LogoFresh Jobs Ahead
EXL
EXL
Kvalificēta darbinieka vīzas sponsorsApdrošināšanaLoģistikaVeselības aprūpe
EXL ir biznesa konsultāciju un pakalpojumu uzņēmums, kas palīdz organizācijām izmantot datus, analītiku un tehnoloģijas, lai uzlabotu darbību un pieņemtu labākus lēmumus. Uzņēmuma darbība ietver operāciju pārvaldību, lēmumu analītiku un digitālo transformāciju, kā arī pieredzi darbā ar klientiem veselības aprūpes, apdrošināšanas, finanšu un loģistikas nozarēs. EXL apvieno datu zinātni ar praktisku uzņēmējdarbības kompetenci, lai izstrādātu risinājumus, kas pielāgoti katras organizācijas mērķiem, darbības modelim un nozares kontekstam.
LinkedIn
Vakances uzņēmumā

Assistant Manager, Inpatient DRG Coding Audits

Assistant Manager role focused on inpatient DRG coding audits at EXL, a data analytics and digital operations company. The position reviews medical records, supports coding teams, and strengthens compliance, data quality, and reimbursement accuracy.

INIndijaHibrīdiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuRevidents

Apraksts

  • Perform detailed DRG validation audits on selected inpatient medical records
  • Examine documentation to confirm diagnoses and procedures are clinically supported and coded at the highest appropriate specificity
  • Verify discharge disposition, present-on-admission indicators, and diagnosis sequencing
  • Investigate and resolve differences between coded information and clinical documentation
  • Conduct secondary reviews of complex or contested coding cases
  • Track audit patterns and identify coding or documentation issues that affect data quality and reimbursement
  • Work with Compliance teams on audit conclusions and regulatory requirements
  • Coach coders and CDI Specialists through targeted feedback
  • Create and deliver training covering DRG optimization, clinical indicators, coding standards, and audit outcomes
  • Assess regulatory developments and changes to coding guidelines
  • Keep audit documentation current and produce periodic reports covering trends, root causes, and recommendations
  • Present findings to management and contribute to performance improvement efforts
  • Coordinate with CDI teams, physicians, clinical staff, IT, and data analytics teams
  • Complete audits accurately while meeting quality and production objectives
  • Escalate concerns, analyze recurring trends, and maintain productivity and clarification logs
  • Respond promptly to manager correspondence and resolve questions with managers or team leads

Prasības

  • Bachelor’s degree in science; a bachelor’s degree in nursing is preferred
  • CCS (Certified Coding Specialist) certification is required
  • CIC (Certified Inpatient Coder) certification is required
  • Experience auditing inpatient DRG coding
  • Proficiency with Microsoft Outlook, Excel, and Word
  • Experience with 3M software and NLP tools
  • Knowledge of the IPPS methodology
  • Strong Excel skills
  • Ability to work flexibly
  • Effective communication skills
  • Ability to follow SOPs and project protocols
  • Commitment to HIPAA and OIG compliance

Priekšrocības

  • Hybrid work arrangement

Saistītās vakances

Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation
1001 – 5000 Darbinieki
H1B vīzas sponsorsKonsultācijasRažošanaVeselības aprūpe
USAmerikas Savienotās ValstisNJŅūdžersija
120 000 $ – 165 000 $ / gads
KlātienēPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuVadītājs

Lead medical device sales across a North Central New Jersey region, managing field teams and hospital relationships. Drive regional revenue, sales performance, and compliant promotion of Terumo Interventional Systems products.

Atvērt