Senior Executive - Auditor/QA

EXL·Chennai

Pay not stated4–6 yrsFull-time

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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