Senior 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
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
- -
- Bachelors in nursing (preferable) / Bachelors in science.
- Minimum 2 years’ experience in IP DRG coding or auditing.
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
About EXL
EXL is a global data and AI company that provides analytics, digital operations, and industry-specific services to enterprises in insurance, healthcare, banking, retail, media, and energy.
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