Clinical Coding Qualified Auditor

Neev; England; On-site; GBP 55,000 - 72,000; Full time

Job summary

Neev seeks an experienced Clinical Coding Qualified Auditor to ensure accuracy and quality of coding through independent audits, quality reviews, and continuous improvement initiatives. Expertise in ICD-10, OPCS-4, documentation review, and coding quality assurance is essential.

You will conduct audits, review records, identify gaps, and collaborate with clinicians to clarify diagnoses. You will prepare quality reports and mentor the coding team, supporting training and adherence to standards.

Qualifications

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

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.

Skills

Coding audits

ICD-10

OPCS-4

Documentation review

Quality assurance

Analytical skills

Reporting

Mentoring

Stakeholder mgmt

Training

Education

NCCQ ACC or equivalent

Post-accreditation coding experience

Recent Standards refresher cert (≤3 yrs)

Job description

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.