Sr Medical Auditor

Xpertdox; Sector 10; Hybrid; INR 800,000 - 1,100,000; Full time

Benefits offered by this job

Unlimited paid time off

Autonomous coding environment

Hybrid Mode

Job summary

XpertDox is hiring for a Medical Auditor (Hybrid Profile) in Noida. The role focuses on evaluating and validating E/M coding through audits of medical records and ensuring compliance with CMS, HIPAA, and industry standards.

Ideal candidates bring 5–8 years in E/M coding, strong documentation skills, and the ability to provide feedback to improve coding engines and train staff for complex cases.

Qualifications

• 5-8 years experience in E/M coding.
• Strong accuracy and speed in coding review.
• Analytical proficiency to identify patterns in data.
• Deep knowledge of medical terminology, anatomy, and pathology.
• Critical mindset for auditing complex cases.
• Solution oriented approach to process improvement.

Responsibilities

• Audit coding: Review and validate medical records against codes assigned by automated or autonomous systems to ensure accuracy.
• Quality Assurance & Compliance: Verify coding complies with CMS, HIPAA, and industry regulations to prevent penalties and audits.
• Documentation Review: Confirm that clinical documentation supports medical necessity and level of service (E/M coding).
• Error Analysis & Reporting: Identify trends in AI errors and generate detailed reports for management.
• Feedback & Process Improvement: Provide feedback to refine the autonomous coding engine and train human coders on complex cases.
• Regulatory Updates: Maintain knowledge of coding guidelines (ICD-10, CPT, HCPCS) and regulatory changes to update audit tools.

Skills

E/M coding

Accuracy

Analytical proficiency

Documentation expertise

Critical thinking

Solution oriented

Job description

Job Description for Sr Medical Auditor

Who We Are

XpertDox is a big data healthcare startup based in Scottsdale, Arizona. We leverage advanced data analytics and proprietary natural language processing to structure, parse, and map information from highly diverse data sources. Our technology improves access to clinical trials and automates complex medical coding workflows at scale.

Role Overview

We are seeking candidates for our India Office based in Noida, for the role of Medical Auditor (Hybrid Profile) who have expertise and long experience in Evaluation & Management (E&M) Coding

Role & responsibilities

• Audit Coding: Review and validate medical records against codes assigned by automated or autonomous systems to ensure accuracy.
• Quality Assurance & Compliance: Verify that coding complies with CMS, HIPAA, and industry regulations to prevent penalties and audits.
• Documentation Review: Confirm that clinical documentation supports the medical necessity and level of service (e.g., E/M coding) assigned.
• Error Analysis & Reporting: Identify trends in AI errors and generate detailed reports for management.
• Feedback & Process Improvement: Provide feedback to the technical team to refine the autonomous coding engine and train human coders on complex cases.
• Regulatory Updates: Maintain in-depth knowledge of coding guidelines (ICD-10, CPT, HCPCS) and regulatory changes to update audit tools.

Key Skills

• 5-8 years experience in E&M coding
• Accuracy and speed
• Analytical Proficiency: Ability to identify patterns in large datasets to improve AI accuracy.
• Documentation Expertise: Strong knowledge of medical terminology, anatomy, and pathophysiology to validate clinical evidence.
• Critical mindset
• Solution oriented approach

Benefits

• Unlimited paid time off
• To be a part of the new, cutting edge autonomous coding environment
• Hybrid Mode