Job Title: Inpatient Coding Auditor
Req ID: 2072
Location: Chennai, Tamil Nadu, India
Posted On: Thursday, September 4, 2025
Status: This job posting is no longer available
Job Purpose
The Inpatient Coding Auditor is an experienced auditor and certified professional coder responsible for ensuring the highest standards of inpatient coding accuracy and compliance across various specialties. This role involves reviewing coded data, performing data analytics to identify trends, collaborating with internal teams, and maintaining compliance with documentation and reimbursement standards.
Duties and Responsibilities
Collaborate with internal staff to enhance documentation, coding, and compliance.
Review and assess coding quality on accounts completed by Medical Coders.
Ensure clinical documentation supports assigned codes and meets necessary standards.
Adhere to workflows and ethical coding standards.
Utilize advanced knowledge of ICD-10-CM and ICD-10-PCS coding concepts.
Communicate review findings and recommendations to management.
Assess risk and obtain necessary statistics for coding areas.
Administer the Quality Monitoring Program to meet quality standards and targets.
Manage daily operational processes for quality, efficiency, and productivity.
Utilize data analytics to identify trends and patterns in coding errors and implement corrective actions.
Collaborate with workgroups to resolve customer-impacting issues.
Seek continuous improvement and development opportunities for the team.
Address complaints, questions, and queries as necessary.
Document team members’ performance and targets.
Monitor systems for optimal performance.
Stay updated on guideline changes, laws, and regulations affecting documentation and reimbursement.
Promote teamwork and service excellence within the department.
Participate in performance improvement activities.
Establish and maintain formalized review processes for compliance with contractual accuracy standards.
Recommend strategies to achieve high compliance with quality management plans.
Participate in calls/meetings to address performance and training improvements.
Assist in training new hires and provide refresher trainings as needed.
Identify high-risk areas in coding and develop strategies to mitigate risks.
Provide feedback to management on potential problems and improvement areas.
Demonstrate exceptional attention to detail and accuracy in reviewing and analyzing medical records.
Maintain and protect patient information in accordance with HIPAA standards.
Comply with Information Security and HIPAA policies at all times.
Limit PHI access to the minimum necessary to perform assigned duties.
Qualifications
Certification: AAPC and/or AHIMA certification; CPMA advantageous.
Experience: Minimum 3–5 years of coding and auditing experience; equivalent work experience may be considered.
Knowledge of HIPAA in medical coding.
Understanding of professional reference materials, coding guidelines, and Coding Clinic.
Proficiency in Microsoft Office Suite.
Ability to work independently and collaboratively within a team.
Strong prioritization, problem-solving, and analytical skills.
Ability to remain calm under pressure.
Strong interpersonal skills and ability to communicate effectively at all levels.
High integrity, dependability, results-oriented, and sense of urgency.
Excellent written and verbal communication skills.
Gracious and welcoming personality for customer service interactions.
Working Conditions
Physical Demands: Occasional movement around the work area; sitting; performing manual tasks; using office equipment (computers, peripherals, telephones); extending arms; kneeling; talking; hearing.
Mental Demands: Ability to follow directions, collaborate with others, and handle stress.
Work Environment: Typically minimal noise levels.
Equal Opportunity Statement
Med-Metrix is an Equal Opportunity Employer. Discrimination 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 is prohibited.
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