Senior Executive - Quality Auditor

EXL; Chennai District; On-site; INR 300,000 - 600,000; Full time

Job summary

EXL in Chennai, India, is seeking a skilled Medical Coder to perform detailed audits of coded medical records, ensuring accuracy and compliance with official coding guidelines and payer requirements. The role focuses on CPT, ICD-10-CM, and HCPCS coding while supporting quality initiatives.

You will review clinical documentation for completeness, identify coding errors, and provide actionable feedback to the coding team.

Qualifications

• Requires 3+ years of experience after certification.
• Audits coded medical records for accuracy and compliance with coding guidelines.
• Reviews clinical documentation to assign CPT, ICD-10-CM, and HCPCS codes.
• Identifies coding errors and provides actionable feedback.
• Collaborates with coding managers to drive education and process improvements.
• Stays updated on coding standards and payer 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.

Skills

Medical coding

Quality audits

CPT coding

ICD-10-CM

HCPCS coding

Compliance

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.