Senior Medical Coder

2 weeks ago

Chennai, Tamil Nadu, India Procyon Technostructure Full time

Job Summary We are seeking an experienced Medical Coding Auditor CPMA to join our healthcare compliance team The ideal candidate will be responsible for conducting coding audits ensuring adherence to regulatory guidelines identifying compliance risks and providing recommendations for process improvements This role demands strong expertise in auditing deep knowledge of medical coding standards and the ability to guide coding teams toward accuracy and compliance Key Responsibilities Perform internal and external audits of coded medical records to ensure compliance with CMS OIG and payer guidelines Review documentation for accuracy and completeness ensuring ICD-10-CM CPT and HCPCS coding compliance Identify coding errors trends and risks prepare audit reports with recommendations Collaborate with coding teams to provide education training and corrective action plans Assist in developing policies and procedures for coding compliance and audit processes Partner with physicians compliance officers and billing teams to improve documentation and minimize audit risks Stay updated with evolving federal regulations payer policies and coding guidelines Required Skills Qualifications Certification CPMA is mandatory Additional certifications like CPC CCS or COC are highly preferred Strong expertise in ICD-10-CM CPT HCPCS and medical terminology 8 years of experience in medical coding with a minimum of 3 years in auditing compliance Proven ability to conduct detailed audits and prepare actionable reports Excellent knowledge of healthcare laws payer regulations and audit procedures Strong analytical problem-solving and communication skills Proficiency with coding audit software and MS Office tools

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