Senior Quality Auditor

EXL

. Perform detailed quality audits of coded medical records for accuracy, compliance, official coding guidelines, and payer-specific requirements .

Posted 10/10/2026full-timeChennai • IndiaSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality auditing of medical coding, ensuring compliance with coding guidelines and payer-specific requirements. Proficient in team management, training, and process improvement within high-compliance healthcare environments.

Highest-signal resume keywords

Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)Certified Professional Coder (CPC)Quality Auditing ExperienceMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT Code AssignmentICD-10-CM Code AssignmentHCPCS Code AssignmentQuality ControlIVR CodingCardiovascular Surgery CodingGeneral Surgery CodingData AnalysisReportingProcess Improvement

Soft Skills

Team CollaborationProblem SolvingCommunicationFeedback ProvisionTraining and Education

Certifications & Qualifications

CCSCICCPCCPMA

Industry Keywords

Healthcare ComplianceHIPAAOIG RequirementsQuality AnalystSLA-Driven Environment

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 CPT, ICD-10-CM, and HCPCS code assignment
Identify coding errors, trends, and improvement areas; provide 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 and guide the team to achieve production and quality goals
Manage inventory and planning
Handle team clarifications and issues; research grey areas and provide solutions
Conduct team education and training
Address client emails and queries
Escalate issues and identify trends
Ensure prompt responses to manager emails
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
3+ years of experience after certification
4–6 years of coding with quality experience
Experience with IVR coding, including complex cardiovascular surgery and general surgery cases
Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
Quality control experience
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
Experience working in SLA-driven, high-compliance healthcare environments
CPMA certification is an added advantage
Location: Chennai