Medical Coding Quality Analyst

Acurus Solutions Private Limited; Chennai District; On-site; INR 600,000 - 900,000; Full time

Job summary

Acurus Solutions Private Limited in Chennai seeks a Quality Control Analyst (QCA) to audit medical coding across E&M, OP, IP, and Surgical cases, review coded charts, and drive quality improvements.

You will identify errors, provide feedback, and help ensure adherence to coding standards and client requirements. 4–5 years in Medical Coding with auditing/QC exposure are preferred, along with CPC/CCS/CIC certifications and strong Excel skills.

Qualifications

• Graduate in Life Sciences or related field.
• CPC/CCS/CIC certifications preferred.
• Auditing experience in medical coding is a plus.

Responsibilities

• Perform quality audits on coding across E&M, OP, IP, and Surgical cases.
• Validate correct ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding.
• Ensure compliance with guidelines, payer policies, and client SOPs.
• Identify errors and provide feedback to improve coder performance.
• Track quality metrics and audit findings, report trends.
• Support denial analysis and prevention strategies.
• Ensure adherence to turnaround time and accuracy benchmarks.
• Conduct calibration calls and refresher sessions with teams.

Skills

E&M coding

Outpatient coding

Inpatient coding

Surgical coding (CPT/ICD-10-PCS)

ICD-10-CM, CPT, HCPCS

NCCI edits & modifiers

Auditing & analytics

Feedback delivery

Excel & reporting tools

Education

Graduate in Life Sciences / Medical / Paramedical field

CPC / CCS / CIC certifications preferred

Tools

Excel

Reporting tools

Job description

Job Title

Quality Control Analyst (QCA) – Medical Coding

Experience

4–5 years in Medical Coding (with auditing/QC exposure preferred)

Job Summary

The Quality Control Analyst (QCA) is responsible for auditing and ensuring the accuracy and compliance of medical coding across Evaluation & Management (E&M), Outpatient (OP), Inpatient (IP), and Surgery coding. The role involves reviewing coded charts, identifying errors, providing feedback, and driving quality improvements in alignment with coding standards and client requirements.

Key Responsibilities

• Perform quality audits on coding for E&M, OP, IP, and Surgical cases
• Validate accurate assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes
• Ensure compliance with AAPC/AHIMA guidelines, payer policies, and client SOPs
• Identify coding errors, gaps, and documentation deficiencies
• Provide detailed feedback and coaching to coders to improve quality
• Track and report quality metrics, error trends, and audit findings
• Conduct calibration calls with internal teams and refresher sessions for existing coder
• Support denial analysis and prevention strategies
• Ensure adherence to TAT, productivity, and accuracy benchmarks

Required Skills & Competencies

• Strong expertise in E&M coding
• Outpatient and Inpatient coding
• Surgical coding (CPT & ICD-10-PCS)
• In-depth knowledge of ICD-10-CM, CPT, HCPCS
• Knowledge of NCCI edits and modifier usage
• Excellent auditing and analytical skills
• Strong communication and feedback delivery skills
• Proficiency in Excel and reporting tools

Qualifications

• Graduate in Life Sciences / Medical / Paramedical field
• Certifications such as CPC / CCS / CIC preferred

Key Performance Indicators (KPIs)

• Audit accuracy (%)
• Error detection rate
• Reduction in repeat errors
• Adherence to SLA/TAT
• Team quality improvement metrics