- 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 -
- 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
- 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.
Skills Required
- 3+ years of experience after certification
- Bachelor's Degree in Science or Nursing
- One or more certifications: CCS, CIC, or CPC
- 4-6 years of coding with quality experience
- Specialty IVR experience mandatory (complex level IVR coding, cardiovascular surgery, general surgery)
- Minimum 1-2 years of experience in a Quality Analyst or Quality Auditing role
- QC experience
- Team handling and leadership skills; ability to train and motivate teams
- Proficiency in Microsoft Excel (trackers, analysis, reporting)
- CPMA certification
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
