QA Medical Coding

We are hiring for our client- Optimize RCM

Bengaluru- 5 Days wfo

Job Overview:

The Quality Analyst in Medical Coding is responsible for ensuring the accuracy and compliance of medical codes applied to healthcare services in the US. The role involves reviewing medical records, verifying coding accuracy, and ensuring adherence to coding guidelines and regulations, such as ICD-10, CPT, and HCPCS. The QA will also be responsible for identifying discrepancies or errors and working with coders and other departments to correct them, ensuring all coding practices meet the highest standards for reimbursement and regulatory compliance.

Key Responsibilities:

Quality Review & Auditing.

Error Identification & Reporting

Compliance Monitoring.

Training & Support

Data Analysis & Reporting

Collaboration & Communication:

Work closely with coding teams to resolve coding issues. Ensure that communication is clear and timely when addressing coding discrepancies or concerns.

Audit & Compliance Support: Assist with internal and external audits, providing documentation and support as needed. Ensure that any audit findings are addressed promptly and corrective actions are implemented.