Radiology and Pathology Auditor

Job Description

Job Title: Radiology and Pathology Auditor Location: Guindy, Chennai. Job Type: [Full-Time/Part-Time/Contract] Department: Medical Audit / Quality Assurance Reports To: Audit Manager / Medical Director Job Summary: The Radiology and Pathology Auditor is responsible for conducting detailed reviews of medical records, diagnostic imaging, and pathology reports to ensure accuracy, compliance with coding standards, medical necessity, and adherence to clinical guidelines. The auditor works closely with medical coders, clinicians, and compliance teams to maintain high standards in clinical documentation and reimbursement practices. Key Responsibilities: Review radiology and pathology reports for accuracy, consistency, and compliance with internal and external guidelines. Audit diagnostic and procedural coding (ICD, CPT, HCPCS) to ensure proper documentation and billing. Validate the medical necessity of tests and procedures based on patient history and clinical indications. Identify discrepancies, errors, and potential fraud or overutilization in diagnostic services. Collaborate with radiologists, pathologists, and medical coders for clarification and resolution of audit findings. Prepare detailed audit reports, highlighting trends, compliance issues, and recommendations for improvement. Assist in developing and updating audit tools, checklists, and standard operating procedures (SOPs). Stay up to date with regulatory changes (e.g., NABL, ACR, CAP, CMS) and ensure compliance with applicable standards. Provide feedback and training to internal teams on documentation improvement and regulatory adherence. Support internal and external audits, including payer or accreditation body reviews. If you are interested, please share your updated resume to the below Whatsapp Number. Sreejith - 7397746781 Contact us on Monday to Friday between 11.30 am to 8.30 pm Regards HR Team Qway Technologies