About the Company

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

About the Role

Job Description
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 professional 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 Skilled 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