EXL
EXL
EXL is a business consulting and services company that helps organizations use data, analytics, and technology to improve operations and make better decisions. Its work includes operations management, decision analytics, and digital transformation, with experience supporting clients in healthcare, insurance, finance, and logistics. EXL combines data science with practical business expertise to develop solutions tailored to each organization’s goals, operating model, and industry context.

Senior Executive Coding Auditor – Chennai Hybrid

Review inpatient medical records and validate diagnoses, procedures, codes, and DRGs for clinical support and compliance. Mentor coding teams while maintaining audit quality and healthcare coding standards.

Description

  • Review selected inpatient medical records to confirm that assigned codes and DRGs are supported by clinical documentation
  • Code diagnoses and procedures to the required level of specificity
  • Validate discharge disposition and present-on-admission accuracy
  • Apply IPPS methodology during coding audits
  • Mentor and train fellow coders
  • Deliver continuing feedback and education to coding staff and Clinical Documentation Specialists
  • Follow established SOPs, project protocols, and operational instructions
  • Complete audits accurately while meeting quality and productivity targets
  • Escalate concerns and identify recurring trends
  • Maintain daily productivity, clarification, and other relevant logs
  • Consult the Manager or Team Lead on coding clarifications
  • Respond promptly to emails from the Manager
  • Maintain team compliance with HIPAA and OIG requirements

Requirements

  • Bachelor’s degree in nursing, preferably, or a Bachelor’s degree in science
  • Current CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification is required
  • At least two years of experience in inpatient DRG coding or auditing
  • Prior experience auditing inpatient DRG cases
  • Working knowledge of Microsoft Outlook, Excel, and Word
  • Exposure to 3M software and NLP tools
  • Strong Excel skills
  • Flexibility in supporting work requirements
  • Effective communication skills
  • Full-time schedule of 40 hours per week

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