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Coding Specialist Auditor


IKS Health


Location

Secunderabad | India


Job description

Profile Description: The role involves auditing charts for various specialties as well as document and provide
feedback.
Key Responsibilities:
. Responsible for auditing charts before submitting to clients and documenting the audit sheets as per the
metrics defined.
. Analyze and interpret patient medical record and demographic information to identify and determine the
amount and nature of billable services as per third party payer requirements.
. Research and resolve enquiries from clients and stakeholders about the right codes.
. Conduct huddle feedback sessions based on error trends as well as one-on-one feedback
. Document detailed feedback as per standard protocol on detailing variances along with relevant authorized
guidelines and coding references
. Ensure consent from the coder post the feedback as per compliance requirements
. Partner and support leaders on continuous quality improvement initiatives as per compliance standards
. Keep oneself abreast with the latest updates and changes and/or new regulations in the coding domain
through conferences, workshops, and in-house sessions
. Generate reports basis audits performed and to categorize the error trends basis the reports
. Highlight the error trends proactively on time to process leaders ensuring immediate resolution
. Should be able to review documentation as per the coding guidelines and validate coding and suggest any
changes as required.
. Coordination with the training team in planning training for the coders based on the error


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