Performs accurate audits and coding for complex IVR, cardiovascular, and general surgery cases. The role requires adherence to coding guidelines, SOPs, HIPAA and OIG compliance standards, production and quality targets, documentation logs, and timely issue escalation. The auditor identifies coding trends, communicates with managers and team leads, and supports team compliance in a remote work environment.
- Perform accurate coding for complex IVR, cardiovascular procedures, and general surgery cases.
- Apply coding expertise with 2–10 years of relevant experience post CPC certification.
- Complete assigned audits with high quality and within defined timelines.
- Adhere strictly to all SOPs, project protocols, and coding guidelines.
- Meet daily/weekly production and quality benchmarks.
- Maintain all required logs including productivity, clarification, and other operational trackers.
- Identify patterns/trends in coding issues and escalate appropriately to TL/Manager.
- Communicate promptly and professionally through email and meetings.
- Demonstrate strong problem-solving skills and reliability in a remote work environment.
- Ensure adherence to HIPAA, OIG, and organizational compliance standards for self and team.
Responsibilities and Essential Functions:
- Follow every aspect of SOP without fail
- Complete received Audits with Quality
- To achieve Quality and production target
- Follow project related protocols and instructions
- Escalate issues, identify trends...
- Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
- Check with Manager /TL in case of clarifications
- All emails from Manager should be answered promptly without fail
- Problem solving skill sets
Ensure compliance of entire team for HIPAA,OIG
QualificationsOverview : CVIR
- CPC certification.
- Post CPC certification completion date, there should be 2+ years of coding experience
- Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardio vascular surgery and General surgery)
- Good communication, flexibility reliability
Qualifications:
Life science/Paramedical Degree
- CPC/CPMA
- Computer skill sets
Experience:
- 2 years to 10 years’ experience in Medical coding IVR and General surgery
- Auditing and denial management experience (Optional)
Communication:
- Strong written (documentation) and oral communication skills
Working Hours:
- 40 hours per week as Full time employee
- Shift time: 08:00AM TO 05:00PM IST
- Weekends Off
Telecommuter/Internet requirements, if applicable:
- High Speed internet connection at home, must be broadband
- Must understand and adhere with telecommuter policy
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
EXL Chennai, Tamil Nadu, IND Office
Chennai, India
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