IJP214_Quality Auditor_HIM_ED Denials Obs_NCR

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

JOB ROLE -

• AUDITING & REVIEWING MEDICAL DOCUMENTATION FOR APPROPRIATE ICD & CPT CODING & ENSURING THAT CODES TALLY WITH DOCTORS’ DIAGNOSIS
• ASKING EXPLANATION FROM PHYSICIANS WHEN CODE ASSIGNMENTS ARE NOT STRAIGHTFORWARD OR DOCUMENTATION IN THE RECORD IS INADEQUATE, AMBIGUOUS, OR UNCLEAR FOR CODING PURPOSES
• PREFERENCE WILL BE GIVEN TO APPLICANTS HAVING SKILLSET IN DENIALS, ED & Obs.
• ENSURING COMPLIANCE WITH MEDICAL CODING POLICIES AND GUIDELINES.
• BE UPDATED ABOUT NEW CODING RULES AS CODES CHANGE FROM TIME TO TIME.
• COLLECTING AND DISTRIBUTING CODING RELATED INFORMATION AND BILLING ISSUES.
• EXCEPTIONAL KNOWLEDGE OF MEDICAL TERMINOLOGY, ANATOMY, PHYSIOLOGY, DISEASE PROCESSES AND PHARMACOLOGY.

ELIGIBILITY -

• CORROHEALTH EXPERIENCE - MINIMUM 18 MONTHS
• OVERALL EXPERIENCE - MINIMUM 3 YEARS

WHO ALL CAN APPLY -

• EXECUTIVES - HIM
• SENIOR EXECUTIVES - HIM

IMPORTANT -

1. AVERAGE PERFORMANCE RATING 3 & ABOVE FOR THE LAST 04 MONTHS

2. NO PIP OR WARNING LETTERS IN LAST 06 MONTHS

3. NOT ELIGIBLE TO APPLY IF SERVING NOTICE PERIOD

4. NO PROMOTION IN LAST 12 MONTHS

5. ALL POSITIONS ARE MANDATORILY REQUIRED TO WORK FROM NCR OFFICE

6. SHOULD HAVE COMPLETED 3 HOURS L&D TRAINING IN Q1

7. APPLY ON OR BEFORE 27th MAY 2026

8. APPLICATION ACCEPTANCE CLOSES ON 27th MAY AT 23:59 IST [WEDNESDAY]

Tentative IJP Process Schedule -

• WRITTEN ASSESSMENT [If Any] TO BE HELD BETWEEN: 01st - 03rd JUNE
• PPT SUBMISSION [If Any]: 5th -8th JUNE
• PANEL INTERVIEWS TO BE HELD BETWEEN: 8th - 12th JUNE
• FEEDBACK & SCORES TO BE COLLATED: 15th - 17th JUNE
• RESULT ANNOUNCEMENT: 18th - 19th JUNE

QUALITY AUDITOR - HIM

TOTAL HEADCOUNTS - 14

ED - 07, Denials - 06, Obs - 01

LOCATION - NOIDA

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.