EXL
EXL
EXL एक व्यावसायिक परामर्श और सेवाएँ प्रदान करने वाली कंपनी है, जो संगठनों को डेटा, विश्लेषण और प्रौद्योगिकी का उपयोग करके संचालन में सुधार करने और बेहतर निर्णय लेने में सहायता करती है। इसके कार्यों में संचालन प्रबंधन, निर्णय विश्लेषण और डिजिटल रूपांतरण शामिल हैं। कंपनी को स्वास्थ्य सेवा, बीमा, वित्त और लॉजिस्टिक्स के क्षेत्रों में ग्राहकों का सहयोग करने का अनुभव है। EXL डेटा विज्ञान को व्यावहारिक व्यावसायिक विशेषज्ञता के साथ जोड़कर ऐसे समाधान विकसित करती है, जो प्रत्येक संगठन के लक्ष्यों, संचालन मॉडल और उद्योग-परिस्थिति के अनुरूप होते हैं।

Senior Healthcare Coding Quality Auditor

Audit complex medical coding, including IVR cases, for accuracy and compliance. Guide team performance, resolve coding issues, and support HIPAA and OIG adherence in Chennai.

विवरण

  • Audit coded medical records for accuracy, compliance, coding guidelines, and payer requirements.
  • Review clinical documentation and verify CPT, ICD-10-CM, and HCPCS code assignments.
  • Spot coding errors and trends, then give the coding team feedback and recommendations.
  • Work with coding managers and trainers to improve processes and deliver coding education.
  • Keep current with coding standards, payer rules, and compliance requirements.
  • Guide the team toward production and quality targets.
  • Oversee inventory and planning.
  • Resolve team questions and issues by researching unclear cases and recommending solutions.
  • Deliver team education and training.
  • Respond to client emails and queries.
  • Escalate issues and flag recurring trends.
  • Respond promptly to managers’ emails.
  • Ensure the team follows HIPAA and OIG requirements.

आवश्यकताएँ

  • Bachelor’s degree in science or nursing.
  • At least one required certification: CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), or CPC (Certified Professional Coder).
  • At least three years of experience after certification.
  • Four to six years of coding experience, including quality work.
  • Experience with IVR coding, including complex cardiovascular and general surgery cases.
  • At least one to two years in a Quality Analyst or quality auditing role.
  • Quality control experience.
  • Strong Microsoft Excel skills, including trackers, analysis, and reporting.
  • Experience in SLA-driven, high-compliance healthcare settings.
  • CPMA certification is an advantage.
  • Based in Chennai.

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