About this role
Role Overview
- 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
- Education
- Bachelor’s Degree in Science or Nursing.
- Certifications
- Min. 3+ Years experience after Certification is MUST
- One or more of the following mandatory certifications:
- CCS – Certified Coding Specialist
- CIC – Certified Inpatient Coder
- CPC – Certified Professional Coder
- Experience
- 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
- 3+; years of coding experience
- CPMA certification is added advantage.
- Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role.
Benefits
- NA