Quality Auditor

5 days ago

Kodambakkam Chennai Tamil Nadu, India iMagnum Healthcare Solution Full time

**Greetings From iMagnum Healthcare**

We are Hiring

Job Title: Quality Auditor - Medical Coding

Specialization - Urgent Care inpatient E&M

Location: [Chennai]

Employment Type: Full-Time

No of Open position: 2

**About Us**:
iMagnum Healthcare is a leading provider of healthcare solutions dedicated to delivering excellence in medical services. We are committed to ensuring the highest standards of quality, accuracy, and compliance across all operations.

**Job Summary**:
We are seeking a skilled Quality Auditor in Medical Coding to ensure coding accuracy, compliance with industry regulations, and adherence to internal policies. The role involves evaluating coding quality, providing feedback to coders, and driving continuous improvement in coding practices.

**Key Responsibilities**:

- Conduct regular audits of coded medical records to ensure accuracy, completeness, and compliance with ICD-10, CPT, and HCPCS guidelines.
- Identify errors, inconsistencies, or non-compliance issues in medical coding and documentation.
- Provide detailed feedback and training to medical coders to improve accuracy and performance.
- Collaborate with the training team to address knowledge gaps and improve coder proficiency.
- Stay updated with changes in coding regulations, payer policies, and compliance standards.
- Prepare and present audit reports with actionable insights to management.
- Assist in process improvements to enhance the overall quality of coding practices.
- Ensure adherence to HIPAA and other confidentiality guidelines in handling medical records.

**Required Skills and Qualifications**:

- Bachelor’s degree in a healthcare-related field or equivalent experience.
- Certification in Medical Coding (e.g., CPC, CCS, COC) is mandatory.
- Minimum 3-5 years of experience in medical coding and auditing.
- In-depth knowledge of ICD-10, CPT, HCPCS, and medical terminology.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal abilities for providing constructive feedback.
- Proficiency in using medical coding software and auditing tools.

Preferred Qualifications:

- Experience in a healthcare BPO or similar domain.
- Knowledge of payer guidelines and reimbursement processes.
- Expertise in multiple specialties, such as radiology, anesthesia, or surgery coding.

**Job Types**: Full-time, Permanent

Pay: ₹13,778.55 - ₹38,000.45 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

Application Question(s):

- Are you a Immediate Joiner?
- How many years of experience as quality auditor?

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

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