Sr Medical Auditor

Job Description for Sr Medical Auditor

Who We Are

XpertDox is a big data healthcare startup based in Scottsdale, Arizona. We leverage advanced data analytics and proprietary natural language processing to structure, parse, and map information from highly diverse data sources. Our technology improves access to clinical trials and automates complex medical coding workflows at scale.

Role Overview

We are seeking candidates for our India Office based in Noida, for the role of Medical Auditor (Hybrid Profile) who have expertise and long experience in Evaluation & Management (E&M) Coding

Role & responsibilities

• Audit Coding: Review and validate medical records against codes assigned by automated or autonomous systems to ensure accuracy.
• Quality Assurance & Compliance: Verify that coding complies with CMS, HIPAA, and industry regulations to prevent penalties and audits.
• Documentation Review: Confirm that clinical documentation supports the medical necessity and level of service (e.g., E/M coding) assigned.
• Error Analysis & Reporting: Identify trends in AI errors and generate detailed reports for management.
• Feedback & Process Improvement: Provide feedback to the technical team to refine the autonomous coding engine and train human coders on complex cases.
• Regulatory Updates: Maintain in-depth knowledge of coding guidelines (ICD-10, CPT, HCPCS) and regulatory changes to update audit tools.

Key Skills

• 5-8 years experience in E&M coding
• Accuracy and speed
• Analytical Proficiency: Ability to identify patterns in large datasets to improve AI accuracy.
• Documentation Expertise: Strong knowledge of medical terminology, anatomy, and pathophysiology to validate clinical evidence.
• Critical mindset
• Solution oriented approach

Benefits

• Unlimited paid time off
• To be a part of the new, cutting edge autonomous coding environment
• Hybrid Mode

If you are interested kindly apply through the below link:

https://careers.xpertdox.com/