- Conduct quality audits of Emergency Department medical records coded by ED coders.
- Validate the accuracy of ICD-10-CM diagnosis codes, CPT codes, and HCPCS codes, wherever applicable.
- Review E/M level selection based on medical decision-making (MDM), documentation, and applicable coding guidelines.
- Verify the accuracy of principal and secondary diagnoses, sequencing, modifiers, and other coding elements, as applicable.
- Ensure compliance with official coding guidelines, payer requirements, client-specific SOPs, and regulatory standards.
- Identify coding discrepancies, undercoding, overcoding, missed diagnoses, and documentation-related issues.
- Provide timely, constructive feedback to coders and explain the rationale behind identified errors.
- Track audit scores, error trends,



coder performance, and recurring quality issues.
- Conduct root cause analysis and recommend corrective and preventive actions to improve coding accuracy.
- Support coder education, refresher training, calibration sessions, and process updates.
- Participate in internal and client quality calibration meetings to ensure consistency in audit outcomes.
- Maintain audit documentation, quality reports, and productivity records within defined timelines.
- Meet established quality, productivity, turnaround time, and compliance targets.

📌 Quality Auditor - ED Profee (Hyderabad)
🏢 Ascent Business Solutions
📍 Hyderabad