As a medical coding auditor, my responsibilities will be to ensure the accuracy of medical coding and documentation of medical records for healthcare providers. I have experience with reviewing and analyzing medical records to identify errors and inconsistencies in coding and documentation. The role also requires utilizing knowledge of coding systems and regulations to identify potential compliance issues and recommending corrective action. As a medical coder, I will be responsible for translating medical records into standardized codes. My knowledge of coding software and medical terminology will ensure accurate and efficient coding, enabling healthcare providers to bill insurance companies and government agencies accurately. In this role, I will also have a responsibility to stay up-to-date with the latest coding guidelines and regulations to ensure compliance with industry standards.
Successfully performed medical coding and auditing tasks with a consistent 99% quality score, reflecting strong accuracy, compliance with ICD-10-CM, CPT, and HCPCS coding standards, and attention to detail. Ensured documentation integrity and supported optimal reimbursement through thorough review and adherence to client and regulatory guidelines.
Having experience in various specialties like CDI (clinical documentation improvement), SDS, ED facility, Radiology, ancillary
Specially having 4 years of experience in Clinical Documentation Improvement Specialist – Medical Coding
Reviewed outpatient records to identify documentation gaps and provided feedback to improve clarity and specificity
Ensured alignment between clinical documentation and ICD-10-CM, CPT, and HCPCS coding guidelines Maintained 99% accuracy in coding audits and contributed to achieving organizational compliance benchmarks
Trained and supported coding staff in best practices for CDI, improving documentation quality and coder efficiency
Handling audit for the junior Coders and educating on errors
Played a key role in reducing claim denials and improving case mix index (CMI) through proactive documentation review and physician education
Attending Weekly client calls and weekly client quality work session calls
Assigning codes by using ICD10-CM, CPT-4 &HCPCS
Do coding through encoder, quantum & 3M software's
Auditing 57 charts per daily while maintaining 98% accuracy and achieving productivity goals as per client requirement
Conducting weekly QA-feedback sessions & updating client updates and feed backs
Educate juniors on health care topics, client feedbacks and clarifying their coding doubts etc
Able to understand written documents
Knowledge in all kind of ED procedure codes like laceration repairs fracture reduction and infusions procedures etc
Taking monthly education and coding clinic tests
Self-motivated, hardworking, and goal-oriented with a high degree of flexibility, creativity, resourcefulness, commitment, and optimism
"Awarded Best Employee of Quarter 4 2025 for outstanding performance and contributions to team success."
"Received two times appreciation from client to maintaining of Good Quality auditing in Rewards and recognition programme."
"Consistently maintained 99% quality scores in monthly MQRs during client audits, demonstrating high attention to detail and adherence to quality standards."
To perform my duties as a medical coder, I will use various Microsoft tools such as Excel, Word, and Outlook. I will use Excel for data analysis and manipulation, tracking medical codes, and managing spreadsheets. I will utilize Word to create reports, presentations, and other written documentation. Additionally, I will use Outlook to manage emails and communicate with healthcare providers and insurance companies. Furthermore, I will leverage Microsoft Teams to collaborate with my team members, share information, and discuss coding challenges to ensure accurate and efficient coding processes. By using these Microsoft tools, I will streamline my work and ensure accurate and timely documentation.