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Senior Executive at EXL Talent Acquisition Team
Pune, maharashtra, India -
Full Time

Start Date

Immediate

Expiry Date

15 Jun, 26

Salary

0.0

Posted On

17 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Auditing, Ip Drg Coding, Microsoft Outlook, Microsoft Excel, Microsoft Word, 3M Software, Nlp Tool, Sop Adherence, Quality Assurance, Production Targets, Issue Escalation, Log Updates, Hipaa Compliance, Oig Compliance, Communication

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
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 and meet specificity requirements. This role also involves mentoring, training coding staff, and providing ongoing education to coders and Clinical Documentation Specialists.