Role summary: Deliver accurate, compliant medical coding and support revenue cycle outcomes as a Medical Coding Analyst in Chennai, India (Hybrid). In this role, you will code and validate clinical documentation across E/M outpatient and inpatient, neuro coding, denial coding, and surgery coding, ensuring coding selections align to applicable guidelines and internal standards. You will report to the Medical Coding Manager.
Team summary:
Medical Coding teams in this area perform coding of clinical documentation to support correct capture of historical medical conditions, baseline signs and symptoms, adverse events, medications, and non-drug therapies. The work includes supporting the use and implementation of computer output where applicable, maintaining coding guideline accuracy, researching and resolving coding discrepancies, and running reports to ensure reporting correctness. The team also maintains knowledge of regulations and coding guidelines relevant to clinical studies and collaborates with cross-functional departments on study design, documentation, testing, and implementation. This role supports informed downstream operations by ensuring clinical research, clinical operations, and statistics are aware of coding implications and dictionary-rule needs for data collection and analysis.
Essential Job Responsibilities
- Code medical documentation accurately using CPC/CCS (or equivalent) standards and applicable guideline references.
- Apply multi-specialty coding across E/M outpatient, E/M inpatient, neuro coding, surgery coding, and denial coding as assigned.
- Validate coded outputs by ensuring clinical documentation supports diagnosis/procedure selections and required coding rules are met.
- Research coding discrepancies by reviewing documentation, guidelines, coding edits, and internal references.
- Resolve denials related to coding by identifying coding-related causes and supporting appropriate correction pathways.
- Document coding decisions and research outcomes in required systems for traceability and audit readiness.
- Run and review coding-related reports as needed to ensure reporting accuracy and completeness.
- Perform root cause analysis for recurring coding errors and support targeted corrective actions.
- Use AI-enabled assistance to improve coding throughput and learning by applying AI-supported suggestions (when available) to summarize documentation or highlight potential guideline-relevant details, then confirming accuracy with your coding standards and the source record.
Additional Job Responsibilities
- Assist with the implementation of computer output workflows by supporting validation and feedback loops.
- Contribute to updating coding guidelines and internal references based on observed trends and discrepancy learnings.
- Participate in quality calibration sessions to align on coding interpretations and scoring.
- Support internal validation or cross-validation activities by preparing accurate coding outputs and notes.
- Assist with training and knowledge sharing by explaining common discrepancy patterns and guideline interpretations.
- Help monitor coding performance trends and provide suggestions to improve consistency and reduce rework.
Expected Education & Experience
- 2-4 years of experience in medical coding or revenue cycle coding operations (as applicable to the role).
- CPC or CCS (or equivalent) certification required.
- Healthcare RCM knowledge preferred, especially how coding accuracy impacts claims and denials.
- Hands-on experience with E/M outpatient (OP) and E/M inpatient (IP) coding.
- Experience with neuro coding and surgery coding.
- Experience with denial coding and/or denial-related coding rework workflows.
- Ability to perform root cause analysis for coding discrepancies and recurring error patterns.
- Strong knowledge of coding guidelines and documentation requirements.
- Ability to work in a hybrid setting based in Chennai, India.
Travel: NA % travel annually.
