GI Auditor(E&M/SDS/Anesthesia)

Data Marshall; Hyderabad; Vor Ort; INR 600.000 - 960.000; Vollzeit

Zusammenfassung

Data Marshall is seeking an experienced medical coder QA specialist in Hyderabad to perform audits of SDS and Anesthesia coding ensuring CMS and ICD-10-CM compliance.

The role involves reviewing clinical documentation, providing detailed feedback to coders, and maintaining high quality by applying RCA and CAPA concepts while fostering team harmony.

Qualifikationen

• 3–5 years in medical coding with strong experience in E&M coding and minor procedures.
• Gastro procedures experience and awareness of Anesthesia and E&M.
• Active AAPC/AHIMA credentials.
• Auditing experience or QA role preferred.

Aufgaben

• Perform comprehensive audits of SDS and Anesthesia 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 detailed feedback to customer/Coder.

Kenntnisse

SDS & Anesthesia coding

CMS guidelines knowledge

ICD-10-CM awareness

Medical record review

Auditing & QA feedback

Team collaboration

Ausbildung

AAPC/AHIMA certification

Jobbeschreibung

Key Responsibilities

• Perform comprehensive audits of SDS and Anesthesia 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 detailed feedback to customer/Coder.

Good understanding on coding below concepts.

• Thorough understanding on Gastro related SDS and Anesthesia concepts
• Good interpretation skills reviewing and analyzing the medical records
• Assigning accurate medical necessity diagnosis to avoid any denials.
• Able to provide constructive and frequent feedback with coders
• Understanding the RCA and CAPA, accountability maintaining team quality
• Positive approach providing the feedback and maintain team harmony.

Required Qualifications

• Minimum 3-5 years of experience in medical coding with strong experience in E&M coding with minor procedures.
• Must have experience in Gastro procedures and awareness of Anesthesia and E&M.
• 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