Senior Quality Auditor

EXL

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

Posted 10/9/2026full-timeChennai • IndiaSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding and quality auditing, with a strong focus on compliance with CPT, ICD-10-CM, and HCPCS coding standards. Proven ability to lead teams, conduct training, and implement process improvements in high-compliance healthcare environments.

Highest-signal resume keywords

CCS – Certified Coding SpecialistCIC – Certified Inpatient CoderCPC – Certified Professional CoderIVR Specialty ExperienceQuality Control Experience

ATS Keywords

Tailor your resume

Applicant 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 AuditingData AnalysisMicrosoft ExcelCoding ComplianceProblem-SolvingAnalytical SkillsTeam Education

Soft Skills

Team HandlingMotivational SkillsCommunication Skills

Certifications & Qualifications

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

Industry Keywords

HIPAA ComplianceOIG ComplianceHealthcare CodingQuality ImprovementSLA-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 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
Handle team clarifications and proactively resolve team issues
Manage inventory and planning
Motivate and guide the team toward production and quality goals
Follow project protocols and instructions
Research grey areas and develop solutions
Escalate issues and identify trends
Ensure team compliance with HIPAA and OIG requirements
Respond promptly to manager emails

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 experience with quality experience
Mandatory IVR specialty experience, 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
Quality control experience
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
Experience working in SLA-driven, high-compliance healthcare environments
Expert-level capability
Team handling skills
Problem-solving and analytical skills
Ability to conduct team education and training
Ability to address client emails and queries
Knowledge of HIPAA and OIG compliance