SENIOR MEDICAL CODING ANALYST
Company: athenahealth
Location: Chennai, India (Hybrid)
Job Requisition ID: R15160
Job Type: Full-Time
JOB OVERVIEW
The Senior Medical Coding Analyst is responsible for ensuring accurate, compliant, and efficient medical coding operations that support revenue cycle performance. The role involves applying advanced multi-specialty coding expertise across E/M Outpatient, E/M Inpatient, Surgery, Radiology, and Denial Coding while driving coding quality, operational reporting, root cause analysis, and continuous process improvement initiatives.
ROLE SUMMARY
Ensure accurate and compliant coding that supports revenue cycle outcomes by strengthening coding operations, reducing coding-related denials, improving workflow efficiency, and maintaining coding quality standards. The role requires expertise in coding audits, denial management, quality improvement, and coding compliance.
TEAM SUMMARY
The Medical Coding team supports:
Accurate clinical documentation coding
Revenue cycle optimization
Denial prevention and resolution
Coding quality assurance
Operational reporting
Coding compliance and audit readiness
The team collaborates with Revenue Cycle Management, Clinical Operations, Compliance, Audit, Billing, and Healthcare Operations teams to improve coding accuracy and reimbursement outcomes.
ESSENTIAL JOB RESPONSIBILITIES
Medical Coding
Apply CPC, CCS, or equivalent coding standards to assigned medical records.
Perform coding across:
E/M Outpatient (OP)
E/M Inpatient (IP)
Surgery Coding
Radiology Coding
Denial Coding
Ensure high coding accuracy and compliance with coding standards.
Documentation Validation
Review and validate clinical documentation.
Ensure diagnosis and procedure selections are supported by medical records.
Verify adherence to coding guidelines and compliance requirements.
Denial Management
Perform denial-focused coding reviews.
Identify coding-related causes of claim denials.
Support claim correction and resubmission processes.
Contribute to denial prevention strategies.
Root Cause Analysis
Analyze coding errors and operational outcomes.
Identify recurring coding issues and trends.
Conduct root cause analysis.
Recommend corrective and preventive actions.
Quality Assurance & Compliance
Maintain coding quality standards.
Ensure compliance with SOPs and coding regulations.
Maintain audit-ready documentation.
Document coding decisions and quality findings.
Operational Reporting
Support coding quality reporting.
Analyze coding performance trends.
Assist with quality metrics and operational dashboards.
Contribute to continuous improvement initiatives.
AI-Assisted Coding
Utilize AI-enabled coding assistance tools.
Review AI-generated coding suggestions.
Validate coding recommendations using professional coding judgment.
Ensure compliance with coding standards and medical documentation.
ADDITIONAL RESPONSIBILITIES
Share coding learnings and audit findings with team members.
Support coding education and training initiatives.
Participate in quality calibration sessions.
Clarify coding guideline interpretations.
Contribute to coding quality improvement projects.
Assist with audit and compliance reviews.
Support ad hoc coding and audit assignments.
EDUCATIONAL QUALIFICATIONS
Bachelor’s Degree in:
Life Sciences
Pharmacy
Nursing
Allied Health Sciences
Healthcare Management
CERTIFICATION REQUIREMENTS
Mandatory
CPC (Certified Professional Coder)
OR
CCS (Certified Coding Specialist)
OR Equivalent Industry-Recognized Medical Coding Certification
EXPERIENCE
Required Experience: 3–6 Years
Preferred experience in:
Medical Coding
Revenue Cycle Management (RCM)
Coding Audits
Denial Management
Healthcare Claims Processing
Clinical Documentation Review
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Agra | Gajraula | Gautam buddha Nagar | Ghaziabad | Gorakhpur | Greater Noida | Jhansi | kanpur | Lucknow | Mathura | Noida | Park City | Prayagraj | Satyamev | Varanasi |Gujarat :
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