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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quality auditing and medical coding, with a strong focus on compliance with HIPAA and OIG requirements. Proficient in conducting team education and training while managing coding accuracy and process improvement.
Highest-signal resume keywords
CCS CertificationCIC CertificationCPC CertificationIVR Coding ExperienceQuality Auditing Expertise
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 Code AssignmentICD-10-CM Code AssignmentHCPCS Code AssignmentQuality AuditingData AnalysisProblem-SolvingResearch SkillsMicrosoft Excel ProficiencyCoding Guidelines ComplianceSLA-Driven Environment Experience
Soft Skills
Team Handling SkillsCommunication SkillsAnalytical SkillsMotivational SkillsCollaboration Skills
Certifications & Qualifications
CCSCICCPCCPMA
Industry Keywords
Healthcare ComplianceHIPAA ComplianceOIG ComplianceQuality ControlClinical Documentation
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 actionable feedback to coding teams
- 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, motivate members, and support production and quality goals
- Manage inventory and planning
- Follow project protocols and instructions
- Handle team clarifications and issues; research grey areas and develop solutions
- Address client emails and queries promptly
- Escalate issues and identify trends
- 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 is mandatory, including complex-level IVR coding, cardiovascular surgery, and general surgery
- Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
- CPMA certification is an added advantage
- Location: Chennai
- QC experience
- Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
- Experience working in SLA-driven, high-compliance healthcare environments
- Expertise in quality auditing and medical coding
- Team-handling skills
- Analytical, problem-solving, research, and communication skills
- Ability to conduct team education and training
- Knowledge of HIPAA and OIG compliance