Senior Executive - Coding Auditor

• Perform accurate coding for complex IVR , cardiovascular procedures, and general surgery cases.
• Apply coding expertise with 2–10 years of relevant experience post CPC certification.
• Complete assigned audits with high quality and within defined timelines.
• Adhere strictly to all SOPs, project protocols, and coding guidelines.
• Meet daily/weekly production and quality benchmarks .
• Maintain all required logs including productivity, clarification, and other operational trackers.
• Identify patterns/trends in coding issues and escalate appropriately to TL/Manager.
• Communicate promptly and professionally through email and meetings.
• Demonstrate strong problem-solving skills and reliability in a remote work environment.
• Ensure adherence to HIPAA, OIG , and organizational compliance standards for self and team.

Responsibilities and Essential Functions

• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends...
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Problem solving skill sets

Ensure compliance of entire team for HIPAA,OIG

Overview : CVIR

• CPC certification.
• Post CPC certification completion date, there should be 2+ years of coding experience
• Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery)
• Good communication, flexibility reliability

Qualifications

Life science/Paramedical Degree

• CPC/CPMA
• Computer skill sets

E xperience

• 2 years to 10 years’ experience in Medical coding IVR and General surgery
• Auditing and denial management experience (Optional)

Communication

• Strong written (documentation) and oral communication skills

Working Hours

• 40 hours per week as Full time employee
• Shift time: 08:00AM TO 05:00PM IST
• Weekends Off

Telecommuter/Internet requirements, if applicable

• High Speed internet connection at home, must be broadband
• Must understand and adhere with telecommuter policy