Sholinganallur Chennai Tamil Nadu Episource, medical coding Jobs – 146 Open Jobs Today

Lead Assistant Manager
EXL Service —Chennai, Tamil Nadu
- Full-time
- SQL
- Agile
- AI
Team Lead - Profee
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- HIPAA
- Travel
- Organisational skills
7d
Manager - Operation
EXL Service —Chennai, Tamil Nadu
- Full-time
- HIPAA
- Analysis skills
- Bachelor's degree
Senior Executive
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
Lead Assistant Manager-Auditors-Surgery
EXL Service —Chennai, Tamil Nadu
- Full-time
- Analysis skills
- Bachelor's degree
- Leadership
Sr Executive - HIM services (IP DRG)
CorroHealth Infotech Private Limited —Chennai, Tamil Nadu
- Full-time
- Organisational skills
- Computer skills
- Communication skills
Quick apply
Senior Executive
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
Lead Assistant Manager-Auditors-Surgery
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Research
Facility Outpatient Surgery and Observation Coder
XBP Global —Chennai, Tamil Nadu
- Full-time
Assistant Manager-Auditors-Surgery
EXL Service —Chennai, Tamil Nadu
- Full-time
- Research
- Quality control
3838828-Assistant Manager
EXL Service —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Research
AR caller – Hospital billing(Night)
SolvEdge —Chennai, Tamil Nadu
- Email
- Patient monitoring
- EMR systems
- Care plans
- Health insurance
Quality Analyst - Facility IP
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Anatomy knowledge
8d
Senior Coder - Profee General Surgery
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Office
- Travel
17h
Team Lead E&M
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- HIPAA
- Travel
- Organisational skills
3d
Medical Coder & Senior Medical Coder
Omega Healthcare Management Services Pvt. Ltd.. —Chennai, Tamil Nadu
- ₹35,000 - ₹70,000 a month
- Full-time
- Home health
- In-person
- Medical terminology
- Health insurance
Quick apply
1h

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Fresher(2025/2026 Passout)
CO —Sholinganallur, Chennai, Tamil Nadu
This includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures,…
₹15,000 - ₹19,000 a month
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Registered Nurse - Part Time or Pay per visit
GRAH Care —Chennai, Tamil Nadu
Minimum 1 year of clinical or home healthcare experience preferred. 12-hour or 24-hour patient assignments. Employment Type:* Part-Time / Freelance / Contract.
₹8,086.00 - ₹44,644.51 a month
Quick apply

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Lead Assistant Manager

EXL Service -
Chennai, Tamil Nadu

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Job details

Full-time

Qualifications

Knowledge management
Power BI
Content management systems
Tableau
SQL
Medical records
Natural language processing
CPT coding
Scrum
Agile
JSON
Data science
AI
Python

Full job description

Job Description: We are seeking an experienced Clinical Coding Subject Matter Expert (SME) to support the development, validation, and continuous improvement of AI-powered solutions across its Healthcare Payer Practice. In this role, you will work closely with AI engineers, product managers, and client-facing teams to ensure that our solutions reflect real-world coding standards, payer policies, and clinical accuracy. The ideal candidate brings deep hands-on experience in ICD-10-CM/PCS, CPT/E&M, and DRG-based inpatient coding, with a strong understanding of payer adjudication logic and prior authorization workflows.

Responsibilities: SME & Clinical Advisory

Serve as the primary clinical coding advisor for AI product teams, providing guidance on ICD-10-CM/PCS, CPT/E&M, and DRG/inpatient coding rules, conventions, and edge cases.
Interpret and apply CMS guidelines, LCD/NCD policies, AHA Coding Clinic guidance, and payer-specific policies to AI model training and validation activities.
Partner with Legal and Compliance teams to ensure coding logic adheres to applicable federal and state regulations, including HIPAA and CMS standards.
D rive cross-functional alignment on coding standards and AI solution design .

Product development and testing Support:

Collaborate with AI engineers and data scientists to define coding logic, decision trees, and clinical criteria used in AI model development and prompt engineering.
Translate complex clinical coding rules into structured, machine-readable formats (e.g., YAML, JSON decision trees) for consumption by AI pipelines.
Contribute to the development of synthetic test cases and clinical scenarios for model evaluation across CPT codes, DRG groupings, and authorization pathways.
Support the development of quality assessment frameworks to evaluate whether AI outputs align with payer coverage policies and coding guidelines.

Data & Performance Tracking

Validate AI recommendations against gold-standard coding outcomes; identify discrepancies, document findings, and work with engineering teams on remediation.
Develop and maintain coding accuracy benchmarks, KPIs, and evaluation rubrics for ongoing model performance monitoring .

Knowledge Management & Training

Develop training materials and conduct knowledge transfer (KT) sessions for AI engineers, QA analysts, and client-facing teams on coding concepts and clinical & billing workflows - claims adjudication, adjustment etc
Stay current with coding guideline updates; proactively assess and communicate the impact of coding changes on AI solutions

Supporting Pre-Sales Solution Design

Support pre-sales and solution design activities by contributing clinical domain expertise to proposals, demos, and proof-of-concept engagements.

Qualifications: Required Qualifications

7+ years of hands-on clinical coding experience in a U.S. healthcare setting, with demonstrated expertise in ICD-10-CM/PCS, CPT/E&M, and DRG/inpatient coding.
Active credential from AAPC or AHIMA (CPC, CCS, RHIA, RHIT, or equivalent)
Strong working knowledge of CMS reimbursement methodologies, payer prior authorization processes, and claims adjudication and adjustment rules.
Familiarity with healthcare data standards including ICD-10, CPT, HCPCS, NPI, and claims data formats (837P/837I)
Experience reviewing medical records, interpreting clinical documentation, and applying coding guidelines to complex patient scenarios.
Demonstrated ability to communicate clinical concepts clearly to non-clinical stakeholders including engineers, product managers, and business analysts.

Bonus & Preferred Qualifications

Experience working in AI, health IT, or digital health product environment particularly in roles supporting model validation, UAT, or clinical NLP/ML systems.
Hands-on experience reviewing or validating outputs from AI-assisted or automated coding systems, including identifying model errors or hallucinations and providing structured feedback to improve system performance over time.
Exposure to FHIR-based data structures, CDS Hooks, and structured clinical data formats used in payer workflows.
Background in payment integrity, clinical auditing, RAC/MAC audit response, or coding compliance programs.
Familiarity with coding compliance edit frameworks, claim editing logic, and standard payer editing conventions (e.g., duplicate billing, bundling, unbundling, and modifier validation); experience applying or reviewing such edits in a payer or payment integrity context is a plus.
Experience writing or reviewing structured policy criteria against payer-specific coverage policies and clinical guidelines.
Background in Clinical Documentation Improvement (CDI) for inpatient DRG-impacting conditions.
Prior experience leading or managing a clinical coding team including mentoring coders, conducting audits, overseeing productivity and quality metrics, or managing coding operations for a department or business unit
Basic proficiency in SQL, Python, or data visualization tools (Tableau, PowerBI) to perform independent product data analysis
Familiarity with agile/scrum delivery methodologies and comfort participating in sprint ceremonies (backlog grooming, sprint planning, retrospectives).

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episource, medical coding jobs in sholinganallur chennai tamil nadu

Lead Assistant Manager

Team Lead - Profee

Manager - Operation

Senior Executive

Lead Assistant Manager-Auditors-Surgery

Sr Executive - HIM services (IP DRG)

Senior Executive

Lead Assistant Manager-Auditors-Surgery

Facility Outpatient Surgery and Observation Coder

Assistant Manager-Auditors-Surgery

3838828-Assistant Manager

AR caller – Hospital billing(Night)

Quality Analyst - Facility IP

Senior Coder - Profee General Surgery

Team Lead E&M

Medical Coder & Senior Medical Coder

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