Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,
Jobs in India
Lead Claims Auditor in Hyderabad
15 active opportunities · Updated September 2026
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15 jobs
Explore current lead claims auditor jobs in Hyderabad. Filter by work mode, employment type, experience, department, date posted and distance.
CH
3 days ago
📍 Hyderabad, TELANGANA, India· Full-time
EG
📍 Hyderabad, TELANGANA, India· Full-time
CH
CH
📍 Hyderabad, TELANGANA, India· Full-time
₹2K – ₹2K/yr
CH
M
📍 Hyderabad, India· Full-time
AG
📍 Hyderabad, Andhra Pradesh, India
AG
📍 Hyderabad, Andhra Pradesh, India· Full-time
AG
📍 Hyderabad, Andhra Pradesh, India· Full-time
M
📍 Hyderabad, India· Full-time
OI
📍 Hyderabad, Telangana, India· Full-time
M
📍 Hyderabad, India· Full-time
M
📍 Hyderabad, India· Full-time
AG
13 days ago
📍 Hyderabad, Andhra Pradesh, India· Full-time
AG
📍 Hyderabad, Andhra Pradesh, India· Full-time
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