Senior Executive

EXL Service

Chennai, Tamil Nadu
Permanent
Full-time

1 month ago

Job Description:Overview: 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.Qualifications: Bachelors in nursing preferable / Bachelor's in science.Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient CoderExperience: Minimum 2 years’ experience in IP DRG coding or auditing.Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEESkills 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 Service

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