Senior Coding Specialist Auditor

3 days ago


mumbai, India IKS Health Full time

The role requires:

Retrieval and review of documentation in
medical records from various client EMR
systems.
Verify the completeness of the
documentation and coding in accordance
with the coding compliance guidelines.
Verify the assigned diagnoses, procedural
codes, modifiers and HCPCS codes adhering
to the general, payer and client
specifications (in all forms of audits
(prospective, retrospective, focused).
Identify errors related to compliance and
coding including
(provider/DOS/CPT/Mod/ICD) in alignment of
the general coding guidelines, client and
payer specifications as needed.
Identify documentation issues which can be
provided to client for documentation
improvement
Provide written and verbal feedback to the
coders on the errors identified
Provide daily audit reports and scores to
the team members.
Conduct huddle meetings on the identified
errors
if there is a demand, should participate in
coding related discussions with client
Should be strong in providing references
and guidelines when suggesting their
response either to coders or to client



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