Hiring Ancillary Coders/QA

Eclat Health Solutions; Navi Mumbai; On-site; INR 350,000 - 550,000; Full time

Job summary

Eclat Health Solutions is seeking an Ancillary Lab Coder to accurately review and assign ICD-10-CM codes to laboratory encounters based on physician notes and payer guidance. The role emphasizes accuracy, regulatory compliance, and timely delivery.

The position requires1+ year of ancillary medical coding experience, familiarity with ICD-10-CM guidelines, and proficiency with coding encoders and EHR systems. HIPAA compliance and client-specific policies are essential.

Qualifications

• Graduate in Life Sciences, Pharmacy, Nursing, or an equivalent healthcare-related field.
• Certification such as CPC, CCS, COC, CIC, or RHIT/RHIA preferred.
• Min 1 year of experience in Ancillary medical coding.
• Strong knowledge of ICD-10-CM coding guidelines.
• Familiarity with laboratory testing, pathology, molecular diagnostics, and medical necessity guidelines.
• Experience using coding encoders (3M, Optum, TruCode, etc.) and EHR systems.
• Good analytical and communication skills.
• Proficiency in Microsoft Excel and Microsoft Office applications.

Responsibilities

• Review laboratory requisitions, physician orders, pathology reports, and supporting clinical documentation.
• Assign accurate ICD-10-CM diagnosis codes to laboratory encounters.
• Validate medical necessity based on LCDs, NCDs, and client guidelines.
• Identify missing, invalid, or conflicting documentation and elevate according to established processes.
• Ensure coding complies with ICD-10-CM Official Guidelines, CMS regulations, and client-specific coding policies.
• Verify diagnosis sequencing and coding completeness.
• Maintain productivity, quality, and turnaround time (TAT) targets.
• Participate in client updates, education sessions, and process improvement initiatives.
• Maintain confidentiality and comply with HIPAA regulations.
• Document coding decisions and maintain audit trails where applicable.
• Communicate coding-related issues to Team Leads and Quality Analysts.

Skills

ICD-10-CM coding guidelines

Analytical skills

Communication skills

Attention to detail

Education

Graduate degree in Life Sciences/Pharmacy/Nursing or related field

CPC/CCS/COC/CIC/RHIT/RHIA certification preferred

Tools

3M Encoder

Optum Encoder

TruCode

EHR systems

Job description

Job Description: Ancillary Coder/QA

Position Summary

The Ancillary Lab Coder is responsible for accurately reviewing and assigning ICD-10-CM diagnosis codes and other required data elements to laboratory encounters based on physician documentation, payer guidelines, and client-specific requirements. The coder ensures coding accuracy, compliance with regulatory standards, and adherence to productivity and quality expectations.

Key Responsibilities

• Review laboratory requisitions, physician orders, pathology reports, and supporting clinical documentation.
• Assign accurate ICD-10-CM diagnosis codes to laboratory encounters.
• Validate medical necessity based on payer-specific Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and client guidelines.
• Identify missing, invalid, or conflicting documentation and elevate according to established processes.
• Ensure coding complies with ICD-10-CM Official Guidelines, CMS regulations, and client-specific coding policies.
• Verify diagnosis sequencing and coding completeness.
• Maintain productivity, quality, and turnaround time (TAT) targets.
• Participate in client updates, education sessions, and process improvement initiatives.
• Maintain confidentiality and comply with HIPAA regulations.
• Document coding decisions and maintain audit trails where applicable.
• Communicate coding-related issues to Team Leads and Quality Analysts.

Required Qualifications

• Graduate in Life Sciences, Pharmacy, Nursing, or an equivalent healthcare-related field.
• Certification such as CPC, CCS, COC, CIC, or RHIT/RHIA preferred.
• Min 1 year of experience in Ancillary medical coding.
• Strong knowledge of ICD-10-CM coding guidelines.
• Familiarity with laboratory testing, pathology, molecular diagnostics, and medical necessity guidelines.
• Experience using coding encoders (3M, Optum, TruCode, etc.) and EHR systems.
• Good analytical and communication skills.
• Proficiency in Microsoft Excel and Microsoft Office applications.

Contact HR: Vedha Mithra 9010608096