Quality Controller, Medical Coding
- ScribeEMR Systems
- 4 - 9 years
- Coimbatore
- 2 months ago
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Job Description
1. Reporting Location: Bengaluru or Coimbatore
2. Work Timings:
a. Indian day shift
b. Willingness to work an alternative schedule (i.e., outside the standard, MondayFriday)
3. Educational Qualification and Certification Requirement:
a. A valid and active certification in medical coding from AAPC or AHIMA (CPC/COC/CCS/CIC) is mandatory to apply for this position
b. Preferred bachelors degree in Life Sciences, Biotechnology, Pharmacy, Nursing or equivalent.
4. Work Experience:
a. 4-6 years of experience in Evaluation & Management (E&M) coding across Outpatient, Inpatient, Emergency Department Professional and Facility, DRG, or other Specialty domains.
b. Preferred: Minimum of 12 years of experience in audit or quality review.
5. Required Skills:
a. Strong proficiency in:
ICD-10-CM, CPT, HCPCS Level II
ICD-10-PCS, and DRG systems (for inpatient coding)
Facility and Professional Coding
E&M leveling, coding compliance rules, NCCI edits, modifiers, and payer specific edits
b. Expertise with coding tools such as Codify, EncoderPro, 3M, TruCode, Find-A Code, etc.
c. Proficiency in coding platforms such as Epic, Medent, Cerner, Athena, Experity, Meditech, ModMed, etc.
d. Strong analytical mindset, attention to detail and problem-solving abilities.
e. Advanced MS Office skills.
f. Excellent oral and written communication, coaching, and documentation skills.
6. Tasks and Responsibilities:
a. Conduct internal coding audits for accuracy, completeness, and compliance with CMS, ICD, CPT, and client-specific guidelines.
b. Conduct refresher and error-specific training sessions.
c. Provide both individual and group feedback sessions to coders based on audit findings.
d. Support the training and onboarding of new coders with live chart reviews and quality-focused coaching.
e. Collaborate with Team Managers, QA, and Trainers to build strong quality assurance programs.
f. Ensure DRG validation, E&M leveling, and specialty coding compliance, as applicable.
g. Document audit outcomes in a structured format and prepare weekly/monthly quality reports.
h. Develop and conduct workshops or training modules on coding updates (e.g., ICD-10 annual changes), and client-specific protocols.
i. Serve as a coding SME (subject matter expert) for escalations and client interactions.
j. Attend client calls and prepare client-specific Standard Operating Procedures(SOPs)
k. Participate in new client transitions, client-specific monthly or quarterly audits and analysis.
l. Collaborate with the reporting manager, quality coaches, and QA for clinical documentation to ensure coding accuracy and data integrity.
m. Stay up to date with changes in industry coding updates (AAPC/AHIMA), payer policies, NCCI edits, and coding software tools.
n. Provide coding clarification, guidance, and support to all coders.
o. Analyze coding trends and error patterns. Conduct root cause and error analysis as directed; provide corrective and preventive action plans to reduce recurring errors.
p. Ability to work independently as well as collaboratively in a team.
q. Assist in day-to-day operations and perform any additional tasks assigned by the reporting manager.
r. Act as a backup for the Reporting Manager in his/her absence.
7. Reporting Hierarchy: Reports to Associate Team Manager (ATM)/ Team Manager(TM)/ Senior Team Manager (STM)
8. Career Path: Quality Coach (QC) Quality Auditor (QA) Associate Team Manager (ATM) Team Manager (TM) Senior Team Manager (STM)
9. Additional Perks:
a. Medical Insurance for self, spouse, and up to two dependent children under age 25
b. Accident insurance coverage equal to 5 x annual CTC of the employee
c. Complimentary canteen facilities (Bengaluru location only. Not valid for Coimbatore)
d. Certification Membership Reimbursement Policy: Employees are required to maintain an active certification with AAPC or AHIMA while employed with the company. The company will reimburse only the annual membership fee of an active employee (i.e., not serving a notice period) subject to the following conditions:
Only the annual membership fee for AAPC or AHIMA is reimbursed
Employees must complete 11 months of continuous service to claim reimbursement in the first year
In subsequent years, reimbursement will be processed annually
Only one claim per calendar year is allowed and requires submission of the original receipt
Late fees, CEUs (Continuing Education Units), and recertification fees are not covered
Employees cannot be enrolled under another corporate membership
Reimbursement applies to only one certification body (either AAPC or AHIMA)
Management reserves the right to modify or withdraw this policy at any time without prior notice
10. How to Apply: Apply through our website https://www.scribeemr.in/
Note: For queries, please write to us at: me***********g@sc******r.in
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Medical Biller / CoderEmployement Type: FreshersContact Details:
Company: ScribeEMR SystemsLocation(s): Coimbatore
Keyskills: Quality Auditor Outpatient HCPCS Inpatient DRG CPT E&M coding Certified Coder Medical Coding ICD-10-CM ED
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