17 Coding Audits Jobs

Designation : Senior Manager Medical Coding Operations Skillset : Emergency Department / E&M/ Surgery Location: Airoli , Navi Mumbai Education: Graduate + AAPC / AHIMA / WellSky Certification Experience: 10+ years in Medical Coding, with at least 5 years in team handling with current role as Manager Key Responsibilities Manage revenue, cost, SLA, and client deliverables Lead and mentor teams (Team Leaders / Sr. TLs / AMs/Mgrs. ) Drive process efficiency, quality, and staff utilization Handle client relationships, calls, and business reviews Plan & forecast operations in alignment with business goals Requirements Strong domain knowledge in Emergency Department / E&M/ Surgery Experience in cod...

Role Overview: You will act as an expert in Inpatient and multispecialty coding, including E&M, Surgery, IPDRG, Cardiology, Orthopedics, among others. Your responsibilities will include ensuring compliance with ICD-10-CM, CPT, PCS, and HCPCS Level II coding guidelines. You will analyze and resolve coding-related denials, working closely with RCM teams to reduce denial rates. In this role, you will support both Hospital Billing (HB) and Professional Billing (PB) functions within the Provider RCM domain. Conducting coding audits and quality reviews will be part of your duties, and you will be expected to recommend improvements and corrective actions based on your analysis. You will also be res...

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Role & responsibilities Review and accurately assign CPT, ICD-10-CM, and HCPCS codes for anaesthesia services and related procedures. Validate and audit provider documentation to ensure coding compliance with CMS, AMA, and payer-specific guidelines. Perform regular audits and quality checks to ensure coding accuracy and reduce claim denials. Collaborate with physicians, billers, and other team members to resolve documentation or coding discrepancies. Stay current with coding changes, payer updates, and compliance regulations in anaesthesia. Train and mentor junior coders, contributing to team growth and knowledge sharing. Preferred candidate profile Minimum of 3 years experience in anaesthes...

Job Summary: - We are seeking an experienced and knowledgeable Medical Coding Trainer to join our Covalent team. The Medical Coding Trainer will be responsible for developing and delivering comprehensive training programs for aspiring medical coders. The ideal candidate will have a strong background in medical coding, a passion for teaching, and the ability to convey complex information in an easily understandable manner. Key Responsibilities: - Training Development: Design and update training materials, manuals, and online resources for medical coding courses. Develop curriculum that covers current medical coding practices, industry standards, and regulatory requirements. Instruction: Condu...

Who we are: R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts...

Job Description: As a Medical Coding Trainer at LexiCode, you will be part of a dynamic team of coding experts dedicated to providing exceptional coding services to our esteemed clients. Your main responsibility will involve training coders to accurately assign medical codes while ensuring compliance with coding guidelines and regulations. It is essential to stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. Additionally, active participation in coding audits and quality improvement initiatives is crucial to maintain and improve coding accuracy standards. Upholding strict patient confidentiality and privacy standards in full comp...

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Company Description Calpion is an 18-year-old technology firm based in Dallas, specializing in artificial intelligence solutions, custom enterprise application development, RPA solutions, and cloud services. We provide automated bot-driven medical billing services as well as a Salesforce platform-based practice management and billing software. Calpion is SOC-certified and HIPAA-compliant, with certified experts in deep learning, machine learning, and various strategic partnerships with industry leaders like Microsoft, Amazon, and SAP. We have a global presence with multiple Centres of Excellence and serve a diverse range of industries including healthcare, logistics, supply chain, oil & gas,...

Description We are seeking a detail-oriented Medical Coder - IVR Coder to join our team in India. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with healthcare regulations. This role is essential for maintaining the integrity of our medical coding processes and requires a strong understanding of medical terminology and coding guidelines. Responsibilities Review and analyze medical records to extract and assign appropriate codes for diagnoses and procedures. Ensure accurate coding for IVR (Interactive Voice Response) systems and related medical services. Maintain compliance with coding guidelines and regulations. Collaborate with healthc...

Interesting Opportunity for Primary Care Coder (Medical Coding) with Reputed Organization Job Overview Were looking for skilled and experienced Primary Care Coders to join our team in Bangalore. This role requires additional expertise in managing subjective coding scenarios and the ability to handle complex cases and ensure coding accuracy and compliance. Key Responsibilities: Coding Accuracy: Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for primary care services from medical records. Compliance: Ensure coding practices comply with federal and state regulations and guidelines. Documentation Review: Evaluate clinical documentation to confirm it supports the assigned codes. Codin...

Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient services, ensuring compliance with official coding guidelines and client-specific requirements; maintain coding quality and productivity standards. Required Candidate profile 5–7 years of inpatient coding experience; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS, and DRG assignment; strong understanding of coding guidelines and compliance standards.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 6+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Review inpatient medical records to assign accurate ICD-10-CM and ICD-10-PCS codes, ensuring compliance with official coding guidelines and client-specific requirements. Required Candidate profile 5+ years in inpatient coding; certified coder (AAPC/AHIMA); proficiency in ICD-10-CM, ICD-10-PCS; strong knowledge of DRG assignment and coding guidelines.

Job Summary: - We are seeking an experienced and knowledgeable Medical Coding Trainer to join our Covalent team. The Medical Coding Trainer will be responsible for developing and delivering comprehensive training programs for aspiring medical coders. The ideal candidate will have a strong background in medical coding, a passion for teaching, and the ability to convey complex information in an easily understandable manner. Key Responsibilities: - Training Development: Design and update training materials, manuals, and online resources for medical coding courses. Develop curriculum that covers current medical coding practices, industry standards, and regulatory requirements. Instruction: Condu...

Hello Coders, We are hiring Certified Medical Coders and Quality Analyst for Chennai and Hyderabad Location Specialities are given below. IPDRG COders & QA - Location : Hyderabad & Chennai. Surgery Coders & QA - Location : Chennai. IVR Coders - Location : Chennai. Experience - 2 Years to 15 Years. Preferred candidate profile Certified coder: CIC / CCS / CPC (Mandatory) Strong experience in Medical coding & Auditing (IPDRG, Surgery and IVR) Familiarity with U.S. healthcare guidelines and payer policies Strong knowledge of ICD-10-CM, ICD-10-PCS Education : Any graduate (Life Science/Paramedical preferred) Coding certification: AAPC / AHIMA (mandatory) Perks and Benefits : Health Insurance Cert...