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 Qualified Auditor to ensure accuracy, quality, and compliance of clinical coding through audits, reviews, and continuous improvement initiatives.

The role requires NCCQ ACC or equivalent, 3+ years post-accreditation, and strong ICD-10/OPCS-4 knowledge; you will mentor staff, collaborate with clinicians, and support internal and external audits.

Qualifications

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

Responsibilities

• Conduct coding audits and recode 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

Auditing

ICD-10

OPCS-4

Stakeholder management

Education

NCCQ ACC or equivalent

Tools

EHR systems

PAS

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 coding inpatient episodes across multiple specialties.
• 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.