12 Coding Audit Jobs

Training Program Management Design, develop, and implement training strategies and programs tailored to surgery coding and coding audit teams. Conduct strategic needs analyses to identify skill gaps and develop training plans that address these gaps effectively. Develop comprehensive training modules, presentations, and learning materials based on current procedural terminology (CPT), ICD-10-CM, and HCPCS coding guidelines. Ensure training materials and processes reflect the latest updates in medical coding standards, payer requirements, and compliance regulations. Training Delivery & Facilitation Conduct training sessions (classroom, virtual, or blended) for new hires, existing staff, and a...

Role Overview: You are a highly skilled and experienced professional in the field of medical coding, especially in HCC Specialty, looking to join the team as an Associate Director/Director- Training Medical Coding in Hyderabad. With over 15 years of experience, you have a proven track record of managing large teams, demonstrating strong leadership capabilities, client and training team handling experience, along with a deep understanding of the healthcare and medical coding industry. Key Responsibilities: - Oversees the daily operations of the coding unit, including workload and staffing, hiring, disciplining, and performance appraisals, training, and monitoring the quality of work. - Develo...

Role & responsibilities Supervise a team of coders handling E/M and Inpatient encounters Conduct regular audits to ensure coding accuracy, compliance, and quality Mentor, train, and provide feedback to coders to enhance performance Collaborate with denial management, billing, and clinical documentation teams Monitor productivity, accuracy, and turnaround time for coding tasks Implement best practices to reduce denials and improve coding quality Stay current with ICD-10, CPT, HCPCS, and payer-specific updates Preferred candidate profile On-paper TL experience mandatory Strong expertise in E/M & Inpatient coding In-depth knowledge of ICD-10, CPT, and HCPCS guidelines Leadership, mentoring, and...

Role & responsibilities Review and audit interventional radiology coding performed by coders Ensure coding accuracy and compliance with ICD-10, CPT, and hospital policies Identify coding errors, trends, and provide corrective guidance Collaborate with coders, billing, and clinical teams to resolve discrepancies Maintain quality metrics and generate regular QA reports Participate in training sessions to enhance team knowledge and reduce errors Stay updated with coding guidelines, regulatory changes, and best practices Preferred candidate profile Strong knowledge of interventional radiology procedures (angiography, embolization, stent placement, biopsies, etc.) Attention to detail and analytic...

Role & responsibilities Supervise a team of coders working on E&M, Orthopedics, and Basic Surgery cases Review coding accuracy and ensure compliance with ICD-10, CPT, and hospital coding standards Manage denial cases: analyze, appeal, and prevent recurring errors Provide guidance, mentorship, and training to team members Collaborate with billing, clinical, and finance teams to resolve queries Monitor team performance and prepare regular reports on productivity, quality, and denial trends Stay updated with coding guidelines, payer rules, and healthcare regulations Identify process improvements to enhance accuracy and efficiency Preferred candidate profile Strong knowledge of E&M coding, Ortho...

We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potentia...

Responsibilities : Assign ICD-10-CM, CPT, and HCPCS codes to medical procedures and diagnoses. Review documentation for accuracy and completeness. Collaborate with the billing team to resolve coding issues and denials. Participate in internal audits and QA checks. Stay updated with coding regulations and compliance guidelines (HIPAA, etc.). Must-Have Qualifications : CPC or CCS Certification (Mandatory) 24 years in E/M and Denial Management Coding Good communication skills (written & verbal) Attention to detail and strong analytical skills Preferred : Experience with Sleep Study coding Coding Audit exposure Willing to Work in night Shift WFH

Interesting Opportunity for Surgery Coder (Medical Coding) with Reputed Organization!! Job Overview Were looking for a highly skilled and experienced Surgery Coder to join our team in Bangalore. This role requires a deep understanding of surgery codes, attention to detail and a proactive approach to ensuring coding accuracy and compliance. Key Responsibilities : Coding Accuracy: Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for surgical procedures from medical records. Compliance: Ensure coding practices are compliant with federal and state regulations and guidelines. Documentation Review: Review clinical documentation to ensure it supports the assigned codes. Coding Audits: Par...

Surgery-Ortho, IVR, GI and multispecialty.Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG

Conduct regular audits of Home Health and Denial coded charts for accuracy and compliance Provide feedback and training to coders based on audit findings Monitor coding trends, error types, and root causes Work closely with team leads Required Candidate profile Ensure compliance with CMS, Medicare, and payer guidelines Maintain and report quality metrics, and support quality improvement initiatives Collaborate with internal teams to ensure documentation Perks and benefits Perks and Benefits

Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG and other cardiac procedures, IVR & Radiation oncology

Job Summary: The IPDRG Quality Assurance (QA) Specialist ensures the accuracy and compliance of coded medical records through detailed audits and reviews, playing a key role in maintaining quality standards. Key Responsibilities: Perform detailed audits of coded inpatient records to verify accuracy and compliance with IPDRG guidelines. Identify and document coding errors or inconsistencies. Provide feedback and training to coders to enhance coding quality. Ensure adherence to company and regulatory quality standards. Assist in resolving complex coding issues with the team. Required Qualifications: Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or ...