- Perform detailed auditing of coded medical records as per client-specific guidelines to ensure accuracy and completeness.
- Meet defined quality benchmarks (including 98% ATA quality) and productivity targets while maintaining required audit samples.
- Record audit findings, provide structured and real-time feedback to coders, and conduct error feedback sessions for improvement.
- Maintain and update all required logs (productivity, audit, clarification, error logs) on a daily basis.
- Follow all project protocols, procedures, and instructions, ensuring compliance with EXL policies, HIPAA, and confidentiality standards.
- Collaborate with managers for issue resolution, clarifications, and continuous process improvement initiatives.

Responsibilities

- Review coded medical records for auditing as outlined per Client specific guideline
- Achieve quality and production targets defined per client project
- Follow all project related protocols, procedures and instructions as documented and instructed by manager
- Update all the logs, i.e. productivity, clarification, audit and error and others as applicable




- Record the feedback as appropriate and provide real time feedback to coders.
- Conducting Error Feedback session with Coders.
- Securing ATA quality at 98%.
- Meeting the defined samples per projects
- Comply with EXL, HIPAA, and other regulations and guidelines related to patient confidentiality and protocols for client information
- Check with Manager for issue resolution and clarification as needed

Qualifications

Qualifications:

- Graduate in Life science, Paramedical (BPT, BOT, B.SC Nursing) preferred
- Experience: 4 to 6 years of experience with HCC Risk Adjustment
- CRC / CPC / CCS / COC certification – Any one Mandatory

Experience -

- 4 - 6 year of Coding with quality experience
- QC experience

Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role. Preferred Qualifications (Desirable Criteria)

Solid proficiency in Microsoft Excel, including trackers, analysis, and reporting.

📌 Senior Executive - Quality Auditor (Chennai)
🏢 EXL
📍 Chennai