Senior Executive - Auditor QA

EXL; Chennai; On-site; INR 600,000 - 800,000; Full time

Job summary

EXL in Chennai, India is seeking a healthcare coding auditor to ensure coding accuracy and regulatory compliance. You will review coded medical records for CPT, ICD-10-CM and HCPCS assignments, aligned with payer guidelines.

You will identify coding errors and trends, provide actionable feedback to the coding team, and collaborate with managers and training staff to drive improvements.

Qualifications

• 3+ years of experience after certification.
• Experience auditing coded medical records for accuracy and compliance.
• Familiarity with CPT, ICD-10-CM, HCPCS coding guidelines.

Responsibilities

• Perform detailed quality audits of coded medical records for accuracy and compliance.
• Review clinical documentation for complete and precise CPT, ICD-10-CM, and HCPCS coding.
• Identify coding errors and trends; provide actionable feedback to the coding team.
• Collaborate with coding managers and training teams to support improvements.
• Stay updated on coding standards, payer regulations, and compliance requirements.

Skills

Quality audits

Clinical documentation analysis

Compliance awareness

Feedback collaboration

Education

Medical coding certification

Job description

Job Description:

• 3+years of experience after certification is must
• 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.