Clinical Documentation Auditor

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: ₹20,000.00 - ₹30,000.00 per month

Benefits:

• Food provided
• Health insurance
• Provident Fund

Work Location: In person