Role summary: Ensure accurate, compliant coding that supports revenue cycle performance by driving efficient medical coding operations as a Senior Medical Coding Analyst in Chennai, India (Hybrid). You will apply multi-specialty coding expertise across E/M (outpatient/inpatient), surgery, denial coding, and radiology to support claims accuracy, root cause analysis, and continuous improvement. You will report to the Medical Coding Manager.
Team summary: Job Description
The Senior Medical Coding Analyst is responsible for effective and efficient coding operations by strengthening information flow and workflow execution across medical coding processes. This role supports business operations through consistent coding quality, enhanced operational reporting, and identification of opportunities to improve outcomes within the revenue cycle. You will apply multi-specialty coding knowledge to ensure correct coding selections, support denial prevention and resolution efforts, perform root cause analysis for coding-related issues, and help drive continuous improvements that enhance accuracy, timeliness, and reporting integrity.
Essential Job Responsibilities
- Apply CPC/CCS (or equivalent) coding standards to code assigned medical records with high accuracy.
- Code across multi-specialty areas including E/M outpatient, E/M inpatient, surgery coding, and radiology as applicable.
- Perform denial-focused coding activities by identifying coding drivers that contribute to claim denials and rework needs.
- Validate documentation sufficiency by ensuring coder selections align to the medical record and coding guidelines.
- Analyze coding errors and outcomes to conduct root cause analysis and identify recurring issue themes.
- Coordinate with internal partners to resolve coding discrepancies and support claim correction workflows.
- Document coding decisions, audit notes, and quality findings in required systems to maintain traceability.
- Maintain compliance with quality standards, productivity expectations, and operational SOPs.
- Use AI-enabled assistance to improve coding efficiency by leveraging AI-supported coding suggestions or documentation summaries (where available) and using your CPC/CCS judgment to confirm accuracy and compliance against guidelines and the medical record.
Additional Job Responsibilities
- Support education and feedback loops by sharing coding learnings from audits and denial trends.
- Assist with coding guideline clarifications by contributing examples and outcomes from real cases.
- Participate in quality calibration sessions to align on interpretations and standards.
- Contribute to operational reporting by supporting quality trend analyses and metric updates.
- Support process improvement initiatives aimed at reducing denials and coding rework.
- Review coding-related documentation completeness and propose guidance to reduce recurring gaps.
- Assist with ad hoc coding/audit requests as assigned.
Expected Education & Experience
- 3-6 years of experience in medical coding and revenue cycle-related coding workflows.
- CPC or CCS certification (or equivalent).
- Healthcare RCM knowledge preferred, including familiarity with how coding impacts claims and remittance outcomes.
- Experience coding E/M (outpatient and inpatient), surgery, and radiology.
- Experience with denial coding and/or denial-related coding rework workflows.
- Ability to perform root cause analysis for coding quality issues.
- Strong understanding of coding guidelines and compliance expectations.
- Proficiency in following SOPs and maintaining accurate audit-ready documentation.
- Ability to work effectively in a hybrid environment based in Chennai, India.
Travel: NA % travel annually.
