Senior Executive - Auditor/QA

EXL; Chennai District; On-site; INR 400,000 - 500,000; Full time

Job summary

EXL is seeking an experienced medical coder to perform detailed audits of coded medical records, ensuring accuracy and compliance with coding guidelines and payer requirements.

The role includes reviewing clinical documentation to assign CPT, ICD-10-CM, and HCPCS codes, identifying errors and trends, and collaborating with the coding team for education and process improvements. Stay updated with coding standards and payer regulations.

Qualifications

• 3+ years of experience after certification.
• Perform detailed quality audits of coded medical records to ensure accuracy and compliance.
• Review and analyze clinical documentation for correct CPT, ICD-10-CM, and HCPCS coding.
• Stay current with updates to coding standards and payer regulations.

Responsibilities

• Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
• Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
• Stay current with updates to coding standards, payer regulations, and compliance requirements.

Skills

Quality audits

Medical coding

Compliance knowledge

Feedback delivery

Education

Medical coding certification

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.