EXL
EXL
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.

Senior Coding Auditor - Chennai Hybrid

Senior healthcare coding auditor responsible for validating inpatient medical records, DRG assignments, and documentation accuracy. The role includes coder mentoring and compliance with HIPAA, OIG, quality, and production standards.

Descriere

  • Review selected inpatient medical records to confirm that assigned codes and DRGs are supported by clinical documentation
  • Apply required specificity to diagnosis and procedure coding
  • Validate discharge disposition and present-on-admission (POA) accuracy
  • Use IPPS methodology in audit reviews
  • Mentor and train fellow coding professionals
  • Deliver continuing feedback and education to coding staff and Clinical Documentation Specialists
  • Follow SOPs, project procedures, and assigned instructions
  • Complete audits accurately while meeting quality and production targets
  • Escalate concerns and recognize recurring trends
  • Maintain daily productivity, clarification, and other required logs
  • Resolve questions with the Manager or Team Lead
  • Respond promptly to manager communications by email
  • Maintain team adherence to HIPAA and OIG requirements

Cerințe

  • Bachelor's degree in Nursing preferred, or Bachelor's degree in Science
  • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification is required
  • At least 2 years of experience in inpatient DRG coding or auditing
  • Professional experience auditing inpatient DRG coding
  • Working knowledge of Microsoft Outlook, Excel, and Word
  • Exposure to 3M software and an NLP tool
  • Strong Excel skills
  • Ability to work flexibly
  • Effective communication skills
  • Availability for 40 hours per week as a full-time employee

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