Senior Executive at EXL Talent Acquisition Team

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

26 May, 26

Salary

0.0

Posted On

25 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

DRG Coding, Auditing, Inpatient Medical Records Review, IPPS Methodology, Mentoring, Training, Clinical Documentation Specialists Education, SOP Adherence, Quality Assurance, Production Targets, Issue Escalation, Log Updates, HIPAA Compliance, OIG Compliance, Microsoft Outlook, Microsoft Excel

Industry

Business Consulting and Services

Description

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. ;Qualifications: Bachelors in nursing preferable / Bachelor's in science.Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder ;Experience: Minimum 2 years’ experience in IP DRG coding or auditing. ;Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE ;Skills and abilities: ; ; ; ; ; ; Auditing experience on IP DRG. ; ; ; ; ; ; ;Knowledge in Microsoft outlook/excel/word. ; ; ; ; ; ; ;Exposure on 3M software and NLP tool. ;ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: ; ; ; ; ; ; ;Follow every aspect of SOP without fail ; ; ; ; ; ; ; ;Complete received Audits with Quality ; ; ; ; ; ; ;To achieve Quality and production target ; ; ; ; ; ; ;Follow project related protocols ;and instructions ; ; ; ; ; ; ; ;Escalate issues, identify trends... ; ; ; ; ; ; ;Update all the logs like productivity, Clarification log, and any other logs applicable, daily ; ; ; ; ; ; ; ;Check with Manager /TL in case of clarifications ; ; ; ; ; ; ; ;All emails from Manager should be answered promptly without fail ; ; ; ; ; ; ;Ensure compliance of entire team for HIPAA,OIG ; ; ; ; ; ; ;Good excel skills ; ; ; ; ; ; ; ;Flexibility ; ; ; ; ; ; Good Communication EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Responsibilities

The DRG coding Auditor is responsible for performing in-depth reviews of inpatient medical records to ensure assigned codes and DRG are supported by clinical documentation with required specificity, and that discharge disposition and POA are correct. This role also involves mentoring and training other coders, and providing ongoing feedback and education to coding staff and Clinical Documentation Specialists.