Medical Coding Associate
Company: athenahealth
Location: Chennai, India
Job Type: Full-Time
Experience: 5–7 Years (Healthcare RCM / Medical Coding)
Qualification: Bachelor’s Degree or equivalent + CPC / CCS certification
Salary Range: Not Specified
Job Overview
athenahealth is seeking a Medical Coding Associate responsible for ensuring accurate and efficient medical coding operations within the healthcare revenue cycle.
The role involves assigning correct diagnosis and procedure codes, analyzing operational trends, performing root cause analysis, and driving process improvements to enhance business outcomes and efficiency.
Key Responsibilities
Medical Coding Operations
Assign accurate diagnosis and procedure codes using ICD and CPT standards.
Ensure proper sequencing of codes in compliance with regulatory and insurance requirements.
Review patient charts and documentation for accuracy and completeness.
Handle complex or unusual coding scenarios through detailed research.
Ensure all codes used are current and active.
Quality & Compliance
Ensure compliance with government and payer regulations.
Resolve documentation gaps by coordinating with relevant stakeholders.
Maintain coding accuracy and audit readiness.
Root Cause Analysis & Issue Resolution
Analyze and resolve coding and process-related issues.
Work with vendors, payers, and internal teams to address discrepancies.
Perform root cause analysis to identify systemic issues.
Reporting & Data Analysis
Analyze operational reports to identify trends, spikes, or dips.
Provide insights and recommendations to management.
Support data-driven decision-making for process improvements.
Process Improvement & Collaboration
Identify opportunities to improve workflows and enable a “touchless” revenue cycle.
Collaborate with BPO teams and internal departments to drive efficiency.
Support implementation of process improvements based on business impact.
Special Projects & Ownership
Take ownership of assigned special projects.
Work with internal and client-facing teams to resolve claim-related issues.
Communicate project status and ensure timely delivery.
Required Skills
Medical Coding Expertise
Strong knowledge of ICD and CPT coding systems.
Experience in multi-specialty coding.
Understanding of healthcare revenue cycle management (RCM).
Certifications & Technical Knowledge
CPC or CCS certification required.
Knowledge of inpatient coding (CIC preferred).
Experience in surgery coding is preferred.
Analytical & Problem-Solving
Strong analytical and root cause analysis skills.
Ability to identify trends and recommend improvements.
Communication & Collaboration
Excellent communication and interpersonal skills.
Ability to work with cross-functional teams and external stakeholders.
Strong organizational and time management abilities.
Preferred Qualifications
Experience in healthcare RCM environment (mandatory).
Exposure to complex coding scenarios and audits.
Experience working in fast-paced operational environments.
Key Competencies
Medical coding and compliance
Healthcare RCM knowledge
Data analysis and reporting
Process improvement
Problem-solving and root cause analysis
Cross-functional collaboration
About the Company
athenahealth is a healthcare technology company that provides IT solutions and services to improve clinical and financial outcomes for healthcare providers.
The organization focuses on simplifying healthcare processes and creating a sustainable ecosystem that enables providers to deliver high-quality patient care efficiently.
Uttar Pradesh :
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