Clinical Coding Qualified Auditor

Zensar Technologies; England; On-site; GBP 42,000 - 65,000; Full time

Job summary

Zensar Technologies is seeking an experienced Clinical Coding Auditor to ensure accuracy and compliance of clinical coding through audits, quality reviews, and continuous improvement initiatives. The role requires expertise in ICD-10, OPCS-4, and coding quality assurance.

Key responsibilities include conducting audits, reviewing records, mentoring the team, and supporting external audit activities. NCCQ ACC certification and 3+ years post-accreditation experience are essential.

Qualifications

• Accredited clinical coder with post-accreditation experience.
• Familiar with ICD-10 and OPCS-4 coding standards and audits.
• Experience with audit methodologies and quality assurance.

Responsibilities

• Conduct coding audits and re-code complex inpatient cases.
• Review records and assign ICD-10 and OPCS-4 codes.
• Identify errors, trends and documentation gaps; provide improvements.

Skills

Coding audits

Clinical documentation

EHR/PAS systems

Analytical skills

Mentoring

Education

NCCQ Accredited Clinical Coder (ACC)

Tools

EHR systems

PAS systems

Clinical coding software

Job description

Zensar is a leading digital solutions and technology services company that specialises in partnering with global organisations across industries in their Digital Transformation journey. Zensar's Return on Digital strategy has enabled customers to look beyond current investments towards realising visible business benefits in their digital transformation journey.

If you're looking for a workplace where associates realise and contribute to their full potential, are recognised for the impact they make, and enjoy the company of the people they work with, then you've come to the right place!

We are seeking an experienced Clinical Coding Qualified Auditor responsible for ensuring the accuracy, quality, and compliance of clinical coding through independent coding audits, quality reviews, and continuous improvement initiatives. The role requires expertise in ICD-10, OPCS-4, clinical documentation review, and coding quality assurance.

Key Responsibilities

• Conduct coding audits and re-code complex inpatient cases to assess coding accuracy and compliance.
• Review clinical records and assign accurate ICD-10 and OPCS-4 codes where required.
• Identify coding errors, trends, and documentation gaps, providing recommendations for improvement.
• Collaborate with clinicians to clarify diagnoses, procedures, and ambiguous documentation.
• Prepare coding quality reports and support internal and external audit activities.
• Provide technical guidance, mentoring, and quality feedback to coding team members.
• Support training programs and promote adherence to coding standards and best practices.

Essential Qualifications

• NCCQ Accredited Clinical Coder (ACC) or equivalent clinical coding certification.
• Minimum 3+ years of post-accreditation clinical coding experience.
• Strong knowledge of ICD-10, OPCS-4, clinical coding standards, and audit methodologies.
• Clinical Coding Standards Refresher Certification completed within the last 3 years.

Essential Experience & Skills

• Experience performing coding audits, quality checks, or coding validation activities.
• Strong understanding of medical terminology, anatomy & physiology, and clinical documentation.
• Experience using Electronic Health Records (EHR), Patient Administration Systems (PAS) and other clinical systems.
• Strong analytical, reporting, stakeholder management, and mentoring skills.

Preferred

• Approved Clinical Coding Auditor certification (or willingness to obtain).
• Experience leading coding quality improvement initiatives and supporting external audits.