Experienced Quality Auditor with CPC certification and medical coding expertise. Conducting coding quality audits and ensuring compliance with coding standards in Chennai, India.
Responsibilities
Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
Stay current with updates to coding standards, payer regulations, and compliance requirements.
Requirements
3+years of experience after certification is must
4 - 6 year of Coding with quality experience
Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery
Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting.
Experience working in SLA-driven, high-compliance healthcare environments.
Benefits
Education - Bachelor’s Degree in Science or Nursing.
Certifications
One or more of the following mandatory certifications:
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