Clinical Documentation Auditor

Year    KL, IN, India

Job Description

We are looking for a detail-oriented and highly motivated

Clinical Documentation Auditor

to join our growing team in Kochi. In this role, you will play a key part in ensuring the accuracy, clarity, and compliance of clinical documentation across medical records.

Job Responsibilities:

Review clinical documentation in medical records for accuracy, completeness, and clarity. Audit charts to ensure compliance with industry standards, regulatory requirements, and organizational policies. Identify documentation gaps and provide feedback to healthcare providers and coding staff. Ensure all diagnoses and procedures are clearly and accurately documented to support correct coding. Prepare audit reports with findings, recommendations, and corrective actions. Conduct regular internal audits to assess documentation practices and maintain quality standards. Collaborate with clinical teams to improve documentation processes and support quality improvement initiatives.
Qualifications:

Completion of a

Nursing degree

(B.Sc Nursing, GNM, or equivalent) is mandatory. Must be a

Registered Nurse (RN)

with valid credentials. Prior experience in

medical transcription

or clinical documentation review is required. A minimum of 1-3 years of experience in clinical documentation, chart review, medical scribing, auditing, or a related role within a clinical or BPO environment.
Job Types: Full-time, Permanent

Pay: ₹21,000.00 - ₹35,000.00 per month

Benefits:

Food provided Health insurance Provident Fund
Work Location: In person

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Job Detail

  • Job Id
    JD4748319
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    KL, IN, India
  • Education
    Not mentioned
  • Experience
    Year