This hybrid role is for a skilled medical coding specialist who supports high quality healthcare products through accurate clinical data translation and validation. The specialist applies medical coding expertise to maintain coding integrity improve claims efficiency and enhance patient centric solutions while collaborating with cross functional teams in a structured day shift workplace without travel.
Responsibilities
- Review medical records from diverse healthcare products to assign accurate standardized codes that support compliant billing and robust clinical analytics
- Apply deep knowledge of medical coding guidelines to validate coded data for completeness consistency and proper linkage to healthcare product features
- Collaborate with product teams to translate clinical documentation into structured codes that strengthen the reliability and usability of healthcare solutions
- Analyze coding discrepancies to identify root causes communicate findings and support corrective actions that reduce rework and claim denials
- Coordinate with quality and operations teams to refine coding workflows that enhance turnaround time without compromising clinical and regulatory accuracy
- Conduct detailed audits of coded encounters to ensure alignment with payer requirements regulatory standards and internal compliance policies
- Document coding rationales in a clear and traceable manner so downstream users can easily understand decisions and apply them consistently
- Contribute to continuous improvement efforts by sharing coding insights that influence product design documentation templates and rules based engines
- Use medical coding expertise to support testing of healthcare product enhancements ensuring that coding rules and edit logic behave as intended
- Respond to inquiries from internal stakeholders regarding code selection and documentation needs while promoting a culture of quality and accountability
- Monitor performance metrics for
📌 SPE-Medical Coding HC (Hyderabad)
🏢 Cognizant Softvision
📍 Hyderabad
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