Job Description
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.
Responsibilities and Essential Functions:
Lead and manage QC check
Follow every aspect of SOP without fail
Complete received Audits with Quality
To achieve Quality target
Follow project related protocols and instructions
Escalate issues, identify trends...
Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
Check with Manager /TL in case of clarifications
All emails from Manager should be answered promptly without fail
Problem solving skill sets
Ensure compliance of entire team for HIPAA,OIG
Qualifications:
Life science/Paramedical Degree
CPC/CPMA; Min. 3+ Years experience After Certification
Computer skill sets
Experience:
6 years to 9 years’ experience in Medical coding IVR and General surgery
W orking in Quality team is an added advantage.
Communication: Strong written (documentation) and oral communication skills
Working Hours:
40 hours per week as Full time employee
Shift time: 08:00AM TO 05:00PM IST
Weekends Off
Telecommuter/Internet requirements, if applicable:
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
See salary ranges, certifications, and full career path →