Lead - Healthcare - Coding Quality Auditor

4 weeks ago

Chennai, India Sutherland Full time

Job Title:

Lead - Healthcare - Coding Quality Auditor

Location*

Chennai, Tamil Nadu, India

Company Description

About Sutherland

Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, theyre our core expertise.
We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.

We've created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as a service" model.

For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.

Job Description:

  • Determine and assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and CPT procedure codes, using official coding guidelines and analytical skills.
  • Knowledge of physician query profess and ability to write physician query in compliance with UHDDS regulations.
  • Candidates should have strong written communication skills to provide effective feedback and coaching.
  • Conduct daily feedback review with bottom coders and provide focused training to improve their scores.
  • Conduct daily huddles and keep the team updated on coding clinics, and general guidelines.
  • Prepare focus audit list based on internal and external audits, and proactively arrest the issues and improve quality.
  • Perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical background to ensure appropriateness for reimbursement.
  • Respond to client logics and record reviews.
  • Monitor acceptance rate for assigned clients and assist management in proactively detecting negative deviations.
  • Works diligent to meet and exceeds quality benchmark.
  • Take charge of ongoing learning and development and participates in relevant training and development activities.
  • Maintains high degree of professional and ethical standards focuses on continuous improvement in quality.
  • Minimum 3+years of experience in any one of the following specialties
  • SPECIALITIES: E/M IP and OP - Edits and Denials. Should have exposure in Athena one application
  • Any graduate (Preferable life science graduate)
  • Strong domain skills in ED professional and facility
  • Effective verbal and written communication skills.

  • Quality Auditor

    4 days ago

    Chennai, India Shiash Info Solutions Private Limited Full time

    **Job description** Dear Job Aspirants, Greetings From Shiash Info Solutions!! We are looking to hire I**P DRG coders, who has 1-9 years of relevant experience in ipdrg coding**. This is a permanent role. Job locations**:Chennai** Experience level **:1 - 9 years** Should have a good knowledge in **Anatomy Physiology** and work experience in...

  • Deputy Director

    2 weeks ago

    Chennai, India Access Healthcare Services Full time

    JOB SUMMARY We are seeking an experienced Medical Coding leader to join our team in Chennai as Deputy Director. This leadership role involves overseeing quality audits, implementing best practices, driving error reduction initiatives, leveraging automation tools, and fostering a culture of excellence and compliance. This position will play a critical...

  • Operations Lead Multispecialty coding

    4 weeks ago

    Chennai, India Starlink Healthcare Administration Full time

    We're Hiring: Operations Leader – Multispecialty / EM Coding / RCM (U.S. Healthcare) Are you a seasoned leader in medical coding operations with a passion for driving excellence in Revenue Cycle Management (RCM)? We are looking for a highly experienced Operations Leader with 10+ years of proven expertise in managing coding teams, optimizing workflows, and...

  • Quality Assurance Auditors, Radiology Coding

    4 days ago

    Chennai, Tamil Nadu, India Exela Technologies Full time

    Chennai, IN-TN - Position Type Full Time - Requisition ID 11916 - Level of Education - Years of Experience **About Exela** Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of...

  • Quality Assurance Auditors, Inpatient Facility Coding

    2 days ago

    Chennai, Tamil Nadu, India Exela Technologies Full time

    Chennai, IN-TN - Position Type Full Time - Requisition ID 11590 - Level of Education - Years of Experience **About Exela** Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of...

  • Coding Trainees

    4 days ago

    Chennai, Tamil Nadu, India Omega Healthcare Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    Looking for enthusiastic and dedicated individuals to join our team as coding trainees in Chennai. The ideal candidate should have 0-1 years of experience.Roles and ResponsibilityCollaborate with the healthcare management team to develop and implement effective coding strategies.Analyze medical records and assign accurate codes using expertise in coding...

  • Compliance Auditor

    6 days ago

    Ramapuram, Chennai, Tamil Nadu, India Yitro Full time

    The Compliance Auditor is responsible for planning and conducting audits for clinical and administrative processes, including coding and billing compliance, documentation, medical necessity, adherence to internal policies, procedures and guidelines, services provided by outside vendors including revenue cycle vendor, and compliance with state and federal...

  • Coder - IPDRG & ED, Quality Auditor - IPDRG

    4 weeks ago

    Chennai, India Med-metrix Full time

    Job Opportunity: Medical Coder - Various Specialties & Quality Auditor - IPDRG Experience Required: 2+ Years Location: RMZ Millenia, Perungudi, Chennai Company: Med-metrix - Captive US Healthcare BPO About Med-metrixMed-metrix is a trusted captive BPO partner serving US healthcare clients with cutting-edge revenue cycle management solutions. With a...

  • Coder - IPDRG & ED, Quality Auditor - IPDRG

    1 week ago

    Chennai, Tamil Nadu, India Med-metrix Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Job Opportunity: Medical Coder - Various Specialties & Quality Auditor - IPDRG Experience Required: 2+ YearsLocation: RMZ Millenia, Perungudi, ChennaiCompany: Med-metrix - Captive US Healthcare BPO About Med-metrixMed-metrix is a trusted captive BPO partner serving US healthcare clients with cutting-edge revenue cycle management solutions. With a culture...

  • Quality Assurance Auditor

    2 days ago

    Chennai, Tamil Nadu, India Exela Technologies Full time

    Chennai, IN-TN - Position Type Full Time - Requisition ID 12290 - Level of Education - Years of Experience **About Exela** Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of...