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Senior Process Executive – Medical Coding (Spe – Medical Coding Hc)

Cognizant
Cognizant
2+ years
preferred by company
Hyderabad
1 May 13, 2026
Job Description
Job Type: Full Time Education: M.Pharm/B.Pharm or M.Sc. Skills: Data Analysis, Document Management, Life Science, Regulatory Compliance, Waterfall Model, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Procedure), Technical Writing, Wat, GCP guidelines, gmp knowledge, HSE Knowledge , Logistics and Transportation Management, Master Data, Operational Excellence, Sap Erp, supply chain management, Supply Planning, Warehouse Management, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding

Job Title: Senior Process Executive – Medical Coding (SPE – Medical Coding HC)

Location: Hyderabad, Telangana, India
Job Type: Full-Time (Hybrid)
Experience Required: 2+ Years (Freshers are not eligible)
Industry: Healthcare / Medical Coding / Health Information Management / Healthcare Operations / Technology & Engineering
Department: Healthcare Operations / Medical Coding / Technology & Engineering

About the Role
We are seeking a detail-oriented and experienced Senior Process Executive – Medical Coding to support healthcare coding operations, clinical documentation accuracy, and regulatory compliance within a dynamic healthcare environment. This role is ideal for professionals with expertise in medical coding, clinical documentation review, ICD-10/CPT coding, healthcare compliance, and healthcare data quality management.

The ideal candidate will be responsible for accurate coding of medical records, ensuring compliance with healthcare regulations, supporting quality audits, and contributing to operational excellence in healthcare coding workflows.

This opportunity is best suited for experienced medical coding professionals seeking growth in healthcare operations and clinical documentation excellence.

Key Responsibilities

Medical Coding & Clinical Documentation Review

  • Perform accurate medical coding for diagnoses, procedures, treatments, and healthcare services using standardized coding systems.
  • Review and analyze clinical documentation, patient medical records, and healthcare data to assign appropriate codes.
  • Ensure coding accuracy aligned with organizational standards, payer requirements, and healthcare regulatory expectations.
  • Maintain coding consistency across assigned healthcare documentation workflows.

Coding Compliance & Regulatory Adherence

  • Ensure compliance with ICD-10, CPT, HCPCS, healthcare coding standards, and applicable healthcare regulations.
  • Stay updated with evolving coding guidelines, reimbursement policies, and regulatory compliance requirements.
  • Support accurate coding practices that align with audit readiness and healthcare governance standards.

Quality Assurance & Audit Support

  • Participate in coding quality checks, internal audits, compliance reviews, and error correction initiatives.
  • Identify coding discrepancies, documentation inconsistencies, and compliance gaps.
  • Support remediation activities and continuous coding accuracy improvement initiatives.
  • Maintain high standards of coding quality, documentation integrity, and operational compliance.

Healthcare Data Integrity & Reporting

  • Ensure data accuracy, completeness, and integrity across coding systems and healthcare documentation workflows.
  • Prepare reports, coding summaries, productivity updates, and compliance-related documentation as required.
  • Support healthcare data governance and documentation quality initiatives.

Cross-Functional Collaboration

  • Collaborate with physicians, healthcare professionals, quality teams, operations teams, and internal stakeholders to resolve coding queries and discrepancies.
  • Communicate coding clarifications and documentation requirements effectively.
  • Support seamless integration between healthcare documentation and coding workflows.

Process Improvement & Operational Excellence

  • Contribute to continuous improvement initiatives aimed at enhancing coding productivity, workflow efficiency, and quality outcomes.
  • Support implementation of updated coding processes, SOPs, and operational best practices.
  • Share coding expertise with team members and assist in knowledge development where required.

Required Qualifications

  • Bachelor’s degree in Life Sciences, Healthcare, Medical Sciences, Health Information Management, Nursing, Pharmacy, or related healthcare disciplines preferred.
  • Minimum 2+ years of relevant experience in medical coding within healthcare operations, hospitals, healthcare BPOs, or health information management environments.
  • Strong hands-on expertise in ICD-10, CPT, HCPCS, medical terminology, anatomy, physiology, and healthcare coding compliance.
  • Proven ability to review clinical documentation and assign accurate medical codes.
  • Strong analytical thinking, problem-solving, and documentation review capabilities.
  • Excellent communication and collaboration skills for working with healthcare stakeholders.
  • Ability to manage day-shift operational responsibilities within a hybrid work environment.

Required Certifications

  • Certified Professional Coder (CPC) OR
  • Certified Coding Specialist (CCS)