Quality Analyst – E/M OP

Chirokhealth; Hyderabad; On-site; INR 800,000 - 1,200,000; Full time

Job summary

A healthcare services provider in Hyderabad is seeking a skilled Coding Auditor to review and monitor delivery activities, ensuring compliance with coding standards. The ideal candidate should have a Bachelor's degree and 5+ years of experience in medical coding, along with a relevant certification. Strong analytical, communication, and problem-solving skills are essential for success in this role, which involves working night shifts. The candidate will be responsible for guiding coder performance and ensuring high accuracy and quality in coding practices.

Qualifications

• Minimum 5+ years’ medical coding experience (E/M and/or HCC).
• Prior experience as a coding auditor, familiar with audit methods.
• Proficient coding of charts with 100% productivity and more than 95% accuracy.

Responsibilities

• Review and monitor day-to-day activities and Service Level Agreements related to deliveries.
• Guide coder team’s performance for growth and development.
• Audit charts during pilot and live coding environments.

Skills

Medical coding expertise

Analytical thinking

Problem-solving skills

Communication skills

Education

Bachelor’s degree in any stream (preferably Life Science)

Active Certification from AAPC or AHIMA

Job description

Overview

Review and monitor day-to-day activities and Service Level Agreements related to deliveries. Review coder team’s performance and guide for their professional growth and development. A thorough review of the work performed by coders as per the documentation. Strong knowledge of Coding domains- E/M – Inpatient and Outpatient, and HCC coding. Strong understanding of medical terms and coding guidelines (ICD-10 and CPT). Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Flexible to Code and Audit the charts during the pilot and live coding environments. Ability to communicate with client providers and others with questions about treatments or diagnostic tests given to patients about coding procedures. Ability to produce daily & weekly reports regarding QA of the work performed and identify areas of opportunities by coder. Work in collaboration with the delivery/transition teams to build training modules as the client-specific needs arise. Work with delivery/transition teams and clients in shadow training and knowledge transfer of new processes/ projects.

Responsibilities

• Review and monitor day-to-day activities and Service Level Agreements related to deliveries.
• Review coder team’s performance and guide for their professional growth and development.
• A thorough review of the work performed by coders as per the documentation.
• Strong knowledge of Coding domains- E/M – Inpatient and Outpatient, and HCC coding.
• Strong understanding of medical terms and coding guidelines (ICD-10 and CPT).
• Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
• Flexible to Code and Audit the charts during the pilot and live coding environments.
• Ability to communicate with client providers and others with questions about treatments or diagnostic tests given to patients about coding procedures.
• Ability to produce daily & weekly reports regarding QA of the work performed and identify areas of opportunities by coder.
• Work in collaboration with the delivery/transition teams to build training modules as the client-specific needs arise.
• Work with delivery/transition teams and clients in shadow training and knowledge transfer of new processes/ projects.

Qualifications

• Bachelor’s degree in any stream (preferably Life Science)
• Minimum 5+ years’ medical coding experience (E/M and/or HCC)
• Active Certification from AAPC or AHIMA
• Prior experience as a coding auditor (should be familiar with audit methods)
• Commitment to a high level of accuracy/quality
• Analytical thinking and problem-solving skills.
• Good verbal and written communication skills.
• Ability to work independently and accomplish targets in a timely manner.
• Proficient coding of charts with 100% productivity and more than 95% accuracy (Quality)
• Ability to create content and messages that are clear, compelling, and relevant to internal and external customers.

Attributes and Behaviors

• Commendable communication, and presentation skills, ability to communicate verbally with all levels of associates, management, and customer.
• Develops and maintains positive working relationships with others.
• Shares ideas and information.
• Team player.
• Excellent relationship-building and mentoring skills.
• Takes pride in the achievement of team objectives.
• Has credibility with peers and senior managers.
• Self-motivated – driven to achieve results.
• Keeps pace with change – acquires knowledge/skills as the business evolves.
• Handles confidential information with sensitivity.

Job Demands

• Ability to work seated at a computer for long periods of time.
• The candidate should be ready to work the night shift.