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EXL
EXL
Sponsor pentru viza de lucrător calificatAsigurăriAsistență medicalăLogistică
EXL este o companie de consultanță și servicii pentru afaceri care ajută organizațiile să utilizeze datele, analizele și tehnologia pentru a-și îmbunătăți operațiunile și a lua decizii mai bune. Activitatea sa include managementul operațiunilor, analiza decizională și transformarea digitală, având experiență în sprijinirea clienților din domeniul sănătății, al asigurărilor, al finanțelor și al logisticii. EXL combină știința datelor cu expertiza practică în afaceri pentru a dezvolta soluții adaptate obiectivelor, modelului operațional și contextului sectorial al fiecărei organizații.
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Senior Coding Auditor – Chennai, Hybrid

Senior Coding Auditor role with EXL in Chennai, focused on inpatient coding validation, DRG auditing, and documentation accuracy. The position includes coder mentoring, audit reporting, compliance oversight, and collaboration with coding and clinical documentation teams.

INIndiaHibridNormă întreagăSeniorLimbă Obligatorie: englezăAuditor

Descriere

  • Review inpatient medical records to validate ICD-10-CM/PCS coding and DRG assignments
  • Apply IPPS methodology, CMS guidance, and official coding standards
  • Validate diagnoses, procedures, POA indicators, and discharge dispositions
  • Identify documentation deficiencies and coordinate clarification with clinical teams
  • Mentor, coach, and assist coding personnel
  • Provide feedback and continuing education to coders and CDI specialists
  • Conduct recurring coding quality audits and propose remediation steps
  • Evaluate audit results and produce comprehensive reports
  • Monitor regulatory updates, payer requirements, and industry practices
  • Join cross-functional discussions with coding, CDI, compliance, and operations teams
  • Adhere to SOPs, project procedures, and assigned instructions
  • Complete audits accurately while meeting quality and productivity goals
  • Escalate concerns and recognize emerging trends
  • Maintain daily productivity and clarification records
  • Seek guidance from managers or team leads when needed
  • Reply promptly to manager communications
  • Maintain team adherence to HIPAA and OIG requirements

Cerințe

  • A nursing education is required
  • CCS (Certified Coding Specialist) certification is required
  • At least three years of experience following CCS certification
  • Experience auditing inpatient DRG coding
  • Working knowledge of Microsoft Outlook, Excel, and Word
  • Familiarity with 3M software and NLP tools
  • Strong Excel proficiency
  • Ability to work flexibly
  • Effective communication skills
  • Availability to work 40 hours weekly as a full-time employee

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