About the Company

Location: Chennai

Work Mode: Chennai (Work from Office / Hybrid as per business need)

About the Role

: Medical Coding – E&M; & Surgery LI Auditor

Designation: Senior Executive / Team Lead – Quality Auditor (E&M; & Surgery)

Job Summary

- We are seeking an experienced E&M; and Surgery LI Auditor to review, audit, and ensure the accuracy of medical coding for Evaluation & Management (E&M;) and Surgical specialties.
- The candidate will be responsible for validating coding accuracy, ensuring compliance with payer and client guidelines, identifying coding opportunities, and providing feedback to coding teams.

Responsibilities

- Audit E&M; (Office, Hospital, Consultations, Observation) medical records for coding accuracy.
- Perform audits on Surgical coding including CPT, ICD-10-CM, HCPCS, and modifier usage.
- Review Level of Service (LOS) assignment as per current E&M; documentation guidelines.
- Identify undercoding, overcoding, and compliance risks.
- Ensure adherence to CMS, AMA, payer-specific, and client requirements.
- Provide audit feedback, error analysis, and coaching to coders.
- Track and publish audit quality reports and trends.
- Participate in calibration sessions and quality improvement initiatives.
- Support internal and external compliance audits.

Qualifications

- Qualification: Any Graduate with Medical Coding Certification (CPC preferred)





Required Skills

- Strong knowledge of E&M; Coding Guidelines (2021 onwards).
- Expertise in Surgery Coding across multiple specialties.
- Proficient in CPT, ICD-10-CM, HCPCS, Modifiers, NCCI Edits, LCD/NCD guidelines.
- Experience in auditing skilled fee coding.
- Ability to analyze medical records and physician documentation.
- Excellent communication and feedback delivery skills.

Preferred Skills

- Experience with US Healthcare RCM and coding compliance.
- Additional certifications such as COC, CIC, CPMA preferred.

Pay range and compensation package

Not specified.

Equal Opportunity Statement

Not specified.

Additional Details

Eligibility

- 3-8 years of experience in Medical Coding.
- Minimum 2+ years of experience in E&M; and Surgery Auditing.
- Certified Professional Coder (CPC) mandatory.
- Additional certifications such as COC, CIC, CPMA preferred.
- Experience with US Healthcare RCM and coding compliance.

Preferred Specialties

- General Surgery
- Orthopedic Surgery
- Cardiovascular Surgery
- Neurosurgery
- Gastroenterology
- ENT
- Urology

Key Performance Indicators (KPIs)

- Audit Accuracy ≥ 95%
- Productivity as per client benchmark
- Compliance Score ≥ 98%
- Timely completion of audit reports and feedback

Shift

- General Shift / Flexible based on client requirements

📌 Auditor (Chennai)
🏢 Coronis Ajuba
📍 Chennai