: Ancillary Coder/QA

Position Summary The Ancillary Lab Coder is responsible for accurately reviewing and assigning ICD-10-CM diagnosis codes and other required data elements to laboratory encounters based on physician documentation, payer guidelines, and client-specific requirements. The coder ensures coding accuracy, compliance with regulatory standards, and adherence to productivity and quality expectations.

Key Responsibilities

- Review laboratory requisitions, physician orders, pathology reports, and supporting clinical documentation.

- Assign accurate ICD-10-CM diagnosis codes to laboratory encounters.

- Validate medical necessity based on payer-specific Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and client guidelines.

- Identify missing, invalid, or conflicting documentation and escalate according to established processes.

- Ensure coding complies with ICD-10-CM Official Guidelines, CMS regulations, and client-specific coding policies.

- Verify diagnosis sequencing and coding completeness.

- Maintain productivity, quality, and turnaround time (TAT) targets.





- Participate in client updates, education sessions, and process improvement initiatives.

- Maintain confidentiality and comply with HIPAA regulations.

- Document coding decisions and maintain audit trails where applicable.

- Communicate coding-related issues to Team Leads and Quality Analysts.

Required Qualifications

- Graduate in Life Sciences, Pharmacy, Nursing, or an equivalent healthcare-related field.

- Certification such as CPC, CCS, COC, CIC, or RHIT/RHIA preferred.

- Min 1 year of experience in Ancillary medical coding.

- Solid knowledge of ICD-10-CM coding guidelines.

- Familiarity with laboratory testing, pathology, molecular diagnostics, and medical necessity guidelines.

- Experience using coding encoders (3M, Optum, TruCode, etc.) and EHR systems.

- Good analytical and communication skills.

- Proficiency in Microsoft Excel and Microsoft Office applications.

Contact HR: Vedha Mithra (phone hidden)

📌 Hiring Ancillary Coders/QA (Navi Mumbai)
🏢 Eclat Health Solutions
📍 Navi Mumbai