Senior Executive - Quality Auditor
ChennaiFull-time4–6 yrsPosted 4 weeks ago
Mid-level mechanical and production role at EXL in Chennai. Needs 4–6 years.
About the role
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.
What you'll do
- 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
- Working in Quality team is an added advantage
What you need
- Excel
- Medical coding