Key Responsibilities

- Perform comprehensive audits of E&M; coding to ensure accuracy, completeness, and compliance with CMS and ICD-10-CM guidelines.
- Review clinical documentation to validate the coding information as per CMS standards, provide in detailed feedback to customer/Coder.
- Should be flexible and quickly adaptable to working in mutiple projects
- Valuable understanding on coding below concepts.

Incident to Billing/ Visit complexity Minor procedures and applicable modifiers

Good interpretation on assigning the E&M; levels

Assigning accurate medical necessity diagnosis

Able to interpret the client SOP and apply general CMS guidelines.

Required Qualifications

- Minimum 4-5 years of experience in medical coding with strong experience in E&M; coding with minor procedures.
- For Gastro - Knowledge of gastro office procedures, thorough knowledge of problem complexity which is applicable to gastro speciality
- Must be certified by AAPC/AHIMA and should hold active credentials
- Should have experience in auditing, if not a QA can be an acting or designated QA

📌 E/M QA (Hyderabad)
🏢 Data Marshall
📍 Hyderabad