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Quality Assurance Specialist – Medical Coding

Ventra Health
Ventra health
4+ years
preferred by company
Coimbatore, India
1 May 13, 2026
Job Description
Job Type: Full Time Education: B.Sc/M.Sc/M.Pharma/B.Pharma/Life Sciences Skills: Data Analysis, Document Management, Life Science, Regulatory Compliance, Waterfall Model, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Procedure), Technical Writing, Wat, GCP guidelines, gmp knowledge, HSE Knowledge , Logistics and Transportation Management, Master Data, Operational Excellence, Sap Erp, supply chain management, Supply Planning, Warehouse Management, ICD-10 CM Codes, CPT-Codes, HCPCS Codes

Job Title: Quality Assurance Specialist – Medical Coding

Location: Coimbatore, Tamil Nadu, India
Job Type: Full-Time (Onsite, Day Shift)
Experience Required: 4+ Years (Freshers are not eligible)
Industry: Healthcare / Revenue Cycle Management / Medical Coding / Healthcare BPO / Medical Billing
Department: Medical Coding Quality Assurance / Revenue Cycle Operations / Coding Compliance

About the Role
We are seeking an experienced and quality-driven Quality Assurance Specialist – Medical Coding to support medical coding accuracy, coding audits, documentation quality review, compliance monitoring, and billing code validation within a high-performance healthcare revenue cycle environment. This role is ideal for professionals with expertise in CPT coding, ICD-10 coding, emergency department coding, hospitalist coding, coding quality assurance, documentation review, and medical coding compliance.

The ideal candidate will review patient medical records, validate coding accuracy, identify documentation deficiencies, provide coding feedback, and ensure coding quality standards are consistently maintained to support accurate reimbursement and regulatory compliance.

This opportunity is highly suited for experienced healthcare coding professionals looking to advance into coding quality assurance and compliance-focused roles.

Key Responsibilities

Medical Coding Quality Assurance & Audit Review

  • Perform quality assurance review of medical coding assignments to ensure accurate application of billing codes based on provider documentation.
  • Validate coding accuracy for diagnosis, procedures, and healthcare billing workflows.
  • Ensure compliance with coding quality benchmarks and internal quality standards.

CPT & ICD-10 Code Validation

  • Determine and validate appropriate CPT (Current Procedural Terminology) and ICD-10 coding for patient accounts used in billing and reimbursement processes.
  • Ensure coding selections align with clinical documentation, coding standards, and reimbursement guidelines.
  • Maintain coding precision to reduce claim errors and improve billing accuracy.

Medical Record Documentation Review

  • Conduct detailed analysis of patient medical records to assess completeness, clarity, specificity, and coding readiness.
  • Review provider documentation for missing, incomplete, or inconsistent information affecting coding quality.
  • Support improved documentation quality through findings and recommendations.

Coding Feedback & Performance Improvement

  • Provide constructive feedback to medical coders regarding coding discrepancies, errors, and quality concerns.
  • Support coding accuracy improvement initiatives through coaching and audit observations.
  • Help strengthen team coding quality and compliance performance.

Documentation Deficiency Reporting

  • Escalate documentation gaps and deficiencies to Coding Supervisors and operational leadership.
  • Support process improvement initiatives aimed at improving provider documentation quality and coding outcomes.

Special Projects & Operational Support

  • Participate in assigned coding quality projects, audit initiatives, compliance reviews, and operational improvement programs.
  • Support departmental quality objectives and coding excellence initiatives.