Coding Auditor, IP Workstream

4 weeks ago

Chennai, India Med-Metrix Full time

Job Purpose

The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results.

Duties and Responsibilities

  • Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed
  • Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance
  • Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending.
  • Complete coding audits for our copartners' coding WQ
  • Work with any offsite auditors
  • Evaluate and report on the overall quality of physician documentation that supports selected codes most specifically but not inclusive of medical necessity
  • Adhere to local and national coverage determinations, and CCI and payer specific editing rules
  • Ensure appropriate documentation and coding of split/shared services, teaching physician guidelines and any client specific quality assessment programs
  • Compile, trend, analyze and report on all findings that do not meet all of the guidelines listed above
  • Maintain a professional attitude
  • Other duties as assigned by the management team
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

  • High School diploma or equivalent required
  • CPC or CCS coding certification required from AHIMA or AAPC
  • Minimum 5 years of coding experience and minimum 2 years auditing experience in a multi-specialty setting
  • Knowledge of Microsoft Word, Outlook, Excel
  • Must be able to use job-related software
  • Self-starter with ability to work independently

Working Conditions

  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

  • Coding Auditor, IP Workstream

    3 weeks ago

    Chennai, India Med-Metrix Full time

    Job Description Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties And Responsibilities - Perform coding audits and compliance audits for providers, including physicians and mid-level providers....

  • DRG Coding Auditor

    5 days ago

    Chennai, Tamil Nadu, India EXL SERVICES Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Senior Executive Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of...

  • Medical Coding Analyst

    2 weeks ago

    Chennai, India Thryve Digital Full time

    Job Description Job Title: Medical Coding Analyst (IP DRG & Surgery) Work Location: Chennai / Hyderabad Shift: General (10 AM to 7 PM / 11 AM to 8 PM) Work Mode: Work from Office only Certification: Must have CCS/CIC for IP DRG; any AAPC/AHIMA certification for Surgery Role Summary: Lead and deliver assigned tasks in medical coding, with expertise in...

  • Hiring For IP DRG Coding

    5 days ago

    Chennai, Hyderabad, India Axis Services Full time ₹ 1,56,240 - ₹ 6,76,800 per year

    **Hiring for IP DRG Coding || 13 LPA || WFO || Hyd & Chennai Minimum 1 year of IP DRG coding experience required. Package : 13 LPA Only certified coder ( CPC, CIC, COC, CCS ) location : Chennai , Hyderabad Notice Period : 0 to 60 Days Interested candidates can share your updated resume at Refer your friend's / Colleagues**

  • Hiring Surgery, IP DRG Coders, Auditors and Trainers

    4 weeks ago

    Chennai, India Coronis Ajuba Solutions Full time

    Greetings from Coronis Ajuba (Formerly known as MiraMed Ajuba) Hello Coders, Hiring Certified Surgery & IP DRG Coders, Auditors & Trainers for Chennai and Hyderabad Locations Locations & Specialities: Hyderabad Surgery, IPDRG Coders, Auditors, Process Trainers & EM Trainers Chennai Surgery, IPDRG- Coders, Auditors, Process Trainers & EM Trainers Work from...

  • Inpatient Coding Auditor

    4 weeks ago

    Chennai, India Med-Metrix Full time

    Job Purpose The Inpatient Coding Auditor is an experienced auditor and certified professional coder with extensive knowledge of inpatient coding and auditing for various specialties, dedicated to ensuring the highest standards of coding accuracy and compliance. This position is critical for maintaining the integrity of coded data and the associated...

  • Medical Coding

    4 days ago

    Chennai, India Sanumas Solutions Full time

    Title: Medical Coder Speciality: IP / ED Only Certification is Mandatory -CPC/CCS/CIC... Exp: 3+ yrs Work From Home - Permanent Client HQ: Mysore **Should have worked with Specialities like** Hospital IP Rural Health Clinic Pain Management Cardiology ED Same Day Surgery Observation IV Therapy PT/OT Wound Care **Job Types**: Full-time, Regular /...

  • 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...

  • Inpatient Coding Auditor

    1 week ago

    Chennai, India Med-Metrix Full time

    Job Description Job Purpose The Inpatient Coding Auditor is an experienced auditor and certified professional coder with extensive knowledge of inpatient coding and auditing for various specialties, dedicated to ensuring the highest standards of coding accuracy and compliance. This position is critical for maintaining the integrity of coded data and the...

  • Compliance Auditor

    5 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...