Senior Quality Auditor

EXL

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

Posted 9/18/2026full-timeChennai • IndiaSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding accuracy and compliance, with a strong focus on CPT, ICD-10-CM, and HCPCS coding standards. Proven ability to lead teams in quality audits, training, and process improvement while ensuring adherence to HIPAA and OIG requirements.

Highest-signal resume keywords

CCS – Certified Coding SpecialistCIC – Certified Inpatient CoderCPC – Certified Professional CoderIVR Coding ExperienceQuality Auditing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10-CM CodingHCPCS CodingQuality Control (QC)Data AnalysisReportingCompliance AuditingCoding GuidelinesHealthcare RegulationsProcess Improvement

Soft Skills

Team LeadershipProblem-SolvingAnalytical ThinkingMotivational SkillsCommunication

Tools & Technologies

Microsoft Excel

Certifications & Qualifications

CCS – Certified Coding SpecialistCIC – Certified Inpatient CoderCPC – Certified Professional CoderCPMA Certification

Industry Keywords

HIPAA ComplianceOIG ComplianceHealthcare CodingQuality AuditingSLA-Driven Environments

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 accuracy in assigning CPT, ICD-10-CM, and HCPCS codes
Identify coding errors, trends, and improvement areas; provide actionable feedback and recommendations
Collaborate with coding managers and training teams on process improvement and coding education initiatives
Stay current with coding standards, payer regulations, and compliance requirements
Motivate and guide the team to achieve production and quality goals
Follow project-related protocols and instructions
Handle team clarifications and issues proactively
Research grey areas and develop solutions
Conduct team education and training
Address client emails and queries
Escalate issues and identify trends
Ensure prompt responses to manager emails
Ensure entire-team compliance with HIPAA and OIG requirements
Manage inventory and planning

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
Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
Experience with IVR coding is mandatory, including complex-level IVR coding, cardiovascular surgery, and general surgery
QC 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
Team handling skill set
Problem-solving skill sets
Analytical skill sets
Must ensure compliance with HIPAA and OIG requirements