  • Excellent written and verbal communication skills

  • Advanced analytical skills with the ability to interpret large data sets and identify trends

  • Proven problem-solving capabilities with a structured and outcome-driven approach

  • Expertise in ICD-10, CPT, and HCPCS coding systems

  • Solid understanding of medical terminology, anatomy, and physiology

  • Strong project management skills, including planning, prioritization, and alignment

  • Proficiency in Excel and business productivity tools (Smartsheets, Google Workspace, SharePoint)

  • Ability to work independently while effectively collaborating across teams


Why Join This Opportunity?

  • Work at the intersection of medical coding, revenue cycle management, and customer success

  • Gain exposure to high-impact client escalations and strategic product insights

  • Collaborate with cross-functional global teams in a fast-growing healthcare technology environment

  • Develop leadership, analytical, and escalation management expertise

  • Contribute to building scalable solutions that improve healthcare access and financial sustainability


About the Organization

This organization is a global healthcare technology leader committed to simplifying healthcare delivery through innovative IT solutions and expert services. With a strong focus on accessibility, quality, and sustainability, the company fosters a collaborative, inclusive culture where employees are empowered to learn, grow, and make a meaningful impact.