Clinical Specialist, Coding Dev (Gurugram)

Clinical Specialist, Coding Dev (Gurugram)

12 Oct
|
Amplify Health
|
Gurugram

12 Oct

Amplify Health

Gurugram

About Amplify Health

Who We Are

Amplify Health Asia Pte. Limited (Amplify Health) is a pan-Asian health technology and analytics company which brings together health technology assets, proprietary data analytics and healthcare expertise to support innovation across the healthcare value chain.

Headquartered in Singapore, Amplify Health operates in 10 markets across the region: Australia, Hong Kong, India, Indonesia, Malaysia, New Zealand, the Philippines, Singapore, Thailand and Vietnam.

Amplify Health develops integrated solutions that empower healthcare payors, providers and policymakers across Asia to identify value and drive new partnerships, understand variation and address systemic inefficiencies—with the aim of improving outcomes for individuals and the sustainability of health systems.

Powered by a clinically enriched data foundation, Amplify Health’s health intelligence platform combines modular AI solutions, context-aware automation and deep regional insights to offer localised, AI-powered health solutions spanning health payment integrity to chronic disease management. The company’s technology has earned recognition at several industry competitions, including the Celent Model Insurer Awards, ITC Asia Awards and SBR Technology Excellence Awards.

As an ISO27001 certified organisation, Amplify Health maintains clearly defined policies, structured oversight mechanisms and ongoing risk assessments that ensure alignment with global best practices on enterprise data security.

Our Vision and Ambition To build the leading healthcare AI and platform services company in Asia that transforms the delivery of health and wellness for patients and communities by combining and leveraging the distinctive and complementary assets and strengths of AIA and Discovery.

Amplify Health will simplify access to health data and AI Innovation to accelerate distinct and disruptive healthcare value insights and resulting improvements in health outcomes through value-based care, personalised care plans and aligning individuals’ lifestyle/ behavioural choices.

By 2028, Amplify Health will have in place one of Asia’s strongest health-tech and AI capabilities; a comprehensive, integrated health technology stack supported by precision insights derived from proprietary data pools.

The Position

Role Overview The Clinical Specialist, Coding Dev plays a critical role in the execution, development, validation, standardization, and optimization of clinical coding and encoded healthcare data assets across global and APAC markets.

The role combines deep expertise in:

- Clinical Coding
- Clinical Annotation
- Annotation Validation
- Clinical Data Standardization
- Crosswalk Development
- Claims Analytics
- Terminology Management
- GenAI Enablement
- Healthcare Data Research
- Coding Automation

The position serves as a bridge between Clinical Informatics, Product, Data Science, Analytics, and Market teams to ensure that coding assets, healthcare datasets, terminology frameworks, and AI-enabled products are clinically accurate, scalable, and aligned with organizational objectives.

Responsibilities

Coding Portfolio Execution & Development

- Lead end-to-end clinical coding, annotation, and validation activities
- Drive expansion of coding coverage across multiple clinical domains
- Develop and maintain coding assets supporting healthcare products
- Support ICD-10-CM, CPT, HCPCS Level II, SNOMED CT, LOINC, ATC and future coding frameworks
- Support terminology harmonization across markets
- Design and maintain clinical coding frameworks
- Contribute to coding automation initiatives
- Develop and validate coding decision rules
- Participate in encoded data lifecycle management
- Support large-scale healthcare data transformation initiatives
- Assist with clinical terminology standardization programs
- Support creation of reusable clinical coding assets

Mandatory

- Annotation




- Annotation Validation
- Ground Truth Dataset Development
- Encoded Data Validation
- Clinical Data Quality Assurance

Clinical Ontology Development Support

- Support the development and governance of clinical and billing ontologies for coding, claims, analytics, automation, and product solutions
- Design and maintain ontology domains, hierarchies, properties, relationships, modifiers, and metadata to ensure clinical validity, scalability, and reuse
- Apply ontology standards, modelling principles, naming conventions, and governance requirements to maintain consistency and quality
- Map ontology concepts to clinical terminologies, classifications, code sets, and billing constructs while ensuring traceability and provenance
- Perform clinical annotation, content review, testing, and quality assurance, resolving modelling issues with subject matter experts
- Collaborate with cross-functional teams to translate business and clinical requirements into ontology models and data structures
- Support version control, change management, impact assessments, release documentation, and stakeholder communication
- Develop reusable ontology assets, mappings, and decision logic to improve interoperability, data quality, and automation
- Monitor ontology quality, coverage, accuracy, and usability, and recommend continuous improvements
- Escalate complex ontology, governance, or implementation challenges and support resolution efforts

Stakeholder Coordination

- Partner with Product, Data Science, Analytics, Operations and Clinical Informatics teams
- Coordinate requirements gathering workshops
- Engage with healthcare providers, clients and market stakeholders
- Present coding recommendations and findings
- Manage stakeholder expectations
- Support governance and steering discussions
- Maintain strong communication across regional and global teams

Product & AI Enablement Support

- Support GenAI model development and evaluation
- Create and refine clinical prompts
- Validate AI-generated outputs
- Support healthcare AI training datasets
- Contribute to feature design and validation
- Improve coding logic used within healthcare products
- Collaborate with Product and Data Science teams on AI-enabled healthcare solutions
- Identify opportunities for automation using coding and terminology assets
- Support clinical rule engines and healthcare decision support initiatives

Coding Research & Innovation

- Perform detailed research across international coding systems
- Evaluate US, Australian, Canadian, Singaporean and emerging APAC healthcare coding frameworks
- Research regulatory changes and market-specific coding methodologies
- Benchmark coding standards and best practices globally
- Evaluate innovative healthcare data solutions
- Develop recommendations to improve coding quality and operational efficiency
- Support future adoption of emerging standards such as ICD-11

Annotation, Validation & Quality Assurance

Mandatory Responsibility

- Lead annotation and annotation validation initiatives
- Review and validate:
- ICD-10-CM
- CPT
- HCPCS Level II
- SNOMED CT
- LOINC
- ATC
- Other healthcare terminologies
- Conduct quality audits and secondary reviews
- Perform coding sense checks
- Execute variance analysis
- Investigate data discrepancies
- Conduct root cause analysis
- Establish validation frameworks
- Review peer outputs
- Deliver structured feedback and coaching
- Maintain clinically accurate Ground Truth datasets
- Ensure data integrity across datasets




- Escalate critical quality issues
- Drive continuous quality improvement initiatives

Clinical Data Assessment & Standardization

- Execute market onboarding assessments
- Conduct healthcare dataset profiling
- Perform data quality and readiness assessments
- Conduct gap analysis exercises
- Support clinical and billing schema design
- Validate healthcare data models
- Review metadata frameworks
- Review property structures and healthcare attributes
- Ensure regulatory alignment
- Support interoperability and standardization initiatives
- Develop recommendations for data harmonization

Team Support, Operations & Capability Building

- Develop SOPs, coding guidelines and validation frameworks
- Support sprint planning and backlog prioritization
- Contribute to operational planning
- Develop training materials
- Mentor junior coders
- Supervising and coaching 2–3 coders
- Conduct quality review sessions
- Facilitate regional knowledge-sharing activities
- Support onboarding and capability development
- Promote adoption of automation and AI-enabled coding practices

Cross-Portfolio SME Support

- Act as Subject Matter Expert across clinical portfolios
- Provide consultation on:
- Coding frameworks
- Clinical data models
- Crosswalks
- Terminology management
- AI and GenAI use cases
- Healthcare data structures
- Support executive presentations
- Provide recommendations to leadership teams
- Support Clinical Informatics strategic initiatives
- Review deliverables from multiple portfolios

Candidate Profile

Experience & Qualifications

Required

- Medical or healthcare-related qualification
- Preferred backgrounds:
- MBBS
- BDS
- BHMS
- BAMS
- Physiotherapy
- Pharmacy
- Nursing
- Allied Health Sciences
- Health Information Management
- 7-9 years of healthcare coding experience
- Relevant coding certification
- Expert knowledge of:
- ICD-10-CM
- CPT
- HCPCS Level II
- Strong understanding of:
- Medical Terminology
- Anatomy
- Physiology

Strongly Preferred

- SNOMED CT experience
- Crosswalk development experience
- Claims analytics experience
- Clinical audit experience
- Annotation and validation experience
- Team management experience
- Stakeholder engagement exposure
- AI/GenAI healthcare experience

Preferred Advanced Qualifications

- Master's in Health Informatics
- Public Health
- Clinical Sciences
- Health Administration

Competencies & Core Characteristics

Technical Competencies

Coding & Terminology

- ICD-10-CM
- CPT
- HCPCS Level II
- SNOMED CT
- LOINC
- ATC
- ICD-11 exposure preferred

Healthcare Data

- Healthcare data modelling
- Claims analytics
- Population health
- Provider profiling
- Billing systems
- Clinical schemas
- Data standardization

Data & Productivity Tools

- Excel (Advanced)
- PowerPoint
- Healthcare analytics tools

Specialized Skills

- Annotation
- Annotation Validation
- Ground Truth Dataset Development
- Clinical Audit
- Crosswalk Development
- Terminology Mapping
- Data Quality Governance

Behavioral Competencies

- Independent thinker
- Strong analytical mindset
- Creative and critical thinking
- Sound judgment and decision making
- Problem-solving ability
- Exceptional communication skills
- Stakeholder management
- Presentation skills
- Leadership capability
- Ability to mentor and develop others
- Collaboration across multidisciplinary teams
- Resilience and adaptability
- Attention to detail
- Continuous improvement mindset
- Ability to manage competing priorities
- Strong coordination and facilitation skills
- Ability to provide and receive constructive feedback

Join Us

If you are passionate about leveraging data to drive healthier outcomes across Asia and thrive in a dynamic, mission-driven environment, we encourage you to apply.

Amplify Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive setting for all employees.

📌 Clinical Specialist, Coding Dev (Gurugram)
🏢 Amplify Health
📍 Gurugram

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