Senior Executive - Auditor/QA

Job details

Job 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.

Qualifications: 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.