Quality Manager

EXL

. Manage and lead the surgery coding quality auditing team to ensure high standards of accuracy and compliance .

Posted 11/4/2026full-timeChennai • IndiaSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in surgical coding quality auditing, with a strong focus on compliance, accuracy, and performance improvement. Proficient in developing training materials and leading teams to enhance coding practices and ensure adherence to payer guidelines.

Highest-signal resume keywords

Bachelor’s Degree In NursingCPC CertificationCCS CertificationCIC Certification10 Years Of Experience In Medical Coding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Surgery Coding Quality AuditingQuality Auditing For Surgical CodingPerformance BenchmarkingCoding Guidelines ResearchData Extraction Solutions

Soft Skills

Project ManagementAnalytical SkillsMultitasking SkillsVerbal Communication SkillsWritten Communication Skills

Tools & Technologies

Microsoft OfficeExcelWordOutlookPowerPoint3M SoftwareNLP Tools

Certifications & Qualifications

CPCCCSCIC

Industry Keywords

Surgery CodingPayer ProcessesCoding ComplianceQuality Improvement InitiativesSurgical Coding Guidelines

About the role

Key responsibilities & impact

Manage and lead the surgery coding quality auditing team to ensure high standards of accuracy and compliance
Perform and oversee surgical coding audits and reviews in alignment with payer guidelines
Develop training materials, process manuals, handbooks, and presentations for team development
Provide feedback, coaching, and performance monitoring for auditors and SMEs
Analyze audit results, benchmark performance, and implement quality improvement initiatives
Research and stay updated on coding guidelines, payer requirements, and surgery coding updates
Collaborate on automation initiatives, including use of NLP tools and data extraction solutions
Ensure timely communication, reporting, and escalation of issues to management

Requirements

What you’ll need

Bachelor’s Degree in Nursing (B.Sc./M.Sc./Diploma Nursing preferred)
Certifications required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder)
Minimum 10 years of experience in medical coding
Minimum 5 years of experience in surgery coding quality auditing
Strong understanding of payer processes related to surgery coding
Hands-on experience in quality auditing for surgical coding
Proficiency in Microsoft Office tools (Excel, Word, Outlook, PowerPoint)
Exposure to 3M software and NLP tools
Strong project management, analytical, and multitasking skills
Excellent verbal and written communication skills
Experience in strategic management and performance benchmarking
Strong knowledge of surgical coding guidelines and clinical concepts
Ability to research coding updates and resolve coding-related issues
Flexibility and adaptability in a fast-paced work environment
Training from office is mandatory; full-time role (40 hours per week)