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QA - HIM Services

NoidaFull-time4–7 yrsPosted over a month ago

Mid-level quality assurance role at CorroHealth Infotech in Noida. Needs 4+ years and a B.Sc, B.Pharm or M.Pharm.

About the role

The General Surgery Auditor will perform retrospective or concurrent audits on surgical charts to ensure that CPT, ICD-10-CM, and HCPCS codes assigned by the coding team are accurate, supported by medical documentation, and compliant with CMS, NCCI edits, and payer-specific guidelines.

What you'll do

  • This position may perform all or most of the primary duties listed below
  • Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team…
  • Auditing and reviewing medical documentation for appropriate ICD and CPT coding
  • And ensuring that codes tally with doctors’ diagnosis
  • Asking explanation from physicians when code assignments are not straightforward or

What you need

  • Medical coding
  • Biology
  • Microbiology
  • Root cause analysis
  • Tally
  • Pharmacology

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