Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Job Title: Medical Coding Analyst

Job Profile Code: New

Cohort: Analyst

Department: Technology Enabled Services

Prepared by: Thinakaran Karuppiah

Position Summary:

Medical Coding Analyst is responsible for effective and efficient operations by enhancing various operational procedure in the areas of information flow and management, business processes, enhanced management reporting and looks for opportunities to expand and improve business outcomes. Should possess multi-specialty coding knowledge and be able to perform root cause analysis.

Essential Functions (Duties and Responsibilities):

75% Perform Medical coding related responsibilities and ensure seamless assignment codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes

• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations

• Follow up with the provider on any documentation that is insufficient or unclear

• Communicate with other clinical staff regarding documentation

• Search for information in cases where the coding is complex or unusual

• Receive and review patient charts and documents for accuracy

• Ensure that all codes are current and active

• Responsible to maintain important logs and documentation regarding the details of the tasks performed

• Support an environment of accountability and management against goals

• Collaborate with cross-functional teams to resolve issues identified from day to day working of claims

15% Identify and quantify work trends

• Propose solutions to improve internal processes to facilitate a “touchless” revenue cycle

• Work with internal teams across the Operations Division to prioritize and implement process improvements appropriately prioritized based on impact and business need

10% Accept full ownership and responsibility for special projects

• Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business

• Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.

Education & Experience Required:

• Bachelor’s degree or equivalent

• 3-4 years’ experience in fast paced environment

Knowledge & Skills:

• CPC or CCS or equivalent

• Healthcare RCM knowledge, preferred

• Analytical skills and good communication skills

• Ability to clearly articulate actions taken and articulate next steps

• MS office skills, required

About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented  employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative  workspaces  — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here: athenahealth.com/careers

https://www.athenahealth.com/careers/equal-opportunity