Job Title : Medical Coding Analyst (IP DRG & Surgery)
Work Location : Chennai / Hyderabad
Shift : General (10 AM to 7 PM / 11 AM to 8 PM)
Work Mode : Work from Office only
Certification : Must have CCS / CIC for IP DRG; any AAPC / AHIMA certification for Surgery
Role Summary :
Lead and deliver assigned tasks in medical coding, with expertise in denial management, trend analysis, and process analytics. Strong background in hospital billing required.
Job Summary :
Opportunity to work in a demanding environment with global customers. Candidate should have experience in hospital billing, denial management, and be capable of handling technical deliverables with high quality and innovation. Must be an effective team player with problem-solving and communication skills.
Essential Responsibilities :
- Review medical records and code them to Revenue Code, CPT, Modifiers, Diagnosis Code, and other billable requirements.
- Ensure documentation compliance with quality standards and policies.
- Provide information to west partners per expectations.
- Recommend workflow and process improvements.
- Use Microsoft Excel for data inputs, building functions, sorting, and filtering.
- Maintain security and confidentiality standards.
Education :
Graduation / BSc. in life sciences (Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.)Certification :
AAPC or AHIMA coding certifications mandatoryCCS / CIC required for IP DRGExperience : Required :
1–6 years in IP DRG (CCS / CIC) or General Surgery codingExperience in multi-specialty hospital & provider codingCurrently in an auditor role with quality report exposurePreferred :
Working knowledge of Epic and 3M 360Exposure to General and Cardiovascular Surgery codingFamiliarity with Claims Edits and multiple specialtiesDetail-oriented, multitasking, self-motivatedStrong communication and organizational skillsProcess improvement identification and follow-upDocument assignments and follow-up statusUnderstanding of payor policiesCapable of team development and engagement initiativesSkills Required
Surgery Coding, Hospital Billing, IP DRG, Aapc, Denial Management