Quality Assurance Specialist - Medical Coding

Artifex HR is hiring for an US Healthcare company in Chennai.

Possess knowledge on risk adjustment models - Medicare, Commercial & Medicaid.

Should be well versed in coding standards and guidelines, including ICD - 10-CM guidelines, AHA coding clinic updates and client specific guideline requirements.

Should be able to perform QA audits for multiple projects.

Derive effective QA sampling & audit methadology for the projects assigned.

Possess analytical skills to monitor & measure the quality trend in the coding project.

Perform root cause analysis, identify knowledge gaps and conduct training to project team.

Review scope document & guidelines for new clients before the start of the project and own pilot project delivery to meet client SLA on quality.

Review and customise standard coding guidelines as needed.

Identify error trends on client feedback & improve client experience by continuous improvements.

Conduct training sessions on audit protocols, the comment matrix, and best practices for prospective auditors.

Ability to respond to the internal coding queries with proper rationale.

Follow internal and external compliance standards.

Required Skills

Medical coding experience minimum of 4 years is mandatory.

Worked at least 1 year as an SME / QA.

Experience in coding speciality is prefered to handle the pilot projects.

Risk adjustment coding experience is an added advantage.

AAPC / AHIMA certification is mandatory.

Strong knowledge in Anatomy & Physiology.

Work Location - Chennai (Kandanchavadi)

CTC - Up to 8.5 LPA