Senior Executive - Quality Auditor

EXL Talent Acquisition Team; Chennai; On-site; INR 500,000 - 800,000; Full time

Job summary

EXL Talent Acquisition Team in Chennai is seeking a skilled medical coder to perform detailed quality audits of coded medical records. You will review CPT, ICD-10-CM, and HCPCS codes for accuracy and completeness, identify coding errors, and provide actionable feedback to the coding team.

Collaborating with coding managers and training teams, you will support process improvements and stay current with coding standards and payer regulations to ensure compliance.

Qualifications

• Must have 3+ years of experience after certification.
• Perform detailed quality audits of coded medical records.
• Review CPT, ICD-10-CM, and HCPCS codes for completeness and accuracy.
• Identify coding errors and provide actionable feedback to the coding team.
• Collaborate with coding managers and training teams for process improvements.
• Stay current with updates to coding standards and payer regulations.

Responsibilities

• Conduct quality audits of coded medical records to ensure accuracy and compliance.
• Review CPT/ICD-10-CM/HCPCS coding for completeness and accuracy.
• Identify trends and errors; provide actionable feedback to the coding team.
• Collaborate with managers and training teams to drive coding education.
• Stay updated on coding standards and payer regulations.

Skills

Quality audits

Medical coding

3+ years experience

Payer regulations

Education

Medical coding certification

Job description

• 3+years of experience after certification is must
• Perform detailedquality auditsof 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.