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Senior Executive - Quality Auditor

EXL (ExlService Holdings, Inc.) · exlservice.com
ChennaiHybridSenior3+ yrs
Apply on EXL (ExlService Holdings, Inc.)’s site

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The job in short

Quality auditing.

ExcelNursingClinicalCompliance

Details

Found
25 d ago · posted 2026-08-13
Location as listed
Chennai, Tamil Nadu, India
Role
Quality Inspector / Technician
Source
The company’s own careers site

Full description

• 3+years of experience after certification is must • Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to 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 areas for improvement; provide actionable feedback and recommendations to the coding team. • Collaborate with coding managers and training teams to support process improvement and coding education initiatives. • Stay current with updates to coding standards, payer regulations, and compliance requirements. • Must be an expert • Team handling skill set • Working in Quality team is an added advantage. • Inventory management and planning • Motivate and guide team to achieve production and quality goal set • Follow project related protocols and instructions • Handling team clarification • To be proactive in handling team issues • Problem solving skill sets • Research on grey areas with solution • Capable of conducting team education and training • Skill sets to address client email and queries • Should have more analytical skill sets • Should be more innovative, energetic and positive thoughts • Having skill sets to motivate teams • Escalate issues, identify trends • All emails from Manager should be answered promptly without fail • Ensure compliance of entire team for HIPAA,OIG Education - Bachelor’s Degree in Science or Nursing. Certifications One or more of the following mandatory certifications: 3+years of experience after certification is must CCS – Certified Coding Specialist CIC – Certified Inpatient Coder CPC – Certified Professional Coder Experience - • 5 - 7 year of Coding with quality experience • Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery • 3+years of experience after certification is must • CPMA certification is added advantage. • Location –Chennai • QC experience Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role. Preferred Qualifications (Desirable Criteria) Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting. Experience working in SLA-driven, high-compliance healthcare environments.

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