Senior Training Specialist – Medical Coding
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time
Department: Medical Coding / Revenue Cycle Management (RCM) / Training & Quality
Job Summary
The Senior Training Specialist – Medical Coding is responsible for delivering advanced training in denial management coding, mentoring coders across multiple specialties, and supporting client transitions. The role requires strong expertise in ICD-10-CM, CPT, and HCPCS coding systems, along with deep knowledge of the US healthcare Revenue Cycle Management (RCM) process. The position also involves serving as a Subject Matter Expert (SME) for clients and ensuring high-quality coding practices aligned with compliance standards.
Key Responsibilities
Training Delivery & Facilitation
Conduct structured training programs on Coding – Denial Management.
Deliver training sessions for new hires and experienced coder groups across specialties.
Provide continuous education programs for assigned client teams.
Adapt training delivery based on changing business requirements and short-notice updates.
Medical Coding & Denial Management
Accurately code medical records using ICD-10-CM, CPT conventions, and HCPCS guidelines.
Interpret complex medical records across multiple specialties.
Analyze denial cases and provide appropriate corrective coding actions.
Strengthen coder capability in denial prevention and resolution strategies.
Payer Guidelines & Compliance
Research and interpret payer-specific guidelines and policies.
Ensure accurate alignment of coding practices with payer requirements.
Participate in internal compliance and audit activities for coding teams.
Client Transition & SME Support
Support transitioning clients by acting as a Subject Matter Expert (SME).
Provide guidance during onboarding and operational stabilization phases.
Ensure smooth knowledge transfer and alignment with client expectations.
Team Development & Mentoring
Mentor coders to improve performance in denial management coding.
Analyze trainee progress and support ramp-up to client expectations.
Handle diverse groups of learners and ensure consistent skill development.
Provide structured feedback to improve accuracy and productivity.
Quality & Audit Support
Participate in internal coding audits (ATA) and compliance reviews.
Identify gaps in training effectiveness and propose improvements.
Ensure adherence to organizational coding standards and quality benchmarks.
Required Qualifications
Experience
Minimum 5 years of overall experience in medical coding and RCM.
At least 3–4 years of hands-on medical coding experience preferred.
Minimum 1 year experience in denial coding management.
Minimum 1 year experience in a formal trainer role.
Certification
AHIMA or AAPC certification is mandatory.
Technical Expertise
Strong knowledge of:
ICD-10-CM coding system
CPT coding conventions
HCPCS coding standards
Deep understanding of US healthcare RCM cycle.
Experience in multispecialty coding, especially denial and EM coding.
Key Skills
Strong communication and presentation skills
Excellent teaching and coaching ability
Analytical thinking and problem-solving
Stakeholder and client management
Adaptability to dynamic training requirements
Proficiency in MS Office tools
Key Contribution
Improve coder performance through structured denial management training.
Strengthen compliance and accuracy in medical coding operations.
Support client transitions and ensure operational readiness.
Enhance overall coding quality and reduce denial rates.
Salary Criteria
Expected Salary: ₹6–11 LPA for candidates with 5–8 years of medical coding and training experience with denial management exposure; professionals with strong SME/client transition experience and AHIMA/AAPC certification may earn ₹11–13+ LPA depending on specialization depth and client-facing responsibilities.
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