Clinical Coding Auditor

Clinical Coding Auditor

Location: London, UK

Job Overview

IQVIA is looking for an experienced Clinical Coding Auditor to join our team based in London, UK.

NHS Approved/Accredited Clinical Coding Auditor responsible for:

• Producing monthly data quality and targeted audit reports

• Delivering clinical coding audits, including:

  • Targeted reviews using analytical reporting (e.g. Elective Recovery, SHMI, HRG/Tariff optimization)
  • Bespoke audits, benchmarking exercises, and deep-dive analyses
  • Feedback and improvement sessions with clinical, coding, operational, and management teams

• Facilitating clinician engagement workshops to support documentation and data quality improvements

• Leading SHMI, mortality, and clinical quality improvement initiatives

• Providing training and education on CCA reports, dashboards, coding quality, casemix, and data interpretation for coders, clinicians, finance, and information teams

• Managing clinical coding services, including operational oversight, coder support, productivity and quality monitoring, and assurance reviews

• Providing expert coding advice and specialist consultancy across IQVIA and client organisations

• Developing, enhancing, and maintaining CCA products, reports, dashboards, and service offerings

• Supporting wider strategic, analytical, and client-driven projects as required

Essential Functions

• Participates/leads teams in the design, development and delivery of technology/service based projects or components of larger, complex projects.

• Reviews and analyzes client requirements/problems.

• Proposes and delivers cost effective solutions to meet these requirements.

• Performs qualitative/quantitative analyses to assist in the identification of client issues and develop client specific solutions.

• Designs, structures and delivers client reports and presentations.

• Recommends improvements and alternative solutions.

• Provides follow-up with internal and/or external client to ensure client satisfaction.

• Proactively develops broader and deeper knowledge of technology/services solutions and trends for the healthcare market.

• Ability to manage work streams, assigning tasks and driving them to completion. May assist with business development activities.

Experience:

• Solid project management, client influencing and relationship building skills.

• Strong technical architecture / design or development experience desired.

• Works willingly and effectively with others in and across the organization to accomplish team goals.

• Experienced with developing consultative relationships with senior level managers and executives at clients in the healthcare industry.

• Ability to manage multiple projects, juggle priorities and deliver on tight deadlines.

• Knowledge of consulting methodologies, tools and techniques related to functional area.

• Knowledge of key issues and current developments in the industry.

• Excellent presentation, communication and client influencing skills.

• Has necessary subject matter expertise to effectively manage projects within a given CoE.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.