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