Medical Coding Associate
Location: Chennai, India
Work Model: Hybrid
Employment Type: Full Time
Job Overview
The Medical Coding Associate is responsible for supporting accurate and efficient medical coding operations that contribute to revenue cycle performance and operational excellence. The role requires expertise in multi-specialty coding, including Evaluation & Management (E/M), Neuro Coding, Surgery Coding, and Denial Coding, while ensuring compliance with coding guidelines and documentation standards.
The position plays a key role in coding quality, discrepancy resolution, denial prevention, root cause analysis, and continuous process improvement initiatives.
Summary of Responsibilities
Medical Coding Operations
Accurately code medical records using applicable coding guidelines and standards.
Perform coding across multiple specialties, including:
E/M Outpatient Coding
E/M Inpatient Coding
Neuro Coding
Surgery Coding
Denial Coding
Ensure diagnosis and procedure codes are accurately assigned based on clinical documentation.
Validate documentation adequacy to support coding selections.
Quality Review & Discrepancy Resolution
Review coded records to ensure consistency, accuracy, and compliance with coding standards.
Investigate coding discrepancies by analyzing:
Clinical Documentation
Coding Guidelines
Regulatory References
Maintain complete documentation of coding decisions and discrepancy findings.
Support internal quality initiatives and coding calibration activities.
Denial Management & Root Cause Analysis
Identify coding-related causes of claim denials and rework.
Support denial correction activities and workflow improvements.
Conduct root cause analysis (RCA) for recurring coding errors.
Recommend corrective actions and process improvements to reduce denial rates.
Documentation & Compliance
Ensure coding activities comply with:
CPT Guidelines
ICD Coding Standards
Internal Coding Policies
Regulatory Requirements
Maintain audit-ready documentation and coding records.
Support internal audit readiness initiatives.
AI-Assisted Coding Support
Utilize AI-assisted coding tools where available.
Review AI-generated suggestions and coding summaries.
Apply professional coding judgment to validate and finalize coding decisions.
Ensure AI-assisted outputs meet coding compliance and quality standards.
Reporting & Process Improvement
Support operational reporting and coding analytics.
Contribute insights from coding trends and quality reviews.
Participate in process improvement initiatives to improve coding accuracy and productivity.
Assist in maintaining coding references and standards documentation.
Training & Knowledge Sharing
Participate in coding calibration sessions and quality reviews.
Support training and knowledge-sharing activities related to coding guidelines and common discrepancies.
Share lessons learned from coding audits and quality reviews.
Assist with special projects and departmental initiatives as assigned.
Qualifications (Minimum Required)
Bachelor's Degree in:
Life Sciences
Medical Sciences
Healthcare Administration
Nursing
Pharmacy
Related Healthcare Discipline
CPC, CCS, or equivalent coding certification preferred.
Experience (Minimum Required)
6 to 8 years of experience in:
Medical Coding
Revenue Cycle Management (RCM)
Healthcare Coding Operations
Demonstrated expertise in:
E/M Outpatient Coding
E/M Inpatient Coding
Neuro Coding
Surgery Coding
Denial Coding
Strong understanding of:
CPT Coding
ICD-10-CM Coding
HCPCS Coding
Medical Documentation Standards
Experience performing:
Coding Quality Reviews
Root Cause Analysis (RCA)
Denial Analysis
Coding Discrepancy Resolution
Strong written and verbal communication skills.
Ability to collaborate effectively with internal stakeholders.
Experience working within a hybrid work environment.
Preferred Qualifications
CPC (Certified Professional Coder) Certification.
CCS (Certified Coding Specialist) Certification.
Experience in healthcare revenue cycle operations.
Knowledge of payer denial management processes.
Experience using AI-assisted coding technologies.
Exposure to coding audits and quality assurance programs.
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