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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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Locurile de muncă ale companiei

Senior Inpatient DRG Quality Auditor – Chennai (Hybrid)

Audits inpatient DRG coding for diagnoses, procedures, and compliance. Trains DRG auditors and meets quality SLAs in Chennai.

INIndiaHibridNormă întreagăSeniorLimbă Obligatorie: englezăAuditor

Descriere

  • Conduct detailed secondary quality audits of inpatient medical records reviewed by DRG auditors.
  • Check principal and secondary diagnoses, procedures, POA indicators, discharge disposition, and final DRG assignments.
  • Confirm adherence to IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer or client requirements.
  • Follow all standard operating procedures.
  • Maintain full compliance with HIPAA and data security standards.
  • Use quality tools, 3M software, NLP tools, and internal systems for audits and reporting.
  • Document and report work using Microsoft Excel, Outlook, and Word.
  • Follow project protocols, workflows, and client instructions.
  • Complete assigned audits for quality review and deliver accurate results.
  • Meet quality service-level agreements and production targets.
  • Escalate issues and spot recurring error patterns.
  • Keep monitoring trackers up to date.
  • Respond promptly to email from leads and managers.
  • Coach and train DRG auditors, providing ongoing feedback and coding education.

Cerințe

  • Bachelor’s degree in science or nursing.
  • Hold at least one required certification: CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), or CPC (Certified Professional Coder).
  • At least five years of inpatient DRG coding or auditing experience.
  • At least one to two years in quality analysis or quality auditing.
  • Prior experience performing inpatient DRG quality audits is preferred.
  • Experience using 3M encoder software and NLP tools is preferred.
  • Strong Microsoft Excel skills, including trackers, analysis, and reporting.
  • Experience in healthcare environments with service-level targets and strict compliance requirements.
  • Excellent spoken and written communication skills.
  • Working knowledge of Microsoft Outlook and Word.
  • Knowledge of IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer or client requirements.
  • Ability to follow HIPAA and data security standards.
  • Ability to follow standard procedures, project protocols, workflows, and client instructions.
  • Flexibility.

Beneficii

  • Hybrid work arrangement.
  • Flexible work arrangement.

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