Medical Coding QA

6 days ago


Coimbatore, India Regal Outsource (India) Private Limited Full time
Job Title:

Medical Coding Quality Analyst (QA)Experience Level:

4-6 YearsLocation:

Coimbatore- Tamil NaduEmployment Type:

Full-timeJob Overview:We are seeking a detail-oriented and experienced Medical Coding Quality Analyst (QA) with 4-6 years of hands-on experience in medical coding and auditing. The ideal candidate will ensure coding accuracy, compliance with healthcare regulations, and uphold the quality standards of our medical coding team. You will be responsible for performing audits, identifying discrepancies, and providing feedback to improve the overall efficiency and accuracy of medical coding operations.Key Responsibilities:Conduct Audits:

Perform regular audits of coded medical records to ensure accuracy, completeness, and compliance with ICD-10, CPT, HCPCS, and other coding standards.Quality Assurance:

Ensure that coding processes meet established quality standards and regulatory guidelines (including HIPAA compliance and payer requirements).Error Analysis:

Identify coding errors and inconsistencies, prepare detailed reports on findings, and collaborate with coding teams for corrective actions.Provide Feedback:

Offer constructive feedback and training to medical coders to improve accuracy and efficiency.Stay Updated:

Keep abreast of updates to coding standards, payer guidelines, and healthcare regulations. Ensure coding staff are informed of changes.Compliance:

Assist in ensuring compliance with industry regulations and company policies regarding coding and documentation practices.Reporting:

Generate audit and performance reports for management and provide insights into coding quality trends and areas for improvement.Collaboration:

Work closely with clinical documentation specialists, coders, and billing teams to resolve coding issues and improve overall documentation quality.Qualifications:Experience:

4-6 years of professional experience in medical coding and auditing, with a focus on quality assurance.Certifications:

Must hold a certification such as CPC, CCS, or COC. Additional certifications in medical coding QA or auditing (such as CPMA) are a plus.Proficiency:

In-depth knowledge of ICD-10, CPT, HCPCS, and coding guidelines.Software Skills:

Proficient in using medical coding software and electronic health records (EHR) systems.Attention to Detail:

Strong analytical and problem-solving skills with a high level of attention to detail.Communication:

Excellent verbal and written communication skills, with the ability to provide clear feedback and training to team members.Adaptability:

Ability to work independently in a fast-paced environment and adapt to changes in coding practices and regulatory requirements.Preferred Qualifications:Prior experience in a healthcare setting, such as a hospital, clinic, or medical billing firm.Familiarity with payer policies, including Medicare and Medicaid guidelines.Benefits:Competitive salaryHealth and dental insuranceOpportunities for professional development and certificationsFlexible working environmentTo apply , please send your resume and a cover letter to
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