QA - HIM Services

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

• 4–7 yrs of experience
• Medical coding
• Biology
• Microbiology
• Root cause analysis
• Tally
• Pharmacology
• B.Sc or B.Pharm or M.Pharm