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Senior Medical Coding Analyst

Athena Health
Athena Health
3-6 years
Not Disclosed
Chennai, India
10 May 6, 2026
Job Description
Job Type: Full Time Hybrid Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, mRS and EQ-5D-5L., Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Location

Chennai, India (Hybrid)


Job Type

Full-time


Job Summary

The Senior Medical Coding Analyst is responsible for ensuring accurate, compliant, and high-quality medical coding that supports revenue cycle performance. The role focuses on multi-specialty coding accuracy, denial-related coding analysis, root cause identification, and continuous process improvement. The position reports to the Medical Coding Manager.


Team Overview

The coding team supports healthcare revenue cycle operations by ensuring accurate translation of clinical documentation into standardized medical codes. The team strengthens workflow efficiency, reporting accuracy, and denial prevention efforts while maintaining compliance with coding standards and operational SOPs.


Key Responsibilities

Medical Coding Operations

  • Apply CPC/CCS (or equivalent) coding standards with high accuracy

  • Code medical records across multiple specialties, including:

    • E/M outpatient coding

    • E/M inpatient coding

    • Surgery coding

    • Radiology coding (as applicable)

  • Ensure coding decisions align with clinical documentation and coding guidelines


Denial Management & Revenue Cycle Support

  • Identify coding-related causes of claim denials and rework

  • Support denial prevention and correction workflows

  • Collaborate with internal teams to resolve coding discrepancies

  • Ensure coding outputs support clean claim submission and accurate reimbursement


Quality Assurance & Documentation

  • Validate documentation completeness and sufficiency for coding accuracy

  • Maintain audit-ready documentation of coding decisions and findings

  • Ensure compliance with SOPs, coding guidelines, and quality standards

  • Participate in coding audits and quality calibration activities


Root Cause Analysis & Process Improvement

  • Analyze coding errors and identify recurring issues

  • Perform root cause analysis of coding quality problems

  • Recommend improvements to reduce denials and coding rework

  • Support process optimization initiatives and operational enhancements


Reporting & Collaboration

  • Contribute to operational reporting and quality trend analysis

  • Support updates to coding metrics and performance tracking

  • Share coding insights from audits and denial trends with stakeholders

  • Assist with ad hoc coding and audit-related requests


Quality Collaboration & Training

  • Participate in quality calibration sessions

  • Support guideline clarification through case-based examples

  • Contribute to knowledge-sharing and peer learning activities

  • Assist in improving coding consistency across teams


Technology & Tools

  • Use coding systems and operational platforms for documentation and workflow management

  • Leverage AI-enabled coding assistance tools (where available) while applying independent professional judgment for validation


Required Qualifications

Education & Certification

  • CPC or CCS certification (or equivalent) required


Experience

  • 3–6 years of experience in medical coding and revenue cycle workflows

  • Experience in multi-specialty coding, including:

    • E/M outpatient

    • E/M inpatient

    • Surgery coding

    • Radiology coding

  • Experience in denial coding or coding-related rework workflows

  • Strong understanding of coding guidelines and compliance requirements


Skills & Competencies

  • Strong knowledge of medical coding standards and documentation requirements

  • Ability to perform root cause analysis for coding issues

  • Proficiency in SOP-driven environments and audit documentation practices

  • Strong analytical and problem-solving skills

  • Good communication and collaboration abilities

  • Ability to work in a hybrid environment (Chennai, India)


Additional Information

  • Travel requirement: Not applicable

  • Work model: Hybrid