Perform in-depth reviews of inpatient medical records to ensure DRG and code accuracy and specificity, mentor and train coders, provide feedback and education, use 3M and NLP tools, maintain logs and meet quality/production targets, and ensure HIPAA/OIG compliance.
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's 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 Skills and abilities: • Auditing experience on IP DRG. • Knowledge in Microsoft outlook/excel/word. • Exposure on 3M software and NLP tool. 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
EXL Chennai, Tamil Nadu, IND Office
Chennai, India
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