Senior Quality Auditor

Jobtailor; Chennai District; On-site; INR 800,000 - 1,400,000; Full time

Job summary

Jobtailor in Chennai is seeking an experienced Quality Auditor for medical coding. You will perform detailed audits of coded records ensuring CPT, ICD-10-CM, and HCPCS accuracy and payer compliance.

You will lead a small team and collaborate with managers to drive process improvements. The role requires 4–6 years of coding with quality experience, relevant certifications (CCS/CIC/CPC/CPMA preferred), and strong Excel skills.

Qualifications

• Bachelor's Degree in Science or Nursing.
• Certifications CCS, CIC, CPC; CPMA is a plus.
• 3+ years of experience after certification.
• 4–6 years of coding with quality experience.
• Experience with IVR coding, including complex cases.
• 1–2 years in Quality Analyst/Quality Auditing.
• Excel proficiency for tracking, analysis, reporting.
• Experience in SLA-driven, high-compliance healthcare env.

Responsibilities

• Perform detailed quality audits of coded medical records for accuracy, compliance, 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 improvement areas; provide actionable feedback and recommendations
• Collaborate with coding managers and training teams on process improvement and coding education
• Stay current with coding standards, payer regulations, and compliance requirements
• Handle and guide the team to achieve production and quality goals
• Manage inventory and planning
• Handle team clarifications and issues; research grey areas and develop solutions
• Conduct team education and training
• Escalate issues and identify trends
• Ensure team compliance with HIPAA and OIG requirements
• Follow project protocols and instructions and respond promptly to manager emails

Skills

QC

IVR Coding

Data Analysis

Coding Guidelines

Production Goals

Education

Bachelor's Degree in Science or Nursing

CCS

CIC

CPC

CPMA

Tools

Microsoft Excel

Job description

• Perform detailed quality audits of coded medical records for accuracy, compliance, 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 improvement areas; provide actionable feedback and recommendations


• Collaborate with coding managers and training teams on process improvement and coding education


• Stay current with coding standards, payer regulations, and compliance requirements


• Handle and guide the team to achieve production and quality goals


• Manage inventory and planning


• Handle team clarifications and issues; research grey areas and develop solutions


• Conduct team education and training


• Escalate issues and identify trends


• Ensure team compliance with HIPAA and OIG requirements


• Follow project protocols and instructions and respond promptly to manager emails

Requirements

• Bachelor's Degree in Science or Nursing


• One or more mandatory certifications: CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), or CPC (Certified Professional Coder)


• 3+ years of experience after certification


• 4–6 years of coding with quality experience


• Experience with IVR coding, including complex-level IVR coding, cardiovascular surgery, and general surgery


• Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role


• QC experience


• Microsoft Excel proficiency, including trackers, analysis, and reporting


• Experience working in SLA-driven, high‑compliance healthcare environments


• Chennai location


• CPMA certification is an advantage


• Team handling, problem‑solving, analytical, training, and team‑motivation skills


• Ability to address client emails and queries


• Knowledge of HIPAA and OIG compliance

Core Competencies

Demonstrates expertise in medical coding, including CPT, ICD-10-CM, and HCPCS, with a strong focus on quality auditing and compliance. Proven ability to lead teams, conduct training, and implement process improvements in high‑compliance healthcare environments.

Highest-signal resume keywords

• CPT Coding


• ICD-10-CM Coding


• HCPCS Coding


• Quality Auditing


• Certified Coding Specialist (CCS)

Hard Skills

• Quality Control (QC)


• IVR Coding


• Data Analysis


• Coding Guidelines Compliance


• Production Goal Management

Soft Skills

• Problem-Solving


• Team Handling


• Analytical Skills


• Training Skills


• Team Motivation

Certifications & Qualifications

• Certified Coding Specialist (CCS)


• Certified Inpatient Coder (CIC)


• Certified Professional Coder (CPC)


• Certified Professional Medical Auditor (CPMA)

Industry Keywords

• HIPAA Compliance


• OIG Compliance


• Healthcare Coding


• Payer Regulations


• Clinical Documentation

Tools & Technologies

• Microsoft Excel