Hybrid Senior Executive – Auditor/QA

Posted 4 days ago

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About the role

  • Experienced Quality Auditor with CPC certification and medical coding expertise. Conducting coding quality audits and ensuring compliance with coding standards in Chennai, India.

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

  • 3+years of experience after certification is must
  • 4 - 6 year of Coding with quality experience
  • Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery
  • Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
  • Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting.
  • Experience working in SLA-driven, high-compliance healthcare environments.

Benefits

  • Education - Bachelor’s Degree in Science or Nursing.
  • Certifications
  • One or more of the following mandatory certifications:
  • CCS – Certified Coding Specialist
  • CIC – Certified Inpatient Coder
  • CPC – Certified Professional Coder
  • CPMA certification is added advantage.
  • Location –Chennai

Job title

Senior Executive – Auditor/QA

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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