Executive - Coding Auditor

Surgery Coder (CPC-certified) and Certified USRN (Active NCLEX) with 3+ years of post-certification experience in outpatient multi-specialty coding, including injection and infusion, IVR, and radiation oncology. Brings added expertise in APC facility coding along with strong communication skills, flexibility, and reliability.

• Bachelor's degree (or equivalent) in Nursing.
• NCLEX certification - Active (USRN)
• Able to apply analytical and critical thinking to record reviews.
• Required comprehensive clinical knowledge and strong clinical experience.
• All certifications/License should be active.
• Life science/Paramedical Degree
• CPC/CPMA
• Computer skill sets

Experience:

USRN + CPC+ 3 years' experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology

Auditing and denial management experience (Optional)

Communication Skill:

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: 8:00 PM IST - 5:00 PM IST(It might be changed based on project requirements)

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy.

NA

Skills and abilities:

• Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding.
• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends...
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Problem solving skill sets
• Ensure compliance of entire team for HIPAA, OIG