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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 Quality Auditor, Medical Coding – EXL, Chennai Hybrid

Senior healthcare quality auditor role at EXL focused on IVR medical coding accuracy, compliance, and clinical documentation. Lead coding quality improvements and support coding teams in Chennai.

INIndiaHibridNormă întreagăSeniorLimbă Obligatorie: englezăAuditor

Descriere

  • Audit coded medical records for accuracy, compliance, official coding guidelines, and payer-specific requirements
  • Assess clinical documentation for completeness and accurate CPT, ICD-10-CM, and HCPCS code assignment
  • Analyze coding errors and trends, identify improvement opportunities, and give actionable feedback to coding teams
  • Partner with coding managers and training teams on process improvement and coding education
  • Maintain current knowledge of coding standards, payer regulations, and compliance requirements
  • Guide and motivate team members while supporting production and quality objectives
  • Manage inventory and planning activities
  • Follow project protocols and operating instructions
  • Resolve team questions and issues by researching grey areas and developing solutions
  • Respond promptly to client emails and queries
  • Escalate issues and identify emerging trends
  • Maintain team compliance with HIPAA and OIG requirements

Cerințe

  • Bachelor’s degree in Science or Nursing
  • At least one mandatory certification: CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), or CPC (Certified Professional Coder)
  • At least 3 years of experience after certification
  • Four to six years of coding experience, including quality work
  • Mandatory IVR coding experience, including complex IVR coding, cardiovascular surgery, and general surgery
  • At least one to two years of experience as a Quality Analyst or Quality Auditor
  • CPMA certification is an advantage
  • Based in Chennai
  • Quality control experience
  • Strong Microsoft Excel skills, including tracker management, analysis, and reporting
  • Experience in SLA-driven, highly compliant healthcare environments
  • Advanced knowledge of quality auditing and medical coding
  • Ability to manage and support a team
  • Strong analytical, problem-solving, research, and communication skills
  • Ability to deliver team education and training
  • Knowledge of HIPAA and OIG compliance

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