GI Auditor(E&M/SDS/Anesthesia)

Key Responsibilities

• Perform comprehensive audits of SDS and Anesthesia coding to ensure accuracy, completeness, and compliance with CMS and ICD-10-CM guidelines.
• Review clinical documentation to validate the coding information as per CMS standards, provide detailed feedback to customer/Coder.

Good understanding on coding below concepts.

• Thorough understanding on Gastro related SDS and Anesthesia concepts
• Good interpretation skills reviewing and analyzing the medical records
• Assigning accurate medical necessity diagnosis to avoid any denials.
• Able to provide constructive and frequent feedback with coders
• Understanding the RCA and CAPA, accountability maintaining team quality
• Positive approach providing the feedback and maintain team harmony.

Required Qualifications

• Minimum 3-5 years of experience in medical coding with strong experience in E&M coding with minor procedures.
• Must have experience in Gastro procedures and awareness of Anesthesia and E&M.  
• Must be certified by AAPC/AHIMA and should hold active credentials
• Should have experience in auditing, if not a QA can be an acting or designated QA

For more details kindly reach out:

HR Keerthi

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