Executive - Coding Auditor

Surgery Coder (CPC-certified) and Certified USRN (Active NCLEX) with 3+ years of post-certification experience in outpatient multi-specialty coding, including injection and infusion, IVR, and radiation oncology. Brings added expertise in APC facility coding along with strong communication skills, flexibility, and reliability. Skills and abilities: • Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding. • 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 • Bachelor’s degree (or equivalent) in Nursing. • NCLEX certification – Active (USRN) • Able to apply analytical and critical thinking to record reviews. • Required comprehensive clinical knowledge and strong clinical experience. • All certifications/License should be active. • Life science/Paramedical Degree • CPC/CPMA • Computer skill sets Experience: USRN + CPC+ 3 years' experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology Auditing and denial management experience (Optional) Communication Skill: Strong written (documentation) and oral communication skills Working Hours: 40 hours per week as Full-time employee Shift time: 8:00 PM IST - 5:00 PM IST(It might be changed based on project requirements) Weekends Off Telecommuter/Internet requirements, if applicable: High Speed internet connection at home, must be broadband Must understand and adhere with telecommuter policy.