Executive - Coding Auditor
About the Role
The DRG 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.
Full Job Posting
Skills and abilities:
• Auditing experience on IP DRG.
• Knowledge in Microsoft outlook/excel/word.
• Exposure on 3M software and NLP tool.
Qualifications
- Qualifications: Bachelors in nursing (preferable) / Bachelors 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
Responsibilities
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
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at EXL
Senior AI Product Manager - Agentic AI & Data Intelligence
Phoenix, USA
Senior AI Product Manager – Agentic AI & Data Intelligence
Data Analyst
Gurugram, IND
Collect, clean, and analyze data, create reports and dashboards, collaborate with stakeholders on data needs, perform statistical analysis
Senior Executive
Bengaluru, IND
We are seeking a highly skilled professional with expertise in market research, financial analysis, and valuation methodologies. The ideal candidate should possess a strong command of valuation methodologies, along with
Project Manager
, USA
Company: EXLService.com, LLC Location: New York, NY Position Title: Project Manager
Assistant Manager- Physician Reviewer
Chennai, IND
Physician with minimum 1 year of clinical experience and skillset, to review the clinical information/medical record and summarize relevant clinical information based on set of guidelines/criteria.
Manager
Chennai, IND
Highly analytical and commercially driven leader to head the Strategic Finance and Business Operations function. In this high-visibility role, you will act as the "co-pilot" to the executive team, bridging the gap betwee
Assistant Manager- Physician Reviewer
Chennai, IND
Physician with minimum 1 year of clinical experience and skillset, to review the clinical information/medical record and summarize relevant clinical information based on set of guidelines/criteria.
Senior AI Product Manager - Agentic AI & Data Intelligence
Phoenix, USA
Data Analyst
Gurugram, IND
Senior Executive
Bengaluru, IND
Project Manager
, USA
Assistant Manager- Physician Reviewer
Chennai, IND
Manager
Chennai, IND
Assistant Manager- Physician Reviewer
Chennai, IND