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EXL

Senior Executive - Coding Auditor

Posted 4 Days Ago
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Hybrid
Chennai, Tamil Nadu, IND
Senior level
Hybrid
Chennai, Tamil Nadu, IND
Senior level
Audits inpatient DRG coding for quality, accuracy, productivity, and compliance. Follows SOPs and project protocols, meets production targets, escalates issues, identifies trends, maintains daily productivity and clarification logs, and responds promptly to management. Ensures team compliance with HIPAA and OIG requirements while supporting audit clarification and communication processes.
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Skills and abilities:

•             Auditing experience on IP DRG.

•             Knowledge in Microsoft outlook/excel/word.

•             Exposure on 3M software and NLP tool.

Responsibilities

ADDITIONAL AND ESSENTIAL RESPONSIBILITIES:

•             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, daily 

•             Check with Manager /TL in case of clarifications 

•             All emails from Manager should be answered promptly without fail

•             Ensure compliance of entire team for HIPAA, OIG

•             Good excel skills 

•             Flexibility

•             Good Communication

Qualifications
  • Qualifications: Bachelors in nursing (preferable) / Bachelors in science.
  • Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder
  • Experience: Minimum 2 years’ experience in IP DRG coding or auditing.
  • Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE

EXL Chennai, Tamil Nadu, IND Office

Chennai, India

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