Assistant Manager - Quality Analyst

EXL; Chennai District; On-site; INR 500,000 - 900,000; Full time

Job summary

EXL in Chennai, Tamil Nadu seeks a dedicated Medical Coding Quality Auditor to review coded medical records for accuracy and compliance with official coding guidelines and payer requirements.

The role involves analyzing CPT, ICD-10-CM, and HCPCS codes, identifying errors and trends, and providing actionable feedback to the coding team. You will collaborate with coding managers for process improvement and training initiatives, staying updated on coding standards and regulations.

Responsibilities

• Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
• Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
• Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
• Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
• Stay current with updates to coding standards, payer regulations, and compliance requirements.

Job description

• Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
• Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
• Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
• Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
• Stay current with updates to coding standards, payer regulations, and compliance requirements.