Medical Coding Quality Analyst

Responsibilities

• Perform quality audits on coding for E&M, OP, IP, and Surgical cases
• Validate accurate assignment of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes
• Ensure compliance with AAPC/AHIMA guidelines, payer policies, and client SOPs
• Identify coding errors, gaps, and documentation deficiencies
• Provide detailed feedback and coaching to coders to improve quality
• Track and report quality metrics, error trends, and audit findings
• Conduct calibration calls with internal teams and refresher sessions for existing coder
• Support denial analysis and prevention strategies
• Ensure adherence to TAT, productivity, and accuracy benchmarks
• Required Skills & Competencies
• Strong expertise in E&M coding
• Outpatient and Inpatient coding
• Surgical coding (CPT & ICD-10-PCS)
• In-depth knowledge of ICD-10-CM, CPT, HCPCS
• Knowledge of NCCI edits and modifier usage
• Excellent auditing and analytical skills
• Strong communication and feedback delivery skills
• Proficiency in Excel and reporting tools

Requirements

• 4-5 years in Medical Coding (with auditing/QC exposure preferred)
• Job Summary
• Graduate in Life Sciences / Medical / Paramedical field
• Certifications such as CPC / CCS / CIC preferred
• Key Performance Indicators (KPIs)
• Audit accuracy (%)
• Error detection rate
• Reduction in repeat errors
• Adherence to SLA/TAT
• Team quality improvement metrics

Additional Information

Job Title Quality Control Analyst (QCA) - Medical Coding

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Company Intel

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