Quality Auditor ensuring compliance and accuracy in medical coding for healthcare at EXL. Collaborating with coding teams and supporting education initiatives while staying updated with industry standards.
Responsibilities
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.
Requirements
Life science/Paramedical Degree
CPC
7 - 12 year of Coding with quality experience
Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery
5+ years of coding experience
2+Years of Team lead role
CPMA certification is added advantage.
Location –Chennai
QC experience
Benefits
EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
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