Medical Coding Quality AnalystRole- Medical Coding Quality Analyst (QA) / Medical Coding Auditor

Experience- 3 to 5 years, with hands-on coding and auditing experience

Location- Hyderabad, Telangana, India (On-site)

Shift-General shift, 9:30 AM to 6:30 PM IST, Tuesday to Sunday

Joining-Immediate joiners preferred

Employment type- Full-time

Reporting to-Quality Manager / Project Lead

About Novetum Novetum builds AI-based products and services that help enterprises adopt intelligent automation, generative AI and data-driven decision-making. Our healthcare team delivers accurate, reliable and compliant solutions for global clients.

Role SummaryThe Quality Analyst conducts pre-bill and post-bill audits on coded charts. The role ensures strict adherence to coding guidelines, minimizes error rates and drives project accuracy metrics.

Key Responsibilities• Audit and validation: Randomly or systematically audit charts coded by project users to verify the accuracy of ICD-10, CPT and modifier assignments.

- Error tracking and root cause analysis: Identify coding discrepancies, document error patterns, and analyze root causes of miscoding or compliance gaps.
- Feedback and mentorship: Give clear, constructive feedback and one-on-one coaching to coders to resolve recurring errors and bridge knowledge gaps.
- Client compliance: Ensure all coding conforms to HIPAA regulations, project scope and client-specific contractual guidelines.
- Reporting: Prepare daily,



weekly and monthly quality metrics, defect logs and audit summary reports for management review.
- Process enhancement: Assist project leadership in updating coding cheat sheets, workflow manuals and quality matrices based on audit trends.

Requirements and Skills• Minimum 3+ years of medical coding experience, with at least 1–2 years in a dedicated QA or auditing role.
- Active professional certification (CPMA, CPC or CCS) from AAPC or AHIMA.
- In-depth knowledge of multi-specialty coding, billing rules and compliance standards.
- Exceptional attention to detail, analytical mindset, and data-handling proficiency (Excel, reporting tools).
- Solid interpersonal skills to deliver constructive feedback without friction.

Preferred Qualifications• Graduate in Life Sciences (B.Sc, M.Sc, Nursing, Pharm.D) or equivalent.
- Experience with audit frameworks and accuracy benchmarks (typically 95%–98% or higher).
- Exposure to specialty coding such as risk adjustment or HCC audits is an advantage.
- Experience with EHR systems, coding and audit tools, and dashboards or MIS reporting.
- Prior experience training or mentoring coders.

Other Requirements• Strong written and verbal communication skills.
- Ability to work independently and meet reporting deadlines.
- Flexibility to adjust shift timings occasionally as required by the project.
- Commitment to confidentiality of patient data and compliance.

📌 Medical Coding Quality Analyst (Hyderabad)
🏢 Novetum
📍 Hyderabad