Medical Records Auditor
4 days ago
Job Description
Overview:
- The Senior Executive Coding Auditor performs thorough reviews of medical records to assess completeness and accuracy of provider documentation and CPT and HCPCS coding.
- Ensure compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.
- Perform analysis of data and understand reasons for denial reasons, using appropriate codes to document the reasons for denials.
Qualifications:
- Lifescience Bachelor's degree.
- Para-medical background (B.PT, Pharm, and B.SC. Nursing) is an added advantage.
- Certification is an added advantage – Certified Coding Professional Coder (CPC) – AAPC or Certified Coding Specialist (CCS) – AHIMA.
Experience:
- Minimum 5 to 8 years of coding experience in multispecialty surgery.
- Denial management experience is an added advantage.
- Ability to apply analytical and critical thinking to review medical records.
- Knowledge in CMS Medicare and Medicaid guidelines.
- Specialty certificate (CPMA, CIRCC, CEDC) from – AAPC.
Skills and Abilities:
- Integrate coding principles in performance of medical audit activity and educate as needed on those principles.
- Compile detailed findings and prepare client reports, when needed.
- Communicate properly to ensure patient data is received and processed for all scheduled audit work.
- Provide feedback and process improvement recommendations to appropriate leadership team and participate in workgroups/committee meetings and process improvement solutions as required.
-
Chennai, Tamil Nadu, India exl Full timeJob SummaryWe are seeking a highly skilled DRG Auditor to join our team at EXL. As a DRG Auditor, you will be responsible for performing in-depth reviews of inpatient medical records to ensure accurate coding and compliance with regulations.Key ResponsibilitiesReview medical records to ensure accurate coding and compliance with regulationsMentor and train...
-
Medical Coding Auditor
5 days ago
Chennai, Tamil Nadu, India FLY Consulting Services Full timeAbout This RoleFly Consulting Services is seeking a skilled Medical Coding Auditor to join our team. As a key member of our team, you will play a crucial role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Abstract pertinent information from patient medical records.Validate assigned CPT/Modifiers/HCPCS/ ICD-10-CM/ICD-10-PCS...
-
Senior Medical Coding Auditor
1 week ago
Chennai, Tamil Nadu, India exl Full timeJob SummaryExL is seeking a skilled Medical Coding Auditor to join our team. As a Medical Coding Auditor, you will perform reviews, analyzes, and codes documentation from medical records to determine payments. This role requires highly technical and specialized functions, with a primary focus on performing thorough reviews of patient encounters to assess...
-
Chief Medical Auditor Professional
10 hours ago
Chennai, Tamil Nadu, India exl Full timeCompany OverviewEXL is a leading business process management and IT services company that helps clients improve operational efficiency, reduce costs, and enhance revenue growth.About the RoleWe are seeking an experienced Chief Medical Auditor Professional to join our team. The successful candidate will be responsible for performing medical record audits,...
-
Senior Executive Auditor
4 days ago
Chennai, Tamil Nadu, India exl Full timeJob Role: Senior Executive AuditorJob Summary: We are seeking a highly skilled Senior Executive Auditor to join our team at EXL. As a Senior Executive Auditor, you will be responsible for performing reviews, analyzing, and coding documentation from medical records that determines payments.Key Responsibilities:Perform thorough reviews of patient encounters to...
-
Senior Executive Auditor
4 days ago
Chennai, Tamil Nadu, India exl Full timeJob Summary:EXL is seeking a skilled Senior Executive Auditor to join our team. As a Medical Coding Specialist, you will be responsible for reviewing and analyzing medical records to ensure accurate coding and compliance with established guidelines.Key Responsibilities:Perform thorough reviews of patient encounters to assess completeness and accuracy of...
-
Medical Records Coding Specialist
3 weeks ago
Chennai, Tamil Nadu, India NTT DATA Full timeJob SummaryWe are seeking a skilled Medical Records Coding Specialist to join our team at NTT DATA. As a Medical Records Coding Specialist, you will be responsible for abstracting information from provider patient medical records and hospital ancillary records, assigning appropriate billing codes, and monitoring unbilled accounts.Key ResponsibilitiesAbstract...
-
Medical Records Coding Specialist
3 weeks ago
Chennai, Tamil Nadu, India NTT DATA Services Full timeAbout the RoleWe are seeking a skilled Medical Records Coding Specialist to join our team at NTT DATA Services. As a Medical Records Coding Specialist, you will play a critical role in ensuring the accuracy and consistency of healthcare data.Key ResponsibilitiesAssign standardized codes to patient diagnoses, procedures, and medical servicesReview clinical...
-
Medical Sales Specialist
3 weeks ago
Chennai, Tamil Nadu, India ICU Medical Full timeJob SummaryThe Portfolio Sales Specialist is responsible for building and maintaining relationships with key decision makers to drive future business opportunities. This role increases profitability and expands existing accounts by selling ICU Medical products and extending relationships into new areas with new accounts.The ideal candidate should have a...
-
Medical Records Coding Specialist
3 weeks ago
Chennai, Tamil Nadu, India NTT DATA Services Full timeJob Summary:NTT DATA Services is seeking a skilled Medical Records Coding Specialist to join our team in Chennai, Tamil Nādu, India. As a key member of our team, you will be responsible for transforming healthcare diagnoses, procedures, and medical services into universal medical alphanumeric codes.Key Responsibilities:Review clinical statements and assign...
-
Senior Medical Sales Specialist
1 week ago
Chennai, Tamil Nadu, India ICU Medical Full timeJob Summary:The successful candidate will be responsible for meeting and exceeding annual sales targets by building and maintaining relationships with key decision makers and stakeholders in the medical industry.Key Responsibilities:Achieve annual sales targets for ICU Medical's Infusion Systems products, including Plum360, CADD, Medfusion, MedNet, and...
-
Medical Coding Specialist
1 week ago
Chennai, Tamil Nadu, India Thryve Digital Health LLP Full timeJob Title: Certified Medical CoderAbout the RoleCertified Medical Coder is a challenging opportunity to deliver high-quality solutions to meet the demands of our global customers. As a key member of our team, you will lead and own the development of technical deliverables, ensuring timely and innovative solutions.Key ResponsibilitiesReview medical records,...
-
Device Sales Specialist
5 days ago
Chennai, Tamil Nadu, India ICU Medical Full timeAbout the Role:The Device Sales Specialist will be responsible for meeting and exceeding an annual sales quota through building and maintaining relationships with key decision makers and stakeholders.Key Responsibilities:Achieve annual sales targets for all Infusion Systems products.Develop unique account sales strategies for Infusion Systems in each target...
-
Certified Medical Coding Specialist
3 weeks ago
Chennai, Tamil Nadu, India Thryve Digital Health LLP Full timeJob Title: Certified Medical CoderJoin our team at Thryve Digital Health LLP as a Certified Medical Coder, where you will play a crucial role in delivering high-quality solutions to meet the demands of our global customers.Key Responsibilities:Review medical records received and code them accurately to billable Revenue Code, CPT, Modifiers, Diagnosis code,...
-
Certified Medical Coder
3 weeks ago
Chennai, Tamil Nadu, India Thryve Digital Health LLP Full timeJob SummaryThis role presents an exciting opportunity to work in a dynamic environment, delivering high-quality solutions to meet the demands of our global clients. The ideal candidate will be able to lead and own the development of technical deliverables, ensuring timely and accurate delivery of innovative solutions.Key ResponsibilitiesReview medical...
-
Quality Analyst Position
4 days ago
Chennai, Tamil Nadu, India exl Full timeJob Title: Senior Executive RoleWe are seeking a highly skilled DRG Coding Specialist to join our team at EXL. As a Senior Executive, you will be responsible for leading a team of DRG Auditors in performing an in-depth quality review of inpatient medical records.Key Responsibilities:Lead a team of DRG Auditors in quality review of inpatient medical...
-
Medical Professional
3 weeks ago
Chennai, Tamil Nadu, India IndiGo Full timeJob Summary: We are seeking a highly skilled Medical Professional to join our team at IndiGo. As a Flight Paramedic, you will be responsible for conducting pre-flight and post-flight medical checks, maintaining medical records, and providing emergency medical care to employees and passengers.Key Responsibilities:Conduct pre-flight and post-flight medical...
-
Medical Representative
1 week ago
Chennai, Tamil Nadu, India Aionion Investment Service private service Full timeJob Title: Medical RepresentativeCompany: Aionion Investment Service private serviceJob Summary:We are seeking a skilled Medical Representative to join our team.Responsibilities:1. Provide information related to the latest products and drugs to doctors and medical professionals.2. Manage medical distribution and ensure timely delivery of medicines.3. Develop...
-
Medical coder
3 months ago
Chennai, Tamil Nadu, India CORE2CODE Full time ₹ 25,000 - ₹ 35,000 per monthMedical coders are responsible for converting details from patient records into medical codes which billers utilize for claim submissions. This includes data such as diagnoses, procedures, equipment details, laboratory results, and physician notes. Coders must possess a thorough understanding of medical terminology and anatomy to correctly code treatments...
-
IMS Auditor Certifications Specialist
3 weeks ago
Chennai, Tamil Nadu, India RINA Full timeJob Title: IMS Auditor CertificationsRINA is seeking a highly skilled IMS Auditor Certifications professional to join its team in Chennai, India.Job SummaryThe IMS Auditor Certifications role is responsible for planning, executing, and managing audits within our certification business. The successful candidate will lead large and complex customer...