Overview: The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and
codes documentation from medical records that determines payments. This position
performs highly technical and specialized functions, and the primary function of
this position is to perform a thorough review of patient encounters to assess
for completeness and accuracy of provider documentation and CPT and HCPCS
coding. The coding function also ensures compliance with established coding
guidelines, third party reimbursement policies, regulations and accreditation
guidelines. Perform analysis of data and understand the reasons for denial
reasons, use appropriate codes to be used in documentation of the reasons for
denials. Qualifications: Life science Bachelor’s degree. Para - medical
background (B.PT, Pharm, and B.SC. Nursing) graduation is an added advantage.
Certification is added advantage – Certified coding professional coder (CPC) –
AAPC OR Certified Coding specialist (CCS) – AHIMA Experience: Minimum 3 years of
Coding experience in multispecialty surgery and E/M coding Denial management
experience is an added advantage. Ability to apply analytical and critical
thinking to review medical records. Knowledge in CMS Medicare and Medicaid
guidelines. Specialty certificate (CPMA, CIRCC, CEDC) from – AAPC. Para -
medical background (B.PT, B.Pharm, B.SC. Nursing) graduation is an added
advantage. Auditing experience on multi-specialty. Knowledge in Microsoft
outlook/excel/word Communication Skill: Valuable communication skills Working
Hours: 9 Hours Telecommuter/Internet requirements, if applicable: NA Skills and
abilities: Integrates coding principles in performance of medical audit activity
and educates as needed on those principles. Upon completion of medical record
audit, compiles detailed findings and prepares client reports, when needed.
Coordinates with client to ensure patient data is received and processed for all
scheduled audit work. Communicate proper volume to support invoicing. Pro
📌 Senior Executive (Noida)
🏢 EXL
📍 Noida