Experienced Quality Auditor with CPC certification and medical coding expertise. Conducting coding quality audits and ensuring compliance with coding standards in Chennai, India.
Responsibilities
Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
Stay current with updates to coding standards, payer regulations, and compliance requirements.
Requirements
3+years of experience after certification is must
4 - 6 year of Coding with quality experience
Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery
Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting.
Experience working in SLA-driven, high-compliance healthcare environments.
Benefits
Education - Bachelor’s Degree in Science or Nursing.
Certifications
One or more of the following mandatory certifications:
Product Safety Quality Engineer evaluating product safety and compliance in hospital patient monitoring devices. Utilizing risk analysis methodologies and regulatory standards for quality assurance in medical devices.
Lab Technician conducting analytical testing to ensure high product quality for CHS, Inc. based in Rochelle, IL. Responsibilities include routine testing and maintaining safety standards in food production.
Senior QA Engineer executing manual testing and maintaining software quality at Verto. Collaborating across teams to enhance user experience in a hybrid work environment.
QA Technician managing quality events, documentation, and compliance at Perrigo. Ensuring processes meet cGMP requirements in a collaborative environment.
QA Salesforce planning and executing tests for Salesforce solutions while collaborating with BA, developers, and architects. Ensuring business scenarios coverage and quality in deliveries.
Senior Quality Engineer leading quality and reliability support for medical devices. Collaborating on product development and ensuring compliance with regulatory standards in the industry.
Quality Assurance Engineer involved in testing and quality assurance for cutting - edge financial products. Collaborating with agile teams to deliver high - quality software and improve processes.
QA Tester focusing on automated testing using Cypress for banking clients. Collaborating on frontend and backend testing scenarios including resilience, stress, and load cases.