Clinical Investigator Analyst – Medical Coding
- Location
- Chennai, Tamil Nadu, India
- Salary
- Not specified
- Company
- Akash pawar
Job description
• Role & Company / Project Overview: An excellent opportunity to join a Global Capability Center (GCC) in Chennai and transition beyond traditional medical coding into Clinical Investigation and Payment Integrity. In this role, you will review complex clinical claims and medical documentation, evaluate coding accuracy, and address potential billing inaccuracies. • Key Responsibilities & Daily Duties: - Review and validate medical claims and clinical documentation. - Identify coding discrepancies, billing inaccuracies, and potential Fraud, Waste, and Abuse (FWA). - Evaluate medical necessity and coding accuracy. - Ensure strict compliance with CMS guidelines and established coding standards. • Required Qualifications, Skills & Experience: - Mandatory Certification: CPC Certification from AAPC. - Strong knowledge of ICD-10-CM, CPT, and HCPCS. - Proficient in Medical Record Review & Coding Validation. - Sound understanding of Anatomy, Physiology & Pathology. - Experience across Evaluation & Management (E/M) and Emergency Department (ED) Coding. - Familiarity with Anesthesia & Surgical Coding. - Competence in Clinical Documentation Review (CDI), Medical Necessity Review, and Coding Audits. • Working Hours, Shifts & Location Details: - Location: Chennai, Tamil Nadu, India. - Work Model: Work from Office (GCC). - Shift: General Shift. - Transportation: 2-Way Cab facility provided. - Interview Date: 5th November 2026. • Compensation & Benefits: - 3 Months of Structured Domain Training. - Direct exposure to Clinical Investigation & Payment Integrity. - Clear pathways for long-term career growth in specialized healthcare investigation. • Application Instructions: - Interested CPC-certified candidates are invited to apply directly.