Senior Medical Coding Analyst
Company: athenahealth
Location: Chennai, Tamil Nadu, India (Hybrid)
Job Type: Full-Time
Department: Operations
Experience: 3–6 Years
Job ID: R15160
About the Role
athenahealth is seeking a Senior Medical Coding Analyst to support medical coding operations and revenue cycle performance. The role involves applying multi-specialty coding expertise across E/M coding, surgery coding, radiology coding, denial management, and coding quality initiatives to ensure accurate, compliant, and efficient coding processes.
The ideal candidate will have strong coding experience, CPC/CCS certification, and a solid understanding of healthcare revenue cycle management (RCM).
Key Responsibilities
Medical Coding Operations
Apply CPC/CCS coding standards to assigned medical records with high accuracy.
Perform coding across:
E/M Outpatient Coding
E/M Inpatient Coding
Surgery Coding
Radiology Coding
Ensure coding selections align with clinical documentation and coding guidelines.
Denial Management & Root Cause Analysis
Identify coding-related drivers contributing to claim denials.
Support denial prevention and denial resolution activities.
Conduct root cause analysis of coding errors and recurring quality issues.
Assist in claim correction and coding rework workflows.
Documentation Review & Compliance
Validate documentation completeness and coding accuracy.
Maintain compliance with coding regulations, quality standards, and SOPs.
Document coding decisions, audit findings, and quality observations accurately.
Ensure audit-ready coding documentation at all times.
Quality Improvement & Reporting
Participate in coding quality reviews and calibration sessions.
Support operational reporting and coding quality trend analysis.
Share coding insights and audit findings with internal teams.
Contribute to continuous process improvement initiatives.
Technology & AI-Enabled Coding
Utilize AI-supported coding tools and documentation assistance technologies.
Review AI-generated coding suggestions and validate accuracy using CPC/CCS expertise.
Support productivity improvements through technology-driven coding workflows.
Required Qualifications
Education & Certification
CPC (Certified Professional Coder) OR
CCS (Certified Coding Specialist) OR Equivalent Coding Certification
Experience
3–6 years of experience in:
Medical Coding
Revenue Cycle Management (RCM)
Coding Quality Operations
Denial Coding & Rework
Experience in multi-specialty coding environments preferred.
Required Skills
Medical Coding
CPC / CCS Coding Standards
E/M Outpatient Coding
E/M Inpatient Coding
Surgery Coding
Radiology Coding
Denial Management
Revenue Cycle Management (RCM)
Coding Audits
Root Cause Analysis
Documentation Review
Coding Compliance
Quality Assurance
Healthcare Claims Processing
AI-Assisted Coding Tools
SOP Compliance
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