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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding accuracy and compliance, with a strong focus on CPT, ICD-10-CM, and HCPCS coding standards. Proven ability to lead quality audits, provide actionable feedback, and ensure team adherence to HIPAA and OIG requirements.
Highest-signal resume keywords
CCS CertificationCIC CertificationCPC CertificationQuality Auditing ExperienceIVR Specialty Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT CodingICD-10-CM CodingHCPCS CodingQuality ControlData AnalysisProblem-SolvingResearch SkillsTrend IdentificationTeam EducationCompliance Management
Soft Skills
Team Handling SkillsMotivational SkillsCommunication SkillsIssue-Resolution SkillsAnalytical Skills
Tools & Technologies
Microsoft Excel
Certifications & Qualifications
CCSCICCPCCPMA
Industry Keywords
Healthcare ComplianceHIPAAOIGQuality AuditingSLA-Driven EnvironmentClinical DocumentationCoding GuidelinesPayer RegulationsInventory ManagementProcess Improvement
About the role
Key responsibilities & impact- 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 accurate assignment of CPT, ICD-10-CM, and HCPCS codes
- Identify coding errors, trends, and improvement areas
- Provide actionable feedback and recommendations to the coding team
- Collaborate with coding managers and training teams on process improvement and coding education
- Stay current with coding standards, payer regulations, and compliance requirements
- Handle team clarifications and proactively address team issues
- Manage inventory and planning
- Motivate and guide the team to meet production and quality goals
- Follow project protocols and instructions
- Research coding grey areas and develop solutions
- Conduct team education and training
- Respond promptly to manager emails and client queries
- Ensure team compliance with HIPAA and OIG requirements
Requirements
What you’ll need- 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)
- Active state nursing license mandatory
- 3+ years of experience after certification
- 4–6 years of coding with quality experience
- Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
- IVR specialty experience mandatory, including complex-level IVR coding, cardiovascular surgery, and general surgery
- Experience in quality control/auditing
- Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
- Experience working in SLA-driven, high-compliance healthcare environments
- Must be an expert
- Team handling skills
- Analytical, problem-solving, research, and issue-resolution skills
- Ability to conduct team education and training
- Ability to address client emails and queries
- Ability to identify trends and escalate issues
- Ability to ensure team compliance with HIPAA and OIG requirements
- CPMA certification is an added advantage
- Location: Chennai
Benefits
Comp & perks- No benefits, perks, or compensation extras are specified in the posting