Medical Coding Analyst (IP DRG & Surgery coders)

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 mandatory
• CCS / CIC required for IP DRG

Experience:

Required:

• 1–6 years in IP DRG (CCS/CIC) or General Surgery coding
• Experience in multi-specialty hospital & provider coding
• Currently in an auditor role with quality report exposure

Preferred:

• Working knowledge of Epic and 3M 360
• Exposure to General and Cardiovascular Surgery coding
• Familiarity with Claims Edits and multiple specialties
• Detail-oriented, multitasking, self-motivated
• Strong communication and organizational skills
• Process improvement identification and follow-up
• Document assignments and follow-up status
• Understanding of payor policies
• Capable of team development and engagement initiatives