Job Title: Coding Auditor, IP Workstream
Req ID: 1718
Location: Chennai, Tamil Nadu, India
Posted On: Friday, September 12, 2025
Job Purpose
The Coding Auditor is responsible for performing inpatient and outpatient coding audits across various specialties. The role also includes preparing and presenting audit results, ensuring compliance, and providing physician education when necessary.
Duties and Responsibilities
Perform coding and compliance audits for providers, including physicians and mid-level providers.
Prepare detailed audit reports and present findings to internal and external stakeholders.
Apply accurate coding and documentation guidelines, including:
E&M and surgery documentation guidelines
CCI guidelines
CPT/HCPCS coding guidelines
Specialty association guidance
Provide physician education related to audit findings, edits, or denial trends.
Conduct coding audits for copartners’ coding work queues (WQ).
Collaborate with offsite auditors as required.
Evaluate and report on the quality of physician documentation supporting selected codes, including medical necessity.
Ensure compliance with:
Local and national coverage determinations
CCI and payer-specific editing rules
Documentation requirements for split/shared services, teaching physician guidelines, and client-specific quality assessment programs
Compile, trend, analyze, and report audit findings that fail to meet compliance standards.
Maintain confidentiality and professionalism at all times.
Perform other duties as assigned by the management team.
Use, protect, and disclose patients’ Protected Health Information (PHI) in compliance with HIPAA standards.
Qualifications
Education: High School diploma or equivalent.
Certification: CPC (AAPC) or CCS (AHIMA).
Experience:
Minimum 5 years of coding experience.
Minimum 2 years of auditing experience in a multi-specialty setting.
Technical Skills: Proficiency in Microsoft Word, Outlook, Excel, and job-related software.
Other Requirements: Self-starter with the ability to work independently.
Working Conditions
Physical Demands: May involve moving around the work area; sitting; performing manual tasks; operating office equipment (computers, peripherals, telephones); extending arms; kneeling; talking; and hearing.
Mental Demands: Ability to follow directions, collaborate effectively, and manage stress.
Work Environment: Minimal noise level.
Equal Opportunity Statement
Med-Metrix is an Equal Opportunity Employer. We do not discriminate against any employee or applicant based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information, political affiliation, military service, veteran status, or any other protected characteristic under applicable law.
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